Water Permit Forms and Instructions

Water Division

(501) 682-2199

Discharge Permits...

• ADEQ Application Form1 (Municipal, Non-municipal, Industrial and Construction forms combined):
  • PDF File
  • MS Word 2002 document template
     
• United States Environmental Protection Agency (US EPA) Forms:
  • EPA Form 2A (PDF File)
  • EPA Form 2B, Concentrated Animal Feeding Operations (PDF File)
  • EPA Form 2C (PDF File 12mb)
  • EPA Form 2D (PDF File 5mb)
  • EPA Form 2E (PDF File)
  • EPA Form 2F (PDF File 2mb)
     
• Application Form PPS (Priority Pollutant Scan) (PDF File)
• Application Form PPS (Priority Pollutant Scan) (Word Document)
• Blank Noncompliance Report Form (PDF File)
• Change in Signatory Authorization Form (PDF File)
• Permit Transfer (Word Document)
• Discharge Monitoring Report (DMR) Instructions & Forms (NPDES Permits)
• Discharge Monitoring Report (DMR) Instructions & Forms (Stormwater Permits)
• Disclosure Statement (PDF File)
• Notices of Intent (Non stormwater general permits)
• Notices of Intent (Stormwater general permits)
• Sanitary Sewer Overflow Tabular Report Form (PDF File)
• 24-hour Sanitary Sewer Overflow (SSO) Report (PDF File)
• 24-hour Sanitary Sewer Overflow (SSO) Report (Word Document)

No-Discharge Permits...

• Animal Waste Disposal Permit Application (PDF File)
• Annual Report Form (PDF File)
• Land Use Contract (PDF File)
• Land Application Record (PDF File)
• Permit Transfer Form (PDF File)
• Salt Water Disposal Notice of Intent (PDF File)
• Subsurface Wastewater Disposal Permit Application (PDF File)
• Waste Storage Pond Closure Guidelines (PDF File)
• Waste Storage/Land Application Permit Application (PDF File)
• Waste Storage/Land Application of Drilling Fluids Permit Application (PDF File)
• Waste Storage/Land Application of Drilling Fluids Permit Application (Word File)
• Construction, Operation, and Closure of Pits NOI – 00000-WG-P-NOI (PDF File)
• Construction, Operation, and Closure of Pits NOT– 00000-WG-P-NOT (PDF File)
• Land Application of Water-Based Drilling Fluids NOI - 00000-WG-LA-NOI (PDF File)

• Land Application of Water-Based Drilling Fluids NOT - 00000-WG-LA-NOT (PDF File)

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