HomeMy WebLinkAbout010_Stormwater Certification_Lot 5A - COB to sign*Note: All First-Class Municipalities in Montana have an MS4 General Permit.
**Based on 2010 Census population data.
ARM 17.36.310(5) Stormwater Certification
Sanitation in Subdivisions Act
Project Name: EQ Number:
Consultant/Engineer:
Applicant:
Please Select:
☐ First or Second-Class Municipality as
defined in 7-1-4111, MCA*
Second-Class Municipality**
☐ Havre
☐ Anaconda
☐ Miles City
☐ Belgrade
☐ Livingston
☐ Laurel
☐ Whitefish
☐ Lewistown
☐ Sidney
☐ Municipal Separate Storm Sewer System
☐ MTR040001 – Billings
☐ MTR040002 – Bozeman & MSU
☐ MTR040003 – Helena
☐ MTR040004 – Great Falls
☐ MTR040005 – Kalispell
☐ MTR040006 – Butte
☐ MTR040007 – Missoula
☐ MTR040008 – Malstrom AFB
☐ MTR040009 – MDT Helena
☐ MTR040010 – Yellowstone County
☐ MTR040011 – Missoula County
☐ MTR040012 – University of
Montana
☐ MTR040013 – Cascade County
Certification (to be completed by MS4 or municipality):
I hereby certify in accordance with ARM 17.36.310(5) that the above selected municipality or
MS4 entity consents to an exemption from the Department of Environmental Quality
requirements to submit a stormwater plan for the aforementioned subdivision. Further, the
municipality of MS4 entity will either accept the stormwater into the municipal stormwater
system or will require the applicant to comply with municipal or MS4 stormwater drainage
design standards.
Name Signature Date
Title Organization
Nelson Meadows Subdivision - Lot 5A
Morrison-Maierle Inc.
Stella Fria, LLC
26