Impervious Surface Adjustment/Review Request Form

Please fill out the following form to indicate your interest in having a member of the Stormwater Management Program staff review the amount of impervious surface on your property. 

Athens-Clarke County Stormwater Utility - Impervious Surface Adjustment/Review Request

  1. General Information
  2. Applicant Information (Financially Responsible Entity)
  3. Property Owner Information
  4. Is the property owner information different than the information you included above?*
  5. Property Information
  6. Certification
  7. You agree that this information that you've provided is true and correct to the best of your knowledge and belief and that this form was completed by the financially responsible person, or if not, by an officer, director, partner, or registered agent with authority to execute instruments for the financially responsible entity. By checking the statement below, you agree to provide corrected information should there be any change in the information that was provided.*
  8. Thank you for completing this form!

    Someone from the Stormwater Management Program will be in touch with you soon about your request.

  9. Leave This Blank:

  10. This field is not part of the form submission.