Discharge to Ground Water Permit Application Forms and Checklists

*Download forms to the right of your discharge category.

Discharge Category Description	Form Title
DGW- Individual Permit for Ground Water Discharge	Application Completeness Checklist: Individual & General NJPDES Discharge to Ground Water (DGW) Permits (174 kb) NJPDES Form 1 (333 kb) Form R - Industrial Generator Form R - Domestic Generator
GWCF - Sanitary Wastewater Discharges from Commercial Farm Activities	Application Completeness Checklist: Individual & General NJPDES Discharge to Ground Water (DGW) Permits (174 kb) NJPDES Form 1 (333 kb) GWCF Inventory Form (178 kb)
GFLH - Sanitary Wastewater Discharges from Farm Labor Housing	Application Completeness Checklist: Individual & General NJPDES Discharge to Ground Water (DGW) Permits (174 kb) NJPDES Form 1 (333 kb) GFLH Inventory Form (281 kb)
I1 - General Permit for Stormwater Basins at Sanitary Landfills	Application Completeness Checklist: Individual & General NJPDES Discharge to Ground Water (DGW) Permits (174 kb) NJPDES Form 1 (333 kb)
I2 - General Permit for Potable Water Treatment Plants	Application Completeness Checklist: Individual & General NJPDES Discharge to Ground Water (DGW) Permits (174 kb) NJPDES Form 1 (333 kb) Form R - Industrial Generator
K2 - Dental Facilities Onsite Wastewater Treatment Systems	Application Completeness Checklist: Individual & General NJPDES Discharge to Ground Water (DGW) Permits (174 kb) NJPDES Form 1 (333 kb) K2 Supplemental Application Form (24 kb)
LSI - General Permit for Lined Surface Impoundment	Application Completeness Checklist: Individual & General NJPDES Discharge to Ground Water (DGW) Permits (174 kb) NJPDES Form 1 (333 kb)
T1 - General Permit for Sanitary Subsurface Disposal	Application Completeness Checklist: Individual & General NJPDES Discharge to Ground Water (DGW) Permits (174 kb) NJPDES Form 1 (333 kb) T1 Facility Information Form (38 kb)
Supplemental Forms and Checklists
Agreement to Do Business Electronically	Agreement to do Business Electronically (32kb)
Agreement Form for Electronic Submission of Monitoring Report Forms (MRFs)	NJPDES Agreement for Electronic Submission of MRFs (202kb)
Monitoring Well Certifications	Monitoring Wells Certification - Form A - As-Built Certification (21 kb) Ground Water Monitoring Well Certification - Form B - Location Certification (24 kb)
Engineers Report	Engineer's Report for Individual Subsurface Sewage Disposal Systems (37 kb)

Helpful Links
Ground Water Permit Application Deficiencies
Technical Manuals and Guidance Documents

Program Link
Bureau of Ground Water, Residuals and Permit Administration
Bureau of Construction and Connection Permits - Treatment Works Approval Section

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Last Updated: April 21, 2023