Pa wqg01 form 2025

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The document is a Notice of Intent (NOI) form for the Commonwealth of Pennsylvania's Department of Environmental Protection, specifically for applying for a General Permit related to Small Flow Treatment Facilities. It includes sections for applicant and site information, facility details, compliance history, and certification by the applicant and a licensed professional engineer. The form requires detailed information about the facility's design, existing permits, and compliance status with environmental regulations.

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Click ‘Get Form’ to open the pa wqg01 form in the editor.
Begin by filling out the CLIENT/OPERATOR INFORMATION section. Enter your DEP Client ID#, organization name, and contact details including phone and email.
Proceed to SITE INFORMATION. Provide the DEP Site ID#, site name, and a detailed description of the site, including its location and contact information for the site representative.
In the FACILITY INFORMATION section, list any existing environmental quality permits related to your facility. Ensure you check 'YES' or 'NO' regarding attached maps.
Complete the FACILITY DESIGN section by checking all applicable treatment options that apply to your facility.
Review the COMPLIANCE HISTORY REVIEW section carefully. If there are any compliance issues, provide detailed descriptions as required.
Finally, complete the CERTIFICATION section by signing and dating the form. Ensure all necessary seals are affixed where required.

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