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 DEEP-WPMD-APP-300 10/01/25 PDF DEEP-WPMD-APP-300 10/01/25 10/01/25	PDF DEEP-WPMD-APP-300 Instructions 10/01/25 10/01/25

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	Attachment Date
Attachment A: Executive Summary (DEEP-WPED-APP-101) (Word DOCX) Attachment A: Executive Summary (DEEP-WPED-APP-101) (PDF Document)	10/01/13
Attachment B: Applicant Background Information (DEEP-APP-008)	Attachment B (Word DOCX) 06/12/12 Attachment B (PDF Document) 06/12/12 06/12/12
Attachment C: Applicant Compliance Information (DEEP-APP-002)	Word Attachment C 08/08/11 PDF Attachment C 08/08/11 08/08/11
Attachment D: USGS Quadrangle Map and Latitude and Longitude (DEEP-APP-003)	Word Attachment D 08/08/11 PDF Attachment D 08/08/11 08/08/11
Attachment E: Coastal Consistency Review Form (DEEP-APP-004)	Word Attachment E 02/06/14 PDF Attachment E 02/06/14 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 Attachment I 10/01/13 PDF Attachment I 10/01/13 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 Attachment P 10/01/13 PDF Attachment P 10/01/13 10/01/13
Attachment W: Renewal of an Existing Permit or Other Discharges Previously Licensed by DEEP (DEEP-WPED-APP-102)	Word Attachment W 10/01/13 PDF Attachment W 10/01/13 10/01/13
Attachment X: Certification Regarding Submittal of Previously Approved Documents (DEEP-WPMD-APP-302) (Word DOCX) Attachment X: Certification Regarding Submittal of Previously Approved Documents (DEEP-WPMD-APP-302) (PDF Document)	8/18/20
Attachment Y: Discharge Information (DEEP-WPMD-APP-301) (Word DOCX) Attachment Y: Discharge Information (DEEP-WPMD-APP-301) (PDF Document)	8/18/20
Attachment Z: Non-acute Hazardous Wastes	No DEEP Form

Municipal Wastewater Webpage

Last Updated November 2025