Get 9100215042 Form

Filling out the 9100215042 Form online is a straightforward process when approached step by step. This guide aims to assist you in completing the form accurately and efficiently, ensuring all necessary information is provided.

Follow the steps to fill out the 9100215042 Form online.

1. Click ‘Get Form’ button to access the 9100215042 Form and open it in your chosen editor.
2. Fill in the Owner/Operator Information section by entering the name of the legally responsible party and the executive office address.
3. Complete the Contact Information section, providing details of the individual responsible for communication with the Department regarding the implementation of the Multi-Sector General Permit.
4. Enter the Facility Information, including the complete street address, facility name, city, state, zip code, and county.
5. In the Mailing Information section, provide the address for where all official correspondence should be sent.
6. Answer the eligibility questions regarding your facility's compliance with the SPDES Multi-Sector General Permit.
7. Provide the geographic coordinates of your facility, including latitude and longitude.
8. Indicate the applicable Industrial Activities from the provided list, marking all that apply to your facility.
9. Fill out the stormwater discharge information for each relevant outfall, including outfall number, SIC codes, and acreage.
10. Review the form to ensure all information is accurate and complete. After confirming this, electronically sign and date the certification section.
11. Finally, save your changes, and select the option to download, print, or share the completed form as needed.

Complete your 9100215042 Form online today for efficient processing!