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 (333 kb) NJPDES Form L - Supplemental Application Form to NJPDES-1 for NJPDES/SIU Permits (126 kb) Instructions for Form L (235 kb) Form R - Industrial Generator
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)
Statement of Consents	WQM 003 Form - Statements of Consent (108 kb)
Applicability Determinations/Supplements	SIU Determination Request (8 kb) Request for Determination of Categorical Applicability (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)
Additional Forms	O and M Certification Form (31 kb) Supplemental Data Report Form (34 kb) Supplemental Data Report Instructions (14 kb)

Helpful Links
Significant Industrial User Permit Application Deficiencies
Technical Manuals and Guidance Documents

Program Link
Bureau of Pretreatment and Residuals

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Last Updated: December 20, 2018