Division of Water Quality - Significant Indirect User Application Forms/Checklists


	Division of Water Quality

	NJPDES Surface Water Discharge
	NJPDES Stormwater Discharge
	NJPDES Ground Water Discharge
	NJPDES Significant Indirect User
	NJPDES Residual Management
	NJPDES Adjudicatory Hearing Requests and Stay Request Forms
	N.J.A.C. 7:9A Alternate Design Treatment Works Approval
	NJPDES Treatment Works Approval
	Municipal Finance Loan Applications

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 Form for Electronic Submission of Monitoring Report Forms (MRFs)

Statement of Consents

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

Additional Forms

	O and M Certification Form (31 kb)
	Supplemental Data Report Form (34 kb)
	Supplemental Data Report Instructions (14 kb)