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 pe rson 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 th is 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 comp leted questionnaire to this address.

Owner/Developer Short Questionnaire Page 1 of 15

## General Information

Purpose of the Questionnaire

Stormwater discharges from developed la nd 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 Offi ce of Water (OW) is considering revisions to the current National Pollutant Discharge Elimin ation System (NPDES) re gulations including the establishment of standards for long term stor mwater discharges from developed sites.

To collect data to inform deci sions regarding how the nation’s st ormwater regulations should be strengthened and to support the technical and financial feasibility associated with this rulemaking, EPA is sending the following questionna ire to owners/develope rs of residential, non-residential, industrial, and commercial site s. This questionnaire will provide EPA with
information to:

 Characterize current building and real estate improveme nt projects including type, location, and size;

 Characterize the prevalence and type of stormwater controls implemented at new development and redevelopment sites to contro l long term stormwater discharges. These controls include, but are not limite d to, practices that retain or infiltrate stormwater onsite (commonly referred to as low impact de velopment 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 adm inister this questio nnaire 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 require d 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 explai ned in Section 308 of the Clean Water Act (33 U.S.C., Section 1318).

When to Complete the Questionnaire

The response to this questionnair e m ust be received by EPA no mo re 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 reque sts may be e-mailed to Ms. Jan Matuszko at matuszko.jan@epa.gov

.

Owner/Developer Long Questionnaire Page 2 of 15Where to Return the Questionnaire

Af ter completing the questionnai re and certifying the informa tion that it contains, use the enclosed mailing label to mail the completed que stionnaire 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 di recting or supervising the prepar ation of the questionnaire m ust read and sign the Certification Statement liste d 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 com pletion of this questionnaire you can request assistance using EPA’s e-mail helpline provided below. Pl ease include the name of the survey to which you are responding, the question number along w ith 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 a nd 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 confiden tiality of business information are contained in the Code of Federal Regulations (CF R) 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 conf identiality claim covering the information by placing on (or attaching to) the information, at th e 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 ‘com pany confidential.’ Allegedly c onfidential portions of otherwise nonconfidential documents should be clearly iden tified by the business, and may be submitted separately to facilitate identification and hand ling by EPA. If the business desires confidential treatment only until a certain date or until the occurrence of a certa in event, the notice should so
state.”

If no business confidentiality claim accompanie s the information when it is received by EPA, EPA may make the information availabl e to the public without further notice.

Owner/Developer Long Questionnaire Page 3 of 15You may claim as confidential al l information included in the re sponse to a question by checking the Confidential Business Information (CBI) box ne xt to the question number. Note that you may be asked to justify any clai m of confidentiality at a late r time, for example if someone requests access to your data. Note also that in formation 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 busin ess 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 perf orm 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 disc lose 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 Co mpleting the Questionnaire

Complete the questionnaire consid ering the following instructions:

 Personnel most knowledgeable about the subj ect areas covered by a specific section should complete that secti on of the questionnaire.

 For all questions and sections, read all in structions and definitions carefully. Pay particular attention to the distincti on between establishments and firms.

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

 Answer all of the questions in sequence unle ss you are directed to SKIP forward in the questionnaire. This is important since some que stions 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 specifie d 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 co llect new data to provide information for this survey. However, you may need to contac t other business estab lishments with which you were involved on individual projects, such as engineering or design firms, in order to answer some questions. Unless indicated othe rwise, 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 certif ying official must be an official duly authorized representative. The Certification Statement must be completed and submitted in accordance with the requirem ents 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 acco rdance 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 co mplete. In those cases where we did not possess the requested information, we have provided be st engineering and/or financial estimates or judgment. I am aware that there are significa nt penalties for submitting false information, including the possibility of fines and imprisonmen t as explained in Se ction 308 of the Clean Water Act (33 U.S.C., Section 1318).

_____________________________ _________________________ Signature of Certifying Official Date

_____________________________ (______)_________________ Printed Name of Certifying Of ficial 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 desi gned 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 ac quisition and land development. Construction of structure(s) occurs during this phase. Activities in this phase also include any legal or mark eting 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 cons isting of one or more domestic establishment locations under common ownership or control.

Industrial A project that includes structures designed for industrial purposes including, producing, processi ng, or assembling goods (for example, manufacturing, agricultu ral, 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 ne w 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 re quires 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 ru noff close to its source (e.g. bioretention, rain gardens, cisterns, green roofs)

Owner/Developer Long Questionnaire Page 7 of 15Term 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 c ontained 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 su rfaces, such as buildings, parking lots, and roads exist, including agricultural, forested, and open/barren land. These are common ly referred to as Greenfield
sites.

Owner The firm, individual, or instituti ons 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 redevelopmen t 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 co ntrol one or two of the project phases, while another entity or partnership may control the other project phase(s).

Redevelopment Development of sites with exis ting structures or impervious surfaces. Redevelopment does not include projects that are solely remodeling or alterations to th e interior of a structure.

Retention Practices Stormwater techniques that mana ge 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 th at 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 informat ion 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 questi ons about your operations and the projects in which you participated during 2005 – 2009. Prior to responding to thes e 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 resp ond 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 154a. Did your establishment complete one or more phases of at least one construction, land development or redevelopment project dur ing 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 y ou for your input. Si gn 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 y ou for your input. Si gn the certification
statement on page 6 and return to the address indicated on page 3 ).

4c. During calendar years 2005 – 2009, did your esta blishment complete at least one project
that resulted in one or more acres of la nd 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 y ou for your input. Si gn 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 imp ervious surfaces were installed? Examples would be water, gas or utility pipelines or underground electric or telecommunications

cables.

□ Yes ( You have completed the survey. Thank y ou for your input. Si gn the certification
statement on page 6 and return to the address indicated on page 3 ).

□ No

5. Indicate the state(s)/territories where your es tablishment 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 156. Is your establishment independently owned an d 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 th at owns and operates this establishment.

Firm’s Full Legal Name Address

Phone/Fax Number Website

8. In what state is your parent fi rm 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 no t 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 15Project Information: Part 1

12. CBI. How many total projects did your esta blishment finish participating in during calendar years 2005-2009? For projects meetin g 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 Qu estion 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 1513. CBI . For your residential pr ojects that meet the Question 4 Criteria , how many projects did your establishment finish participatin g 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-c onstruction stormwater management? ________

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

1. Where your participation in the projec t 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 anot her party for performance of th e next project phase), or the recorded asset value of the project when tr ansferred 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 15Project 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 m eant to help EPA to devel op a profile of projects pe rformed 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 a ssigned each respondent a random date during this period, and is asking respondent s 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 id entified below. The last four columns ask for information that may not be known until the comp letion 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 15Owner/Developer Long Questionnaire Page 15 of 15 16. CBI. Complete a row in the table fo r 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 Duri ng 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 obtai n 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-resident ial and mixed use projects. Enter number of housing units for residential projects. † The value of the project at the time of co mpletion. 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 tabl e 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.