Get Form 3400 167

Filling out the Form 3400 167 is a vital step for industrial facilities to comply with the storm water pollution prevention requirements in Wisconsin. This guide provides clear, step-by-step instructions to help you complete the form efficiently and accurately online.

Follow the steps to fill out Form 3400 167 online successfully.

1. Click the ‘Get Form’ button to access the form and open it in the online editor.
2. Begin with Section I, providing the required facility/site information. Enter the facility name as it appears on the permit authorization, the county, and the complete location address including state and ZIP code.
3. Continue to Section II, where you must fill out details for the facility/site contact person. Ensure to include the mailing address, title, municipality, phone number, email address or website if applicable, and fax number.
4. Move to Section III for the certification and signature. This section must be signed by an authorized representative confirming the accuracy of the information provided. Include your signature, telephone number, name, company name, position title, mailing address, and date signed.
5. In Section IV, systematically answer all questions, marking ‘Yes’ or ‘No’ where applicable. Pay special attention to questions 3-18 to ensure your Storm Water Pollution Prevention Plan (SWPPP) is comprehensive.
6. Section V requires a description of the industrial activity and land use. Briefly outline the major activities conducted at the facility and attach additional sheets if necessary.
7. Complete Section VI by providing storm water outfall information, including outfall number and sources of pollutants. Indicate the best management practices implemented and whether chemical monitoring is conducted.
8. For Section VII, attach a facility site diagram that includes essential items as outlined in your general permit. Use additional sheets if necessary.
9. Add any comments in Section VIII referencing the respective section or question number.
10. Finally, consult Section IX for the appropriate mailing addresses to send your completed form. You may save changes, download, print, or share the form as needed.

Complete your Form 3400 167 online today to ensure compliance with storm water regulations.