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  Permit Forms & Fee Schedules Back BWPC Home Page   
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    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, Nevada 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 Description Revision Format
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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

CAFO Flow Chart [Definitions & other information]

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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

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

File

Online

Regulated Chemicals

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21.7 KB file size

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Stormwater Applications and Information
Form Description Revision Format
-- --

Notice of Change ("NOC") of Owner or Operator under General Permit NVR100000 for Stormwater Discharges Associated with Construction Activity

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82 KB file size 25 KB file size

Mining Stormwater Annual Report Template

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--

25 KB file size

Notice of Intent (NOI) - Small MS4s

File

Online

Stormwater Annual Report Template - Small MS4

--

82 KB file size

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

File

Online

Stormwater Information: Go Here




Water Pollution Control (WPC)Discharge Permits
Form Description Revision Format
-- --

Nevada WPC (Groundwater) Discharge Permit Application

File

Online

Toxics list for Nevada Groundwater Discharge Application

08/03

82 KB file size 25 KB file size

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

9/09

5 KB file size

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Reporting Form and Instructions
Form Description Revision Format
-- --
Note: The following DMR forms and guidance apply to all NPDES and WPC Discharge permits above.

Discharge Monitoring Report (DMR) Form

NetDMR

28.7 KB file size 55 KB file size

General instruction for completing Discharge Monitoring Report (Omb No. 2000-0015)

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10.2 KB file size

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Discharge Monitoring Report (DMR) Certification for NetDMR Reporting -- (Permittees are required to submit a completed and signed original copy of this form to the BWPC prior to receiving authorization to submit DMR data electronically).

2013

290 KB file size

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

2013

10.2 KB file size

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Underground Injection Control (UIC) Permits
Form Description Revision Format
-- --
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

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668 KB file size

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UIC Form U110: UIC Mechanical Integrity Test Report Form

--

668 KB file size 423 KB file size

UIC Form U111: UIC Mechanical Integrity Test Report - Geothermal

05/12

211 KB file size 346 KB file size

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

06/10

668 KB file size 423 KB file size

UIC Form U200: UIC Permit Application

02/14

229 KB file size 423 KB file size

UIC Form U201: General Class 5 Well Attachments

12/06

229 KB file size 423 KB file size

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

12/06

229 KB file size 423 KB file size

UIC Form U203: Class 5 Remediation or Tracer Test Attachments

12/06

229 KB file size 423 KB file size

UIC Form U210: UIC Remediation NOI

06/07

229 KB file size 423 KB file size

UIC Form U211: Approval Request for Domestic Geothermal Injection Wells

11/10

229 KB file size

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UIC Form U220: UIC Permit Acknowledgement Form U220

06/10

UIC Form U230: UIC Field Sampling & Monitoring Summary

11/12

UIC Sample List 1

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668 KB file size

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UIC Sample List 2

--

668 KB file size

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UIC Sample List 3

--

668 KB file size

UIC Water Sample List Class 2 wells

--

668 KB file size

UIC Form U240: UIC Requests for Chemical Use

05/14

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

06/10

229 KB file size 423 KB file size

UIC Form U310: UIC Notice of Termination

06/11

229 KB file size 423 KB file size

Discharge Basin Form - Associated with UIC Permit

02/09

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423 KB file size

Oil/Water Separator Notice of Intent (NOI)

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67 KB file size 26.5 KB file size

Injection Well Notification Form

--

668 KB file size

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Class V Well Pre-closure Notification Form

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668 KB file size 26.5 KB file size

Requests for Tracer Use in Ground Water

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668 KB file size

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UIC Permit Cancellation Guidance

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668 KB file size

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Onsite Sewage Disposal Systems
Form Description Revision Format
-- --

OSDS - Application for Design Plan Approval

--

668 KB file size 26.5 KB file size

OSDS - Notice of Intent (NOI) to Discharge

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668 KB file size 26.5 KB file size

OSDS - Notice of Termination (NOT)

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668 KB file size 26.5 KB file size

OSDS - Large Capacity Biennial Report Form

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668 KB file size 26.5 KB file size

OSDS - Nevada Infiltrator Chamber System Sizing Chart

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668 KB file size

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Temporary Holding Tanks - Application for Plan Approval

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668 KB file size 26.5 KB file size

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

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668 KB file size 26.5 KB file size

Permanent Holding Tanks - Application for Plan Approval

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668 KB file size 26.5 KB file size

Permanent Holding Tanks - Notice of Intent (NOI) for coverage [pending]

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Fee Schedules
Form Description Revision Format
-- --

WPC (Groundwater) Discharge and NPDES Permits Fee Schedule
(fees due July 1, 2010 - June 30, 2012)

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14.7 KB file size

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Underground Injection Control Permit Fee Schedule

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3.4 KB file size

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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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