Survey ID: ________________ OMB Control No. 20XX-XXXX 

 Approval expires XX/XX/XX

United States Environmental Protection Agency 

Stormwater Discharges from Developed Sites 

Owner/Developer Short Questionnaire 

Survey ID: ________________ 

Please return the completed response no later than [date for returning questionnaire]

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 __ 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. Include the OMB control number in any 

correspondence. Do not send the completed questionnaire to this address. 

Owner/Developer Short Questionnaire Page 1 of 15
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 long term stormwater discharges from developed sites. 

To collect data to inform decisions regarding how the nation’s stormwater regulations should be 

strengthened and to support the technical and financial feasibility associated with this 

rulemaking, EPA is sending the following questionnaire to owners/developers of residential, 

non-residential, industrial, and commercial sites. 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 at new 

development and redevelopment sites to control long term stormwater discharges. These 

controls include, but are not limited to, practices that retain 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 owners and developers that could 

be subject to revised regulations. 

Authority 

EPA has the authority to administer this questionnaire under section 308 of the Clean Water Act 

(Federal Water Pollution Control Act, 33 U.S.C. Section 1318). Participation in this 

questionnaire is mandatory, and you are required to respond. 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 results in civil penalties, criminal fines, or other sanctions provided by law including the 

possibility of fines and imprisonment 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. 

Owner/Developer Long Questionnaire Page 2 of 15 
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 Short 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 listed 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 you can request assistance 

using EPA’s e-mail helpline provided below. 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. 

E-mail address for help line: _________________________________ 

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 the business, and may be submitted 

separately to facilitate identification and handling by EPA. If the business desires confidential 

treatment only until a certain date or until the occurrence of a certain event, the notice should so 

state.” 

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. 

Owner/Developer Long Questionnaire Page 3 of 15 
You may claim as confidential all information included in the response to a question by checking 

the Confidential Business Information (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 the industry to evaluate data and analyses supporting the 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. 

Owner/Developer Long Questionnaire Page 4 of 15 
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 establishments and firms. 

 Do not leave any entry blank. If the answer is zero, write “0" or “zero”. If a question is 

not applicable, write “NA.” 

 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. 

 Use the units specified when responding to questions requesting measurement data (e.g., 

acres). If not specified and applicable, include units in your response

 The period of interest for the survey is calendar years 2005-2009 unless indicated 

otherwise. 

 Provide the requested information based on data you currently have. EPA is not 

requesting or recommending that respondents collect new data to provide information for 

this survey. However, you may need to contact other business establishments with which 

you were involved on individual projects, such as engineering or design firms, in order to 

answer some questions. Unless indicated otherwise, provide estimates if actual values 

are not available. 

Owner/Developer Long Questionnaire Page 5 of 15 
Certification Statement 

The individual responsible for directing or supervising the preparation of the enclosed 

Stormwater Discharges from Developed Sites Detailed Owner/Developer Short 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 an official 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 

judgment. 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 Page 6 of 15 
Glossary of Terms 

Term Definition 

Commercial/Institutional 

A project that includes structures designed for use by retail, wholesale, 

office, hotel, or other service-providing facilities/businesses, including 

Federal, State, and local government facilities.

Construction Phase 

The project phase following land acquisition and land development. 

Construction of structure(s) occurs during this phase. Activities in this 

phase also include any legal or marketing activities required to bring the 

project to completion. Also commonly called vertical construction. 

Developer 

A person, business, or partnership that controls project design and/or land 

development activities associated with a project. The developer may 

make improvements to land parcel(s) owned by the developer or on 

behalf of a separate owner-entity (e.g., the developer may be the land 

owner’s agent).

Establishment A single, permanent, physical office location where business is conducted 

and for which revenue, employment, and other records are kept.

Final Project Value 

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.

Firm A business organization or entity consisting of one or more domestic 

establishment locations under common ownership or control.

Industrial 

A project that includes structures designed for industrial purposes 

including, producing, processing, or assembling goods (for 

example, manufacturing, agricultural, and mining structures). 

Land Acquisition 

An initial project phase, preceding land development and construction. In 

this stage, financing is assembled to purchase raw, vacant, un-zoned land 

parcel(s). This phase may also include project design and planning 

elements using e.g., architectural services. For redevelopment projects the 

land has previously been developed and zoned. However, the property 

made need to be rezoned for a new purpose, and project will require 

designing and planning as well.

Land Development 

The second project phase, following land acquisition and preceding 

construction. During this phase, raw land is converted into permitted, 

buildable lot(s) in a process that requires site approvals, hearings, etc. 

This process can take months to years. Costs incurred during this phase 

may include “soft” costs for architectural and engineering services, legal 

work, permits, fees, and testing; and “hard” costs, such as land clearing, 

installing utilities and roads, and preparing foundations or pads. 

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)

Owner/Developer Long Questionnaire Page 7 of 15 
Term Definition 

Mixed Use Project 

A project that is designed for more than one land use category (for 

example, Single-Family Housing and Multi-Family housing, 

Residential and Commercial, or Commercial and Industrial) 

Multi-Family Residential 

A project where multiple separate housing units for residential (i.e., 

non-commercial) inhabitants are contained within one building; 

also known as multi-dwelling unit. Does not include attached 

single-family homes, such as townhouses. 

New Development 

Development that occurs on land where generally no or minimal 

structures or other impervious surfaces, such as buildings, parking 

lots, and roads exist, including agricultural, forested, and 

open/barren land. These are commonly referred to as Greenfield 

sites. 

Owner 

The firm, individual, or institutions for which the project is being 

built. The owner may also act as the developer for a project, or may 

hire or partner with a separate developer. 

Project 

New development or redevelopment of buildings or other real 

estate improvements on a contiguous site, which may be undertaken 

by a single entity or an entity partnership/team. A project generally 

consists of three phases: land acquisition, land development, and 

construction. It is possible that each entity or partnership actively 

involved in a project might only control one or two of the project 

phases, while another entity or partnership may control the other 

project phase(s).

Redevelopment 

Development of sites with existing structures or impervious 

surfaces. Redevelopment does not include projects that are solely 

remodeling or alterations to the interior of a structure. 

Retention Practices Stormwater techniques that manage stormwater on-site through 

infiltration, evapotranspiration or harvesting. 

Single-Family Residential 

A project in which housing units are designed and maintained for 

occupancy by only one family. This includes both attached and 

detached single-family homes. 

Transportation A project that includes uses such as highways and bridges 

Utility A project that includes uses such as water and/or gas pipelines, or 

electricity transmission lines. 

Owner/Developer Long Questionnaire Page 8 of 15 
General Information 

 1. Provide contact information for your establishment. 

Establishment’s Full Legal Name Address 

Phone/Fax Number Website 

Email 

2. Provide contact information for the person to whom EPA should direct follow up calls 

concerning your responses to this questionnaire if necessary. 

Name Email 

Title Best Time to Contact 

Phone/Fax Number 

 This questionnaire will ask a series of questions about your operations and the projects in 

 which you participated during 2005 – 2009. Prior to responding to these questions, please 

 carefully review the Glossary of Terms for applicable definitions. 

3. 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 that you 

provide 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 fiscal 

year. Please indicate whether you are reporting financial information for the calendar 

year or your fiscal year by checking one box below. 

□ Calendar year (Skip to Question 4) 

□ Fiscal year 

 If you checked “Fiscal Year”, please indicate the first month of your fiscal year. 

□ January □ July 

□ February □ August 

□ March □ September 

□ April □ October 

□ May □ November 

□ June □ December 

Owner/Developer Long Questionnaire Page 9 of 15 
4a. Did your establishment complete one or more phases of at least one construction, land 

development or redevelopment project during calendar years 2005 – 2009? If the only 

work you completed during calendar years 2005 – 2009 was alteration or remodeling of 

an existing structure or structures, then you should answer “No” to this question. 

□ Yes 

□ No (You have completed the survey. Thank you for your input. Sign the certification 

statement on page 6 and return to the address indicated on page 3). 

4b. During calendar years 2005 – 2009, was your establishment the owner or developer for 

at least one project or a phase/portion of at least one project (either as the sole 

responsible party or as a participant in a joint venture or other multiple party 

structure)? 

□ Yes 

□ No (You have completed the survey. Thank you for your input. Sign the certification 

statement on page 6 and return to the address indicated on page 3). 

4c. During calendar years 2005 – 2009, did your establishment complete at least one project 

that resulted in one or more acres of land disturbance AND/OR that resulted in the 

installation of 5,000 square feet or more of new impervious surfaces (roads, roofs, etc.)? 

□ Yes 

□ No (You have completed the survey. Thank you for your input. Sign the certification 

statement on page 6 and return to the address indicated on page 3). 

4c. Were all of your projects completed during calendar year 2005 through 2009 projects 

for which the area was reclaimed and no impervious surfaces were installed? Examples 

would be water, gas or utility pipelines or underground electric or telecommunications 

cables. 

□ Yes (You have completed the survey. Thank you for your input. Sign the certification 

statement on page 6 and return to the address indicated on page 3). 

□ No 

5. Indicate the state(s)/territories where your establishment 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 

□ Puerto 

Rico 

□ Other U.S. Territory 

(specify):______________ 

□ WY 

Owner/Developer Long Questionnaire Page 10 of 15 
6. Is your establishment independently owned and operated (i.e., the establishment is the 

same entity as the firm)? 

□ Yes (skip to Question 10) 

□ No (continue to the next question) 

7. Provide contact information for the firm that owns and operates this establishment. 

Firm’s Full Legal Name Address 

Phone/Fax Number Website 

8. In what state is your parent firm organized as a legal entity? 

 __________________________________________ 

9. CBI. Complete the table below with your parent firm’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 your firm was not in business for one or more of the years, 

enter “N/A” for those years. 

Total Firm Revenue (Dollars; may round to nearest thousand) 

Year 

2005 2006 2007 2008 2009 

10 Are you a publicly traded company? 

□ Yes 

□ No 

11. Indicate your type of business organization. 

□ Sole proprietorship 

□ Partnership 

□ Corporation (standard, “C” corporation) 

□ Subchapter S Corporation 

□ Limited Liability Corporation 

□ Other: _______________________________________ 

Owner/Developer Long Questionnaire Page 11 of 15 
Project Information: Part 1 

12. CBI. How many total projects did your establishment finish participating in during 

calendar years 2005-2009? For projects meeting the Question 4 Criteria enter the 

number of projects that fall into each in each of the following size and type categories. 

For those projects that do not meet the Question 4 Criteria, enter the number that fall 

into each type category. 

Number of Projects 

Project Size Range for Projects Meeting the Question 4 Criteria 

Type of Project Less than 1 

Acre 

1 – 9.9 

Acres 

10 – 24.9 

Acres 

25 – 49.9 

Acres 

50 – 99.9 

Acres 

100 Acres 

or More 

Projects not 

Meeting the 

Question 4 

Criteria 

Single-Family 

Residential 

Multi-Family Residential 

Commercial/ 

Institutional 

Industrial 

Transportation 

Mixed Residential 

(single-family and multifamily) 

Mixed Residential and 

Commercial/Institutional 

Mixed 

Commercial/Institutional 

and Industrial 

Other Mixed Use 

Total 

Owner/Developer Long Questionnaire Page 12 of 15 
13. CBI. For your residential projects that meet the Question 4 Criteria, how many projects 

did your establishment finish participating in at any time during calendar years 2005-

2009 in each of the following categories? 

Number of Projects that Satisfy the Question 4 Criteria 

Group Projects by Number of Housing Units in Project Type of Project 1-10 Units 10 – 25 Units 25 – 50 Units 50 – 100 Units >100 Units 

Single-Family Residential 

Multi-Family Residential 

Mixed Residential (singlefamily and multi-family) 

Mixed Residential and 

Commercial/Institutional 

Other Mixed Use 

Total 

14. To your knowledge, how many projects that you participated in at any time during 

calendar year 2005 – 2009 that meet the Question 4 Criteria incorporated low impact 

development (LID) practices for post-construction stormwater management? ________ 

15. CBI. Complete the table below with the value of all projects: 

1. Where your participation in the project ended in the year indicated; and, 

2. That satisfy the Question 4 Criteria. 

The project value is the final value at the time when your participation in the project 

ended. This value could be the project’s sales value (whether as a project completed for 

retail sale or for sale to another party for performance of the next project phase), or the 

recorded asset value of the project when transferred from work-in-progress status to 

completion of your establishment’s participation in the project. Provide values in dollars 

and fill in all values; you may round values to the nearest thousand dollars. 

Project Value (Dollars; may round to nearest thousand) 

Year 

Type of Project 2005 2006 2007 2008 2009 

Single-Family Residential 

Multi-Family Residential 

Commercial/ Institutional 

Industrial 

Transportation 

Mixed Residential (single-family 

and multi-family) 

Mixed Residential and 

Commercial/Institutional 

Owner/Developer Long Questionnaire Page 13 of 15 
Project Value (Dollars; may round to nearest thousand) 

Year 

Type of Project 2005 2006 2007 2008 2009 

Mixed Commercial/Institutional 

and Industrial 

Other Mixed Use 

Total 

Project Information: Part 2 

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 they participated 

in during the 2005-2009 time period, EPA has assigned each respondent a random date during 

this period, and is asking respondents to describe the projects they participated in that were ongoing on the specified date. An on-going project is one that was in the land acquisition, land 

development, or construction phase on the date identified below. The last four columns ask for 

information that may not be known until the completion of the final construction phase. If your 

participation in the project ended prior to the completion of the construction phase, provide your 

best approximation for this information. 

Owner/Developer Long Questionnaire Page 14 of 15 
Owner/Developer Long Questionnaire Page 15 of 15 

16. CBI. Complete a row in the table for each project that meets the Question 4 Criteria that 

was on-going on ____________________ .(this is a randomly generated date between 

January 1, 2005 and December 31, 2009) 

Most Recently Projects Completed During 2005 – 2009 that Satisfy Question 4 Criteria 

NOI/ NOC 

Permit 

Number* 

Zip 

Code Type‡ Total Size (acres) 

New- or ReDevelopment 

(N/R) 

Percent 

Impervious 

Surface Area 

(% of size) 

Number 

of 

Buildings

/ Units** 

Final 

Project 

Value† 

($) 

LID 

(y/n) 

‡Type 

 SFA = Single-Family Residential, attached 

 SFD = Single-Family Residential, detached 

 MF = Multifamily Residential 

 COM = Commercial 

 INS = Institutional 

 IND = Industrial 

 TR = Transportation 

 NB = Non-Building 

 MU1 = Mixed Residential (single-family and 

multi-family) 

 MU2 = Mixed Residential and

 Commercial/Institutional 

 MU3 = Mixed Commercial and Industrial 

 MU4 = Other Mixed Use 

*In most states, projects greater than 1 acre in size must obtain an NOI (or NOC in California) permit. If the project is less than 1 

acre in size, this may not be applicable. 

**Enter number of buildings for non-residential and mixed use projects. Enter number of housing units for residential projects.

† 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. 

Once you have completed the above table for all applicable projects, 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.