DHEC Form 0962 "Project Sponsor's American Iron and Steel Certification" - South Carolina

What Is DHEC Form 0962?

This is a legal form that was released by the South Carolina Department of Health and Environmental Control - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2020;
  • The latest edition provided by the South Carolina Department of Health and Environmental Control;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DHEC Form 0962 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Environmental Control.

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Download DHEC Form 0962 "Project Sponsor's American Iron and Steel Certification" - South Carolina

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Project Sponsor’s
American Iron and Steel
Certification
SRF Project Number ________________________
Project Name ___________________________________________________________
Project Sponsor ________________________________________________________
Period: From _________________________ To _________________________
I certify, to the best of my knowledge and belief, that the above referenced project complies with
American Iron and Steel Requirements as required by federal law, and that all of the iron and steel
permanently placed and/or stored during the above referenced period were produced in the United
States, unless a waiver* was granted by the U. S. Environmental Protection Agency.
I understand that a false statement on this certification may be grounds for termination of the loan
agreement.
Signature of Project Sponsor’s Representative
Printed Name and Title of Project Sponsor’s Representative
Submit by email to DHEC project manager or by mail to:
SRF Section - Water Facilities Permitting Division, S.C. DHEC, 2600 Bull Street, Columbia, SC 29201
*A copy of any project specific waiver used by the project must be provided to DHEC SRF with the first draw
request after the waiver is employed on the project.
DHEC 0962 (1/2020)
S.C. Department of Health and Environmental Control
Page 1
Project Sponsor’s
American Iron and Steel
Certification
SRF Project Number ________________________
Project Name ___________________________________________________________
Project Sponsor ________________________________________________________
Period: From _________________________ To _________________________
I certify, to the best of my knowledge and belief, that the above referenced project complies with
American Iron and Steel Requirements as required by federal law, and that all of the iron and steel
permanently placed and/or stored during the above referenced period were produced in the United
States, unless a waiver* was granted by the U. S. Environmental Protection Agency.
I understand that a false statement on this certification may be grounds for termination of the loan
agreement.
Signature of Project Sponsor’s Representative
Printed Name and Title of Project Sponsor’s Representative
Submit by email to DHEC project manager or by mail to:
SRF Section - Water Facilities Permitting Division, S.C. DHEC, 2600 Bull Street, Columbia, SC 29201
*A copy of any project specific waiver used by the project must be provided to DHEC SRF with the first draw
request after the waiver is employed on the project.
DHEC 0962 (1/2020)
S.C. Department of Health and Environmental Control
Page 1
Instructions - DHEC 0962
PURPOSE: The Project Sponsor’s American Iron and Steel Certification is used to certify that, as
required by federal
law,
all of the iron and steel products permanently incorporated into a project funded
with assistance by the State Revolving Fund (SRF) are produced in the United States, unless a waiver
is granted by the U.S. Environmental Protection Agency (EPA).
The Project Sponsor’s AIS certification is to be submitted throughout the duration of the project and
covers materials purchased by a contractor or by the Sponsor.
GENERAL INFORMATION: American Iron and Steel (AIS) Guidance identifies “iron and steel”
products as the following products made primarily of iron or steel: lined or unlined pipes and fittings,
manhole covers and other municipal castings, hydrants, tanks, flanges, pipe clamps and restraints,
valves, structural steel, reinforced precast concrete and construction materials.
Additional information, including any published waivers, is posted on the EPA Website,
https://www.epa.gov/cwsrf/state-revolving-fund-american-iron-and-steel-ais-requirement.
INSTRUCTIONS: The Project Sponsor’s representative enters the requested project information and
the time period the certification covers. The time period must correspond to the period covered by the
draw request it is accompanying.
The Project Sponsor’s representative must sign and submit this form with each draw request to certify
the identified SRF project is in compliance with AIS requirements.
DHEC REVIEW AND FILING: The SRF Section will use this form to document AIS compliance by an
SRF project. The form will be kept in the Draw Request file for the named project and will be retained
for three years following the final SRF disbursement to the project’s Sponsor - per Retention Schedule
15795.
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