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        Permit Forms & Fees

        Download Instructions:

        • Browse the table form descriptions to find the form you need
        • If you need Adobe Acrobat, you can download it free at www.adobe.com
        • Click the icon to open the form and save it to your computer
        • Fill out the form completely
        • Make all checks payable to "NDEP" (Purchase Orders & Credit Cards Not Accepted)

        Submit all permit application forms with the appropriate application fee to:

        • Nevada Division of Environmental Protection
          Bureau of Water Pollution Control
          901 South Stewart Street, Suite 4001
          Carson City NV 89701-5249

        Water Pollution Control E-Permitting System - In an effort to improve our service to the public, NDEP has developed an electronic process for submitting permit applications. By selecting "Online" next to the forms, the applicant will be directed to the registration/sign-in page. Please register (sign-in) and complete the application on-line, print and sign the certification letter, then mail it to NDEP with the appropriate application fee(s).

        Specific online application forms are highlighted below. If unable to submit application on-line, please contact the BWPC at (775) 687-9418 for paper versions of the online forms.

         

        National Pollutant Discharge Elimination System (NPDES) Permits

        For facilities that discharge to surface waters, Nevada uses the Federal NPDES Discharge Permit Program forms and requirements.

        Form DescriptionRevisionFormat

        EPA Form 1 - General Information
        Nevada REQUIRES that this form accompany at least one of the Series 2 Forms listed below

        File

        Online

        NPDES Supplemental Information Form
        Nevada REQUIRES that this form accompany all NPDES applications except Form 2B - CAFOs

        File

        Online

        NPDES Application Form 2A - New & Existing Publicly Owned Treatment Works

        File

        Online

        NPDES Application Form 2B - New & Existing Concentrated Animal Feeding Operations (CAFOs) and Aquatic Animal Production Facilities

        File

        Online

        NDEP CAFO Discharge Supplemental Application (in addition to Form 2B)
        Nevada REQUIRES that this form accompany all CAFO related NPDES applications (Form 2B above)

        File

        Online

        NPDES Application Form 2C - Existing Manufacturing, Commercial, Mining and Silvicultural Discharges)

        File

        Online

        NPDES Application Form 2D - New Manufacturing, Commercial, Mining and Silvicultural Discharges

        File

        Online

        NPDES Application Form 2E - Manufacturing, Commercial, Mining and Silvicultural Facilities That Discharge NON-PROCESS Wastewater

        File

        Online

        Tracer Dye Permit and Fact Sheet - See both for the requirements. To apply, call 775-687-9418 and ask the Permits Branch for instruction.

        Tracer Permit

        Fact Sheet

        Temporary Permit Application for Working in Waterways
        (Formerly known as a "Rolling Stock Permit")

        File

        Online

        Regulated Chemicals

        02/10

        Notice of Termination ("NOT") for Coverage under General NPDES Permit    Online 

         

         


         

        Stormwater Applications and Information

        Form DescriptionRevisionFormat 
        Mining Stormwater Annual Report Template06/15 
        Mining Stormwater Pollution Prevention Plan (SWPPP) Template

        2015

         
        Construction Stormwater Pollution Prevention Plan (SWPPP) Template2017

         
        Industrial Stormwater Pollution Prevention Plan (SWPPP) Template and Forms--

         
        Notice of Intent (NOI) - Small MS4s, Construction, Industrial, and Mining

        --

        -- 
        Stormwater Annual Report Template - Small MS4

        --

         

        Stormwater General Permits - Notice of Termination ("NOT") for Coverage under a General NPDES Permit

        --

        --Online

        Stormwater Information: Go Here

        ------

         

        Water Pollution Control (WPC) Discharge Permits 

        Form DescriptionRevisionFormat 

        Nevada WPC (Groundwater) Discharge Permit Application

        File

        Online 

        Toxics list for Nevada Groundwater Discharge Application

        08/03

         

        Groundwater Discharge Application for Reclaimed Water Use

        File

        Online 

        NDEP - CAFO Discharge to Waters of the State Supplemental Application

        File

        Online 

        Temporary Discharge Permit Application

        (Pursuant to NRS 445A.485, a temporary permit may be issued for a maximum of a 180 day (6 month) period of time. After which time the discharge shall cease or the discharger shall have applied for and received a Permanent Discharge Permit.)

        File

        Online 

        "Profile 1" Analysis List

        10/14

         

         

        Reporting Form and Instructions

        Form DescriptionRevisionFormat 
        Note: The following DMR form applies to all NPDES and Groundwater Discharge permits above.      -- -- 

        Discharge Monitoring Report (DMR) Reporting

           --

         NetDMR 

        General instruction for completing Discharge Monitoring Report in NetDMR

           --

         

        Guidance for the Use of Significant Figures and Rounding Convention in Water Quality Permitting

        2017

         

         

        Underground Injection Control (UIC) Permits

        Form DescriptionRevisionFormat 
        Note: Submission of a complete UIC application consists of a completed Form U200 and completion of the attachments from one of the other forms: U201, U202 or U203. Use the attachment form that applies to your type of UIC well.------

        UIC Form U100: Quarterly Class II Disposal/Injection Well Monitoring Report Form

        --Online

        UIC Form U110: UIC Mechanical Integrity Test Report Form

        05/17

        Online

        UIC Form U111: UIC Mechanical Integrity Test Report - Geothermal

        05/17

        Online

        UIC Form U120: UIC Injection Well Completion Report (Class II/Geothermal)

        05/17

        Online

        UIC Form U200: UIC Permit Application

        05/17

        Online

        UIC Form U201: General Class 5 Well Attachments

        05/17

        Online

        UIC Form U202: Class 2 Oil/Gas, Class 3 Solution Mining, or Class 5 Geothermal Well Attachments

        05/17

        Online

        UIC Form U203: Class 5 Remediation or Tracer Test Attachments

        05/17

        Online

        UIC Form U210: UIC Remediation NOI

        11/17

        Online

        UIC Form U211: Approval Request for Domestic Geothermal Injection Wells

        05/17

        Online

        UIC Form U220: UIC Permit Acknowledgement Form U220

        05/17

        Online

        UIC Form U230: UIC Field Sampling & Monitoring Summary

        05/17

        Online

        UIC Sample List 1

        --

        Online

        UIC Sample List 2

        --

        Online

        UIC Sample List 3

        --

        Online

        UIC Water Sample List – Class 2 wells

        05/17

        Online

        UIC Form U240: UIC Requests for Chemical Use

        05/17

        Online

        UIC Form U250: Notice to Transfer Injection Permit / Change of Ownership

        05/17

        Online

        UIC Form U310: UIC Notice of Termination

        10/16

        Online

        Discharge Basin Form - Associated with UIC Permit

        05/17

        Online

        Oil/Water Separator Notice of Intent (NOI)

        --

        Online

        Injection Well Notification Form

        --

        Online

        Class V Well Pre-closure Notification Form

        05/17

        Online

        Requests for Tracer Use in Ground Water

        --

        Online

        UIC Permit Cancellation Guidance

        --

        --


         

        Onsite Sewage Disposal Systems

        Form DescriptionRevisionFormat 

        OSDS - Application for Design Plan Approval

        05/17

        Online

        OSDS - Notice of Intent (NOI) to Discharge

        05/17

        Online

        OSDS - Notice of Termination (NOT)

        05/17

        Online

        OSDS - Large Capacity Annual Report Form

        --

        Online
        OSDS - Nevada Infiltrator Chamber System Sizing Chart

        --

        --

        Temporary Holding Tanks - Application for Plan Approval

        05/17

        Online

        Temporary Holding Tanks - Notice of Intent (NOI) for coverage

        05/17

        Online

        Permanent Holding Tanks - Application for Plan Approval

        05/17

        Online
        Permanent Holding Tanks - Notice of Intent (NOI) for coverage   

        05/17

        Online


         

        Fee Schedule

        Form DescriptionRevisionFormat 

        WPC (Groundwater) Discharge and NPDES Permits Fee Schedule
        (fees due after July 1, 2010)

         --

         

        Underground Injection Control Permit Fee Schedule

        --

         

        Large Capacity Septic General Permit Notice of Intent = $400

        --  --      

        Oil Water Separator General Permit Notice of Intent = $400

        --  -- 

        Temporary Discharge Permit Application Fee = $250

        --  --       

        Other Notice of Intent (NOI) fees = $200

        --  -- 

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