Get Wi Form 3400-176a 2021-2025

Filling out the WI Form 3400-176A online can streamline your process for conducting quarterly visual inspections of stormwater discharges. This guide provides clear instructions to help users of all experience levels accurately complete the form and ensure compliance with relevant regulations.

Follow the steps to complete the form effectively.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Enter the facility name at the top of the form. Ensure this matches the name used in your Storm Water Pollution Prevention Plan.
3. Provide the mailing address if it differs from the site location address. Fill in the city, state, and zip code accurately.
4. Input the name of the person conducting the inspection and the inspection date. Include the employer's name and a contact telephone number.
5. Document the outfall number as referenced in your site map, and record the time of the rainfall event. Indicate the description of the outfall (e.g., ditch, concrete pipe).
6. Enter the time of the visual inspection and, if desired, the amount of rainfall during the observation period.
7. Describe your observations, noting any visual indicators of stormwater pollution. Use the provided fields to indicate color, odor, clarity, floatables, and deposits/stains.
8. Provide comments and a summary of your observations. If pollution was noted, identify likely sources and potential management practices.
9. If any outfalls were not evaluated this quarter, include an explanatory note.
10. Attach any photos documenting your observations and include descriptive captions as needed.
11. Once all fields are completed, save changes to the document. You can download, print, or share the form as required.

Complete your form online to ensure compliance and improve your stormwater management practices.