Permit Forms & Fees

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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 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 Template06/15Online
Mining Stormwater Pollution Prevention Plan (SWPPP) Template

2015

Online
Construction Stormwater Pollution Prevention Plan (SWPPP) Template2017

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

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

--

--Online
Stormwater Annual Report Template - Small MS4

--

Online

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

05/17

 

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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