Checklists, Forms, & Templates

General
Form Description
FOIA Request Form (April 19, 2010) (PDF) Form for Freedom Of Information Act (FOIA) requests. You also may contact SMC directly to make a FOIA request. This form will help us process your request but is not required to make a request.
Petition for IWLC Certification (2015) (PDF) A signatory form for communities wishing to petition Lake County SMC for the authority to review and issue permits involving isolated wetlands. The form also outlines the provisions and responsibilities associated with Isolated Wetland Certification.

Soil Erosion & Sediment Control
Form Description
Directional Drilling Contingency Plan (May 2009) (PDF) A sample Directional Drilling Contingency Plan that may be used and adapted for a specific directional drilling project.
Soil Erosion and Sediment Control Checklist (PDF) A two-page list to help an applicant determine the items to include on soil erosion/sediment control plans.

Stormwater
Form Description
Covenant by Deed (PDF) Template language for establishing a Stormwater/Drainage Restrictive Covenant by deed.
Covenant Stormwater and Drainage Restrictive Covenant by Plat (PDF) Template language for establishing a Stormwater/Drainage Restrictive Covenant by plat of survey.
Detention and Compensatory Storage Approval Form (PDF) Form to document Certified Community approval of on-site parameters prior to SMC’s initial review of the Proposed Conditions BFE analysis.
NPDES Stormwater Management Program Plan Task List (XLS) An Excel file containing a list of annual, as-needed, and ongoing tasks for Stormwater Management Program Plan tasks.
Sample Drainage Easement (PDF) An Excel file containing template language for establishing a Drainage, Stormwater Management, Stormwater Conveyance, and Detention/Retention Easement over an outlot.

Watershed Development Ordinance (WDO)
Form Description
As-Built Review Checklist (2007) (PDF) A checklist of items for preparing complete as-built plans for approval.
Community Certification Form (PDF) A one-page form to document information about a community when it wishes to become certified to administer WDO provisions.
Community Notification Procedure (PDF) A form and procedural outline for notifying certified communities of significant Watershed Development Ordinance non-compliance issues.
Major Development Checklist (PDF) A form to assist both the permit applicant and the Lake County SMC reviewer with determining the information needed for a complete Watershed Development Permit submittal associated with major developments.
Minor Development Checklist (PDF) A form to assist both the permit applicant and the Lake County SMC reviewer with determining the information needed for a complete Watershed Development Permit submittal associated with minor developments.
Permit Review Checklist (PDF) A simplified list of items typically looked at during the permit review process. Many other factors are considered, but this list gives a good idea of what is covered. Not every item applies to every permit application.
Petition for Standard SMC Certification (2010) (PDF) A signatory form for communities wishing to petition Lake County SMC for the authority to review and issue permits for Standard Provisions of the WDO. The form also outlines the provisions and responsibilities associated with Standard Certification.
Re-Certification Checklist Form (fill-able) (PDF) A fillable Word checklist for community self-audit in support of recertification. See also the recertification checklist procedures (2008).
Single Family Home Checklist (PDF) A checklist of items for a permit applicant to submit when applying for a Watershed Development Permit to construct a single-family home.
Watershed Development Permit Application Blank (October 20, 2012) (PDF) A blank PDF form for applying for a Watershed Development Permit or Letter of no Wetland Impact. User prints and fills out manually. Alternately, you may use the fillable Word form or fillable PDF.
Watershed Development Permit Application Fillable (October 20, 2012) (PDF) A fillable Word version of the form used to apply for a Watershed Development Permit or Letter of no Wetland Impact. User can open in Word, fill out, save, and print.
Watershed Development Permit Application Fillable PDF (October 20, 2012) (PDF) A fillable PDF version of the form used to apply for a Watershed Development Permit or Letter of no Wetland Impact. User can open, fill out, save, and print. See also Watershed Development Permit Instructions under guidance documents.

Wetlands
Form Description
Covenant Wetland and Wetland Buffer Restrictive Covenant by Plat (PDF) Template language for establishing a restrictive covenant by plat of survey over wetland or wetland buffer areas outlining limitations, restrictions and uses.
Covenant Wetland and Wetland Buffer Restrictive Covenent by Deed (PDF) Template language for establishing a restrictive covenant by deed over wetland or wetland buffer areas outlining limitations, restrictions and uses.
CWS Application Form (2013) (PDF) An application form for persons wishing to submit qualifications to SMC to become a Lake County, Illinois, Certified Wetland Specialist.
General Permit 2 (PDF) An application form to request authorization from Lake County SMC for minor wetland impacts (i.e., ≤0.1 acre of non-HQAR wetland impact or ≤1,000 s.f. of impact to HQAR wetland) to Isolated Waters of Lake County (IWLC). To be completed and delivered to SMC at least 30 days prior to development activity. See also the General Permit 2 Memo (August 2010).
IWLC Submittal Checklist (2012) (PDF) A form to assist both the permit applicant and the Lake County SMC reviewer with determining the items needed for a Wetland Submittal.
McHenry-Lake SWCD FSA Slide Request Form for Agricultural Land Wetland Determinations (PDF) A blank PDF of the form for requesting Farm Service Agency (FSA) farmed wetland compliance slides.
Preliminary Wetland Jurisdictional Determination and Boundary Verification Form (Fill-able) (PDF) A fillable PDF form for requesting a preliminary wetland jurisdictional determination (PJD) and/or a wetland boundary verification (BV) from Lake County SMC. Alternately, you may use the fillable Word form.
U.S Army Corps of Engineers Jurisdictional Determination Request Form (PDF) Form for direct submittal to the Army Corps of Engineers, used to determine if areas on a property fall under Corps' jurisdiction.