The mission of the Arizona Department of Environmental Quality (ADEQ) is to protect and enhance public health and the environment. To fulfill this mission, ADEQ conducts ongoing outreach activities to inform regulated facilities about potential permitting responsibilities and assist them with regulatory compliance. Stormwater discharges associated with industrial activities need coverage under a Clean Water Act permit. Facility operator(s) who do not have an appropriate industrial stormwater discharge permit are subject to potential enforcement actions, including fines and penalties, by ADEQ and /or the United States Environmental Protection Agency (EPA). To assess permitting needs, please complete the following questionnaire and return it to ADEQ within 14 days at the following address:
Recycling facilities that only receive source-separated recyclable materials primarily from non-industrial and residential sources (i.e., common consumer products including paper, newspaper, glass, cardboard, plastic containers, aluminum and tin cans); including recycling facilities commonly referred to as material recovery facilities (MRF).
If your facility is subject to industrial stormwater permitting, but does not currently have permit coverage, please check the applicable boxes:
Facility Notice of Intent (NOI) is attached
NOI will be submitted on the following date _________________
Facility elects not to obtain permit coverage (please be aware, both state and federal rules specify civil and/or criminal fines, penalties, and imprisonment for industrial stormwater discharges without permit coverage)
PART E. CERTIFICATION STATEMENT
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Printed Name: _________________________________ Title __________________________________________
Signature _____________________________________ Date __________________________________________
If you have any questions regarding this questionnaire or need additional information, please contact Spencer York, Project Manager, Stormwater and General Permit Unit at (602) 771-4509 or email at email@example.com.