2017-02-03_PERMIT FILE - C1980004 (13)

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PART I Page 28 of 48 Permit No.: C00038342 i. In the case of corporations, by a responsible corporate officer. For purposes of this section, the responsible corporate officer is responsible for the overall operation of the facility from which the discharge described in the form originates; ii. In the case of a partnership, by a general partner; iii. In the case of a sole proprietorship, by the proprietor; iv. In the case of a municipal, state, or other public facility, by either a principal executive officer, or ranking elected official. For purposes of this section, a principal executive officer has responsibility for the overall operation of the facility from which the discharge originates; v. By a duly authorized representative of a person described above, only if: 1) The authorization is made in writing by a person described in i, ii, iii, or iv above; 2) The authorization specifies either an individual or a position having responsibility for the overall operation of the regulated facility or activity such as the position of plant manager, operator of a well or a well field, superintendent, position of equivalent responsibility, or an individual or position having overall responsibility for environmental matters for the company. (A duly authorized representative may thus be either a named individual or any individual occupying a named position); and, 3) The written authorization is submitted to the Division. b. If an authorization as described in this section is no longer accurate because a different individual or position has responsibility for the overall operation of the facility, a new authorization satisfying the requirements of this section must be submitted to the Division prior to or together with any reports, information, or applications to be signed by an authorized representative. c. The permittee, or the duly authorized representative shall make and sign the following certification on all such documents: "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 gather and evaluate 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." 5. Additional Stormwater- specific requirements (Outfalls 001, 003 and 004) a. Annual Report: ICIS Code Description Due date Frequency 00308 The permittee shall submit an annual report to the division for the reporting March 1 Annual period January 1 through December 31 The Annual Report shall include: • Name of permittee, address, phone number • Permit certification number • Facility name and physical address • Contact person name, title, and phone number • Summary of inspection dates • Corrective action documentation as required in the CORRECTIVE ACTON section and status of any outstanding corrective action(s).