Sanitary Sewer Overflow 5Day Follow Up Report Division of Surface Water Report Submitted By Date: Facility name: Ohio NODES permit no.: Period covered by report: Contact person Name: Title: Mailing.

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How to fill out the OH EPA 4237 online

This guide provides clear and supportive instructions on how to complete the OH EPA 4237 form online. It outlines each section of the form and offers users step-by-step guidance to ensure a thorough and accurate submission.

Follow the steps to complete the OH EPA 4237 form online

  1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
  2. Fill in the section labeled 'Report Submitted By' with the required details. This includes the date, facility name, Ohio NPDES permit number, the period covered by the report, and the contact person's information, such as their name, title, mailing address, county, telephone number, and email address.
  3. For the 'Overflow Information' section, provide the event start date and time, event end date and time, and the location(s) of the sanitary sewer overflow (SSO). If applicable, include the unique ID number for each location.
  4. Indicate the destination(s) of the overflow by selecting from the provided options: basement or building, ground, storm sewer to receiving water, or directly to receiving water. Specify the particular receiving water(s) if relevant.
  5. Estimate the volume of the overflow in millions of gallons. If there are multiple locations, ensure to include the volume for each one.
  6. Identify the sewer system component(s) from which the release occurred. Choose from options such as manhole, constructed overflow, or other (explain).
  7. List the cause(s) of the overflow. This can include options like extreme weather, debris in line, pipe crack, equipment failure, roots, line deterioration, pump station issues, power failure, grease, vandalism, or other (explain).
  8. Describe the steps taken or planned to eliminate and/or reduce the overflow, ensuring to include a schedule of major milestones for each step.
  9. Outline the steps taken or planned to prevent reoccurrence of the overflow(s) along with their schedule of major milestones.
  10. Explain the steps taken or planned to mitigate the impacts of the overflow(s), also including a schedule of major milestones.
  11. Provide any additional information, attaching extra pages or maps as necessary to support your report.
  12. In the certification section, type your name and title, then provide your signature and the date to confirm that you have examined the submitted information and believe it is true, accurate, and complete.
  13. Once you have completed the form, ensure to save your changes. You can then download, print, or share the form as needed.

Complete your OH EPA 4237 form online today to ensure proper reporting and compliance.

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