National Pollutant Discharge Elimination System (Npdes) Stormwater Notice Of Termination Form - Florida Department Page 4

Download a blank fillable National Pollutant Discharge Elimination System (Npdes) Stormwater Notice Of Termination Form - Florida Department in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete National Pollutant Discharge Elimination System (Npdes) Stormwater Notice Of Termination Form - Florida Department with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Items H.-I.: Provide the email address and fax number (including area code) of the person authorized to submit this NOT on behalf of
the operator.
Part III – Facility/Project Information:
Items A. – E.: Enter the official or legal name and complete street address, including city, state and zip code of the facility/project
site. Do not provide a P.O. Box number as the street address. If the facility/project lacks a street address, describe the location (e.g.,
intersection of State Road 1 and Smith Street).
Item F.: Enter the county in which the facility/project site is located.
Part IV – Certification:
Type or print the name and official title of the person signing the certification. Sign and date the certification.
Section 403.161, F.S., provides severe penalties for submitting false information on this NOT or any reports or records required by a
permit. There are both civil and criminal penalties for submitting false information.
Rule 62-620.305, F.A.C., requires that the NOT be signed as follows:
A. For a corporation, by a responsible corporate officer as described in Rule 62-620.305, F.A.C.;
B. For a partnership or sole proprietorship, by a general partner or the proprietor, respectively; or
C. For a municipality, state, federal or other public facility, by a principal executive officer or elected official.
Page 4 of 4
DEP Form 62-621.300(6)
Effective Date: 02/2015

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Adem Form 187 - National Pollutant Discharge Elimination System (npdes) Permit Application Supplementary Information For Industrial Facilities Adem Form 187 - National Pollutant Discharge Elimination System (npdes) Permit Application Supplementary Information For Industrial Facilities Legal
Form Dep / Dow - Pretreatment Annual Report For Publicly Owned Treatment Works - Kentucky Pollutant Discharge Elimination System - 2014 Form Dep / Dow - Pretreatment Annual Report For Publicly Owned Treatment Works - Kentucky Pollutant Discharge Elimination System - 2014 Financial
Form Ecy 020-86 - Notice Of Termination Form Industrial Stormwater General Permit Form Ecy 020-86 - Notice Of Termination Form Industrial Stormwater General Permit Legal
Termination Of Notice Of Commencement Form - Florida Termination Of Notice Of Commencement Form - Florida Legal
Notice Of Termination Form (not) Notice Of Termination Form (not) Legal
Notice Of Transfer Form - Florida Notice Of Transfer Form - Florida Legal
Notice Of Commencement Form - Florida, County Of Broward Notice Of Commencement Form - Florida, County Of Broward Legal
Notice Of Termination Form Notice Of Termination Form Legal
Notice Of Commencement Form - Florida, County Of Osceola Notice Of Commencement Form - Florida, County Of Osceola Legal
Notice Of Exemption Form - Nebraska Department Of Banking And Finance Notice Of Exemption Form - Nebraska Department Of Banking And Finance Legal

Related Categories

Parent category: Legal
Download
Go
Page of 4