Michigan Department of Environmental Quality Water Resources Division

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.