DNR Form 542-8117 "Public Notice of Storm Water Discharge" - Iowa

What Is DNR Form 542-8117?

This is a legal form that was released by the Iowa Department of Natural Resources - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2011;
  • The latest edition provided by the Iowa Department of Natural Resources;
  • 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 DNR Form 542-8117 by clicking the link below or browse more documents and templates provided by the Iowa Department of Natural Resources.

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Download DNR Form 542-8117 "Public Notice of Storm Water Discharge" - Iowa

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Page background image
Print Form
Instructions - To complete the public notice, fill in the blanks with the required information or select the appropriate response and send to
the newspapers.
The public notice must be published at least one day each in two newspapers at your own expense.
PUBLIC NOTICE OF STORM WATER DISCHARGE
plans to submit a Notice of Intent to the
(applicant name)
Iowa Department of Natural Resources to be covered under the NPDES General Permit
(select the appropriate general permit - No. 1 "Storm Water Discharge Associated with Industrial Activity", General Permit No. 2 "Storm
Water Discharge Associated with Industrial Activity for Construction Activities, or General Permit No. 3 “Storm Water Discharge
Associated With Industrial Activity From Asphalt Plants, Concrete Batch Plants, Rock Crushing Plants, And Construction Sand And Gravel
Facilities”)
The storm water discharge will be from
(description of industrial activity)
located in
(1/4 section, section, township, range, county)
Storm water will be discharged from
point source(s) and will be discharged to
(number)
the following streams:
(stream name(s))
Comments may be submitted to the Storm Water Discharge Coordinator, Iowa Department of Natural Resources, Environmental Protection
Division, 502 E. 9th Street, Des Moines, IA 50319-0034. The public may review the Notice of Intent from 8 a.m. to 4:30 p.m., Monday
through Friday, at the above address after it has been received by the department.
05/2011 cmz
DNR Form 542-8117
Print Form
Instructions - To complete the public notice, fill in the blanks with the required information or select the appropriate response and send to
the newspapers.
The public notice must be published at least one day each in two newspapers at your own expense.
PUBLIC NOTICE OF STORM WATER DISCHARGE
plans to submit a Notice of Intent to the
(applicant name)
Iowa Department of Natural Resources to be covered under the NPDES General Permit
(select the appropriate general permit - No. 1 "Storm Water Discharge Associated with Industrial Activity", General Permit No. 2 "Storm
Water Discharge Associated with Industrial Activity for Construction Activities, or General Permit No. 3 “Storm Water Discharge
Associated With Industrial Activity From Asphalt Plants, Concrete Batch Plants, Rock Crushing Plants, And Construction Sand And Gravel
Facilities”)
The storm water discharge will be from
(description of industrial activity)
located in
(1/4 section, section, township, range, county)
Storm water will be discharged from
point source(s) and will be discharged to
(number)
the following streams:
(stream name(s))
Comments may be submitted to the Storm Water Discharge Coordinator, Iowa Department of Natural Resources, Environmental Protection
Division, 502 E. 9th Street, Des Moines, IA 50319-0034. The public may review the Notice of Intent from 8 a.m. to 4:30 p.m., Monday
through Friday, at the above address after it has been received by the department.
05/2011 cmz
DNR Form 542-8117