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PART I: This form shall be submitted to the appropriate DR Regional Office within five business days of the first knowledge of the sanitary sewer overflow (SSO). Permit Number: (WCS# if active, otherwise

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5. Answer all the questions on the form accurately and to the best of your knowledge.
6. Double-check all the information you have entered to ensure it is correct and complete.
7. If needed, attach any supporting documents or additional information as instructed.
8. Review the form once more to ensure nothing is missing or filled out incorrectly.
9. Sign and date the form where required to validate your submission.
10. Follow any additional submission instructions provided, such as sending the form by mail or submitting it online.
11. Retain a copy of the filled-out form for your records.

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