Applications    and   Forms   

A. APPLICATIONS  

Requests for new coverage or change of coverage under the general permits listed below should be received by the Division at least 30 days prior to discharges or change of discharges to allow sufficient time for processing.

1. Biosolids

   • Letter of Intent for the use and distribution of biosolids for application to agricultural land and for reclamation of land.

   • Letter of Intent for unrestricted (lawn and garden) or bagged or containerized biosolids for restricted use.
      

2. Commerce & Industry General Permits Applications 

   • Aquatic Animal Production                               COG130000

   • Coal Mining                                                     COG850000

     • Coal Mining Process Water  and Stormwater Application Guide    

     • May also require a Stormwater Metal Mining Application

   • Subterranean Dewatering or Well Development Application   COG603000

   • Hydrostatic Testing of Pipelines, Tanks and Similar Vessels Application     COG604000

   • Non-Contact Cooling Water Application               COG605000

   • Commercial Washing of Outdoor Structures         COG607000

   • Water Treatment Plant Wastewater Discharge     COG641000

   • Produced Water Treatment Facilities                   COG840000

   • Heavy Industry Stormwater                                 COR020000

   • Light Industry Stormwater                                   COR010000

   • Metal Mining Stormwater                                    COR040000

   • Recycling Industry Stormwater                            COR060000

   • Sand & Gravel Stormwater ONLY                        COR340000

     • Appendix A

     • Appendix B

   • Sand & Gravel Process Water and Stormwater     COG500000

     • Appendix A

     • Appendix B

   • No Exposure Certification Exclusion                    CONOX0000

3. Construction General Permits Applications

   • Stormwater Construction SWMP Guidance Document   

   • Stormwater Construction Application only             COR030000

   • Construction Permit Reassignment Application (reassigns a portion of the construction permitted area to another party. This application DOES NOT transfer the entire permit to another party. See B-3 Notice of Transfer below.) Be Sure to Include the facility/certification number of the existing permit on the application.                                                                         

   • Construction Dewatering Application                     COG070000

   • Groundwater Remediation                                    COG315000                      

   • R-Factor Waiver Application       

4. Domestic Sewerage Systems General Permits Applications

   • Surface Water Discharge Domestic Wastewater Treatment Plants with
     Chronic Low Flow: Design Flow Ratio 100:1 or greater                                         COG588000

   • Surface Water Discharge Domestic Wastewater Treatment Facilities                    COG589000

   • Groundwater Discharge General Permits **
     Groundwater Discharge Application Instructions
     **Decision Tree to determine which of the following applications to use:

     • Domestic Wastewater Treatment Systems with Land Disposal of Effluent     COX631000

     • Domestic Wastewater Treatment Systems with Land Treatment of Effluent   COX632000

     • Domestic Wastewater Treatment Systems with Land Treatment of Effluent
                                    at Agronomic Rates                                                    COX633000

     • Domestic Wastewater Treatment On-Site Systems with Average Design
                                  Capacity Equal to or Greater than 2,000 Gallons per day  COX621000

     • Domestic Wastewater Treatment On-Site Systems with Average Design
                                  Capacity Between 2,000 and 10,000 Gallons per day
                                  with No Ground Water Monitoring Requirements              COX622000
        

5. Individual Permits Applications

   • Commercial and Industrial Individual Application

   • Hard Rock Mining and/or Milling Individual Application

     • May also require a Stormwater Metal Mining Application

   • Domestic Water Discharge Individual Application word doc

   • Domestic Water Discharge Individual Application  pdf form
      

6. PELS  Preliminary Effluent Limitations (PELS) Guidance & Application
    

7. Pretreatment  
          Pretreatment Permit Application
          Pretreatment Non-Significant Industrial User Notification
    

8. Reuse  Letter of Intent to Treat and Supply Reclaimed Water 
    

B. FORMS

1. Modifications to remove coverage on Stormwater Construction Certifications

   • Stormwater Oil & Gas Amendment Form

   • Stormwater Construction Amendment Form

2. Permit and Certification Modification Form  for modification of permit and certification conditions
             This includes Stormwater Permits with the exception of removing coverage from Stormwater
             Construction Certifications.

3. Notice of Transfer - to assign an ENTIRE permit to another party for all permit and authorization types
             To "assign" a PORTION of an Active Stormwater Construction Certification,
             use "Construction Permit Reassignment Application" listed above under A-3.

4. Notice of Change of Contacts - to change legal, local, and billing contacts for all permit and authorization types

5. Withdrawl Request Form for withdrawing  a new  Permit Application or Permit and Certification Modification Requests.

6. Permit Narrative Conditions Report Form  - to be attached to Compliance Schedules, Mixing Zone Studies, Sediment Control Plans, Special Studies, etc., that need to be submitted to the Division

7. TERMINATION FORMS

   • Stormwater Construction Inactivation Form

   • CDPS Permits and Authorization Termination Form

8. Annual Reports

   • Bio Solids Annual Report Form

   • Heavy Industry Annual Report and DMR Form

   • Recycling Industry Annual Report and DMR Form

   • Light Industry Annual Report Form

   • Metal Mining Annual Report Form

   • Metal Mining Annual Report Form - Uranium Mining Only

   • Sand and Gravel Annual Report Form

   • MS4 Annual Report Form COR070000

   • MS4 Annual Report Form COR080000 and COR090000

   • Self Reporting Form Permit COX622000

   • Self Reporting Form Permit COX633000

9. Bio Solids Inspection Forms

   • Site Inspection Form

   • Facility Inspection Form

   • Facility Audit Form

10. Discharge Monitoring Report (DMR) Blank Forms for Mobile Construction Dewatering Certifications.

11. User Plan to Comply for the Use of Reclaimed Water (Reuse)