Grass Lake, MI · Jackson County

No notary required

Soil Erosion and Sedimentation Control Release Form

Applicants use this form to certify that proposed earth-change work meets the size and distance conditions for a Soil Erosion and Sedimentation Control release.

What this form is

This form lets an applicant certify that proposed earth-change activity is less than one acre and more than 500 feet from a lake, river, or stream. It asks for the applicant’s contact details, job-site address, parcel ID, and signatures from the property owner, contractor, or legal representative and a witness. The form says it may be completed at Village Hall and warns that an application fee penalty may apply if a permit is later found necessary.

Who needs it

Applicants proposing earth-change activity under one acre and more than 500 feet from a lake, river, or stream may complete this form.

How to submit it

The form says it may be completed at Village Hall, 119 N. Lake Street, Grass Lake, Michigan 49240. It does not specify a submission fee.

About notarization

This form is signed and dated by the property owner, contractor, or legal representative and a witness; it does not require notarization.

How to submit this form

  1. 1

    Download the Form

    Download the Soil Erosion and Sedimentation Control Release Form.

  2. 2

    Complete the Applicant Details

    Enter the applicant’s contact information, job-site address, and parcel ID, and certify that the activity meets the stated conditions.

  3. 3

    Sign and Date

    Have the property owner, contractor, or legal representative and a witness sign and date the form.

  4. 4

    Complete at Village Hall

    The form says it may be completed at Village Hall, 119 N. Lake Street, Grass Lake, Michigan 49240.

Frequently asked questions

What does the SESC release form certify?
It certifies that the proposed earth-change activity is less than one acre and more than 500 feet from a lake, river, or stream.
Who may complete this form?
An applicant proposing qualifying earth-change activity may complete the form. It asks for applicant and job-site details, plus signatures from a property owner, contractor, or legal representative and a witness.
Do I need a notary for the SESC release form?
No. The form is signed and dated by the property owner, contractor, or legal representative and a witness; it does not require notarization.
How do I submit the SESC release form?
The form says it may be completed at Village Hall, 119 N. Lake Street, Grass Lake, Michigan 49240. It does not provide another submission method.

Need something notarized?

This Soil Erosion and Sedimentation Control Release Form doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.