Get Page Format: A4 - Epa State Il

This guide provides comprehensive instructions for completing the No Exposure Certification for exclusion from NPDES Storm Water Permitting. Designed for users with varied levels of experience, it outlines each section of the form to ensure accurate submission.

Follow the steps to complete the certification form effectively.

1. Press the ‘Get Form’ button to access the No Exposure Certification form and open it in your editing tool.
2. Fill in Section A with facility operator information, including the name, phone number, and mailing address. Be sure to provide the complete address with city, state, and zip code.
3. Complete Section B with facility/site location information. This includes the legal name of the facility, street address, city, county, state, zip code, latitude, and longitude. Indicate if the facility is on Indian Lands or is a Federal facility.
4. In Section C, check the boxes that accurately reflect whether any materials or activities are exposed to precipitation. Answer each question truthfully, as a 'Yes' may disqualify your no exposure claim.
5. In Section D, read the certification statement carefully. Sign and date the form, ensuring the signature is from an authorized individual based on the facility's operating structure.
6. Once all sections are filled out completely, review the form for accuracy. Ensure that all questions are answered, and make a photocopy for your records.
7. Submit the completed form to the appropriate address specified for your jurisdiction. Ensure you retain a copy for future reference.

Complete your No Exposure Certification online today to ensure compliance with NPDES regulations.