Division of Water Pollution Control ANNUAL FACILITY INSPECTION REPORT
for NPDES Permit for Storm Water Discharges from Separate Storm Sewer Systems (MS4)
This fillable form may be completed online, a copy saved locally, printed and signed before it is submitted to the Compliance Assurance Section at the above address. Complete each section of this report,
Report Period
From: March, 2025
To: March, 2026
Permit Information
Permit No. ILR40 0141
MS4 Operator Information (As it appears on the current permit)
- Name:
- Troy Township Highway Department
- Mailing Address 1:
- 25358 Seil Road
- Mailing Address 2:
- County:
- Will
- City:
- Shorewood
- State:
- IL
- Zip:
- 60404
- Telephone:
- 815-828-5285
- Contact Person:
- Thomas R. Ward
- Email Address:
- [email protected]
- (Person responsible for Annual Report)
Name(s) of governmental entity(ies) in which MS4 is located (As it appears on the current permit)
- Will County
- Troy Township
- Illinois Department of Transportation
THE FOLLOWING ITEMS MUST BE ADDRESSED.
A. Changes to best management practices (check appropriate BMP change(s) and attach information regarding change(s) to BMP and measurable goals.)
B.
Attach the status of compliance with permit conditions, an assessment of the appropriateness of your identified best management practices and progress towards achieving the statutory goal of reducing the discharge of pollutants to the MEP, and your identified measurable goals for each of the minimum control measures.
C.
Attach results of information collected and analyzed, including monitoring data, if any during the reporting period.
D.
Attach a summary of the storm water activities you plan to undertake during the next reporting cycle (including an implementation schedule.)
E.
Attach notice that you are relying on another government entity to satisfy some of your permit obligations (if applicable).
F.
Attach a list of construction projects that your entity has paid for during the reporting period.
Legal Notice
Any person who knowingly makes a false, fictitious, or fraudulent material statement, orally or in writing, to the Illinois EPA commits a Class 4 felony. A second er subsequent offense after conviction is a Class 3 felony. (415 ILCS 5/44(h)
Signature
TL CAml
Date: 7-1-2026
Owner Signature:
Printed Name: Thomas R. Ward
Title: Highway Commissioner
Submission Information
EMAIL COMPLETED FORM TO: [email protected]
or Mail to: ILLINOIS ENVIRONMENTAL PROTECTION AGENCY
WATER POLLUTION CONTROL
COMPLIANCE ASSURANCE SECTION #19
2520 WEST ILES AVENUE
POST OFFICE BOX 19276
SPRINGFIELD, ILLINOIS 62794-9276
Authorization and Penalties
This Agency Is authorized to require this information under Section 4 and Title X of the Environmental Protection Act (415 ILCS 5/4, 5/39). Failure to disclose this IL 532 2585 Information may result in: a civil penalty of not to exceed $50,000 for the violation and an additional civil penalty of not to exceed $10,000 for each day during which the violation continues (415 ILCS 5/42) and may also prevent this form from being processed and could result in your application being denied. This form WPC 691 Rev 4/25 has been approved by the Forms Management Center.
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