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Wastewater Forms
Permitting information

Transmittal form & number
for permit applications


Fees & payments

Master list of forms

SRF Clean Water & Drinking Water Forms
Water, Wastewater & Wetlands: Wastewater Forms
Groundwater Discharge/Water Reuse Permits

Frequently Asked Questions and more information about Groundwater Discharge permitting

This information is being updated. Please contact alan.slater@state.ma.us for further assistance.

Permitting Process for Groundwater Discharge permitting

This information is being updated. Please contact alan.slater@state.ma.us for further assistance.

Permitting Process for Water Reuse Projects

This information is being updated. Please contact alan.slater@state.ma.us for further assistance.

Trust Agreement for Capital Reserve Account for Groundwater Discharge Permits and Renewals

Revised July 2009.
Filing options: MS Word Form 120 KB | PDF Form 58 KB

Escrow Agreement for Immediate Repair and/or Replacement Account for Groundwater Discharge Permits and Renewals

Revised September 2009.
Filing options: MS Word Form 114 KB | PDF Form 56 KB

314 CMR 2.00: Permit Procedures

Procedures for processing applications for surface water discharges, groundwater discharges, and sewer extensions and connections. Revised in March 2009.
Web page

BRP WP 05 Groundwater Discharge - Experimental

This permit category has been deleted. Refer to new permit BRP WP 85.

BRP WP 06, 08 - Groundwater Discharge - Major & Minor

This permit category has been deleted. Refer to new permits BRP WP 79 or BRP WP 81.

BRP WP 10 - Groundwater Discharge - Other

This permit category has been deleted. Refer to new permits BRP WP 80 or BRP WP 85.

BRP WP 11 - Groundwater Discharge Renewal with Plan Approval
BRP WP 12 - Groundwater Discharge Renewal without Plan Approval

Revised September 2009.
Applicants filing BRP WP 12 should refer to BRP WP 81 below to see if they qualify for administrative renewal.
Filing Options: MS Word Form 343 KB | PDF 92 KB
Instructions: MS Word 255 KB | PDF - included with form above

BRP WP 42 Groundwater Discharge - Reclamation Projects

This permit category has been deleted.

Certification Statement

Revised September 2009.
To accompany Forms BRP WP 11, 79, 80, 81, 84, 85, 86, 87, 88, 89, and 90 as required.
Filing Options: MS Word Form 113 KB | PDF Form 11 KB

BRP WP 68 - Treatment Works Plan Approval

Revised September 2009.
Instructions: MS Word 91 KB | PDF 36 KB

BRP WP 79 - Individual Permit for Sewage Treatment Plant
BRP WP 85 - Individual Permit for Other Groundwater Discharges

Revised September 2009.
Filing Options: MS Word Form 343 KB | PDF 90 KB
Instructions: MS Word 319 KB | PDF - included with form above

BRP WP 80 - General Permit Coverage for Specified Discharges
BRP WP 81 - General Permit Coverage for Small Wastewater Treatment Facilities

Revised September 2009.
Filing Options: MS Word Form 284 KB | PDF 85 KB
Instructions: MS Word 311 KB | PDF - included with form above

General Permits Associated with BRP 80 & BRP 81

General Permit for Car Washes (BRP 80):
Fact Sheet: MS Word 56 KB | PDF 21 KB
General Permit: MS Word 72 KB | PDF 30 KB

General Permit for Small Privately Owned Treatment Facilities (PSTFs) (BRP 80, 81):
Fact Sheet: MS Word 64 KB | PDF 25 KB
General Permit: MS Word 87 KB | PDF 37 KB

General Permit for Small Publicly Owned Wastewater Treatment Facilities (POTFs) (BRP 80, 81):
Fact Sheet: MS Word 60 KB | PDF 23 KB
General Permit: MS Word 79 KB | PDF 32 KB

BRP WP 82 - Administrative Renewal of Groundwater Discharge Permit

Revised September 2009.
Filing Options: MS Word Form 125 KB | PDF 50 KB
Instructions: MS Word 265 KB | PDF - included with form above

BRP WP 83 - Hydrogeologic Evaluation Report

Revised September 2009.
Filing Options: MS Word Form 179 KB | PDF 292 KB
Instructions: MS Word 683 KB | PDF - included with form above

BRP WP 84 - Individual Permit for Reclaimed Water Use

Revised September 2009.
Please note that MassDEP has extended the deadline for the submission of an application for a reclaimed water system permit from September 20, 2009 to December 21, 2009 to cover an existing reclaimed water system previously authorized in writing by MassDEP by means other than a groundwater discharge permit. 
Filing Options: MS Word Form 343 KB | PDF 90 KB
Instructions: MS Word 311 KB | PDF - included with form above

BRP WP 84 - Supplemental Application Form for Reclaimed Water Use

Revised September 2009.
Please note that MassDEP has extended the deadline for the submission of an application for a reclaimed water system permit from September 20, 2009 to December 21, 2009 to cover an existing reclaimed water system previously authorized in writing by MassDEP by means other than a groundwater discharge permit. 
Filing Options: MS Word Form 135 KB | PDF 20 KB

BRP WP 86 - Permit and Plan Approval for Type II Wastewater Treatment Facility
BRP WP 87 - Permit and Plan Approval for Type I Wastewater Treatment Facility
BRP WP 88 - Permit Renewal or Modification, with Plan Modification of Wastewater Treatment Facility for BRP WP 86 or BRP WP 87
BRP WP 89 - Permit Renewal or Modification, without Plan Modification of Wastewater Treatment Facility for BRP WP 86 or BRP WP 87
BRP WP 90 - Plan Approval Modification for BRP WP 86 or BRP WP 87

Revised September 2009.
Filing Options: MS Word Form 384 KB | PDF 126 KB
Instructions: MS Word 305 KB | PDF - included with form above

Groundwater Discharge Reporting

Groundwater Discharge Report Forms

Filing Options: eDEP Online

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Water, Wastewater & Wetlands: Wastewater Forms
Industrial Wastewater/Holding Tanks

BWP IW 02, 03, 05, 30, 31, 32 - Groundwater Discharge

This permit category has been deleted. Refer to BRP WP 86, BRP WP 87, BRP WP 88, BRP WP 89, and BRP WP 90 above.

BWP IW 16, 18, 26, 27, 35, 36, 37 - Surface Water Discharge (NPDES)

Revised October 2005.
Filing Options: MS Word 327 KB | PDF 759 KB
Instructions: MS Word 533 KB | PDF - included with form above

BWP IW 38, 39 - Permit for Industrial Sewer User

Revised March 2008.
Application Form
MS Word Form 312 KB

Instructions
MS Word 608 KB

Toxic Pollutants Form
MS Word Form 210 KB

Additional IWPS Form
MS Word Form 180 KB

Documentation of Public Notice Form
MS Word 134 KB

Fact Sheet for Facilities in the MWRA Service Area
MS Word 45 KB

NOTE: If you need these forms in an alternate format, please contact John Reinhardt at 617-292-5667 or john.reinhardt@state.ma.us.

Related: Draft & Final Permits for Facilities with Industrial Wastewater Sewer Connections
Web page 

Industrial Wastewater Sewer Connection Certification

Web page

Industrial Wastewater Holding Tank Forms

Compliance Certification (DEP 01) & Return to Compliance Plan
Web page

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Water, Wastewater & Wetlands: Wastewater Forms
Residuals Management Approvals

BRP WP 28 Sampling and Analysis Plan Approval
BRP WP 29 Approval of Suitability (AOS)
BRP WP 30 Certification of Land Application Projects Greater than or Equal to 0.5 Acres in Size
BRP WP 31 Certification of Land Application Projects Less than or Equal to 0.5 Acres in Size
BRP WP 32 Renewals or Modifications to Land Application Certifications

Revised February 2002
Filing Options: MS Word Form 415 KB | PDF 279 KB
Instructions: MS Word 542 KB | PDF - included with form above

BRP WP 33 - Approval of Wastewater Treatment Residual Landfills

Revised June 2007.
Instructions: MS Word 572 KB | PDF 154 KB

BRP WP 34 - Approval of Closure Plans for Wastewater Residual Landfills

Revised June 2007.
Instructions: MS Word 521 KB | PDF 158 KB

BRP WP 35 - Approval of Design Plans and Specifications for Residuals Treatment Facilities

Revised June 2007.
Instructions: MS Word 521 KB | PDF 51 KB

BRP WP 44 Modifications to Residuals Management Landfills

Revised June 2007.
Instructions: MS Word 523 KB | PDF 157 KB

BRP WP 45 - Modifications to Residuals Management Facilities

Revised June 2007.
Instructions: MS Word 486 KB | PDF 57 KB

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Water, Wastewater & Wetlands: Wastewater Forms
Sanitary Sewer Overflow/Bypass/Backup Notification

Owners and operators of wastewater collection or treatment systems must notify MassDEP by phone and in writing whenever there is an emergency overflow, bypass of wastewater or a backup of sewage into a building, within 5 days of the time you become aware of the overflow, bypass or backup.

Revised June 2008.
Filing Options: MS Word Form 173 KB | PDF Form 61 KB
Instructions: MS Word 176 KB | PDF - included with form above

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Water, Wastewater & Wetlands: Wastewater Forms
Sewer Connections/Extensions

Important Note: The Bureau of Resource Protection (BRP) issues sewer connection and extension permits for domestic sewage from residential, educational, and commercial facilities. The Industrial Wastewater Program of the Bureau of Waste Prevention (BWP) issues permits for wastewater generated by certain industrial facilities.

List by SIC Code of industrial facilities regulated by BWP
Web page

BWP IW 38, 39 - Permit for Industrial Sewer User

Revised January 2007.
Web page

Industrial Wastewater Sewer Connection Certification

Web page

BRP WP 55, 71, 74 - Sewer System Extension, Connection, or Industrial Wastewater

Revised January 2007.
Filing Options: MS Word Form 198 KB | PDF 70 KB
Instructions: MS Word 252 KB | PDF - included with form above

BRP WP 72, 73 - Compliance Certification for Sewer Extensions less than 1000 ft or Sanitary & Industrial Connections 15,000-50,000gpd

Revised January 2007.
Filing Options: MS Word Form 174 KB | PDF 66 KB
Instructions: MS Word 135 KB | PDF - included with form above

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Water, Wastewater & Wetlands: Wastewater Forms
Stormwater

How Stormwater Permitting Works

Web page

BRP WM 08 - NPDES Stormwater General Permit Notice of Intent for Discharges from Small Municipal Separate Storm Sewer Systems (MS4s)

Revised March 2007.
Filing Options: MS Word 161 KB | PDF 206 KB
Instructions: MS Word 306 KB | PDF - included with form above
Excel Time Frames Form: MS Excel 161 KB | PDF 60 KB

BRP WM 09 - Approval of NPDES Stormwater Pollution Prevention Plans for Construction or Industrial General Permits Discharging to Outstanding Resource Waters (ORWs)

Revised March 2007. (Instructions revised November 2008.)
Filing Options: MS Word 121 KB | PDF 113 KB
Instructions: MS Word 329 KB | PDF - included with form above

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Water, Wastewater & Wetlands: Wastewater Forms
Surface Water Discharge Permits (NPDES General Permits)

NPDES Permitting Q&A

Web page

BRP WM 10 - Request for General Permit Coverage: Construction Site Dewatering

Revised April 2009.
MassDEP is accepting US EPA's Notice of Intent Form for this Permit.
Instructions: MS Word 60 KB | PDF 34 KB

More information from US EPA:
Dewatering General Permit (DGP)
US EPA Web site
US EPA NOI form and instructions
US EPA Web site

BRP WM 11 - Request for General Permit Coverage: Surface Water Discharge Of Non-Contact Cooling Water

Revised January 2009
MassDEP is accepting US EPA's Notice of Intent Form for this Permit.
MassDEP instructions: MS Word 63 KB | PDF 38 KB

More information from US EPA:
Noncontact Cooling Water General Permit (NCCWGP)
US EPA Web site
US EPA NOI form and instructions:
NOI Form | NOI Instructions

BRP WM 12 - Request for General Permit Coverage: Remediation & Miscellaneous Contaminated Sites

Revised June 2007.
MassDEP is accepting EPA's Notice of Intent Form for this permit.

More information from US EPA:
US EPA Web site
EPA Form ("Notice of Intent Instructions and Suggested Form")
US EPA Web site
Instructions: MS Word 270 KB | PDF 35 KB

BRP WM 13 - Request for General Permit Coverage: Surface Water Discharge from Potable Water Treatment Facilities

Revised September 2009.
MassDEP is accepting EPA's Notice of Intent Form for this permit.

More information from US EPA
US EPA Web site
US EPA NOI form and instructions ("Appendix IV: Notice of Intent (NOI) Instructions and Suggested Form")
US EPA Web site
Instructions: MS Word 259 KB | PDF 39 KB

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Water, Wastewater & Wetlands: Wastewater Forms
Surface Water Discharge (NPDES-Non-Industrial)

BRP WM 02A - Application for Permit to Discharge Municipal Wastewater

Revised August 2007.
Filing Options MS Word Form 186 KB | PDF Form 63 KB
Instructions: MS Word 392 KB | PDF - included with form above

BRP WM 05 - Permit and Plan Approval for Type II Discharge (Non-Industrial)

Revised May 2003.
Filing Options MS Word 191 KB | PDF 87 KB
Instructions: MS Word 503 KB | PDF - included with form above

BRP WM 06 - Permit and Plan Approval for Type I Discharge (Non-Industrial)

Revised May 2003.
Filing Options MS Word 160 KB | PDF 87 KB
Instructions: MS Word 503 KB | PDF - included with form above

BRP WM 07 - Permit Renewal/Plan Modification (Non-Industrial)

Revised June 2007.
Filing Options MS Word 191 KB | PDF 87 KB
Instructions: MS Word 503 KB | PDF - included with form above

BRP WP 68 - Treatment Works Plan Approval (June 2007)

Revised June 2007.
Instructions: MS Word Form 411 KB | PDF Form 29 KB

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Water, Wastewater & Wetlands: Wastewater Forms
Wastewater Operator Certification

Graded wastewater treatment plants by town

Revised March 2009.
These grading lists determine the necessary certification level for treatment plant operators. Contact the Board of Wastewater Treatment Plants Certification Program in writing if there are any changes to your facility name, address or grading.
Combined municipal and industrial list: MS Word 404 KB | PDF 220 KB
List of municipal WT plants: MS Word 97 KB | PDF 56 KB
List of industrial WT plants: MS Word 272 KB | PDF 144 KB

Status Change Form

Revised March 2009.
For changes in operator contact information or to make other changes in status that do not require passing an exam.
Filing Options: MS Word 51 KB | PDF 33 KB

Upgrade to Emergency Certification

Revised March 2009.
To enable an operator to work at a facility for up to six months in a position for which the operator is not otherwise certified.
Filing Options: MS Word 44 KB | PDF 24 KB

Upgrade to Provisional Certification

Revised March 2009.
To allow an operator with emergency certifications to continue as operator at a specified facility for an additional six months under certain circumstances.
Filing Options: MS Word 45 KB | PDF 25 KB

Upgrade to Combined Grade 7

Revised March 2009.
To certify an operator as Grade 7.
Filing Options: MS Word 44 KB | PDF 25 KB

Reciprocity

Revised March 2009.
To allow an operator certified in other states to apply for certification in Massachusetts.
Filing Options: MS Word 45 KB | PDF 25 KB

Statement of Qualifications

Revised October 2005.
To document an operator's status as a certified operator.
Filing Options: MS Word 31 KB | PDF 12 KB

Education Requirements for Recertification

Revised October 2005.
Documentation requirements for training or coursework in order for operators to receive Training Contact Hours.
Filing Options: MS Word 39 KB | PDF 25 KB

Request for Training Contact Hours Evaluation

Revised October 2005.
To be used by providers of training and/or operators to provide information about opportunities to earn Training Contact Hours.
Filing Options: MS Word 33 KB | PDF 20 KB

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