Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 53 - SECTION 401 WATER QUALITY CERTIFICATIONS › Section 11-53-3 - Application

Current through June, 2024
(a) Except as provided in subsection (c), the
				application shall include, at a minimum:
(1)
				The certifying person's legal name, company or organization name, street or
				mailing address, telephone number, and email address;
(2) The activity or facility name, location,
				island, and tax map key number(s);
(3) The estimated beginning and ending dates
				of the activity or facility operations, as applicable;
(4) Associated existing, pending, or denied
				federal and environmental permits and corresponding file numbers, and a
				statement of the approval or review status of each at the time of filing the
				application;
(5) The scope of work
				or a description of the overall activity (e.g. upland and in-water) including:
				the construction or operation of facilities which may result in discharges into
				state waters; all water pollutant discharges that may result from the activity
				or facility; and specific biological, chemical, physical, thermal, and other
				pertinent characteristics of the discharge resulting from an activity or
				facility;
(6) The name(s) of the
				state water where the discharge occurs, the latitude and longitude of the
				discharge location, the classification of the state water, and the associated
				existing uses;
(7) A description of
				any BMPs that will be utilized to control the discharge of water pollutants and
				will assure compliance with section
				11-53-7;
(8) Certification that the BMPs utilized will
				comply with section
				11-53-7;
(9) A description of the methods and means to
				monitor: the quality of the discharge, the equipment used to treat and control
				the discharge, and measures planned to treat or control the
				discharge;
(10) A filing fee of
				$1000, submitted with the application;
(A)
				Fees shall be made payable to the 'State of Hawaii" in the form of a check or
				other method specified by the department;
(B) Application(s) for blanket section 401
				WQCs or with department pre-approved SOPs are exempt from the payment of filing
				fees;
(C) In the event application
				processing is withdrawn, either automatically pursuant to subsection (b)(2) or
				voluntarily by the applicant, or certification is finally denied, this filing
				fee shall not be refunded nor applied to any subsequent
				application;
(11) Any
				additional information requested by the director; and
(12) The certification paragraph below,
				signed by the certifying person electronically or by original wet signature at
				the director's discretion:
"I certify under penalty of law that this document and all
				  attachments were prepared under my direction or supervision in accordance with
				  a system designed to assure that qualified personnel properly gather and
				  evaluate the information submitted. Based on my inquiry of the person or
				  persons who manage the system, or those persons directly responsible for
				  gathering the information, the information submitted is, to the best of my
				  knowledge and belief, true, accurate, and complete. I am aware that there are
				  significant penalties for submitting false information, including the
				  possibility of fine and imprisonment for knowing violations.".