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Permit Application for Wastewater Discharges from Domestic Sewage Treatment Works

Main Application: Depending on your existing or proposed wastewater discharge, you will need to complete the main application and also complete one or more of the supporting documents listed below. Review the instructions for a summary of which supporting documents must be submitted for your wastewater discharge.

Required Common Forms:

Certification of Notice Form

Natural Diversity Database Review 

Guidance:

Fact Sheet

Water Discharge Permit Compliance Information Package

Common Errors and Omissions

Discharge Monitoring Report Instruction Manual

 

 Permit Type and Related Information Application
Forms
 
Instructions 
Domestic Sewage Treatment Works 
(DEEP-WPMD-APP-300)

 Word 
PDF
08/18/20

 PDF
08/18/20

Supporting Documentation

Review the main instructions for a summary of which supporting documents (attachments) must be submitted. Instructions for each of the supporting documents are included with the main instructions listed above.

Attachment Name  Form
Attachment A: Executive Summary (DEEP-WPED-APP-101) Word
PDF
10/01/13
Attachment B: Applicant Background Information (DEEP-APP-008)

Word
PDF
06/12/12

Attachment C: Applicant Compliance Information (DEEP-APP-002)

Word
PDF
08/08/11

Attachment D: USGS Quadrangle Map and Latitude and Longitude (DEEP-APP-003)

Word
PDF
08/08/11

Attachment E: Coastal Consistency Review Form (DEEP-APP-004)

Word
PDF
02/06/14

Attachment F: Copy of the NDDB Determination response letter that has not expired, if applicable. Include a copy of any mitigation measures developed for this activity and approved by NDDB. No DEEP Form
Attachment G: Conservation or Restriction Information No DEEP Form
Attachment H: Copy of the Written Environmental Justice Public Participation Plan Approval Letter No DEEP Form
Attachment I-1: Site Plans and Floor Plans No DEEP Form
Attachment I:   Operation and Maintenance of Collection and Treatment Systems - Description, Plan Checklist and Certification (DEEP-WPED-APP-103)

Word
PDF
10/01/13

Attachment M: Line Drawing and Process Flow Diagram No DEEP Form
Attachment N:  Description, and Plans and Specifications of Collection, Treatment and Disposal Systems No DEEP Form
Attachment P: Sewage Sludge Information for Domestic Sewage Treatment Facilities (DEEP-WPED-APP-108) 
(includes Summary Sheet of Industrial and Commercial Non-hazardous Waste hauled to Water Pollution Control Facilities - formerly Attachment V)

Word
PDF
10/01/13

Attachment W: Renewal of an Existing Permit or Other Discharges Previously Licensed by DEEP (DEEP-WPED-APP-102)

Word
PDF
10/01/13

Attachment X:  Certification Regarding Submittal of Previously Approved Documents (DEEP-WPMD-APP-302)

Word
PDF
08/18/20

Attachment Y:  Discharge Information  (DEEP-WPMD-APP-301)

Word
PDF
08/18/20

Attachment Z:  Non-acute Hazardous Wastes No DEEP Form
 

 

Last Updated February 17. 2021