Application for Non-Significant Industrial User General Industrial Wastewater Discharge Permit Permit Number: CWL001
An Authorized Representative may be:
(A) If the Industrial User is a corporation, the Authorized Representative shall be as follows:
(i) The president, secretary, treasurer, or a vice-president of the corporation in charge of a principal business function, or any other person who performs similar policy or decision-making functions for the corporation.(ii) The manager of one or more manufacturing, production, or operation facilities, provided the manager is authorized to make management decisions which govern the operation of the regulated facility, including having explicit or implicit duty of making major capital investment recommendations, and initiate and direct other comprehensive measures to assure long-term environmental compliance with environmental laws and regulations; can ensure that the necessary systems are established or actions taken to gather complete and accurate information for individual wastewater discharge permit requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(B) If the Industrial User is a partnership or sole proprietorship, an Authorized Representative shall be a general partner or proprietor, respectively.
(C) If the Industrial User is a Federal, State, or local government facility, an Authorized Representative shall be a director or highest official appointed or designated to oversee the operations and performance of the activities of the government facility, or the Authorized Representative's designee.
(D) The Authorized Representative described above may designate a Duly Authorized Representative if the authorization is in writing, the authorization specifies the individual or position responsible for the overall operations of the facility from which the discharge originates or having overall responsibility for environmental matters for the company and the written authorization is submitted to the Manager of CWL.
"I understand that by not installing a seperate water meter specifically to measure water flows to the wash only, any applicable CWL Laboratory charges will be based on 100 percent of the water meter reading."
"I certify under penalty of law that I, as new owner/operator, have no immediate intent to change the facility's operations and process and acknowledge full responsibility for complying with the existing wastewater discharge permit effective on the transfer date of ownership."
"I declare that I have examined this report and to the best of my knowledge and belief that it is true, correct and complete."