User Account
This Notice is provided pursuant to § 10-624 of the State Government Article of the Maryland Code. The personal information
requested on this form is intended to be used in processing your application. Failure to provide the information requested
may result in your application not being processed. You have the right to inspect, amend, or correct this form. The Maryland
Department of the Environment (“MDE”) is a public agency and subject to the Maryland Public Information Act. This form may be
made available on the Internet via MDE’s website and is subject to inspection or copying, in whole or in part, by the public
and other governmental agencies, if not protected by federal or State law.