Get Relocation Notice09.pdf - Nebraska Department Of Environmental ...

The Relocation Notice09.pdf is a critical form for notifying the Nebraska Department of Environmental Quality about the relocation of facilities under Air and NPDES programs. This guide aims to provide you with clear, step-by-step instructions on how to complete the form online with ease and accuracy.

Follow the steps to successfully complete the relocation notice form.

1. To begin, locate the form by pressing the ‘Get Form’ button. This action will allow you to access the form, which can then be opened for editing.
2. In the first section, identify the owner or operator. Fill in the required fields, including the name of the owner/operator, the contact person's name, and their telephone number, along with the complete address.
3. Proceed to the facility identification section. Provide the facility name or number, the type of facility (e.g., asphalt or concrete), and the assigned Facility ID number. If applicable, fill in the NPDES ID and provide a description of any pollution control equipment.
4. Next, describe the relocation site. Include a street address or a brief narrative that describes where the facility will be located. If moving onto tribal land, remember to note that EPA and/or tribal approval is required.
5. Fill out the legal description of the site, detailing the quarter section, township, range, and county.
6. In the relocation schedule section, provide the anticipated start and end dates for site development and facility operations.
7. If applicable, complete the Air Program information section. Describe the site location and its surroundings, indicating proximity to occupied buildings.
8. Then, if required, fill out the NPDES Storm Water information. Indicate the name of the water body receiving stormwater flows, and confirm if the receiving stream is identified in Appendix C of the NPDES permit.
9. Finalize the form by signing in the certification and signature section. Ensure that the signature is provided by an authorized individual as outlined in the instructions and include the date and printed name.
10. Once all sections are completed, save your changes. You can then download, print, or share the form as needed. Make sure to submit copies to the correct addresses as specified in the instructions.

Complete your relocation form online today to ensure compliance and facilitate the relocation process.