| Form # |
Form Name |
Program |
| 008 |
Groundwater System Monthly Operational Data Report |
Water |
| 009 |
Alabama Recycling Fund Grant Application |
Waste/Remediation |
| 011 |
Solid Waste Landfill Operator Initial Certification Application |
Waste/Remediation |
| 012 |
Solid Waste Landfill Operator Reciprocal Certification Application |
Waste/Remediation |
| 013 |
Solid Waste Landfill Operator Certification Renewal |
Waste/Remediation |
| 014 |
Information Needed for 316(b) Determination in Regards to General NPDES Permits |
Water |
| 015 |
Processing and Recycling General Information |
Waste/Remediation |
| 016 |
Annual Recycling Report (for use by State Agencies/Departments and Schools ONLY) |
Waste/Remediation |
| 017 |
Specifications for Air Curtain Incinerators |
Air |
| 052 |
Registration Form for the Construction, Installation, or Modification of an Incinerator |
Air |
| 060 |
Notification of Intent to Drill a Water Well |
Water |
| 103 |
Operating Permit Application Facility Identification Form |
Air |
| 104 |
Permit Application for Indirect Heating Equipment |
Air |
| 105 |
Permit Application for Manufacturing or Processing Operation |
Air |
| 106 |
Permit Application for Waste Disposal |
Air |
| 107 |
Permit Application for Stationary Internal Combustion Engines |
Air |
| 108 |
Permit Application for Loading and Storage of Organic Compounds |
Air |
| 109 |
Permit Application for Volatile Organic Compound Surface Coating Emission Source |
Air |
| 110 |
Permit Application for Air Pollution Control Device |
Air |
| 112 |
Permit Application for Solvent Metal Cleaning |
Air |
| 166 |
Joint Application and Notification U.S. Department of Army, Corps of Engineers Alabama Department of Environmental Management |
Water |
| 184 |
Seal Gap Test Form |
Air |
| 185 |
Purchase Water System Monthly Operation Report |
Water |
| 186 |
State Indirect Permit Application |
Water |
| 187 |
NPDES Permit Application Supplementary Information |
Water |
| 188 |
NPDES Permit Application Semi-Public and Private Facilities |
Water |
| 193 |
Application For Alabama Well Driller's License |
Water |
| 194 |
Water Well Driller Reciprocal Application |
Water |
| 195 |
Water Well Standards Program License Renewal |
Water |
| 197 |
Air Permit Application for Gasoline Dispensing Facilities |
Air |
| 198 |
Gasoline Transport Tank Truck Application |
Air |
| 242 |
Filter Plant Monthly Operational Data Report |
Water |
| 243 |
Monthly Membrane Surface Plant Operational Data Report |
Water |
| 259 |
Application for Approval to Use a Water Supply Well |
Water |
| 278 |
Disposal Approval Request |
Waste/Remediation |
| 279 |
Notification for Underground Storage Tanks |
Water |
| 283 |
Notification for Above Ground Storage Tanks |
Water |
| 300 |
Solid Waste Profile Sheet |
Waste/Remediation |
| 302 |
Threshold Planning Quantities |
Waste/Remediation |
| 305 |
Permit Application Solid Waste Disposal Facility Construction/Demolition Landfill |
Waste/Remediation |
| 309 |
Cargo Tank Tightness Test Report |
Air |
| 310 |
Notice of Temporary Closure |
Water |
| 311 |
Alternative Analysis |
Water |
| 312 |
Calculation of Total Annualized Project Cost for Public - Sector Projects |
Water |
| 313 |
Calculation of Total Annualized Project Cost for Private - Sector Projects |
Water |
| 314 |
ADEM Baseline Monitoring Report Submittal Form |
Water |
| 315 |
ADEM Field Operation Division NPDES Individual Permit Application |
Water |
| 316 |
Alabama Coastal Area Management Program Application for Approval of a Non-Regulated Use ADEM Adminstrative Code Rule 335-8-1-.11 Groundwater Extraction 50 GPM or Greater |
Coastal |
| 317 |
Alabama Hazardous Waste/Used Oil Transporter Permit Application |
Waste/Remediation |
| 318 |
Alabama Tank Trust Fund Cost Proposal Form |
Water |
| 319 |
Alabama Tank Trust Fund Payment Request Form |
Water |
| 323 |
Alternative Medical Waste Treatment Technology Equipment Approval Application |
Waste/Remediation |
| 324 |
Annual Certification Form for Discharges Associated with Petroleum Storage and Handling Areas |
Water |
| 326 |
Annual Statistical Inventory Reconciliation (SIR) Report Form |
Water |
| 327 |
Application for a Permit for the Construction of a Motel, Hotel, or Other Multi-Unit Development on a Property Intersected by the Construction Control Line in the Alabama Coastal Area |
Coastal |
| 328 |
Application for a Permit for the Construction of Single Family Dwellings, Duplexes, or Other Similar Structures on Properties Intersected by the Construction Control Line in the Alabama Coastal Area |
Coastal |
| 329 |
Application for Approval of a Non-Regulated Use in the Alabama Coastal Area Developments and Subdivisions of Property Greater then 5 Acres in Size |
Coastal |
| 330 |
Application for Name Change or Transfer of Permit Solid Waste Disposal Facility |
Waste/Remediation |
| 331 |
Bulk (Gasoline) Plant Application |
Air |
| 332 |
Cathodic Protection Monitoring Form for Impressed Current Systems |
Water |
| 333 |
CBM NPDES Stormwater Discharge Monitoring Report |
Water |
| 334 |
CBM Toxicity Test Report Summary |
Water |
| 335 |
Chemical Monitoring Data Report |
Water |
| 336 |
Chemical Monitoring Waiver Application |
Water |
| 339 |
Clean Water State Revolving Fund (CWSRF) Loan Application Form |
Water |
| 340 |
Clean Water State Revolving Fund (CWSRF) Preapplication Form |
Water |
| 342 |
Coal Permit Precipitation Event Discharge Limitations Exemption Claim Report |
Water |
| 343 |
Coalbed Methane Stormwater Inspection Summary Report |
Water |
| 344 |
Coalbed Methane Temporary Pit Wastewater Land Application Certification Report |
Water |
| 345 |
Community Public Notification Certification Form |
Water |
| 346 |
Community System Susceptibility Analysis Sheet |
Water |
| 347 |
Consumer Confidence Report Certification Form |
Water |
| 348 |
Discharge Monitoring Report for CBM Coal - Type 60 Effluent |
Water |
| 349 |
Discharge Monitoring Report for CBM Coal - Type 60 Manual |
Water |
| 350 |
Discharge Monitoring Report for CBM Coal - Type 60 Standard |
Water |
| 351 |
Discharge Monitoring Report for Coal - Type 1 & Type 3 |
Water |
| 352 |
Discharge Monitoring Report for Coal - Type 11 |
Water |
| 353 |
Discharge Monitoring Report for Coal - Type 13 |
Water |
| 354 |
Discharge Monitoring Report for Coal - Type 14 Sand & Gravel |
Water |
| 355 |
Discharge Monitoring Report for Coal - Type 14 Fire Clay |
Water |
| 356 |
Discharge Monitoring Report for Coal - Type 14 Shale - Common Clay |
Water |
| 357 |
Discharge Monitoring Report for Coal - Type 15 |
Water |
| 358 |
Discharge Monitoring Report for Coal - Type 38 |
Water |
| 359 |
Discharge Monitoring Report for Coal - Type 5 & Type 7 |
Water |
| 360 |
Discharge Monitoring Report for Coal - Type 9 |
Water |
| 361 |
Discharge Monitoring Report for NonCoal - Type 30 |
Water |
| 362 |
Discharge Monitoring Report for NonCoal - Type 32 |
Water |
| 363 |
Discharge Monitoring Report for NonCoal - Type 34 |
Water |
| 364 |
Discharge Monitoring Report for NonCoal - Type 36 & Type 48 & Type 50 |
Water |
| 365 |
Discharge Monitoring Report for NonCoal - Type 41 |
Water |
| 366 |
Discharge Monitoring Report for NonCoal - Type 42 |
Water |
| 367 |
Discharge Monitoring Report for NonCoal - Type 44 & Type 45 |
Water |
| 368 |
Discharge Monitoring Report for NonCoal - Type 46 |
Water |
| 369 |
Drinking Water State Revolving Fund (DWSRF) Loan Application Form |
Water |
| 370 |
Drinking Water State Revolving Fund (DWSRF) Preapplication Form |
Water |
| 372 |
Emissions Statement Reporting Form (For Shelby County Facilities Only) |
Air |
| 373 |
Excess Emission Monitoring Report |
Air |
| 374 |
Exemption Claim Form for Cofired Combustors (Appendix H - Division 3) |
Air |
| 375 |
Exemption Claim Form For Incinerators Burning Only Pathological, Low-Level Radioactive, and Chemotherapeutic Waste (Appendix H - Division 3) |
Air |
| 376 |
Field Operation Division NPDES Individual Permit Application Addendum Form |
Water |
| 377 |
Field Operation Division NPDES Individual Permit Application Minor Permit Modification Addendum Form |
Water |
| 378 |
Gasoline Dispensing Facility Information Survey |
Air |
| 380 |
General Permit Application Package - NOI-11 |
Water |
| 381 |
General Permit Application Package - NOI-12 |
Water |
| 382 |
General Permit Application Package - NOI-14 |
Water |
| 383 |
General Permit Application Package - NOI-15 |
Water |
| 384 |
General Permit Application Package - NOI-16 |
Water |
| 385 |
General Permit Application Package - NOI-17 |
Water |
| 386 |
General Permit Application Package - NOI-18 |
Water |
| 387 |
General Permit Application Package - NOI-2 |
Water |
| 388 |
General Permit Application Package - NOI-20 |
Water |
| 389 |
General Permit Application Package - NOI-23 |
Water |
| 390 |
General Permit Application Package - NOI-24 |
Water |
| 391 |
General Permit Application Package - NOI-25 |
Water |
| 392 |
General Permit Application Package - NOI-28 |
Water |
| 393 |
General Permit Application Package - NOI-3 |
Water |
| 394 |
General Permit Application Package - NOI-34 |
Water |
| 395 |
General Permit Application Package - NOI-36 |
Water |
| 396 |
General Permit Application Package - NOI-6 |
Water |
| 397 |
General Permit Application Package - NOI-67 |
Water |
| 400 |
Impressed Current Cathodic Protection System 60-Day Inspection Log |
Water |
| 401 |
Individual NPDES Permit Noncompliance Notification (5-day Report) |
Water |
| 403 |
Interior Lining Inspection Form |
Water |
| 404 |
Interior Lining Report Form |
Water |
| 405 |
Lead and Copper Monitoring Data Report |
Water |
| 406 |
Manual Interstitial Monitoring Monthly Log |
Water |
| 407 |
Material Safety Data Sheet Reporting |
Water |
| 408 |
Maximum Residual Disinfectant Level Input Form (Samples) |
Water |
| 409 |
Maximum Residual Disinfectant Level Input Form (Sources) |
Water |
| 410 |
Medical Waste Notification Form |
Waste/Remediation |
| 411 |
Medical Waste Transporter Permit Application |
Waste/Remediation |
| 412 |
Medical Waste Treatment Permit Application |
Waste/Remediation |
| 414 |
Monthly Statistical Inventory Reconciliation (SIR) Report |
Water |
| 415 |
Municipal POTW SSO/MS4 Event Reporting Form |
Water |
| 416 |
Municipal Water Pollution Prevention (MWPP) Annual Report (Collection Systems) Package |
Water |
| 417 |
Municipal Water Pollution Prevention (MWPP) Annual Report Package |
Water |
| 418 |
Municipal Water Pollution Prevention Resolution Form |
Water |
| 419 |
MWPP Sewage Sludge Survey |
Water |
| 420 |
Non-Community Public Notification Certification Form |
Water |
| 421 |
Non-Compliance Report Form |
Water |
| 422 |
Notice of Intent to Permanently Close Underground Storage Tanks |
Water |
| 423 |
Notice of Proposed UST New Installation or Upgrade |
Water |
| 424 |
Notification - Above the Threshold Planning Quantities (TPQ) of Extremely Hazardous Substances |
Water |
| 425 |
Notification of Election of Coverage under The Alabama Drycleaning Environmental Response Trust Fund Act |
Waste/Remediation |
| 426 |
Nox Budget Permit Application Form |
Air |
| 427 |
Nox Budget Retired Unit Exemption Claim Form |
Air |
| 429 |
NPDES Annual Notice of Registration (NOR) |
Water |
| 430 |
NPDES Discharge Monitoring Report Form (Monthly) |
Water |
| 431 |
NPDES Discharge Monitoring Report Form (Quarterly) |
Water |
| 432 |
NPDES Individual Permit Pollution Abatement/Treatment Measures and Sediment Control Structures Certification Report |
Water |
| 433 |
NPDES Permitted Coalbed Methane Operations Pollution Abatement/Treatment Measures and Waste Treatment Facilities Certification Report |
Water |
| 434 |
Open Burning Incident Report |
Air |
| 435 |
Operator Certification Renewal Form |
Water |
| 436 |
Perc Dry Cleaner Status Update |
Air |
| 437 |
Permit Application for Compliance Schedule |
Air |
| 438 |
Permit Application for Continuous Emission Monitoring Systems (CEMS) |
Air |
| 439 |
Permit Application Solid Waste Disposal Facility |
Waste/Remediation |
| 440 |
Petroleum Solvent Dry Cleaning Questionnaire |
Air |
| 441 |
Plant and Collection System Personnel Inventory |
Water |
| 442 |
Potable Water Laboratory Certification Application |
Water |
| 443 |
Progress Report Form |
Water |
| 444 |
Project Completion Form |
Water |
| 445 |
PSD Project Information Form |
Air |
| 446 |
Raw Sewage Bypass and Overflow Event Reporting Form |
Water |
| 447 |
Release Information Form |
Water |
| 448 |
Remediation Approval Form |
Air |
| 449 |
Remediation Reporting Form |
Air |
| 450 |
Representative Stormwater Outfall Certification |
Water |
| 451 |
Request for Coal Permit Post-Mining Discharge Limitations |
Water |
| 452 |
Request for Release from Monitoring and Reporting Requirements |
Water |
| 453 |
Request to Remove Subsurface Withdrawal From Discharge Structure |
Water |
| 454 |
Request to Remove Treatment Basin/Pond or Other Discharge Structure |
Water |
| 455 |
Required Information for Mixing Zone Modeling |
Water |
| 456 |
Segmental Water System Certification Application |
Water |
| 457 |
SID Discharge Monitoring Report Form (Monthly) |
Water |
| 458 |
SID Discharge Monitoring Report Form (Quarterly) |
Water |
| 459 |
SRF Payment Request Form |
Water |
| 460 |
Statistical Inventory Reconciliation SIR 7 Day Release Investigation Notice Form |
Water |
| 461 |
Surface Source Susceptibility Analysis Worksheet |
Water |
| 462 |
Tank Trust Fund Eligibility/Ineligibility Determination Form |
Water |
| 464 |
Toxicity Discharge Monitoring Report Form |
Water |
| 465 |
Toxicity Test Report Summary |
Water |
| 466 |
Transfer Agreement Form |
Water |
| 469 |
Underground and Above Ground Storage Tank Transfer of Ownership |
Water |
| 471 |
UST ARBCA Tier 1 Report Forms |
Water |
| 472 |
UST ARBCA Tier 2 Report Forms |
Water |
| 473 |
UST ARBCA Tier 3 Report Forms |
Water |
| 474 |
UST Closure Site Assessment Report Form |
Water |
| 475 |
UST Free Product Recovery Report Form |
Water |
| 476 |
UST Groundwater Monitoring Report Form |
Water |
| 477 |
UST Line Tightness Test Report Form |
Water |
| 478 |
UST Natural Attenuation Monitoring Report Form |
Water |
| 479 |
UST Release Fact Sheet |
Water |
| 480 |
UST Release Report Form |
Water |
| 481 |
UST Site Classification System Checklist |
Water |
| 482 |
UST System Effectiveness Monitoring Report Form |
Water |
| 483 |
UST Tracer Tank Tightness Test Report Form |
Water |
| 484 |
UST Ullage Tank Tightness Test Report Form |
Water |
| 485 |
UST Vacuum Tank Tightness Test Report Form |
Water |
| 486 |
UST Volumetric Overfill Tank Tightness Test Report Form |
Water |
| 487 |
UST Volumetric Underfill Tank Tightness Test Report Form |
Water |
| 488 |
Water Supply Construction Permit Application |
Water |
| 489 |
Water Supply Permit Application (Modification) |
Water |
| 490 |
Water Supply Permit Application (Renewal) |
Water |
| 491 |
Water System Update |
Water |
| 492 |
UST Closure Total Potential Voc Emissions Calculations |
Water |
| 493 |
112 (j) Part 1 Applicability Notification |
Air |
| 494 |
Birmingham Fuel Supplier Report |
Air |
| 495 |
Major Source Operating Permit Skeleton Form |
Air |
| 496 |
Notice of Demolition and/or Asbestos Removal |
Air |
| 497 |
Asbestos Removal Contractor Certification |
Air |
| 498 |
NPDES Construction, Noncoal/Nonmetallic Mining and Dry Procession Less than Five Acres, Other Land Disturbance Activities Application Form |
Water |
| 499 |
NPDES Construction, Noncoal Mining Less than Five Acres Stormwater Registration Termination Request and Certification Form |
Water |
| 500 |
NPDES Construction, and Noncoal Mining Less than Five Acres Stormwater Inspection Report and BMP Certification Form |
Water |
| 501 |
NPDES Construction, and Noncoal Mining Less than Five Acres Stormwater Noncompliance Notification Report Form |
Water |
| 502 |
Visible Emission Field Test Sheet |
Air |
| 503 |
General Permit for Phase II Small Municipal Separate Storm Sewer Systems (MS4) ALNOI |
Water |
| 505 |
Water and Wastewater Operator Exam Application |
Water |
| 506 |
Water and Wastewater Operator Experience Verification |
Water |
| 507 |
Water and Wastewater Reciprocal Application |
Water |
| 508 |
Water and Wastewater Operator for Multiple Systems |
Water |
| 510 |
Cooling Water Supplemental Information |
Water |
| 511 |
EDMR1 Permittee Registration Form |
Water |
| 512 |
EDMR2 Electronic Signature Application Agreement |
Water |
| 513 |
EDMR3 Deactivation Request Form |
Water |
| 514 |
Daily Discharge Monitor Report |
Water |
| 515 |
Monthly Discharge Monitoring Report |
Water |
| 516 |
Supplemental Petroleum Application Information |
Water |
| 517 |
Alabama Clean Vessel Act Grant Application |
Water |
| 518 |
Boating Infrastructure Grant Application |
Water |
| 519 |
CAIR Permit Application |
Air |
| 520 |
General Phase II MS 4 Stormwater Permit Renewal Notice of Intent |
Waste/Remediation |
| 521 |
Voluntary Cleanup Program Application Form |
Waste/Remediation |
| 522 |
Notice of Intent - Discharges of Filter Backwash Water, Sedimentation Basin Washdown, and Decant Water from Water Treatment Plants |
Water |
| 530 |
Technical Proposal for Qualification as a Scrap Tire Fund Remediation Contractor |
Waste/Remediation |
| 531 |
Hydrogeology Unit Evaluation Report Form |
Water |
| 533 |
Documentation of Disability Related Needs |
Water |
| 534 |
EHS Notification Form |
Water |
| 535 |
CT Profiling Spreadsheet |
Water |
| 536 |
Scrap Tire Manifest |
Waste/Remediation |
| 537 |
Scrap Tire Registration & Exemption Application |
Waste/Remediation |
| 538 |
Scrap Tire Transporter Permit Application |
Waste/Remediation |
| 539 |
Scrap Tire Quarterly Report |
Waste/Remediation |
| 540 |
Scrap Tire Processor Permit Application |
Waste/Remediation |
| 541 |
Scrap Tire Site Registration |
Waste/Remediation |
| 542 |
Brownfields State Revolving Fund PreApplication Form |
Waste/Remediation |
| 543 |
Brownfields State Revolving Fund Application Fund |
Waste/Remediation |
| 545 |
Cathodic Protection Monitoring for Galvanic Systems |
Waste/Remediation |
| 546 |
Alabama Hazardous Waste Receipt for Samples and Documents |
Waste/Remediation |
| 547 |
Water Treatment Plant Quarterly Report for the Disinfectants and Disinfection Byproducts Rule |
Water |
| 548 |
Pollution Prevention Survey |
Air |
| 549 |
NPDES Coalbed Methane Operation |
Water |
| 550 |
Brownfields Assessment Request Application |
Waste/Remediation |
| 551 |
ADEM Line Leak Detector (LLD) Test Report Form |
Water |
| 8700-12 |
Notification of Regulated Waste Activity |
Waste/Remediation |
