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Notice of Intent

Page 1 of 5 Notice of IntentGP-0-17-004 This is the Notice of Intent f or stormwater Discharges Associated with Industrial Activity under theState pollutant discharge elimination system (SPDES) multi - sector general permit InformationContact Last NameContact First NameO/O Street AddressO/O CityO/O StateO/O Zip-Contact Phone--Contact eMailO/O NameFor Department Use OnlyNYRThe completed Notice of Intent (NOI)should be submitted to:MSGP Coordinator,NYSDEC Division of Water,625 Broadway, 4th FloorAlbany, New York 12233-3505 IMPORTANT- Applicants must read and understand the conditions of the permit prior to submitting this NOI Applicants are responsible for identifying and obtaining other DEC permits that may be Use this NOI to obtain coverage under GP-0-17-004 OR to make revisions to a previously submitted All sections must be completed unless otherwise noted. Incomplete forms will be returned to you, thereby delayingyour coverage under this general Type or print in boxes.

Page 1 of 5 Notice of Intent GP-0-17-004 This is the Notice of Intent for Stormwater Discharges Associated with Industrial Activity under the State Pollutant Discharge Elimination System (SPDES) Multi-Sector General Permit GP-0-17-004.

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  General, Multi, System, Stormwater, Discharge, Notice, Sector, Intent, Permit, Elimination, Pollutant, Notice of intent, Pollutant discharge elimination system, Multi sector general permit

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