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This document is used by entities seeking coverage under various municipal separate storm sewer permits for stormwater discharges, ensuring compliance with water quality standards.
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How to fill out Appendix 5 – Notice of Intent (NOI) for Coverage under a National Pollutant Discharge Elimination System (NPDES) Municipal Stormwater General Permit

01
Obtain the Appendix 5 – Notice of Intent (NOI) form from the appropriate regulatory agency's website.
02
Review the eligibility requirements for coverage under the NPDES Municipal Stormwater General Permit.
03
Fill out the general information section with the name, address, and contact information of the facility.
04
Provide a description of the activities that will generate stormwater discharges.
05
Identify the geographic location of the facility, including latitude and longitude coordinates.
06
Complete the pollution prevention plan information and summarize the steps that will be taken to minimize pollutants in stormwater runoff.
07
Include any additional relevant information required by the regulatory agency regarding the potential impacts of the facility on water quality.
08
Review the completed form for accuracy and completeness.
09
Sign and date the form certifying that the information provided is true and accurate.
10
Submit the signed Appendix 5 – NOI to the appropriate environmental agency, following any specified submission guidelines or requirements.

Who needs Appendix 5 – Notice of Intent (NOI) for Coverage under a National Pollutant Discharge Elimination System (NPDES) Municipal Stormwater General Permit?

01
Operators of municipal facilities that discharge stormwater into waters of the United States.
02
Entities responsible for maintaining or managing stormwater in urbanized areas.
03
Construction sites disturbing one or more acres of land.
04
Industrial facilities subject to specific NPDES regulations for stormwater discharges.
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As authorized by the Clean Water Act, the National Pollutant Discharge Elimination System (NPDES) permit program controls water pollution by regulating point sources that discharge pollutants into waters of the United States. Point sources are discrete conveyances such as pipes or man-made ditches.

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Appendix 5 – Notice of Intent (NOI) is a formal document submitted by municipalities to request coverage under the NPDES Municipal Stormwater General Permit, which regulates the discharge of stormwater to protect water quality.
Entities that operate municipal separate storm sewer systems (MS4s) that discharge stormwater to waters of the United States are required to file Appendix 5 – NOI.
To fill out Appendix 5 – NOI, the applicant must provide specific information including the contact information, location of the MS4, a description of the stormwater management practices, and certification of compliance with permit requirements.
The purpose of Appendix 5 – NOI is to provide regulatory authorities with necessary information to evaluate eligibility for coverage under the NPDES General Permit, ensuring municipalities implement required stormwater management practices.
The information reported on Appendix 5 – NOI includes the name and address of the applicant, location of the MS4, identification of receiving waters, a description of the stormwater system, and any relevant permit or compliance history.
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