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Ground Water Quality Forms

Pollution Prevention Section Forms

REVISED GROUND WATER DISCHARGE PERMIT APPLICATION

EFFECTIVE AUGUST 1, 2015.


A revised Ground Water Discharge Permit application is available, effective August 1, 2015. The previous application form will not be accepted after September 1, 2015. Applications that are already in progress are not affected.

This application does not apply to dairy facilities. Please visit the Dairy Page to access dairy-specific forms.

 

  Microsoft Office 2003 Format (.doc or .xls) Adobe Acrobat format (.pdf)

Ground Water Discharge Permit Application (NOT for Dairies)

Notice of Intent to Discharge
Spill Reporting Form

Domestic Wastewater LADS

Land Application Data Sheet –

200 lb/ac

 

Domestic Wastewater LADS

Land Application Data Sheet – 125%

 

Fertilizer Log

 
SDDS – Septage  
SDDS – Sludge  
SDDS – Grease  

SDDS – Chile Processing Facilities

Surface Disposal Data Sheet –

200 lb/ac

 
Wastewater Sampling Log - Chile & Food Processing Facilities  

 

Voluntary Remediation Forms

  Microsoft Office 2010 Format (.docx) Adobe Acrobat format (.pdf)

Voluntary Remediation Application 

 

 

 

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