Prepared for the City of Calabasas, CA
Attachment K
Notice of Non-Compliance
To: Name of Owner [City/Agency Engineer]/Regional Board Staff
Insert Date
Date:
Subject: Notice of Non-Compliance
Project Name:
Insert Project Name
Project Number/Location:
Project number
In accordance with the NPDES Statewide Permit for Storm Water Discharges Associated with
Construction Activity, the following instance of discharge is noted:
Date, time, and location of discharge
Insert description and date of event
Nature of the operation that caused the discharge
insert description of operation
Initial assessment of any impact cause by the discharge
insert assessment
Existing BMP(s) in place prior to discharge event
list BMPs in place
Date of deployment and type of BMPs deployed after the discharge.
BMPs deployed after the discharge (with dates)
Steps taken or planned to reduce, eliminate and/or prevent recurrence of the
discharge
insert steps taken to prevent recurrence
Implementation and maintenance schedule for any affected BMPs
insert implementation and maintenance schedule
Attachment K
Notice of Non-Compliance - Sample
If further information or a modification to the above schedule is required, notify the contact
person below.
Name of Contact Person
Title
Company
Telephone Number
Signature
Date