3910-PM-WM0033b-2025

1. Click ‘Get Form’ to open the 3910-PM-WM0033b in the editor.
2. Begin by filling out the CLIENT/OPERATOR INFORMATION section. Enter your organization name, mailing address, city, state, ZIP+4, phone, and fax numbers. Include the owner's name and operator's name if different.
3. Next, move to the FACILITY INFORMATION section. Provide the facility name and detail any existing permits related to Earth Disturbance or NPDES. Specify the permit type, number, date issued, and issuing authority.
4. Describe your facility comprehensively. Include total acres of the farm, types and numbers of animals raised, Animal Equivalent Units, land available for manure application, estimated manure generated annually, and storage facility type. Reference your Nutrient Management Plan if applicable.
5. In the COMPLIANCE HISTORY REVIEW section, indicate whether there have been any violations in the past five years. If yes, provide details for each violation including permit number and compliance status.
6. Finally, complete the CERTIFICATION section by typing or printing your name and official title. Sign and date where indicated. Ensure you include a notary seal if required.

Start using our platform today to streamline your form completion process for free!