Permit Application Forms

Applications for discharges to surface waters | Applications for discharge to a POTW or to ground

Other permit forms

Permit application forms for discharges to surface waters

These EPA forms are required to apply for a National Pollutant Discharge (NPDES) permit for discharge of wastewater to waters of the U.S. These forms are available in Adobe format from the EPA website or in Microsoft Word format as electronic fill-in forms. The forms in Word format are listed below. Note: These application forms require a determination by an Ecology permit writer of the parameters to be measured in the effluent as part of the application process. Contact the regional office permit coordinator before submitting an application.

State permit application forms for discharge to a POTW or to ground

These forms are required to apply for a State wastewater discharge permit for discharge to a POTW or to ground. The forms listed below are available in Microsoft Word (.doc files) and Adobe Acrobat (.pdf files) electronic form format. These application forms require that the regional permit writer determine the parameters to be measured in the effluent. Please contact the regional office permit coordinator before submitting these forms.

You will need the free reader software from Adobe to use the Acrobat forms.  Please note that you cannot save the form or a completed form as a file with only the free Adobe reader software. You can, however, print the form or the completed form.

Other permit forms

Reclaimed Water Use Permit Application – This is the permit application form for reclaimed water facilities. These permits are issued in combination with any required NPDES or state wastewater discharge permits, available above.

Transfer of Permit to a New Owner/Operator – This form, when completed and signed by both parties and approved by Ecology, transfers Individual NPDES or State Waste Discharge Permits to a new owner/operator.

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