Get State Of Montana Department Of Environmental Quality Industrial No Exposure Certification Form For

This guide provides a step-by-step process for completing the STATE OF MONTANA DEPARTMENT OF ENVIRONMENTAL QUALITY INDUSTRIAL NO EXPOSURE CERTIFICATION FORM online. Designed for various industrial, mining, and oil and gas facilities, this form allows you to declare a condition of no exposure to storm water discharges. Understanding each section is vital for compliance and achieving successful certification.

Follow the steps to complete the certification form correctly.

1. Use the ‘Get Form’ button to access the Industrial No Exposure Certification Form and open it in your editing tool.
2. In Section A, provide the name and address of the applicant. Include the company name, mailing address, phone number, and specify whether the applicant is the owner or operator.
3. In Section B, input the location details of the facility, including the street address and town. Make sure to include the township, range, section, and ¼ section, along with the latitude and longitude.
4. For Section C, specify the Standard Industrial Classification (SIC) codes that correspond to the facility’s main activities. You may include up to four codes.
5. Complete Section D by stating whether the facility currently has a Permit Authorization Number related to the MPDES General Permit.
6. In Section E, describe the industrial, mining, and/or oil and gas activities taking place at the facility.
7. Section F requires you to indicate if there are any additional MPDES permits associated with other non-storm water discharges.
8. For Section G, answer the checklist questions with either ‘Yes’ or ‘No’ to all ten exposures related to industrial materials and activities.
9. Finally, in Section H, ensure the eligible signatory certifies the form by signing, dating, and providing their printed name and title.
10. Once all sections are completed, save your changes. You can then download, print, or share the completed form as required.

Complete the STATE OF MONTANA DEPARTMENT OF ENVIRONMENTAL QUALITY INDUSTRIAL NO EXPOSURE CERTIFICATION FORM online today to ensure compliance.