Owner/Developer Respondents
Stormwater Management Including Discharges From Developed Sites Questionnaires (Revision)
2366supp02 - Owner_Developer_Long_QuestionnairefinalOMBversion8610
Owner/Developer Respondents
OMB: 2040-0282
Survey ID: ________________ OMB Control No. 20XX-XXXX
Approval expires XX/XX/XX
United States Environmental Protection Agency
Stormwater Discharges from Developed Sites
Owner/Developer Long Questionnaire
August 6, 2010
Final Version
Survey ID: ________________
Please return the completed response no later than [date for returning questionnaire]
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An Agency may not conduct or sponsor, and a person is not required to respond to, a collection of information, unless it displays a currently valid OMB control number.
The public reporting and recordkeeping burden for this collection of information is estimated to average 61 hours per response. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460, and to EPA Clean Water Act Desk Officer, Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street, NW, Washington, DC 20503. Include the OMB control number in any correspondence. Do not send the completed questionnaire to this address. |
General Information
Purpose of the Questionnaire
Stormwater discharges from developed land can negatively impact water quality through increases in stormwater volume and increased pollutant loads to the receiving waters. To strengthen its stormwater regulations, EPA’s Office of Water (OW) is considering revisions to the current National Pollutant Discharge Elimination System (NPDES) regulations including the establishment of standards for the management of long term stormwater discharges from newly developed and redeveloped property.
To collect data to inform decisions regarding how the nation’s stormwater regulations should be strengthened and to support the technical and financial feasibility analyses associated with this rulemaking, EPA is sending the following questionnaire to entities believed to be owners or operators of point source discharges that are involved with new construction, development and redevelopment of residential, non-residential, industrial, and commercial properties and transportation projects. The questionnaire is specifically directed toward owners/operators of projects that were required to obtain NPDES permit coverage for stormwater discharges, or that would have been required to do so save for a site-specific waiver by the permitting authority (see Question 3 below). This questionnaire will provide EPA with information to:
Characterize current building and real estate improvement projects including type, location, and size;
Characterize the prevalence and type of stormwater controls implemented by point source dischargers at new development and redevelopment sites to control long term stormwater discharges. These controls include, but are not limited to, practices that retain, manage or infiltrate stormwater onsite (commonly referred to as low impact development practices, or LID) and more traditional stormwater practices (such as ponds); and
Characterize the operations and financial condition of businesses involved in construction, land development and redevelopment that could be subject to revised regulations.
Authority
EPA has the authority to administer this questionnaire under section 308 of the Clean Water Act, which provides that EPA may, “require the owner or operator of any point source to (i) establish and maintain such records, (ii) make such reports, … , and (v) provide such other information” as may be reasonably required to carry out the objectives of the Clean Water Act (Federal Water Pollution Control Act, 33 U.S.C. Section 1318). Participation in this questionnaire is mandatory for owners and operators of point sources, and you are required to respond. (If you are not the owner or operator of a point source, Question 3 in Section A gives you the opportunity to opt out of completing the questionnaire.) You must retain a copy of the completed questionnaire for your files. EPA may contact you with follow-up questions to clarify your answers. Late filing of the questionnaire, or failure to follow any related EPA instruction, may result in civil penalties or other sanctions provided by law as explained in Section 308 of the Clean Water Act (33 U.S.C., Section 1318).
When to Complete the Questionnaire
The response to this questionnaire must be received by EPA no more than 60 calendar days after receiving it.
If you wish to request an extension, you must do so in writing no later than one week prior to the due date of this questionnaire. Written requests may be e-mailed to Ms. Jan Matuszko at matuszko.jan@epa,gov. Submittal of an extension request does not alter the due date of your questionnaire unless and until EPA agrees to the extension and establishes a new date. EPA will respond to all timely requests for extensions before the due date.
Where to Return the Questionnaire
After completing the questionnaire and certifying the information that it contains, use the enclosed mailing label to mail the completed questionnaire to:
U.S. Environmental Protection Agency
Stormwater Owner/Developer
Long Questionnaire
c/o Eastern Research Group, Inc.
14555
Avion Parkway, Suite 200
Chantilly, VA 20151
Certification Statement
The individual responsible for directing or supervising the preparation of the questionnaire must read and sign the Certification Statement printed below. The certifying official must be a responsible corporate official or his/her authorized representative. The signed certification must be returned with the completed survey.
Where to Get Help
If you have any questions regarding completion of this questionnaire EPA prefers you request assistance using EPA’s e-mail helpline provided below.
E-mail address for help line: _________________________________
Please include the name of the survey to which you are responding, the question number along with your questions. Respondents who desire assistance by telephone should send an e-mail with “Please Call Me” in the subject line. Please provide the call-back phone number, contact name, and desired day and time to call. The return phone call will be free of charge to the respondent. For pressing questions that require a more immediate response, please call ___________________.
Confidential Business Information
Regulations governing the confidentiality of business information are contained in the Code of Federal Regulations (CFR) at Title 40 Part 2, Subpart B. You may assert a business confidentiality claim covering part or all of the information you submit. Information that is publicly available should not be claimed confidential, as described in 40 CFR 2.203(b):
“(b) Method and time of asserting business confidentiality claim. A business which is submitting information to EPA may assert a business confidentiality claim covering the information by placing on (or attaching to) the information, at the time it is submitted to EPA, a cover sheet, stamped or typed legend, or other suitable form of notice complying language such as ‘trade secret,’ ‘proprietary,’ or ‘company confidential.’ Allegedly confidential portions of otherwise nonconfidential documents should be clearly identified by your business, and may be submitted separately to facilitate identification and handling by EPA. If your business desires confidential treatment only until a certain date or until the occurrence of a certain event, the notice should so state.”
To facilitate claims of business confidentiality, we have provided Confidential Business Information (CBI) check boxes beside each question for which a claim of confidentiality may be made. You may claim as confidential all information included in the response to a question by checking the CBI box next to the question number. Note that you may be asked to justify any claim of confidentiality at a later time, for example if someone requests access to your data. Note also that information claimed confidential cannot be accessed or used by public commenters to evaluate data and analyses supporting the proposed regulations.
Information covered by a claim of confidentiality will be disclosed by EPA only to the extent of, and by means of, the procedures set forth in 40 CFR Part 2, Subpart B. In general, submitted information protected by a business confidentiality claim may be disclosed to other employees, officers, or authorized representatives of the United States concerned with implementing the Clean Water Act. The authorized representatives include employees of other executive branch agencies, who may review CBI during the course of reviewing draft regulations.
Information covered by a claim of confidentiality will be made available to EPA contractors to enable the contractors to perform the work required by their contracts with EPA. All EPA contracts provide that contractor employees use the information only for the purpose of performing the work required by their contracts and will not disclose any CBI to anyone other than EPA without prior written approval from each affected business or from EPA's legal office.
If no business confidentiality claim accompanies the information when it is received by EPA, EPA may make the information available to the public without further notice.
Detailed Instructions for Completing the Questionnaire
Complete the questionnaire considering the following instructions:
Personnel most knowledgeable about the subject areas covered by a specific section should complete that section of the questionnaire.
For all questions and sections, read all instructions and definitions carefully. Pay particular attention to the distinction between a business branch and parent company.
Do not leave any entry blank. If the answer is zero, write “0" or “zero”. If a question is not applicable, write “NA.” See instructions below if data to answer a question is not readily available.
Answer all of the questions in sequence unless you are directed to SKIP forward in the questionnaire. This is important since some questions and/or sections are only applicable to some respondents.
Where practical, please use the units specified when responding to questions requesting measurement data (e.g., acres); this will facilitate EPA processing of the completed questionnaires and promote data accuracy. If you keep records in different units from those requested and conversion is not practical, or if units are not specified in the questions, PLEASE BE SURE TO INCLUDE THE UNITS IN YOUR RESPONSE.
The period of interest for the questionnaire is calendar years 2005-2009 unless indicated otherwise.
Provide the requested information based on data you currently have readily available. EPA is not requesting or recommending that respondents collect new data to provide information for this questionnaire. However, you may need to contact other businesses establishments that you hired, such as engineering or architectural firms that prepared plans or designs for projects undertaken by your business, in order to answer some of the questions. You do not need to obtain data from other parties except where that data was specifically prepared on your behalf.
Some questions ask for approximations or estimations because EPA realizes you may not have data readily available to provide an exact response. For these questions, EPA is requesting you provide a response if you can make a reasonable estimate. If you are not able to provide an estimate, respond “Don’t Know.”
Glossary of Terms
Glossary of Stormwater Control Terms
Term |
Definition |
Bioretention |
A stormwater management practice that consists of an excavated area that is filled with a mixture of soil and organic matter and that is planted with vegetation that is tolerant of inundation and saturated soil conditions. Bioretention includes rain gardens, sidewalk planters, curb extensions and other plant or soil systems designed to filter, infiltrate or evapotranspirate stormwater. |
Cistern |
Large storage devices that are often built below ground, at ground level, or on rooftops, for storing captured stormwater and can be integrated with more sophisticated pumping devices. For example, some cisterns collect stormwater that is subsequently used for non-potable plumbing, such as flushing of toilets, or irrigation applications. |
Constructed Wetlands |
A man-made basin or channel that typically contains water, a substrate (soil, gravel, rock, organic materials, etc.) and plants (vascular and non-vascular), similar to those usually found in natural wetlands and is used to treat stormwater runoff. |
Detention Basin |
Practice which hold stormwater temporarily and discharge the stormwater over an extended period of time (hours to days) generally by controlling the size of the discharge volume and flow rate. A detention basin may have a permanent pool of water (wet detention) or may empty completely between storm events (dry detention). |
Green Roof |
A vegetative system installed on top of and in addition to the traditional roof system. A green roof includes engineered soil layers (e.g., a waterproof membrane, drainage, high inorganic growing media), and appropriate plant species. Green roofs reduce surface runoff from the rooftop by absorbing stormwater and slowing stormwater flow rates, and provide ancillary benefits such as summer cooling, lowered urban heat island effect, and improved air quality. |
Infiltration Basin/Trench |
A shallow rock-filled trench, basin or depression intended to infiltrate stormwater into the underlying soil. |
Low Impact Development (LID) |
Development that is designed to be hydrologically functional by mimicking pre-development hydrology or hydraulic conditions. This is achieved by using design techniques that infiltrate, filter, evaporate, and store runoff close to its source (e.g. bioretention, rain gardens, cisterns, green roofs). |
Manufactured Device |
Manufactured devices include a variety of proprietary and non-proprietary stormwater management practices that are available from various suppliers and vendors and are designed to remove pollutants through a combination of filtration, gravity separation, flotation and hydrodynamic processes. Examples include catch basin inserts, filtration units, vaults and separators. |
Media Filter |
Filters that stormwater passes through for removal of solids. Filters can be made out of sand, peat, or other suitable material. |
Pervious Paving |
Pavement composed of a permeable pavement material, which allows distributed infiltration into a sub-base or the underlying soil. There may also be an underlying stone reservoir that temporarily stores the surface runoff before it infiltrates into the underlying soil. Examples include; porous asphalt, permeable concrete, and permeable modular block pavers |
Retention Basin |
A retention basin is an impoundment that is designed to retain stormwater on-site and generally does not discharge stormwater except during very large storm events. |
Retention Practices |
Stormwater techniques that manage stormwater on-site through infiltration, evapotranspiration or harvesting. |
Swale |
A swale, sometimes called a biofilter, is a grass-lined channel that is designed to convey stormwater in shallow flow. Pollutant removal is accomplished through filtration through the vegetation and swales are frequently designed to allow for infiltration of stormwater. |
Tree Box |
Stormwater controls that direct stormwater discharges to a treebox, where it can be filtered by the soil and vegetation. Some tree boxes may drain to a pipe below, which conveys stormwater to the selected collection system. |
Underground Detention |
Underground vaults, storage cells, or water piping systems used for stormwater flow rate and volume control. This is an alternative to storage above ground (e.g., pond). |
Underground Infiltration |
Underground infiltration includes a variety of proprietary and non-proprietary practices that are usually placed under parking lots and streets that temporarily store and infiltrate stormwater. Common materials include corrugated metal pipe, pre-cast concrete and polyvinyl chloride (PVC). |
Water Body |
For purposes of this survey, any natural surface water such as a stream, river, lake, estuary, bay or ocean. This includes both perennial streams and intermittent streams. |
General Information
1. Provide contact information for your business.
Business’s Full Legal Name
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Address
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Phone/Fax Number
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2. Provide contact information for the person to whom EPA should direct follow up calls concerning your responses to this questionnaire if necessary.
Name
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Title
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Best Time to Contact
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Phone/Fax Number
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This questionnaire will ask a series of questions about your business operations and the projects in which your business participated during 2005 – 2009. Prior to completing the questionnaire, please carefully review the Glossary of Terms for applicable definitions. You may wish to refer back to the Glossary as you answer individual questions.
Business Activity Criteria
The next four questions are meant to determine if your business performs work that is relevant for this survey. Please read each one carefully before answering and refer to the glossary of terms as needed.
3. During calendar years 2005-2009 was your business an owner or operator of at least one construction project that (1) disturbed 1 or more acres of land, or (2) disturbed less than one acre of land that was a part of a larger common plan of development or sale that disturbed one or more acres of land, or (3) was covered by a local or state NPDES permit for construction site stormwater discharge? (Note: Projects meeting criteria 1 and 2 are required to obtain NPDES permit coverage for stormwater discharges, or would be required to do so in the absence of a project specific waiver. See 40 CFR 122.26(b)(14)(x) and 40 CFR 122.26(b)(15). Criterion 3 addresses projects required to obtain NPDES stormwater permit coverage under potentially more stringent state and local criteria.)
□ Yes
□ No (In this case, you have completed the survey. Thank you for your input. Sign the certification statement on page 39 and return to the address indicated on page 3.)
4. During calendar years 2005 – 2009, indicate if your business engaged in any of the following activities (check all that apply):
□ Land Development (including land subdivision)
□ Single-Family Residential Construction
□ New Multifamily Residential Construction
□ Commercial and Institutional Construction
□ Transportation (Highway, Road, or Bridge) Construction
□ Industrial Construction
□ Pipelines (e.g., water, sewer, oil or gas) (If this is the only type of construction activity your business engaged in during calendar years 2005 – 2009, you have completed the survey. Thank you for your input. Sign the certification statement on page 39 and return to the address indicated on page 3.)
□ Underground or Overhead Utilities (e.g., telecommunications, electric transmission
cables) (If this is the only type of construction activity your business engaged in during calendar years 2005 – 2009, you have completed the survey. Thank you for your input. Sign the certification statement on page 39 and return to the address indicated on page 3.)
□ Other Construction Not Identified Above (specify _________________) (If this is the only type of construction activity your business engaged in during calendar years 2005 – 2009, please contact EPA (See where to get help section on page 3) before proceeding with the remainder of this questionnaire.)
□ My business did not engage in any construction or land development during calendar
years 2005-2009 (In this case, you have completed the survey. Thank you for your input. Sign the certification statement on page 39 and return to the address indicated on page 3.)
5. During calendar years 2005 – 2009, was your business an owner, developer, or builder of at least one project during either its land development phase or its building construction phase (either as the sole responsible party or as a participant in a joint venture or other multiple party structure)?
□ Yes
□ No (In this case, you have completed the survey. Thank you for your input. Sign the certification statement on page 39 and return to the address indicated on page 3.)
6. During calendar years 2005 – 2009, was your business an owner, developer, or builder of at least one project during either its land development phase or its building construction phase (either as the sole responsible party or as a participant in a joint venture or other multiple party structure) that resulted in the installation of 5,000 square feet or more of new impervious surfaces (roads, roofs, parking lots, etc.)?
□ Yes
□ No (In this case, you have completed the survey. Thank you for your input. Sign the certification statement on page 39 and return to the address indicated on page 3).
Business Financial Information
7. Many of the following questions will ask for information for each year that you were in business during 2005 – 2009. Unless specified otherwise, EPA is requesting information for calendar years 2005-2009. However, for the financial questions only (e.g., revenue, project value), you may respond for the calendar year or your business’s fiscal year. Please indicate whether you are reporting financial information for the calendar year or fiscal year by checking one box below.
□ Calendar year (Skip to Question 8)
□ Fiscal year
If you checked “Fiscal Year”, please indicate the first month of your business’s fiscal year.
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□ January
□ July
□ February
□ August
□ March
□ September
□ April
□ October
□ May
□ November
□ June
□ December
8. Indicate the state(s)/territories where your business has participated in projects at any time during calendar year 2005 through 2009 (check all that apply).
□ AL |
□ CO |
□ GA |
□ IN |
□ MD |
□ MO |
□ NC |
□ NY |
□ RI |
□ VA |
□ AK |
□ CT |
□ HI |
□ KS |
□ ME |
□ MT |
□ ND |
□ OH |
□ SD |
□ VT |
□ AR |
□ DE |
□ IA |
□ KY |
□ MI |
□ NM |
□ NH |
□ OK |
□ TN |
□ WA |
□ AZ |
□ DC |
□ ID |
□ LA |
□ MN |
□ SC |
□ NJ |
□ OR |
□ TX |
□ WI |
□ CA |
□ FL |
□ IL |
□ MA |
□ MS |
□ NE |
□ NV |
□ PA |
□ UT |
□ WV |
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□ Puerto Rico |
□ Other U.S. Territory (specify):______________ |
□ WY |
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9. Is your business publicly traded?
□ Yes
□ No
10. Indicate the type of business organization.
□ Sole proprietorship
□ Partnership
□ Corporation (standard, “C” corporation)
□ Subchapter S Corporation
□ Limited Liability Corporation
□ Other: _______________________________________
11. □ CBI. What is your business’s primary source of revenue (check only one answer)?
□ Single-family Residential Construction
□ Multi-family Residential Construction
□ Commercial/ Institutional Construction
□ Industrial Construction
□ Transportation Construction (Highway, Street, or Bridge)
□ Heavy and Civil Engineering Construction
□ Land Development (including land subdivision)
□ Renting or Leasing Real Estate
□ Other
Project Information: Part 1 Summary Project Information
Questions 12-16 gather basic information on projects that your business completed in which you had a financial stake during calendar years 2005-2009. A financial stake includes owning all or a portion of the project during the development phase, the building construction phase, or both phases. Businesses that are not owners, but whose earning from the project depend on the financial performance of the project overall (i.e., project net income) are considered to have a financial stake in the project, as well. This does not include contractual work for a fixed price, independent of the projects financial performance. Your business is considered to have completed a project if you completed your portion of the project, even if your portion was part of a larger project that was not fully completed during the 2005-2009 timeframe.
If your business did not have a financial stake in any projects during this time period, check the box below and skip to Question 17.
□ Did not have a financial stake in any projects in 2005-2009 (Skip to Question 17)
12.
□ CBI. Complete
the table below with your business’s annual revenue allocated
into two categories for each year from 2005 through 2009:
Revenue from Project Sales and Leases. Sales and lease revenue your business received from projects completed between 2005 and 2009 that resulted in the installation of 5,000 square feet or more of new impervious surfaces, and in which your business had a financial stake. (Note exclusions under All Other Revenue below.) Business ownership includes owning all or a portion of the project during the development phase, the building construction phase, or both phases. If your business continues to own and occupy all or a portion of the project after its completion, only provide the revenues from those portions of the project that were sold or leased after completion.
All Other Revenue. All revenue earned by your business in the indicated year that is not counted in the above category. This would include:
revenue from sources not related to construction or development activity,
revenue from projects in which your business did not have a financial stake,
revenue from leasing properties that your business completed prior to 2005,
revenue from projects that resulted in less than 5,000 square feet of new impervious surface (including alteration or remodeling work on an existing structure and projects where disturbed land was reclaimed such as pipelines, underground utilities, or overhead utility projects).
Total Revenue. Your business’s total annual revenue in the indicated year. Revenue from Project Sales and Leases as well as All Other Revenue should sum to the Total Revenue value.
Business Revenue (dollars; may round to nearest thousand) |
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Year |
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Revenue Type |
2005 |
2006 |
2007 |
2008 |
2009 |
Revenue from Project Sales and Leases |
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All Other Revenue |
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Total Revenue |
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13 □ CBI. How many new development and redevelopment projects did your business complete in which you had a financial stake during 2005 through 2009? These are the same group of projects associated with the first row of Question 12 above, but divided by new development vs. redevelopment. Please enter a zero if you did not complete any projects during that year.
Number of Projects |
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Type of Project |
Year |
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2005 |
2006 |
2007 |
2008 |
2009 |
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New Development |
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Redevelopment |
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14. □ CBI. How many for-sale and for-lease projects did your business complete in which your business had a financial stake during 2005 through 2009? These are the projects associated with the first row of Question 12 above, but divided by sale vs. lease. Please enter a zero if you did not complete any projects during that year.
Number of Projects |
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Type of Project |
Year |
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2005 |
2006 |
2007 |
2008 |
2009 |
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For Sale |
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For Lease |
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15. □ CBI. How many different project types listed in the table below did your business complete in which you had a financial stake during 2005 through 2009? These are the same group of projects associated with the first row of Question 12 above, but divided by project type. Please enter a zero if you did not complete any during that year.
Number of Projects |
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Type of Project |
Year |
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2005 |
2006 |
2007 |
2008 |
2009 |
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Single-Family Residential |
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Multi-Family Residential |
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Commercial/ Institutional |
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Industrial |
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Transportation (Including Road and Highway) |
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Mixed Residential (single-family and multi-family) |
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Mixed Residential and Commercial/Institutional |
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Mixed Commercial/Institutional and Industrial |
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Other Mixed Use |
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Other Project Types |
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16. □ CBI. Fill out the following table indicating the total number of projects your business completed during calendar years 2005-2009 in which your business had a financial stake. These are the same group of projects associated with the first row of Question 12 above, broken out by the indicated size and type categories (and not by year).
Number of Projects Completed in Calendar Years 2005 – 2009 |
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Type of Project |
Project Size Ranges (Size below refers to total site size) |
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Less than 1 Acre |
1 – 9.9 Acres |
10 – 24.9 Acres |
25 – 49.9 Acres |
>50 – 99.9 Acres |
100 Acres or More |
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Single-Family Residential Only |
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Multi-Family Residential Only |
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Commercial/ Institutional |
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Industrial |
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Transportation (Including Road and Highway) |
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Mixed Residential (single-family and multi-family) |
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Mixed Residential and Commercial/Institutional |
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Mixed Commercial/Institutional and Industrial |
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Other Mixed Use |
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Other Project Types |
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Total |
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The next two questions (Questions 17-18) gather additional information on projects that your business participated in during calendar years 2005 – 2009. This includes all projects you participated in as an owner, developer, or builder, regardless of whether you had a financial stake (see Glossary for relevant definitions). Do not include projects for which your only involvement was as a contract builder. For these questions, also include projects that resulted in construction of less than 5,000 square feet of impervious surfaces.
17 □ CBI. Indicate the types of construction or land development activities your business participated in during calendar years 2005 – 2009. (Check all that apply)
□ Develop lots and sell those lots to other entities
□ Develop lots and build on those lots
□ Build on lots developed by another entity
□ Other
18. □ CBI. How many projects that have commenced construction (where land disturbance has begun) was your business participating in on the last day of 2009?
_______________
18a. □ CBI. How many of these projects have disturbed or will likely disturb one or more acres of land?
_______________
18b. □ CBI. How many of these projects include or will likely include 5,000 square feet or more of impervious surfaces?
_______________
18c. □ CBI. Do any of these projects incorporate or will any of these projects likely incorporate low impact development (LID) practices?
□ Yes
□ No (skip to question 19)
□ Don’t Know (skip to question 19)
18d. □ CBI. Approximately how many of these projects incorporated or will likely incorporate LID practices? For this question, you can base this answer only on readily available information. If this information is not readily available, you need not consult third parties, review project plans or records, or take other measures to obtain this information.
# of Projects _______________
□ Don’t Know
Project Information: Part 2 Detailed Project Information on Current and Recently Completed Projects
This section gathers technical and economic information on current projects and projects recently completed that your business has participated in as an owner, developer, or builder. Complete one copy of this section (covering Questions 19-48) for five projects your business is currently working on that have commenced construction (disturbed land). If your business is currently working on more than five projects, select the five most recent projects that your business is participating in that have commenced construction. If your business is currently working on less than five projects, provide information on all of your business’s current projects that have commenced construction as well as the projects most recently completed that your business participated in, for a total of five projects. Only provide information on five total projects and only provide information for projects that resulted in or will likely result in the construction of 5,000 square feet or more of impervious surfaces. Do not provide information on any projects completed prior to December 31, 2004. If your business has been a participant in less than five projects since December 31, 2004, then only provide information on those projects that your business has participated in since December 31, 2004.
Project Technical Information
19. Project Name or other identifier your business uses to describe this project:
__________________
20. □ CBI. Was/is your business the owner and/or developer for this project, or a phase/portion of this project? (As stated in the Glossary, a developer is a business that controls project design and/or land development activities associated with a project; it may nor may not be the owner of the project. The term does not include contractors that work for the owner or developer.)
□ Yes.
□ No. (Skip to 25)
21. □ CBI. Indicate if your business conducted (or intends to conduct) any of the following activities for this project (check all that apply):
□ Developed and/or subdivided a lot (or lots) and sold that lot (or lots) to other entities
□ Developed lots and built on those lots
□ Built on already developed lots purchased by your business
22 □ CBI. Was your business the owner and/or developer for the entire duration of the project or just a phase/portion of the project?
□ Owner and/or developer for the entire duration of the project.
□ Owner and/or developer for only a portion of the project.
□ Unknown because the project is not yet complete.
23. □ CBI. Indicate what activities your business conducted, or intends to conduct, for this project. Check all that apply.
□ General Site Clearing/Grubbing
□ Grading
□ Infrastructure (roads, utilities, etc.) Installation
□ Lot Development
□ Construction of structures
□ None of the above
24. □ CBI. Did your business hire, or does your business intend to hire, a contractor or subcontractor to conduct any of the following activities?
General Site Clearing/Grubbing
□ Yes
□ No
Grading
□ Yes
□ No
Infrastructure (roads, utilities, etc.) Installation
□ Yes
□ No
Lot Development
□ Yes
□ No
Construction of Structures
□ Yes
□ No
25. □ CBI. If you were not the owner and/or developer for this project, did you build, or do you anticipate building, on a lot or lots developed by another entity?
□ Yes
□ No
□ Not Applicable
26. □ CBI. After project completion who is the intended owner? Select the answer that best describes.
□ Single property sold to a third party.
□ Project divided into multiple properties that are sold to multiple third parties.
□ Project owner retains ownership and leases the property or properties.
□ Project owner retains ownership and occupies the entire property to conduct business
□ Project divided into multiple properties where the project owner retains ownership
and occupies one or more of the properties to conduct business, and the remaining
properties are either sold or leased to third parties.
27. Provide the location of the project.
Street Name & Address:
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Town/City:
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State:
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ZIP Code:
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Latitude (of project centroid):
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Longitude (of project centroid):
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28. Did your business file for coverage under a local, state or federal construction general permit for construction stormwater management for this project?
□ Yes
□ No (Skip to 30)
29. What was the permit number assigned to the project by the local government, the state or EPA? If multiple permits were maintained, provide only the primary permit number assigned before the initial land disturbance.
__________________
□ None Assigned
□ Don’t Know
30. □ CBI. What were the actual dates that construction started and ended? If the project has not ended, enter NA for end date.
Start Date _____________ End Date _____________
(MM/DD/YYYY) (MM/DD/YYYY)
31. □ CBI. What were the dates that your business’s participation in the project started and ended? If your business’s involvement is ongoing, enter NA for the end date.
Start Date _____________ End Date _____________
(MM/DD/YYYY) (MM/DD/YYYY)
32. The following gathers information on the project size
a. What is the total size (in acres) of the project?
Size (acres) _____________ Don’t Know ________
□ CBI.What is the size of your portion of the project?
Size (acres) _____________
33. Indicate the number of acres of the total project site as well as of your portion of the project site that were disturbed (if a completed project) or will likely be disturbed (if the project is not yet complete)?
a. Total site disturbed area (acres) _____________ Don’t Know ________
b. □ CBI.Your portion of the site disturbed acres _____________ Don’t Know ________
34. □ CBI. Is this project a new development (i.e., greenfield) or redevelopment project?
□ New Development
□ Redevelopment
□ Both New Development and Redevelopment
35. □ CBI. Indicate the developed area categories that were constructed or will be constructed for this project (check all that apply). For each developed area type that you check, provide the percentage of the project area that it covers (or will likely cover, based on project plans). If you only participated in one portion of a larger project, only provide information on the portion of the project that you participated in. If the project included both new development (i.e., greenfield) and redevelopment areas, provide the percentages of development area broken out into these two categories.
Developed Area Type |
Percentage of Project Area |
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Newly Developed Area |
||
Single-Family Residential detached |
□ |
|
Single-Family Residential attached |
□ |
|
Multifamily Residential |
□ |
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Commercial |
□ |
|
Industrial |
□ |
|
Institutional |
□ |
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Transportation |
□ |
|
Non-Building |
□ |
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Other (specify ________________) |
□ |
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Redeveloped Area |
||
Single-Family Residential detached |
□ |
|
Single-Family Residential attached |
□ |
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Multifamily Residential |
□ |
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Commercial |
□ |
|
Industrial |
□ |
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Institutional |
□ |
|
Transportation |
□ |
|
Non-Building |
□ |
|
Other (specify ________________) |
□ |
|
Total should add to 100% |
100% |
|
36. □ CBI. How many single-family residential buildings or single-family units in multifamily buildings were constructed or are planned for construction as a part of your portion of this project? (If the project is entirely non-residential construction enter zero. If you don’t know, enter “DK.)”
___________________
37. □ CBI. Preexisting Land Cover
Indicate what the land cover of the project was prior to your business’s land development or building construction activity. In the event that your business was only responsible for a portion of the project, indicate what the land use was for your portion of the project when your business began that activity. Check all that apply.
□ Developed (includes buildings, roads, parking lots, etc.). Specify the types of developed areas present below.
□ Residential
□ Commercial
□ Industrial
□ Institutional
□ Parking Lot
□ Finished Lots
□ Other Developed (specify _______________)
□ Brownfield Area
□Undeveloped/Greenfield. Specify the types of land areas present.
□ Barren/Open
□ Forested/Woods
□ Shrubland
□ Grassland
□ Pasture
□ Desert
□ Cropland/Farm
□ Other Undeveloped (specify _______________)
□ Wetlands
□ Other (Specify __________)
□ Don’t Know
38. □ CBI. POST-Construction Land Cover
(a) Estimate the total percent imperviousness of the project (or what the expected percent imperviousness will be at project completion, based on project plans, if the project is not yet complete). If you were only involved in a portion of the project and don’t have a reasonable estimate for the entire project, enter “DK” for don’t know.
___________________ acres
(b) Estimate the total percent imperviousness of your portion of the project
___________________ acres
(c)Estimate the area occupied by each of the following site components, broken out by impervious areas and pervious areas. Under the “Impervious Site Components” grouping, do not include rooftop area that has a green roof or roads, driveways or parking areas which are constructed of pervious pavers or other pervious materials (such as permeable pavers, permeable concrete and porous asphalt). Rather, include these areas under the “Pervious Site Components” heading. If you participated in one portion of a larger project, only provide information on the portion of the project that you participated in. If the project is not yet complete, provide estimates based on what the expected project characteristics will be when the project is complete. If information is not available or unknown for a particular site component, please provide your best estimate or indicate “DK” for Don’t Know.
Area Covered by Impervious Site Components |
|
Site Component |
% of Total Project Area |
Impervious Site Components |
|
Building Areas/ Rooftops (house, garage, storage structure etc.) |
|
Streets/Roads |
|
Driveways |
|
Parking areas |
|
Other Impervious Area, Specify:_______________________ |
|
Pervious Site Components |
|
Pervious paving (includes porous asphalt, pervious concrete, porous pavers or similar practices) |
|
Green roofs |
|
Grass lawns, turf grass or other open green space |
|
Cropland/Pasture |
|
Natural vegetation and undisturbed areas (forest, shrubland, grassland, etc) |
|
Buffers and other open space |
|
Other pervious area, specify:______________________ |
|
Water Bodies |
|
Totals should add to 100% |
|
39. □ CBI. Did your business install (or plan to install) or hire (or plan to hire) a contractor or subcontractor to install any post construction stormwater controls or practices at this project site?
□ Yes □ No (Skip to Question 46)
40. Indicate which specific or numeric post-construction stormwater performance standards and/or design criteria requirements apply to this project, or your portion of the project if you do not know the answer for the project generally. (Check all that apply.) Do not include stormwater performance standards that apply to the active phase of construction only.
□ Post-development peak runoff/discharge rate must match pre-development peak runoff/discharge rate for a specified storm return interval or intervals.
□ 1 year □ 25 year
□ 2 year □ 100 year
□ 5 year □ Other (Specify) __________
□ 10 year
□ Detention of a specified storm depth or volume (such as 0.5 inch per acre or 1 inch per impervious acre).
(Specify) __________
□ Detention of a specified storm volume (such as 1,800 cubic feet per acre or 3,600 cubic feet per impervious acre).
(Specify) __________
□ Detention of a specified percentile storm event (such as the 80th percentile storm).
(Specify) __________
□ Retention of a specified storm depth or volume (such as 0.5 inch per acre or 1 inch per impervious acre).
(Specify) __________
□ Retention of a specified storm volume (such as 1,800 cubic feet per acre or 3,600 cubic feet per impervious acre).
(Specify) __________
□ Retention of a specified percentile storm event (such as the 80th percentile storm).
(Specify) __________
□ Pollutant reduction requirement (for example, stormwater control practices must be installed to remove 80% of the post-construction TSS loading and 40% of the post-construction nitrogen loading)
Specify: ____________
□ Channel protection measures (such as a maximum allowable discharge velocity or other metric)
Specify: ____________
□ Infiltration/groundwater recharge requirement (for example, maintain predevelopment groundwater recharge levels or infiltrate the first 0.5 inch of runoff)
Specify: ____________
□ Limits for effluent concentrations of specific pollutants
Specify: ____________
□ Requirements for control of temperature
Specify: ____________
□ Flood control requirements other than the peak discharge rate control and on-site detention/retention requirements specified above.
Specify: ____________
□ Stream buffer requirements (for example, a 50 foot vegetated buffer must be maintained/implemented adjacent to waters of the state)
Specify: ____________
□ Limits on the maximum percent imperviousness for the site, or maximum directly connected impervious surface or other limits on impervious surfaces.
Specify: ____________
□ Other Standards Not Identified Above, Specify: ___________________
□ Don’t Know
□ No Standards Required
41. □ CBI. Did your business perform a cost comparison between traditional stormwater post construction controls (i.e. detention basins) and stormwater post construction controls that retain stormwater onsite (also known as low impact development practices which include bioretention, rain gardens, etc.) for this project (or your portion of the project)?
Yes No Don’t Know
42. □ CBI. Were LID practices considered for this project (or your portion of this project)?
□ Yes □ No □ Don’t Know
43. □ CBI. Were LID practices implemented (or planned to be implemented) on this project (or your portion of this project)?
□ Yes □ No □ Don’t Know
44. □ CBI. What, if any, challenges did your business encounter in installing LID practices? Or if LID was considered but not implemented, what prevented your business from implementing LID? Check all that apply.
□ No LID considered or installed
□ State or local ordinances, building codes or other requirements, such as minimum street width or cul-de-sac radius for fire truck or refuse collection, prohibit, inhibit or discourage usage
□ Expense
□ Local stormwater regulations/permit requirements require traditional stormwater management practices, such as detention ponds
□ Local regulators or city engineer not supportive or familiar with practices
□ Additional time for permit review and/or approval
□ Site limitations
□ Financing requirements
□ Lack of local providers with LID experience (site designers/engineers, architects, subcontractors and installation, etc.)
□ Lack of desirability by site owner or other project participant
□ Marketability of project
□ Other ____________________________________________
□ Not Applicable
□ None
45. □ CBI. Indicate which of the following stormwater post construction controls/practices have been installed (or are planned to be installed) for your portion of this project. Check all that apply.
For those practices installed (or that are planned to be installed), indicate the quantity of controls installed (i.e., for individual practices, such as basins, provide the number of individual controls. For controls such as pervious pavement, provide the total area (in square feet) installed.) Also indicate the cost (including design and installation cost) for the individual controls. For buffers, curb and gutter, storm sewer and catch basins, indicate if the practice is present and the cost (if known), but do not provide any quantity information. If you don’t know the quantity or cost of each control installed, check the corresponding box indicating not known.
Practice/Control Type |
Check if Control Installed |
# of Controls Installed |
Check if Quantity Not Known |
Control Cost (Design + Installation) |
Check if Cost Not Known |
Detention basins |
□ |
|
□ |
|
□ |
Retention basins |
□ |
|
□ |
|
□ |
Swales |
□ |
|
□ |
|
□ |
Constructed Wetlands |
□ |
|
□ |
|
□ |
Wetland Channels |
□ |
|
□ |
|
□ |
Underground Detention |
□ |
|
□ |
|
□ |
Underground Infiltration |
□ |
|
□ |
|
□ |
Tree Boxes |
□ |
|
□ |
|
□ |
Green Roofs |
□ |
|
□ |
|
□ |
Bioretention/Rain Gardens |
□ |
|
□ |
|
□ |
Infiltration basins |
□ |
|
□ |
|
□ |
Infiltration trenches |
□ |
|
□ |
|
□ |
Dry wells |
□ |
|
□ |
|
□ |
Sand filters or other types of media filters |
□ |
|
□ |
|
□ |
Cisterns |
□ |
|
□ |
|
□ |
Rain barrels |
□ |
|
□ |
|
□ |
Manufactured Devices, specify: ____________ ____________ ____________
|
□ |
___________ ___________ ___________ |
□ |
___________ ___________ ___________ |
□ |
Other, specify ___________ ___________ ___________
|
□ |
___________ ___________ ___________ |
□ |
___________ ___________ ___________ |
□ |
Practice/Control Type |
Check if Control Installed |
Quantity of Controls Installed (square feet) |
Check if Quantity Not Know |
Control Cost (Design + Installation) |
Check if Cost Not Known |
Porous asphalt |
□ |
|
□ |
|
□ |
Permeable concrete |
□ |
|
□ |
|
□ |
Permeable modular block pavers |
□ |
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□ |
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□ |
Vegetated Filter Strips |
□ |
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□ |
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□ |
Buffers |
□ |
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□ |
Curbs and Gutters |
□ |
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□ |
Storm Sewers |
□ |
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□ |
Catch Basins |
□ |
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□ |
None |
□ |
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46. □ CBI. Provide an estimate of the final value of the project, the total project cost and the estimated costs of designing and installing (including labor and capital costs) the stormwater post construction controls/practices associated with this project. The final value is the project’s actual or anticipated sales value or the actual or anticipated recorded asset value at the time of project completion. Total project costs include costs in all three phases, and include land or other project acquisition costs, fees, project design/architectural costs, land development costs, construction costs, interest or other financing costs, marketing costs, and overhead. If the project is not completed, or your business’s participation in the project ended prior to the completion of the building construction phase, provide your best approximation. If you only participated in one portion of a larger project and don’t know the information for the entire project, enter DK for ‘don’t know’ in the columns asking for information about total project costs and provide information only for your portion of the project. Do not include costs associated with erosion and sediment controls utilized during active construction in the stormwater costs (e.g., silt fences). Please consult with a project engineer to confirm cost estimates, if necessary.
Total Project Your Portion of the Project
Project value (at time of project completion): $ __________________ ______________
Total Project Cost $ __________________ _______________
Stormwater Post Construction Design Costs $ __________________ _______________
Stormwater Post Construction Installation Costs $ __________________ _______________
(including labor and capital)
If costs of post construction stormwater controls are unknown, provide an estimate of the costs of post construction stormwater controls as a percentage of total construction costs for the entire project, or the costs of post construction stormwater controls on your portion of the project as a percentage of construction costs for your portion of the project (if the project is not yet complete, provide estimates based on project plans):
________% Total □ Don’t Know
________% Your Portion □ Don’t Know
47. □ CBI. Please complete the table below regarding your business’s participation in the phases of this project.
|
Land Acquisition |
Land Development |
Building Construction |
Check all phases in which your business participated (or is participating in, for project not yet completed) |
□ |
□ |
□ |
Indicate your business’s percent share of ownership in the project (%) |
____% |
____% |
____% |
48. □ CBI. What is the total revenue your business received or will receive, as sale revenue or average annual lease revenue, from all phases of this project in which you were a participant, as indicated above, regardless of the year in which the revenue was or will be received? Provide value in dollars; you may round to the nearest thousand dollars. If the lease component of the project is not fully leased at the time of this response, provide your best estimate of the annual lease revenue that will be received when the project is fully leased.
Sale Value $ __________________.
Annual Lease Revenues $__________________.
Project Information: Part 3 General Project Information
The next question is meant to help EPA to develop a profile of projects performed during the last five years. Rather than ask each respondent for information on all the projects your business participated in during the 2005-2009 time period, EPA has assigned each business a random year-long period during this time frame, and is asking businesses to describe the projects your business participated in that were completed during that time period.
49. □ CBI. Complete the table below with information on projects, your business participated in, that resulted in more than 5,000 square feet of impervious surface, and that were completed between __________ and_________ (this is a randomly generated 12 month period between January 1, 2005 and December 31, 2009 expressed in terms of months not days) If your business participated in more than 5 projects completed during this period, only provide information on the first 5 projects completed. Do not include projects that you have already provided information on previously in Part 2 of the Project Information section.
In the event that your business was not responsible for the entire project, provide answers for the phase/portions for which your business was directly involved and for project questions for which you know the answer.
Project Information |
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Permit Numbera |
Zip Code |
Typeb |
Total Size (acres) |
New- or Re-Development (N/R) |
Percent Impervious Surface Area (% of size)
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Final Project Valued ($)
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Final Owner-shipf |
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a. In most states, projects with 1 or more acres of disturbed area must file for permit coverage by submitting an NOI (or NOC in California). If the permitting authority provided a permit number, provide that number here. If the project was not assigned a permit number, or if a permit was not required, just enter N/A. |
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b. Type |
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d. The value of the project at the time of completion. This value could be the project’s sales value or the recorded asset value of the project when has been completed. |
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f. Please indicate the intended ownership status of the project at the time of completion. Select the option that best applies. |
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Ultimate Parent Company Information
50. □ CBI. Is your business owned, controlled, or managed by an ultimate parent company?
□ Yes (continue to the next question)
□ No (you have completed the questionnaire. Sign the Certification Statement and refer to instructions for mailing the questionnaire back to the United States Environmental Protection Agency)
51. □ CBI. Provide contact information for the ultimate parent company.
Ultimate Parent’s Full Legal Name
|
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Address
|
Phone/Fax Number
|
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52. □ CBI. In what state is the ultimate parent company organized as a legal entity?
__________________________________________
53. □ CBI. Does your ultimate parent company have operations in foreign countries that are a source of international revenue?
□ Yes
□ No
54. □ CBI. Is your ultimate parent company a small business? The Small Business Administration (SBA) defines businesses as “small” based on a revenue threshold that is specific to each NAICS code. Please see the Glossary for common NAICS codes and SBA small business definitions for the construction industry to help answer this question. If you are unable to locate your NAICS code in the Glossary, please consult the Small Business Administration’s web site: http://www.sba.gov/contractingopportunities/officials/size/summaryofssi/index.html. In determining whether your ultimate parent is a small business, consider only revenue from domestic sources. Base your determination on the most recent fiscal year for which revenue is available.
□ Yes (continue to the next question)
□ No (you have completed the questionnaire. Sign the Certification Statement and refer to instructions for mailing the questionnaire back to the United States Environmental Protection Agency)
55. □ CBI. Complete the table below with the ultimate parent company’s total annual revenue for 2005-2009. Provide values in dollars and fill in all values; you may round values to the nearest thousand dollars. If the ultimate parent company was not in business for one or more of the years, enter “N/A” for those years. If the ultimate parent company is a multinational firm, limit revenue estimates to domestic sources.
Ultimate Parent Company Total Annual Revenue (Dollars; may round to nearest thousand) |
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Year |
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2005 |
2006 |
2007 |
2008 |
2009 |
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Once you have completed the above table for ultimate parent company revenue, you have completed the questionnaire. Sign the Certification Statement and refer to instructions for mailing the questionnaire back to the United States Environmental Protection Agency. Thank you.
Certification Statement
The individual responsible for directing or supervising the preparation of the enclosed Stormwater Discharges from Developed Sites Owner/Developer Long Questionnaire must read and sign the Certification Statement below before returning both documents to the U.S. Environmental Protection Agency. The certifying official must be a duly authorized representative. The Certification Statement must be completed and submitted in accordance with the requirements contained in the Code of Federal Regulations at 40. CFR 122.22.
I certify under penalty of law that the attached questionnaire was prepared under my direction or supervision in accordance with a system designed to ensure that qualified personnel properly gathered and evaluated the information submitted. The information submitted is, to the best of my knowledge and belief, accurate and complete. In those cases where we did not possess the requested information, we have provided best engineering and/or financial estimates or judgments where possible. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment as explained in Section 308 of the Clean Water Act (33 U.S.C., Section 1318).
_____________________________ _________________________
Signature of Certifying Official Date
_____________________________ _(______)_________________
Printed Name of Certifying Official Telephone Number
_____________________________
Title of Certifying Official
Owner/Developer Long
Questionnaire -Final Page
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | jkg |
| File Modified | 0000-00-00 |
| File Created | 2021-02-02 |
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