Discharge to Surface Water Permit Application Forms and Checklists

*Download forms to the right the of discharge category.

Discharge Category Description	Form Title
A - Individual Permit for Domestic Discharge CSO - General Permit for Combined Sewer Overflow Discharge	Application Completeness Checklist NJPDES Discharge to Surface Water Domestic & Industrial Permits (160kb) NJPDES Form 1 (333 kb) Form A - Supplemental Application Form to NJPDES-1 for Domestic NJPDES/DSW Permits (1765 kb) Form A Instructions (40 kb) Form R - Domestic Generator (200 kb) Form SIU-1 - Significant Indirect User Discharges for New DLA and Non-DLA dishargers(149 kb) Form SIU-1 (Non-DLA): Significant Indirect User Discharges for Renewal Non-DLA dischargers (168 kb)
ASC - Consolidated School General Permit	Application Completeness Checklist NJPDES Discharge to Surface Water Domestic & Industrial Permits (160kb) NJPDES Form 1 (333 kb) Form A - Supplemental Application Form to NJPDES-1 for Domestic NJPDES/DSW Permits (1765 kb) Form A Instructions (40 kb) Form R - Domestic Generator (200 kb) Form SIU-1 - Significant Indirect User Discharges for New DLA and Non-DLA dishargers(149 kb) Form SIU-1 (Non-DLA): Significant Indirect User Discharges for Renewal Non-DLA dischargers (168 kb)
BPW - Consolidated Potable Water Treatment Plant	Application Completeness Checklist NJPDES Discharge to Surface Water Domestic & Industrial Permits (160kb) NJPDES Form 1 (333 kb) Form C - Supplemental Application Form to NJPDES-1 for Industrial NJPDES/DSW Permits (121 kb) Form C Instructions (230 kb) Form R - Industrial Generator
B - Individual Permit for Industrial or Commercial or Thermal Discharge	Application Completeness Checklist NJPDES Discharge to Surface Water Domestic & Industrial Permits (160kb) NJPDES Form 1 (333 kb) Form C - Supplemental Application Form to NJPDES-1 for Industrial NJPDES/DSW Permits (121 kb) Form C Instructions (230 kb) Form R - Industrial Generator
B4B - General Permit for Ground Water Petroleum Product Clean Up Discharge	Request for Authorization Checklist General Surface Water Permits (75 kb)) NJPDES Form 1 (333 kb) Supplemental Application Form to NJPDES-1 Categories B4B, Category BGR (1341 kb)
CG - General Permit for Non-Contact Cooling Water Discharge	Request for Authorization Checklist General Surface Water Permits (75 kb) NJPDES Form 1 (333 kb) Supplemental Application Form to NJPDES-1 for Category CG (129 kb)
BG - Hydrostatic Test Water	Request for Authorization Checklist NJPDES Discharge to Surface Water Permit Category BG (147 kb) NJPDES Form 1 (333 kb) Supplemental Application Form to NJPDES Form 1 for Category BG (Clean Water Assurance Certification Form) (247 kb)
BGR - General Remediation Clean-up Permit Authorization	Request for Authorization Checklist General Surface Water Permits (75 kb) NJPDES Form 1 (333 kb) Supplemental Application Form to NJPDES-1 Categories B4B, Category BGR (1341 kb) Form R - Industrial Generator
B6 - Swimming Pool Discharges	Request for Authorization Checklist NJPDES Discharge to Surface Wate Permit Category B6 (661 kb) NJPDES Form 1 (333 kb) Supplemental Application Form to NJPDES-1 Category B6 (132 kb)
B7 -Short Term De Minimis General Permit	Short Term De Minimis RFA Checklist Request for Authorization (RFA) Certification Form for Short Term De Minimis
PGP- Pesticide Application Dicharge	Request for Authorization Checklist NJPDES Discharge to Surface Wate Permit Category PGP NJPDES Form 1 Supplemental Application Form to NJPDES-1 for Category PGP
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)

Helpful Links
Discharge to Surface Water Permit Application Deficiencies
Technical Manuals and Guidance Documents

Program Link
Bureau of Surface Water and Pretreatment Permitting

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Last Updated: October 19, 2023