Get Afsci Form 3400 176

The Afsci Form 3400 176 is essential for submitting a Storm Water Pollution Prevention Plan Summary to the Wisconsin Department of Natural Resources. This guide will provide you with clear, step-by-step instructions to help you complete the form online effectively.

Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to access the Afsci Form 3400 176, which you can then open for editing.
2. Begin with Section I: Facility/Site Information. Enter the Facility/Site Name as it appears on your permit authorization, followed by the County, Location Address, State, ZIP Code, and Municipality.
3. Continue to Section II: Facility/Site Contact Person. Fill in the name of a Local Contact Person, their Mailing Address (if different), Title, Municipality, Telephone Number, E-mail address (if applicable), and Fax number.
4. Proceed to Section III: Certification & Signature. Ensure this section is signed by an authorized representative of the facility. Include their telephone number, name, company name, position title, and mailing address. Also, indicate the date signed.
5. In Section IV: Questions, answer each question 1-18 by selecting 'Yes' or 'No', which relates to the application's compliance with storm water pollution prevention management.
6. Section V requires a Description of Industrial Activity and Land Use. Summarize the major activities and treatment practices at your facility, attaching additional sheets if necessary.
7. Next, move to Section VI: Storm Water Outfall Information. Fill in the Outfall Number, Sources of Pollutants, BMPs Implemented, and Non-Storm Water Discharge information.
8. Complete Section VII: Facility Site Diagram. Attach any necessary diagrams or additional sheets as specified in your permit.
9. In Section VIII: Comments, note any relevant remarks referencing specific section or question numbers.
10. Finally, review the entire form for completeness and accuracy. Once verified, save changes and choose to download, print, or share the form as required.

Take the next step by completing your documents online today.