Wisconsin DNR 3400-176 Form Details

The Wisconsin DNR Form 3400-176 is the Annual Facility Site Compliance Inspection (AFSCI) report for industrial stormwater permit holders. Facilities in Wisconsin with a WPDES stormwater permit must complete this form every year after conducting a formal facility inspection.

The inspection covers stormwater drainage areas, outfall structures, best management practices (BMPs), and any pollution sources found on-site. Inspectors record the condition of each BMP, maintenance needs identified, and corrective actions planned or already completed. Wisconsin's DNR permit program uses these records to verify that industrial facilities meet stormwater discharge standards under state law.

Completed AFSCI reports must be kept on-site for at least three years and made available during regulatory audits or permit reviews. Permit holders who also manage waterway-related operations may find the ballast water reporting form a useful companion document for environmental compliance tracking.

QuestionAnswer
Form NameAnnual Facility Site Compliance Inspection (AFSCI)
Form Number3400-176
Issuing AgencyWisconsin Department of Natural Resources (DNR)
Form Length4 pages
Fillable?No
Avg. time to fill out1 min
Other namesAFSCI Form 3400-176, WI DNR 3400-176, Wisconsin DNR Annual Form, WDNR Form 3400-176

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How to Edit 3400 176 Form Online for Free

Follow these steps to access and complete the Annual Facility Site Compliance Inspection report for your Wisconsin stormwater permit:

  1. Conduct the annual inspection. Walk the facility to assess all stormwater drainage areas, outfall points, BMPs, and potential pollution sources before recording anything on the form.
  2. Download the form. Use the button at the top of this page to view the 3400-176 PDF. You can view or print it using any standard PDF viewer.
  3. Record inspection findings. Document the condition of each BMP, any deficiencies identified, and corrective actions planned or completed. Include specific dates and the names of responsible parties.
  4. Retain the completed form on-site. Wisconsin DNR rules require keeping the AFSCI on file for at least three years. Store it with your Stormwater Pollution Prevention Plan (SWPPP) records for easy access.
  5. Make it available for regulatory review. Regulators may request the completed form during inspections or permit renewal reviews. Ensure facility staff and compliance personnel know where to find it.

For additional Wisconsin environmental compliance documents, browse our Wisconsin DNR forms collection.

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