
Division of Water Quality

	NJPDES Ground Water Discharge
	NJPDES Surface Water Discharge
	NJPDES Pretreatment and Residuals
	NJPDES Discharge to Stormwater
	NJPDES Significant Indirect User
	NJPDES Treatment Works Approval
	Municipal Finance Loan Applications
	NJPDES Adjudicatory Hearing Requests and Stay Request Forms
	Permit Applicaton Forms and Checklists Home

Significant Indirect User (SIU)
Application Forms and Checklists

*Download forms to the right of your discharge category.

Discharge Category Description

Form Title

L - Individual Permit for Discharge to POTW

	Application for Completeness Checklist/NJPDES Significant Industrial User Permit (52 kb)
	NJPDES Form 1 (318 kb)
	NJPDES Form L - Supplemental Application Form to NJPDES-1 for NJPDES/SIU Permits (126 kb)
	Instructions for Form L (235 kb)
	NJPDES Form R - Supplemental Application Form to NJPDES-1 for NJPDES Residual Permits (147 kb)

Miscellaneous SIU Checklists and Forms

Administrative Updates

	Administrative Update Form (41 kb)

Inactivation/Revocation of a Permit

	Checklist for Permittee Initiated Inactivation and/or Revocation ("Termination") of a NJPDES Permit and Certificate of Closure (93 kb)
	NJPDES 1 Form (318 kb)

Statement of Consents

	WQM 003 Form - Statements of Consent (108 kb)

Transfer of Permit

	Application for Transfer of a Permit (49 kb)

Applicability Determinations/Supplements

	Request for SIU Applicability Determination (8 kb)
	SIU Determination Request (8 kb)
	Supplement to Determination Request: Electroplating/Metal Finishing Categories (5 kb)
	Supplement to Determination Request: Pharmaceuticals Category (4 kb)

Reports

	Baseline Report (15 kb)