3800 pm bcw0041b-2025

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The document is an application form for the transfer of NPDES or WQM permits issued by the Pennsylvania Department of Environmental Protection. It outlines the necessary information required from both the current and proposed permittees, including compliance history, facility details, and discharge information. The form emphasizes the importance of following instructions to avoid application denial and includes sections for certification and liability statements.

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Click ‘Get Form’ to open the 3800 pm bcw0041b in the editor.
Begin by filling in the 'Related ID#s' section if known, followed by the 'Date Received' and 'Client ID#' fields.
In the 'Permit / Facility Category' section, select the appropriate category for your application, such as NPDES Individual Permits or Municipal Separate Storm Sewer System (MS4).
Complete the 'Present Permittee Information' section with details like organization name, mailing address, and contact information.
Provide site information including DEP Site ID#, site name, and a brief description of the site location.
Fill out the 'Facility Information' section with facility name and compliance history. Attach any required maps or sketches as indicated.
Review and complete the certification sections at both present and proposed permittee levels, ensuring all signatures are included.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (146 Votes)

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