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:
Natural Diversity Database Review
Guidance:
Water Discharge Permit Compliance Information Package
Discharge Monitoring Report Instruction Manual
| Permit Type and Related Information | Application Forms |
Instructions |
|---|---|---|
| Domestic Sewage Treatment Works (DEEP-WPMD-APP-300) |
PDF |
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 10/01/13 |
| Attachment B: Applicant Background Information (DEEP-APP-008) | |
| Attachment C: Applicant Compliance Information (DEEP-APP-002) | |
| Attachment D: USGS Quadrangle Map and Latitude and Longitude (DEEP-APP-003) | |
| Attachment E: Coastal Consistency Review Form (DEEP-APP-004) | |
| 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) | |
| 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) |
|
| Attachment W: Renewal of an Existing Permit or Other Discharges Previously Licensed by DEEP (DEEP-WPED-APP-102) | |
| Attachment X: Certification Regarding Submittal of Previously Approved Documents (DEEP-WPMD-APP-302) | |
| Attachment Y: Discharge Information (DEEP-WPMD-APP-301) | |
| Attachment Z: Non-acute Hazardous Wastes | No DEEP Form |
Last Updated February 17. 2021