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Water Division Forms

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Industrial Permit Application Checklist

Process Water
Non-Process Water
Multi-Category Water
Storm Water

EPA Forms

Form 1 - General Information Form
Used in conjunction with ADEM Form 187, EPA Form 1, 2C, 2D, 2E, 2F

EPA Forms

Form 2A - Application Overview
Used for application to discharge municipal wastewater from new and existing publicly owned treatment works

Form 2C - Wastewater Discharge Information
Used for renewal of processed wastewater NPDES industrial permits and must be accompanied by ADEM Form 187 and EPA Form 1

Form 2D - New Sources & New Discharges
Used for initial applications of NPDES industrial permits and must be accompanied by ADEM Form 187 and EPA Form 1

Form 2E - Facilities Which Do Not Discharge Process Wastewater
Used for facilities which do not process wastewater. This form is generally used for non-contact water. ADEM Form 187 and EPA Form 1 must accompany this form

Form 2F - Application for Permit to Discharge Storm Water Associated with Industrial Activity
Used for all discharges of storm water associated with an industrial activity. Facilities whose discharges are composed of storm water and non-storm water must submit the appropriatw non-storm water form and Form 2F for their storm water. ADEM Form 187 and EPA Form 1 must accompany this form

Form 3510-11 - No Exposure Certification for Exclusion from NPDES Stormwater Permitting
Used to give notice that a facility does not require permit authorization for its stormwater discharges associated with industrial activity due to the existence of a condition of no exposure.

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