Get Notice Of Intent For Secondary Permittees (pdf Format) Version 2013 - Gaepd

This guide provides clear and concise instructions on how to complete the Notice of Intent for Secondary Permittees form for storm water discharge in Georgia. Follow these steps to ensure your submission is accurate and compliant with regulations.

Follow the steps to successfully complete the Notice of Intent form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, ‘Site/Secondary Permittee Information,’ enter the project construction site name and a sufficient location description to accurately identify the site. Include additional details such as subdivision name, lot numbers (if applicable), and county.
3. Continue filling out the secondary permittee’s name, contact information including phone and email, and their address. If applicable, include the names and contact information for any duly authorized representatives.
4. In the ‘Construction Site Activity Information’ section, provide the start and completion dates of the construction. These dates should be in the format of month/date/year. Also, estimate and enter the disturbed acreage, ensuring it reflects the total number of acres to the nearest tenth.
5. Indicate whether the secondary permittee will disturb more than 50 acres at any one time by checking the appropriate box. If applicable, provide the date of EPD written authorization.
6. For the ‘Receiving Water Information’ section, specify the name of initial receiving water(s) and indicate whether it is a trout stream or supports warm water fisheries. If it discharges into impaired stream segments, answer accordingly.
7. Proceed to attach required documents relevant to your notification type: initial notifications, re-issuance notifications, or change of information notifications, as specified on the form.
8. In the final section, complete the necessary certifications. Ensure that the form is signed by an authorized representative. Include their printed name, title, signature, and date of signing.
9. After completing all required sections, save changes to the form. You can then download, print, share, or submit the completed form as required.

Complete your Notice of Intent form online today to ensure compliance with storm water discharge regulations.