Get Wi Dnr 3400-222 2020-2025

This guide provides a detailed, user-friendly approach to filling out the WI DNR 3400-222 form online. The Transfer of Coverage form is essential for the certification of coverage transfer under the Wisconsin Pollutant Discharge Elimination System.

Follow the steps to accurately complete the online form.

1. Click the ‘Get Form’ button to access the document. This will allow you to obtain the form in a suitable format for editing.
2. In Section I, provide the information for the existing WPDES permittee (Transferor). This includes the full name of the permittee, authorized representative, mailing address, city, email address, and phone number.
3. Proceed to Section II and fill in the details regarding the existing project or facility site. This should include the project or facility name, WPDES permit number, location description, latitude, longitude, and Facility Identification (FID or FIN) details.
4. In Section III, input the required information for the proposed WPDES permittee (Transferee). This encompasses the full name, authorized representative details, mailing address, city, email address, phone number, and any changes to the facility.
5. Finally, in Section IV, both the transferor and transferee must review the certification statement, sign, and date the document. Ensure all signatures are completed correctly to avoid rejection of the form.
6. After completing the form, save your changes, download a copy, or print the document as needed. Make sure to send the completed form to the appropriate Wisconsin Department of Natural Resources office as specified.

Complete your forms online today to ensure timely processing and compliance.