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Discharge to Ground Water
Application Forms and Checklists
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*Download forms to the right of your discharge category.

Discharge Category Description Form Title
DGW- Individual Permit for Ground Water Discharge
blue arrow Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb) pdf
blue arrow NJPDES Form 1 (173 kb) pdf
blue arrow Form R - Industrial Generator pdf
blue arrow Form R - Domestic Generator pdf
I1 - General Permit for Stormwater Basins at Sanitary Landfills
blue arrow Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb) pdf
blue arrow NJPDES Form 1 (173 kb) pdf
I2 - General Permit for Potable Water Treatment Plants
blue arrow Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb) pdf
blue arrow NJPDES Form 1 (173 kb) pdf
blue arrow Form R - Industrial Generator pdf
K2 - Dental Facilities Onsite Wastewater Treatment Systems
blue arrow Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb) pdf
blue arrow NJPDES Form 1 (173 kb) pdf
blue arrow K2 Supplemental Application Form (24 kb) pdf
blue arrow K2 Certification Form pdf
LSI - General Permit for Lined Surface Impoundment
blue arrow Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb) pdf
blue arrow NJPDES Form 1 (173 kb) pdf
T1 - General Permit for Sanitary Subsurface Disposal
blue arrow Application/RFA Completeness Checklist for Individual & General NJPDES Discharge to Ground Water Permits (DGW) (220 kb) pdf
blue arrow NJPDES Form 1 (173 kb) pdf
blue arrow T1 Facility Information Form (38 kb) pdf

Miscellaneous Ground Water Discharge Checklists and Forms

Administrative Updates
blue arrow Administrative Update Form (41 kb) pdf
blue arrow Inactivation of NJPDES Permit Monitoring and Reporting Requirements pdf
     
  Inactivation” means that a permittee still possesses a valid NJPDES permit except that the permitted discharge has ceased, been temporarily discontinued or has not yet commenced.  The submission of Monitoring Report Forms is not required unless the outfall(s) is reactivated.  

 

blue arrow Request for Permit Revocation/Certification of Closure pdf
     
 

Revocation” means that a permittee no longer possesses a valid NJPDES permit, for consolidated permits this means all discharge categories have ceased.  The submission of Monitoring Report Forms is no longer required.

 
Statements of Consent
blue arrow WQM 003 - Statements of Consent (108 kb) pdf
Transfer of Permit
blue arrow Application for Transfer of a Permit (49 kb) pdf
Monitoring Well Certifications
blue arrow Monitoring Wells Certification - Form A - As-Built Certification (21 kb) pdf
blue arrow Ground Water Monitoring Well Certification - Form B - Location Certification (24 kb) pdf
Engineers Report
blue arrow Engineer's Report for Individual Subsurface Sewage Disposal Systems (37 kb) pdf
Agreement to Do Business Electronically
blue arrow Agreement to do Business Electronically (32kb) pdf
NJPDES EDI Agreement Form
blue arrow NJPDES EDI Agreement Form (66kb) pdf

Discharge to Ground Water Guidance Documents
blue arrow Guidance for 50 or More Realty Improvement Certifications (813 kb) pdf
blue arrow Technical Guide for Sizing and Positioning of: Spray Irrigation Systems, Overland Flow Systems, and Infiltration/Percolation Systems; and Surface Impoundments (128 kb) pdf
blue arrow Guidelines for Developing Ground Water Protection Program Plans (226 kb) pdf
blue arrow Technical Manual for NJPDES Discharge to Ground Water Permits (165 kb) pdf

Helpful Links
Ground Water Permit Application Deficiencies

Program Contacts
Bureau of Nonpoint Pollution Control, (609)633-7021
Permit Administration Section, (609)984-4428

 

 

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Last Update: January 6, 2016

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