Michigan Department of Environmental Quality – Water Resources Division STORMWATER DISCHARGE PERMIT APPLICATION Table 3: Inventory of Applicant Owned or Operated Facilities and storm water structural controls with a discharge of Stormwater to surface waters of the state. Applicant Address or Potential I Owned/ Parcel ID of to n Operated Facility discharge f Facility pollutants i to surface l GISD waters of t U the state. r n a d t er i gr Se C o o O co Other o n u V il/ n structur P ns n eg w d al storm C u tr b d et at ar Rai water at m uc a Poro st at Detenti er y n controls ch p te s us or e on se co gar – ba St d i pave a d basins p nt de Provide si at w n ment g s ar ai ns a ns io et s e w at n descript ns la v al or m ion n a a es s en below: ds n ul t d ts or t ta r n Delete Rows that are not Applicable. Add address/ PID, Potential Discharges are Low, mediume or High, see Attachmentks 7 for facility assessment and priority guide, place the number of storm water controls in each box, (Example: your administration bldg has 3 catch basins you would put [3] in the appropriate box) you can put N/A or 0 for those storm water controls that you do not have on those facilities. Applicant Address or Potential I Owned/ Parcel ID of to n Operated Facility discharge f Facility pollutants i to surface l GISD waters of t U the state. r n a d t er i gr Se C o o O co Other o n u V il/ n structur P ns n eg w d al storm C u tr b d et at ar Rai water at m uc a Poro st at Detenti er y n controls ch p te s us or e on se co gar – ba St d i pave a d basins p nt de Provide si at w n ment g s ar ai ns a ns io et s e w at n descript ns la v al or m ion n a a es s en below: ds n ul t d ts or t ta r n e ks n c h e s Michigan Department of Environmental Quality – Water Resources Division STORMWATER DISCHARGE PERMIT APPLICATION Table 3: Inventory of Applicant Owned or Operated Facilities and storm water structural controls with a discharge of Stormwater to surface waters of the state. Applicant Address or Potential I Owned/ Parcel ID of to n Operated Facility discharge f Facility pollutants i to surface l GISD waters of t U the state. r n a d t er i gr Se C o o O co Other o n u V il/ n structur P ns n eg w d al storm C u tr b d et at ar Rai water at m uc a Poro st at Detenti er y n controls ch p te s us or e on se co gar – ba St d i pave a d basins p nt de Provide si at w n ment g s ar ai ns a ns io et s e w at n descript ns la v al or m ion n a a es s en below: ds n ul t d ts or t ta r n Delete Rows that are not Applicable. Add address/ PID, Potential Discharges are Low, mediume or High, see Attachmentks 7 for facility assessment and priority guide, place the number of storm water controls in each box, (Example: your administration bldg has 3 catch basins you would put [3] in the appropriate box) you can put N/A or 0 for those storm water controls that you do not have on those facilities. Applicant Address or Potential I Owned/ Parcel ID of to n Operated Facility discharge f Facility pollutants i to surface l GISD waters of t U the state. r n a d t er i gr Se C o o O co Other o n u V il/ n structur P ns n eg w d al storm C u tr b d et at ar Rai water at m uc a Poro st at Detenti er y n controls ch p te s us or e on se co gar – ba St d i pave a d basins p nt de Provide si at w n ment g s ar ai ns a ns io et s e w at n descript ns la v al or m ion n a a es s en below: ds n ul t d ts or t ta r n e ks n c h e s Michigan Department of Environmental Quality – Water Resources Division STORMWATER DISCHARGE PERMIT APPLICATION Table 3: Inventory of Applicant Owned or Operated Facilities and storm water structural controls with a discharge of Stormwater to surface waters of the state. Applicant Address or Potential I Owned/ Parcel ID of to n Operated Facility discharge f Facility pollutants i to surface l GISD waters of t U the state. r n a d t er i gr Se C o o O co Other o n u V il/ n structur P ns n eg w d al storm C u tr b d et at ar Rai water at m uc a Poro st at Detenti er y n controls ch p te s us or e on se co gar – ba St d i pave a d basins p nt de Provide si at w n ment g s ar ai ns a ns io et s e w at n descript ns la v al or m ion n a a es s en below: ds n ul t d ts or t ta r n Delete Rows that are not Applicable. Add address/ PID, Potential Discharges are Low, mediume or High, see Attachmentks 7 for facility assessment and priority guide, place the number of storm water controls in each box, (Example: your administration bldg has 3 catch basins you would put [3] in the appropriate box) you can put N/A or 0 for those storm water controls that you do not have on those facilities. Applicant Address or Potential I Owned/ Parcel ID of to n Operated Facility discharge f Facility pollutants i to surface l GISD waters of t U the state. r n a d t er i gr Se C o o O co Other o n u V il/ n structur P ns n eg w d al storm C u tr b d et at ar Rai water at m uc a Poro st at Detenti er y n controls ch p te s us or e on se co gar – ba St d i pave a d basins p nt de Provide si at w n ment g s ar ai ns a ns io et s e w at n descript ns la v al or m ion n a a es s en below: ds n ul t d ts or t ta r n e ks n c h e s Michigan Department of Environmental Quality – Water Resources Division STORMWATER DISCHARGE PERMIT APPLICATION Table 3: Inventory of Applicant Owned or Operated Facilities and storm water structural controls with a discharge of Stormwater to surface waters of the state. Applicant Address or Potential I Owned/ Parcel ID of to n Operated Facility discharge f Facility pollutants i to surface l GISD waters of t U the state. r n a d t er i gr Se C o o O co Other o n u V il/ n structur P ns n eg w d al storm C u tr b d et at ar Rai water at m uc a Poro st at Detenti er y n controls ch p te s us or e on se co gar – ba St d i pave a d basins p nt de Provide si at w n ment g s ar ai ns a ns io et s e w at n descript ns la v al or m ion n a a es s en below: ds n ul t d ts or t ta r n Delete Rows that are not Applicable. Add address/ PID, Potential Discharges are Low, mediume or High, see Attachmentks 7 for facility assessment and priority guide, place the number of storm water controls in each box, (Example: your administration bldg has 3 catch basins you would put [3] in the appropriate box) you can put N/A or 0 for those storm water controls that you do not have on those facilities. No other Facilities not listed above. No other Storm Water Controls not listed above.
Michigan Department of Environmental Quality Water Resources Division
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