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  • Ny Dec 91 19 1 Instructions Form

Get Ny Dec 91 19 1 Instructions Form

Permit Issuing Official Becomes a SPDES Permit) PLEASE PRINT OR TYPE APPLICATION TYPE New IF RE-ISSUANCE OR MODIFICATION, GIVE PREVIOUS NUMBER Re-Issuance Modification Clear Form NY --- OWNER S NAME (Corporate, Partnership, Individual) TYPE OF OWNERSHIP Corporate Individual Partnership Public OWNER S MAILING ADDRESS (Street, City, State, Zip Code) REFER ALL CORRESPONDENCE TO: (Name, Title and Address) TELEPHONE NUMBER ( FACILITY NAME FACILITY LOCATION (Street or Road) COUNTY.

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How to fill out the Ny Dec 91 19 1 Instructions Form online

The Ny Dec 91 19 1 Instructions Form is essential for applying for a State Pollutant Discharge Elimination System (SPDES) permit in New York. This guide provides clear, step-by-step instructions tailored to help users successfully fill out this form online.

Follow the steps to complete the Ny Dec 91 19 1 Instructions Form.

  1. Press the ‘Get Form’ button to access the form and open it in your browser.
  2. Select the application type from the provided options: New, Re-Issuance, or Modification. If re-issuing or modifying, make sure to provide the previous permit number.
  3. Enter the owner's name, selecting the appropriate type of ownership from Corporate, Individual, Partnership, or Public.
  4. Fill in the owner's mailing address, including street, city, state, and zip code.
  5. Designate where correspondence should be directed by entering a name, title, and address.
  6. Provide a telephone number where the owner can be reached.
  7. Indicate the facility name and its location, including the street or road, city, town, or village.
  8. Give explicit directions to the facility location to assist in accurate identification.
  9. Describe the nature of the business or facility, detailing the operations involved.
  10. Specify the population served by the facility, as per instructions provided.
  11. Indicate the frequency of discharge, answering whether it occurs All Year and All Week, or specify the duration.
  12. Check any substances that your discharge may contain from the provided list, or select 'None of These' if applicable.
  13. Complete the Discharge Data section, providing information on outfall numbers, types of waste, treatment types, and design flow.
  14. If applicable, provide details for subsurface discharge, including soil type and depth to water table.
  15. Review the affirmation statement regarding the truthfulness of the information provided, and then sign and date the form.
  16. Once all fields have been completed, proceed to save your changes, download, print, or share the completed form as required.

Complete your Ny Dec 91 19 1 Instructions Form online today for a smooth application process.

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