Get Va Dcr Var04 Permit Registration Statement Form

The Va Dcr Var04 Permit Registration Statement Form is essential for regulated small municipal separate storm sewer systems seeking coverage under the general permit for stormwater discharges. This guide provides a clear and user-friendly approach to completing the form online.

Follow the steps to complete the Va Dcr Var04 Permit Registration Statement Form successfully.

1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, enter the name of the regulated small MS4 and specify the type, such as City, County, or Federal Facility. Provide the location by stating the County or City.
3. In the second section, provide the name and address of the regulated small MS4 operator, including the city, state, and zip code.
4. Record the Hydrologic Unit Codes related to the small MS4 discharges, referring to Virginia's National Watershed Boundary Dataset.
5. Attach a description of the estimated drainage area that serves the regulated small MS4 discharging to impaired receiving waters.
6. List any TMDL waste loads allocated to the regulated small MS4, referencing the appropriate resources as needed.
7. Specify any regulated physically interconnected MS4s that receive discharges from the small MS4.
8. Include a copy of the MS4 Program Plan, detailing the best management practices intended for implementation.
9. List all existing signed agreements made by the operator with third parties for implementing minimum control measures.
10. Enter the name, address, telephone number, and email of the principal executive officer or ranking elected official.
11. Provide the contact information of any duly authorized representative.
12. Complete the certification section by providing the printed name, signature, title, and date.
13. After reviewing your entries, save any changes made to the form, and proceed to download, print, or share the form as necessary.

Start filling out your Va Dcr Var04 Permit Registration Statement Form online today to ensure compliance and timely submission.