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NPDES Application Forms

Clicking on the name of a form will provide a description of that form.

  Form # DOC PDF
Application Fee Invoices
Invoice for a permit renewal application. Required to be submitted with all NPDES Operation Permit renewal applications. 542-1251 Word File Format PDF File Format
Invoice for a New Discharger. Required to be submitted with all new applications for an NPDES Operation Permit (a new discharger does not have an existing NPDES permit). 542-1253 Word File Format PDF File Format
 
Water Quality Based Permit Limits
Exhibit 3: Water Quality Based Permit Limits Form   Word File Format PDF File Format
 
Industrial Wastewater
General Information and Glossary of Terms - Information on applicability of forms 1, 2, 2F, 3, 4 and 5 and definitions of words used throughout these forms.     PDF File Format
Application Review Checklist     PDF File Format
Useful Links     PDF File Format
Form 1 (With Instructions):
General Information form. Required to be submitted by all applicants.
542-1376 DOC File Format PDF File Format
Form 2 (With Instructions):
Facilities that do not discharge process wastewater
(e.g. non-contact cooling water).
542-1377 DOC File Format PDF File Format
Form 2F (With Instructions):
Facilities that discharge storm water associated with industrial activity.
542-1380 DOC File Format PDF File Format
Form 3 (With Instructions):
Facilities that discharge process wastewater, used by existing discharges
542-1378 DOC File Format PDF File Format
Form 4 (With Instructions):
Facilities that discharge process wastewater, used by new discharges
542-1379 DOC File Format PDF File Format
Form 5 (With Instructions):
Certification. Required to be submitted by all applicants.
542-1382 DOC File Format PDF File Format
Supplement for TDS and Chloride Data 542-1383 DOC File Format PDF File Format
 
Non-Industrial or Domestic Wastewater (Municipal and Semi-public)
Application Requirements     PDF File Format
Application Review Checklist     PDF File Format
Useful Links     PDF File Format
Form 30, Part A: (With Instructions)
Basic Application Information for all applicants. Required to be submitted by all applicants.
  DOC File Format PDF File Format
Form 30, Part B: (With Instructions)
Expanded Effluent Testing Data
  DOC File Format PDF File Format
Form 30, Part C: (With Instructions)
Toxicity Testing Data
  DOC File Format PDF File Format
Form 30, Part D: (With Instructions)
Industrial User Discharges and RCRA/CERCLA wastes
  DOC File Format PDF File Format
Form 30, Part E: (With Instructions)
Combined Sewer Systems
  DOC File Format PDF File Format
Form 30, Part F: (With Instructions)
Certification for all applicants. Required to be submitted by all applicants.
  DOC File Format PDF File Format
Form 31:
An agreement between a city and an industry to treat wastewater.
542-3221 DOC File Format PDF File Format
 
NPDES General Permit No. 5 - Mining and Processing Facilities
General Permit No. 5     PDF File Format
No authorizations will be issued or reissued under GP #5 until GP#5 is renewed. To obtain a wastewater discharge permit for your quarry operation, please apply for an individual NPDES permit using Industrial Wastewater Application Forms 1, 2, 5, Supplement for TDS and Chloride Data, and Application Fees Invoice (542-1253). All these forms can be found on this webpage.

Please apply for the permit at least 180 days before your planned discharge.

General Permit #5 - Annual Monitoring Report 542-8035 DOC File Format PDF File Format
General Permit #5 - Notice of Discontinuation 542-8038 DOC File Format PDF File Format
General Permit #5 - Fee Invoice 542-1257 DOC File Format PDF File Format


 

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