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New Jersey Department of Environmental Protection  
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Division of Water Quality
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bluearrow NJPDES Ground Water Discharge
bluearrow NJPDES Surface Water Discharge
bluearrow NJPDES Residual Management
bluearrow NJPDES Significant Indirect User
bluearrow Stormwater Discharge
bluearrow NJPDES Treatment Works Approval
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bluearrow NJPDES Adjudicatory Hearing Requests and Stay Request Forms
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Significant Indirect User (SIU)
Application Forms and Checklists

*Download forms to the right of your discharge category.

Discharge Category Description Form Title
blue arrow Application for Completeness Checklist/NJPDES Significant Industrial User Permit (52 kb) pdf
blue arrow NJPDES Form 1 (173 kb) pdf
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blue arrow Form R - Industrial Generator pdf

Miscellaneous SIU Checklists and Forms

blue arrow Administrative Update Form (41 kb) pdf
blue arrow Inactivation of NJPDES Permit Monitoring and Reporting Requirements pdf
  Inactivation” means that a permittee still possesses a valid NJPDES permit except that the permitted discharge has ceased, been temporarily discontinued or has not yet commenced.  The submission of Monitoring Report Forms is not required unless the outfall(s) is reactivated.  

blue arrow Request for Permit Revocation/Certification of Closure pdf
blue arrow WQM 003 Form - Statements of Consent (108 kb) pdf
blue arrow Application for Transfer of a Permit (49 kb) pdf
blue arrow pdf
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blue arrow Baseline Report (15 kb) pdf
blue arrow Agreement to do Business Electronically (32kb) pdf
blue arrow NJPDES EDI Agreement Form (66kb) pdf

Helpful Links
Significant Industrial User Permit Application Deficiencies

Program Contacts
Bureau of Pretreatment and Residuals, (609)633-3823
Permit Administration Section, (609)984-4428



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Last Updated: May 29, 2014