Wastewater Permits and Reporting Forms

Use these forms for approvals of wastewater discharge, management, and reuse.
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In this list

Groundwater Discharge Forms

Certification Statement for Groundwater Discharge, Surface Water Discharge & Reclaimed Water Use Permits (DOC 129.5 KB)
Certification Statement for Groundwater Discharge, Surface Water Discharge & Reclaimed Water Use Permits (PDF 112.46 KB)
WP 83: Hydrogeologic Evaluation Report
WP 79, 85: Individual Discharge Permits
WP 11, 12: Groundwater Discharge Permit Renewals
WP 82: Administrative Renewal of Groundwater Discharge Permit
WP 80, 81: General Groundwater Discharge Permit Coverage
WP 86, 87, 88, 89, 90: Industrial Wastewater Treatment Facility Permits & Plan Approvals
Groundwater Discharge Report Forms
WM 16 and WP 68: Treatment Works Plan Approval
Permit Requirements for Hydrostatic Water Testing of New Pipelines (PDF 194.12 KB)
Escrow Agreement for Immediate Repair and/or Replacement Account for Groundwater Discharge Permits and Renewals (DOC 104.5 KB)
Escrow Agreement for Immediate Repair and/or Replacement Account for Groundwater Discharge Permits and Renewals (PDF 117.29 KB)

Reclaimed Water Use Forms

WP 84: Reclaimed Water Use
Certification Statement for Groundwater Discharge, Surface Water Discharge & Reclaimed Water Use Permits (DOC 129.5 KB)
Certification Statement for Groundwater Discharge, Surface Water Discharge & Reclaimed Water Use Permits (PDF 112.46 KB)

Industrial Wastewater/Holding Tanks Forms

WP 91, 92: Permit for Industrial Sewer User
Industrial Wastewater Toxic Pollutants Certification (DOC 227.5 KB)
Industrial Wastewater Additional Industrial Wastewater Pretreatment System Certification (DOC 155.5 KB)
WP 56: Industrial Wastewater Holding Tank Compliance Certification
Industrial Wastewater Holding Tank Return to Compliance Plan (DOC 115 KB)
Industrial Wastewater Holding Tank Return to Compliance Plan (PDF 80.1 KB)
Industrial Wastewater Hauler Permit (DOC 33.5 KB)
Application for Industrial Wastewater Hauler Permit (PDF 77.95 KB)
Application for Industrial Wastewater Hauler Permit (DOC 52 KB)
Industrial Wastewater Hauler Permit (PDF 66.08 KB)

Residuals Management Approvals Forms

WP 28, 29, 30, 31, 32: Residuals Management
WP 33: Approval of Wastewater Treatment Residual Landfills
WP 34: Approval of Closure Plans for Wastewater Residual Landfills
WP 35: Approval of Design Plans and Specifications
WP 44: Modifications to Residuals Management Facilities
WP 93: Renewal of Type I Approval of Suitability (AOS)

Sanitary Sewer Overflow/Bypass/Backup Notification Form

Sanitary Sewer Overflow/Bypass/Backup Notification

Sewer Connections/Extensions Forms

WP 91, 92: Permit for Industrial Sewer User

Surface Water Discharge (NPDES) General Permits

WM 15: NPDES General Permit Notice of Intent

Surface Water Discharge (NPDES Individual) Permits

WM 05, 06, 07: Surface Water Discharge (NPDES) Individual Permit Application
WM 16 and WP 68: Treatment Works Plan Approval
Certification Statement for Groundwater Discharge, Surface Water Discharge & Reclaimed Water Use Permits (DOC 129.5 KB)
Certification Statement for Groundwater Discharge, Surface Water Discharge & Reclaimed Water Use Permits (PDF 112.46 KB)
Permit Requirements for Hydrostatic Water Testing of New Pipelines (PDF 194.12 KB)

Wastewater Operator Certification Forms

Wastewater Treatment Plant Operator Status Change Form (DOC 54.5 KB)
Wastewater Treatment Plant Operator Status Change Form (PDF 23.54 KB)
Application for Wastewater Treatment Plant Operator Upgrade to Emergency Certification (DOC 53.5 KB)
Application for Wastewater Treatment Plant Operator Upgrade to Emergency Certification (PDF 19.64 KB)
Application for Wastewater Treatment Plant Operator Upgrade to Provisional Certification (DOC 53.5 KB)
Application for Wastewater Treatment Plant Operator Upgrade to Provisional Certification (PDF 19.72 KB)
Application for Wastewater Treatment Plant Operator Upgrade to Combined Grade 7 (DOC 54 KB)
Application for Wastewater Treatment Plant Operator Upgrade to Combined Grade 7 (PDF 19.76 KB)
Application for Wastewater Treatment Plant Operator Certification by Reciprocity (DOC 54 KB)
Application for Wastewater Treatment Plant Operator Certification by Reciprocity (PDF 20.05 KB)
Certified Wastewater Operator Statement of Qualifications (DOC 29.5 KB)
Certified Wastewater Operator Statement of Qualifications (PDF 11.88 KB)
Education Requirements for Recertification (DOC 48.5 KB)
Education Requirements for Recertification (PDF 21.68 KB)
Request for Training Contact Hours (TCH) Evaluation (DOC 44.5 KB)
Request for Training Contact Hours (TCH) Evaluation (PDF 15.34 KB)
Wastewater Treatment Plant Certification Program - CEU given by and course name
Wastewater Treatment Plant Certification Program - CEU by reference number
Wastewater Treatment Plant Certification Program - CEU by course name
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