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State of Ohio Environmental Protection Agency NODES Small MS4 General Permit (OHQ000002) Annual Reporting Form Instructions for completing this form: OHQ000002 requires that this form be used when
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Attach a copy of your annual NODES monthly reports. If you are using OSAP/FSP/OSAP SS Form 60 (Ohio Department of Education, Middle School) please use the Ohio Department of Education (ODE)/Ohio State Board of Education (OSB) online application or the Ohio Board of Career and Technical Education (BE) application. Attach copies of all of you monthly reports. Attach any documentation requested for your application. Please note the following: You will not be billed for your reports once approved. This is a cost of doing business. Ohio Department of Education (ODE)/Ohio State Board of Education (OSB) forms are available on ODE and OSB websites. To request information from Ohio DEQ for a fee, please click on the Contact OSD/ODM for Fee Information link on ODE's website. Request for a Certificate of Occupational Competency Ohio Department of Health, Ohio Department of Environmental Management (ODM) P.O. Box 2812 Columbus, OH 43 Phone: FAX: Contact: Kathy McGinnis EEO/NAIL Title VI Coordinator — Office of Diversity and Inclusion State of Ohio Environmental Protection Agency PO Box 500845 Columbus, OH 43207 Phone: FAX: EEO/NAIL Title VI Coordinator — Ohio Department of Natural Resources C/O Division of Forestry 721 W. 12th, N. Columbus, OH 43 Phone: FAX: Ohio Department of Justice State of Ohio Office of Employment Discrimination, Equal Opportunity and Partnership 1401 Jefferson Avenue, Suite 3100 P.O. Box 72725 Columbus, OH 43 Phone: FAX: EEO/NAIL Title VI Coordinator — State of Ohio Office of Labor Standards Division of Employment Standards P.O.

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