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  • Wi Form 4400-225 2017

Get Wi Form 4400-225 2017

Save... Print... Clear Data Notification For Hazardous Substance Discharge (NonEmergency Only) State of Wisconsin Department of Natural Resources dnr.wi.gov Form 4400225 (09/13) Page 1 of 2 Emergency.

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How to fill out the WI Form 4400-225 online

Filling out the WI Form 4400-225 online is an essential step for reporting non-emergency hazardous substance discharges in Wisconsin. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form online.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
  2. In the first section, 'Discharge Reported By', input your name, the date you notified the Department of Natural Resources, your firm name, mailing address, phone number, and email.
  3. Proceed to the 'Site Information' section. Enter the name of the site where the discharge occurred, the location with street address (not a PO Box), the specific municipality, and the county.
  4. Fill in the legal description and WTM details, including quarter section, town, and range information.
  5. In 'Responsible Party (RP) and/or RP Representative', provide the name of the responsible party and their contact details, including mailing address, phone number, and email. If there is more than one responsible party, list all and attach additional pages if necessary.
  6. Indicate the hazardous substance(s) discharged by checking all applicable boxes in the 'Hazardous Substance Information' section.
  7. In the 'Impacts to the Environment Information' section, enter 'K' for known/confirmed impacts or 'P' for potential impacts related to air, soil, groundwater, and other forms of contamination.
  8. Provide details regarding the cause of the release in the 'Federal Energy Act Requirements' section, choosing the appropriate options provided.
  9. Review the form for completeness and accuracy before finalizing your submission.
  10. Once completed, you can save changes to the form, download a copy, print it for your records, or share it via the means provided.

Complete and submit the WI Form 4400-225 online to ensure compliance with reporting requirements.

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WI Form 4400-225
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