Get Oh Epa 4239 2012-2026

Filling out the OH EPA 4239 form, or the No Exposure Certification for Exclusion from Ohio EPA’s NPDES Storm Water Permitting, is crucial for entities seeking exemption from certain permit requirements. This guide provides detailed, step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to successfully complete the OH EPA 4239 online

1. Press the ‘Get Form’ button to obtain the OH EPA 4239 form and open it in the editor.
2. In Section A, provide facility operator information: Enter the legal name, phone number, email address, and mailing address of the facility operator.
3. In Section B, fill in the facility/site location information: Input the facility name, street address, city, county, state (Ohio), and zip code. Indicate whether it is a Federal facility and provide the latitude and longitude in decimal format.
4. Answer whether the facility was previously covered under an NPDES storm water permit, and if so, include the permit or certification number. Enter the SIC/activity codes for the facility's primary and, if applicable, secondary activities.
5. Indicate the total size of the site associated with industrial activity in acres. If applicable, answer whether you paved or roofed over any formerly exposed areas and provide the approximate size of the area.
6. Complete the exposure checklist in Section C. For each question regarding materials or activities potentially exposed to precipitation, mark 'Yes' or 'No'. If you answer 'Yes' to any question, you are not eligible for the no exposure exclusion.
7. In Section D, review the certification statement. Ensure it is signed by the appropriate authority, confirm the information is accurate, and enter the date of certification.
8. Once all sections are completed, save your changes. You can download, print, or share the form as needed before submitting it to the Ohio EPA at the provided address.

Complete your OH EPA 4239 form online today for streamlined submission.