Permit Application for Wastewater Discharges from Domestic Sewage Treatment Works (original) (raw)

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