National Pollutant Discharge Elimination System
Storm Water Management Program Site Registration Form for
Municipal Separate Storm Sewer Systems (MS4s)
General Permit WV0116025
The site registration application (SRA) is for local governments or other regulated entities to submit the required information necessary for their Stormwater Management Program (SWMP) for compliance under the National Pollutant Discharge Elimination System (NPDES) MS4 General Permit to discharge stormwater runoff from a small municipal separate storm sewer system (MS4).
An authorized signature as required by 47CSR10 is needed to complete the application. All information should be included on this form or if needed, additional information can be attached at the end of the SRA.
Two (2) copies of the site registration application form shall be mailed to the address below.
West Virginia Department of Environmental Protection
Division of Water and Waste Management – MS4 Program
601 57th Street, SE
Charleston, WV 25304
Storm Water Management Program