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Certificate of non applicability form

Certificate of non applicability form 2025

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The document is a Notice of Non-Applicability from the State Water Resources Control Board of California, indicating that a facility is not required to comply with NPDES General Permit No. CAS000001 for storm water discharges associated with industrial activity. It outlines the conditions under which this notice can be submitted, including facility closure, lack of exposure to storm water, and other specific criteria. The document also includes sections for owner/operator information and certification.

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Click ‘Get Form’ to open the certificate of non applicability form in the editor.
Begin by filling out the OWNER/OPERATOR section. Enter your company name, contact person, address, and phone number. If you are not the current owner/operator, check the box provided and include your details.
Next, complete the FACILITY/SITE INFORMATION section if it differs from the previous one. Again, provide all relevant details including company name and contact information.
In the BASIS OF NON-APPLICABILITY section, select one or more reasons for non-applicability by checking the appropriate boxes. Ensure to fill in mandatory fields such as SIC CODE where required.
Finally, complete the CERTIFICATION section by printing your name and signing. This confirms that you understand your obligations under NPDES regulations.

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