National Pollutant Discharge Elimination System (Npdes) Stormwater Notice of Termination

NATIONAL POLLUTANT DISCHARGE
ELIMINATION SYSTEM (NPDES) STORMWATER
NOTICE OF TERMINATION
(RULE 62-621.300(6), F.A.C.)
You must use this form to terminate coverage under the Generic Permit for Stormwater Discharge from Large and Small Construction
Activities provided in subsection 62-621.300(4), F.A.C., the Multi-Sector Generic Permit for Stormwater Discharge Associated with
Industrial Activity provided in subsection 62-621.300(5), F.A.C. as well as the conditional exclusion for “no exposure” of industrial
activities and materials to stormwater provided in paragraph 62-620.100(2)(o), F.A.C.
All information provided on this form shall be typed or printed in ink.
I. TERMINATION INFORMATION:
A. Facility ID/Project Number:
B. Reason for Termination: Check all that apply:
No longer operator of the facility/project.

Final stabilization criteria is met and all stormwater discharges associated with construction activity including dewatering
operations have ceased (for construction activity only).
All stormwater discharges associated with industrial activity have ceased (for industrial activity only).
No longer meet the condition of “no exposure” (for industrial activity only).
II. OPERATOR INFORMATION:
A. Operator Name:
B. Address:
C. City: D. State: E. Zip Code:
F. Responsible Authority: G. Responsible Authority’s Phone No.:
H. Responsible Authority’s E-mail Address: I. Responsible Authority’s Fax No.:
III. FACILITY/PROJECT INFORMATION:
A. Name:
B. Address/Location:
C. City: D. State: E. Zip Code:

F. County:
Page 1 of 4
DEP Form 62-621.300(6)
Effective Date: 02/2015
IV. CERTIFICATION 1:
I certify under penalty of law that all stormwater discharges associated with industrial or construction activity from the identified
facility or project that are authorized by the referenced State of Florida generic permit have been eliminated; the facility no longer
meets the conditional exclusion for “no exposure” outlined in paragraph 62-620.100(2)(o), F.A.C.; or that I am no longer the operator
of the facility or project. I understand that by submitting this Notice of Termination, I am no longer authorized to discharge
stormwater associated with industrial or construction activity under a generic permit, and that discharging pollutants in stormwater
associated with industrial or construction activity to surface waters of the State is unlawful unless authorized by a permit issued
pursuant to Section 403.0885, F.S. I also understand that the submittal of this Notice of Termination does not release an operator from
liability for any violations of their generic permit or conditional exclusion for “no exposure” from NPDES stormwater permitting for
industrial activities.
Responsible Authority Name and Official Title (Type or Print):
_________________________________________________________________ ___________________________________
Responsible Authority Signature: Date Signed:
1
Signatory requirements are contained in Rule 62-620.305, F.A.C.
Page 2 of 4
DEP Form 62-621.300(6)
INSTRUCTIONS – DEP FORM 62-621.300(6)
NPDES STORMWATER NOTICE OF TERMINATION (NOT)
Who May File an NOT:

Permittees who presently are covered under the Generic Permit for Stormwater Discharge from Large and Small Construction
Activities provided in subsection 62-621.300(4), F.A.C., the Multi-Sector Generic Permit for Stormwater Discharge Associated with
Industrial Activity provided in subsection 62-621.300(5), F.A.C. or the conditional exclusion for “no exposure” of industrial activities
and materials to stormwater provided in paragraph 62-620.100(2)(o), F.A.C. shall submit a Notice of Termination (NOT) when their
facility or project no longer has any stormwater discharges associated with industrial activity as defined in Rule 62-620.200 F.A.C.;
stormwater discharge associated with construction activity as defined in DEP Document 62-621.300(4)(a); no longer meets the
condition of “no exposure” defined in paragraph 62-620.100(2)(o), F.A.C.; or when they are no longer the operator of the facility or
project.
For construction activities, elimination of all stormwater discharges associated with industrial activity occurs when disturbed soils at
the construction site have been finally stabilized and temporary erosion and sediment control measures have been removed or will be
removed at an appropriate time, and all stormwater discharges associated with construction activity from the construction site that are
authorized under the generic permit have been eliminated. Final stabilization means that all soil-disturbing activities at the site have
been completed and that a uniform (e.g., evenly distributed, without large bare areas) perennial vegetative cover with a density of at
least 70% for all unpaved areas and areas not covered by permanent structures has been established, or equivalent permanent
stabilization measures (e.g., geotextiles) have been employed.
Where to File an NOT:
The Department encourages the electronic submission of NOTs through the NPDES Stormwater Program’s electronic
permitting application, available at http://www.fldepportal.com/go/. As an alternative, NOTs may be submitted by paper copy to
the following address:
NPDES Stormwater Notices Center, MS #3585

Florida Department of Environmental Protection
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
Permit Fee:
There is no application fee for submitting a NOT.
Additional Notification:
If stormwater associated with industrial or construction activity discharged to a Municipal Separate Storm Sewer System (MS4), a
copy of the completed NOT shall be provided to the operator of the MS4.
For construction activities, if other contractors/subcontractors are covered under the permittee’s Notice of Intent (NOI) and/or
Stormwater Pollution Prevention Plan (SWPPP), a copy of the completed NOT shall be provided to each additional
contractor/subcontractor known to the permittee to be covered or claiming coverage under the permittee’s NOI and/or SWPPP.
Contractors/subcontractors claiming coverage under a permittee’s NOI must assure proper permit coverage for the duration of their
regulated activity. Failure of the permittee to provide a copy of the NOT as provided herein shall not relieve the
contractor/subcontractor relying upon the permittee’s NOI from the required permit coverage or any potential enforcement action
arising from the regulated activity.
Part I – Termination Information:
Item A.: Enter the DEP Facility ID/Project Number for the facility/project.
Item B.: Indicate the reason for termination of coverage by check the appropriate box.
Part II – Operator Information:
Item A.: Provide the legal name of the entity (operator) to which coverage was granted.
Items B. – E.: Provide the complete mailing address of the operator, including city, state and zip code.
Items F. – G.: Provide the name and telephone number (including area code) of the person authorized to submit this NOT on behalf of
the operator. This must be the same person as indicated in the certification in Part IV.
Page 3 of 4
DEP Form 62-621.300(6)
Items H.-I.: Provide the email address and fax number (including area code) of the person authorized to submit this NOT on behalf of
the operator.
Part III – Facility/Project Information:
Items A. – E.: Enter the official or legal name and complete street address, including city, state and zip code of the facility/project
site. Do not provide a P.O. Box number as the street address. If the facility/project lacks a street address, describe the location (e.g.,
intersection of State Road 1 and Smith Street).
Item F.: Enter the county in which the facility/project site is located.
Part IV – Certification:
Type or print the name and official title of the person signing the certification. Sign and date the certification.
Section 403.161, F.S., provides severe penalties for submitting false information on this NOT or any reports or records required by a
permit. There are both civil and criminal penalties for submitting false information.
Rule 62-620.305, F.A.C., requires that the NOT be signed as follows:
A. For a corporation, by a responsible corporate officer as described in Rule 62-620.305, F.A.C.;

B. For a partnership or sole proprietorship, by a general partner or the proprietor, respectively; or
C. For a municipality, state, federal or other public facility, by a principal executive officer or elected official.
Page 4 of 4
DEP Form 62-621.300(6)

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NATIONAL POLLUTANT DISCHARGE

ELIMINATION SYSTEM (NPDES) STORMWATER

(RULE 62-621.300(6), F.A.C.)

All information provided on this form shall be typed or printed in ink.

A. Facility ID/Project Number:

B. Reason for Termination: Check all that apply:

No longer operator of the facility/project.

II. OPERATOR INFORMATION:

C. City: D. State: E. Zip Code:

F. Responsible Authority: G. Responsible Authority’s Phone No.:

H. Responsible Authority’s E-mail Address: I. Responsible Authority’s Fax No.:

III. FACILITY/PROJECT INFORMATION:

C. City: D. State: E. Zip Code:

Responsible Authority Name and Official Title (Type or Print):

NPDES STORMWATER NOTICE OF TERMINATION (NOT)

Who May File an NOT:

NPDES Stormwater Notices Center, MS #3585

Part II – Operator Information:

Rule 62-620.305, F.A.C., requires that the NOT be signed as follows:

A. For a corporation, by a responsible corporate officer as described in Rule 62-620.305, F.A.C.;

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