Download Instructions:

1. Browse the table form descriptions to find the form you need.
2. Set your mouse cursor over the PDF icon (Adobe Acrobat) or Microsoft Word icon to determine file size.
3. If you need Adobe Acrobat, you can download it free at  www.adobe.com.
4. Click the icon to open the form and save it to your computer.
5. Fill out the form completely.
6. Make all checks payable to "NDEP" (Purchase Orders & Credit Cards Not Accepted).
7. Submit all permit application forms with the appropriate application fee to:
   
   Nevada Division of Environmental Protection
   Bureau of Water Pollution Control
   901 South Stewat Street, Suite 4001
   Carson City, Nevada 89701-5249

National Pollutant Discharge Elimination System (NPDES) Permits
Form Description	Revision Date	File Format
		PDF	DOC
NOTE: For facilities that discharge to surface waters, Nevada uses the Federal NPDES Discharge Permit Program Forms. The NPDES permit links below take you directly to the form at the U.S. Environmental Protection Agency's (EPA's) website.
NPDES Supplemental Information Form Nevada REQUIRES that this form accompany all NPDES applications except Form 2B - CAFOs	08/03
NPDES CAFO Supplemental Information Form (to Form 2B) Nevada REQUIRES that this form accompany all CAFO related NPDES applications (Form 2B below)	05/05
EPA Form 1 - General Information Nevada REQUIRES that this form accompany at least one of the Series 2 Forms listed below	--		N/A
NPDES Application Form 2A - New & Existing Publicly Owned Treatment Works	--		N/A
NPDES Application Form 2B - New & Existing Concentrated Animal Feeding Operations (CAFOs) and Aquatic Animal Production Facilities	--		N/A
NPDES Application Form 2C - Existing Manufacturing, Commercial, Mining and Silvicultural Discharges)	--		N/A
NPDES Application Form 2D - New Manufacturing, Commercial, Mining and Silvicultural Discharges	--		N/A
NPDES Application Form 2E - Manufacturing, Commercial, Mining and Silvicultural Facilities That Discharge NON-PROCESS Wastewater	--		N/A
Temporary Permit Application for Working in Waterways (Formerly known as a "Rolling Stock Permit")	--		N/A
General Permit for Agricultural Applications Notice of Intent (NOI)	--
--Instructions for Notice of Intent	--		N/A
--Regulated Chemicals	--		N/A
Stormwater related applications and information: CLICK HERE

Groundwater Discharge Permits
Form Description	Revision Date	File Format
		PDF	DOC
Nevada Groundwater Discharge Permit Application	08/03
--Toxics list for Nevada Groundwater Discharge Application	08/03
Groundwater Discharge Application for Reclaimed Water Use	--
Temporary Discharge Permit Application for All Purposes Except Working in Waterways (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.)	--
"Profile 1" Analysis List	--

Reporting Form and Instructions
Form Description	Revision Date	File Format
		PDF	DOC
Note: The following DMR form applies to all NPDES and Groundwater Discharge permits above.
Discharge Monitoring Report (DMR) Form	--
--General instruction for completing Discharge Monitoring Report          (Omb No. 2000-0015)	--		N/A

Commercial Septic Systems
Form Description	Revision Date	File Format
		PDF	DOC
Commercial Septic Plan Submittal Form	--
WTS-23 Checklist	--		NA
Large Capacity Septic Notice of Intent (NOI)	--
Large-Capacity Septic System Evaluation Report	--

Underground Injection Control (UIC) Permits
Form Description	Revision Date	File Format
		PDF	DOC
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 U200: UIC Permit Application	12/2006
UIC Form U201: General Class 5 Well Attachments	12/2006
UIC Form U202: Class 2 Oil/Gas, Class 3 Solution Mining, or Class 5 Geothermal Well Attachments	12/2006
UIC Form U203: Class 5 Remediation or Tracer Test Attachments	12/2006
UIC Form U210: UIC Remediation NOI	06/2007
UIC Form U310: UIC Notice of Termination	06/2007
Permit Transfer Form for UIC Permits	--
Oil/Water Separator Notice of Intent (NOI)	--
Injection Well Notification Form	--		N/A
Class V Well Pre-closure Notification Form	--
Quarterly Class II Disposal/Injection Well Monitoring Report Form	--
UIC Sample List 1	--
UIC Sample List 2	--

Fee Schedules
Form Description	Revision Date	File Format
		PDF	DOC
Groundwater Discharge and NPDES Permits Fee Schedule (fees due July 1, 2006 - June 30, 2008)	--		N/A
Underground Injection Control Permit Fee Schedule	--		N/A
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