Form Deq 199 147 PDF Details

Are you trying to figure out the process of filing Form DEQ 199 147? Understanding how to properly complete this form can be confusing and overwhelming. You may find yourself asking questions such as "What exactly do I have to provide on the form?" or "How will submitting this information help my business?". Don't worry - we've got you covered! In this blog post, we'll explain what is required for Form DEQ 199147, how it impacts your tax-filing responsibilities, and any other important details you need to know about filling out the form. By arming yourself with knowledge, you can ensure that your tax submission is accurate and compliant. Read on for all the information about this necessary requirement from the California State Board of Equalization.

QuestionAnswer
Form NameForm Deq 199 147
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesCGPNoticeOfTerm ination var 10 general permit form

Form Preview Example

General Permit for Discharges of Stormwater from Construction Activities (VAR10)

Notice of Termination

(Please Type or Print All Information)

1.Construction Activity Operator: Name:

Mailing Address:

City:

 

State:

Zip:

Phone:

 

 

 

 

 

 

 

Email address (if available):

2.Location of Construction Activity (As listed on registration statement): Name:

Address:

City:

 

State:

Zip:

 

 

 

 

 

 

 

 

 

County:

 

 

 

 

 

 

 

 

Longitude

 

 

If street address unavailable: Latitude

 

 

 

 

 

 

 

 

 

 

 

 

3.Stormwater General Permit Number:

4.The Reason for Terminating Coverage Under the General Permit (The construction activity operator may only submit a Notice of Termination after one or more of the conditions below have been met):

A. Necessary post-construction control measures included in the SWPPP for the site are in place and functioning effectively and final stabilization has been achieved on all portions of the site for which the operator is responsible;

B. Another operator has assumed control over all areas of the site that have not been finally stabilized and obtained coverage for the ongoing discharge;

C. Coverage under an alternative VPDES or State permit has been obtained; or

D. For residential construction only, temporary stabilization has been completed and the residence has been transferred to the homeowner.

The Notice of Termination must be submitted within 30 days of one of the above conditions being met. Authorization to discharge terminates at midnight on the date that the Notice of Termination is submitted for conditions B through D above. Authorization to discharge terminates upon notification from the Department or 60 days after the submittal of the Notice of Termination (whichever occurs first) for condition A above.

5.Permanent Control Measures Installed: Attach a list of permanent control measures (both structural and non-structural) that

were installed at the construction site. For each control measure, include the following information: (a) Type of control measure installed and the date that it became functional as a permanent control measure; (b) Geographic location (county or city and Hydrologic Unit Code) (latitude and longitude may additionally be included if available); (c) Waterbody the control measure discharges into; and, (d) Number of acres that will be treated (to the nearest one-tenth of an acre).

If no permanent control measures were installed please check this box

.

6.Participation in a Regional Stormwater Management Plan: Where applicable, attach the following information related to

participation in a regional stormwater management plan: (a) Type of regional facility to which the site discharges; (b) Geographic location of any regional facility to which the site discharges (county or city and Hydrologic Unit Code); (c) Geographic location of the site (county or city and Hydrologic Unit Code) (latitude and longitude may additionally be included if available); and (d) Number of acres treated by a regional facility.

7.Nutrient Offsets: Where applicable, attach the following information related to nutrient offsets that were acquired in accordance

with §62.1-44.15:35 of the Code of Virginia: (a) Name of the broker from which offsets were acquired; (b) Geographic location (county or city and Hydrologic Unit Code) of the broker’s offset generating facility; (c) Number of nutrient offsets acquired (lbs. per acre per year); and (d) Nutrient reductions achieved on site (lbs. per acre per year).

8.Certification:

"I certify under penalty of law that I have read and understand this notice of termination and that this document and all attachments were prepared in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment for knowing violations."

Print Name:

Title:

 

 

 

 

 

Signature:

 

 

Date:

 

 

 

 

 

(Please sign in INK. The person signing this form must be associated with the operator identified in Item #1 above.)

Mail to: Department of Environmental Quality, Office of Stormwater Management, 10th Floor, P.O. Box 1105, Richmond, VA 23218

(DEQ 199-147) (08/13)

INSTRUCTIONS for FORM DEQ 199-147

General Permit Notice of Termination - Construction Activity Stormwater Discharges

General

A Notice of Termination must be submitted when an operator no longer wishes to be covered under the General Permit for Stormwater Discharges from Construction Activities.

Mail to: Department of Environmental Quality Office of Stormwater Management, 10th Floor P.O. Box 1105

Richmond, VA 23218

Section 1 Activity Operator Information

Give the legal name of the person, firm, public organization, or any other entity that was issued the general permit for the site described in this Notice of Termination. Do not use a colloquial name. Enter the complete address and phone number of the operator.

Section 2 Activity Location Information

Enter the activity's official name and complete street address, including city (or town), county (if not located within a City), state and ZIP code. If the site lacks a street address, enter the city (or town), county (if not located within a City) and the latitude and longitude in degrees, minutes, seconds (DMS).

Section 3 Permit Information

Enter the existing Stormwater General Permit Number assigned to the activity or site identified in Section 1 that the operator wishes to be terminated.

Section 4 Reason for Termination

Check the appropriate statement indicating the reason for submitting this Notice of Termination. The Notice of Termination may only be submitted after one or more of the following conditions have been met:

A. Necessary post-construction control measures included in the SWPPP for the site are in place and functioning and final stabilization has been achieved on all portions of the site for which the operator is responsible;

B.Another operator has assumed control over all areas of the site that have not been finally stabilized;

C.Coverage under an alternative VPDES or State permit has been obtained; or

D.For residential construction only, temporary stabilization has been completed and the residence has been transferred to the homeowner.

The Notice of Termination must be submitted within 30 days of one of the above conditions being met.

Section 5 Permanent Control Measures Installed

Attach a list of the permanent control measures (both structural and non-structural) that were installed at the construction site. For each control measure, include the following information:

(a)Type of control measure installed;

(b)Geographic location (county or city and Hydrologic Unit Code);

(c)Waterbody the control measure discharges into; and,

(d)Number of acres that will be treated (to the nearest

one-tenth of an acre).

If no permanent control measures were installed, please check the box at the end of this section.

Section 6 Participation in a Regional Stormwater Management Plan

Where applicable, attach the following information related to participation in a regional stormwater management plan: (a) Type of regional facility to which the site discharges; (b) Geographic location of any regional facility to which the site discharges (county or city and Hydrologic Unit Code); (c) Geographic location of the site (county or city and Hydrologic Unit Code) (latitude and longitude may additionally be included if available); and, (d) Number of acres treated by a regional facility.

Section 7 Nutrient Offsets

Where applicable, attach the following information related to nutrient offsets that were acquired in accordance with §62.1-44.15:35 of the Code of Virginia: (a) Name of the broker from which offsets were acquired; (b) Geographic

location (county or city and Hydrologic Unit Code) of the broker’s offset generating facility; (c) Number of nutrient

offsets acquired (lbs. per acre per year); and (d) Nutrient reductions achieved on site (lbs. per acre per year).

Section 8 Certification

State statutes provide for severe penalties for submitting false information on this Notice of Termination. State regulations require this Notice of Termination to be signed as follows:

For a corporation: by a responsible corporate officer. For the purpose of this section, a responsible corporate officer means: (1) A president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any other person who performs similar policy- or decision-making functions for the corporation, or (2) the manager of one or more manufacturing, production, or operating facilities provided the manager is authorized to make management decisions which govern the operation of the regulated facility including having the explicit or implicit duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to assure long term environmental compliance with environmental laws and regulations; the manager can ensure that the necessary systems are established or actions taken to gather complete and accurate information for permit application requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.

For a partnership or sole proprietorship: by a general partner or the proprietor.

For a municipality, state, federal, or other public agency: by either a principal executive officer or a ranking elected official.

The Department of Environmental Quality reserves the right to request additional information not directly addressed by the

registration statement if, in its discretion, a facility or operation poses a potential impact on water quality.

(DEQ 199-147) (08/13)

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