• Public Water System Water Conservation Questionnaire (Word Format) [Revised Jan 2004]
• TTHM/HAA5 Monitoring Plan Form [Revised Mar 2003]
• Wellhead Protection: New Well / Spring Application [Revised Jul 2008]
• Chemical Monitoring Laboratory Report Form [Revised Oct 2000]
• Application for a Permit to Operate a Public Water System (Adobe Format) [Revised Jan 2011]
• Application for a Permit to Operate a Public Water System (Word Format) [Revised Jan 2011]
• Drinking Water Project Sumbittal [Revised Jun 2001]
• Surface Water Sanitary Survey for Public Water Systems [Revised May 2001]
• Surface Water System Description (Part B) Sanitary Survey for Public Water Systems [Revised May 2001]
• Ground/Purchased Water Sanitary Survey for Public Water Systems [Revised May 2001]
• Ground/Purchased Water System Description (Part B) Sanitary Survey for Public Water Systems [Revised May 2001]
• Surface Water Treatment Plant Monthly Operating Report Forms (Excel Format) [Revised Nov 2005]
• Ground Water Treatment Plant Monthly Operating Report Forms (Excel Format) [Revised Dec 2003]
• Stage 1 Disinfectants and Disinfection Byproducts Quarterly Reporting for Total Trihalomethanes (TTHM) and Haloacetic Acids (HAA5) [Revised Dec 2003]
• Compliance Determination: Treatment Technique for DBP Precursor Removal (TOC Removal Report) [Revised Dec 2003]
• Manual for Chemical and Radiochemical Certification of Drinking Water Laboratories (Word format) [Revised Sep 2003]
  

Erosion and Sedimentation

• Variance Application for 25-foot Vegetative Buffer Encroachment [Revised March 2011]

• Variance Application for 50-foot Vegetative Buffer Encroachment [Revised March 2011]

• Model Soil Erosion, Sedimentation And Pollution Control Ordinance

*link to Technical Guidance page*

• Field Guide for Determining the Presence of State Waters that Require a Buffer [Sept. 2006]

Michael Berry

Jean Brown

Peggy Chambers

Jan Sammons

404.675.6240

404.675.6240

Engineering and Technical Support (Wastewater)

• Inspection Checklist and Enforcement Tracking (**SHORT FORM) [Revised MAR 2002]
  • Instructions for Submitting the Inspection Checklist and Enforcement Tracking form
• Inspection Checklist (**LONG FORM) [Revised MAR 2002]
  • Instructions for Submitting the Inspection Checklist

• Sanitary Sewer Extension Submittal [Revised Dec. 2011] *Updated*

404.362.2680

Non-Point Source

Section 319(h) Nonpoint Source Implementation Grant

Under Section 319(h) of the Clean Water Act, the U. S. Environmental Protection Agency (USEPA) awards a Nonpoint Source Implementation Grant to the Georgia Environmental Protection Division (GAEPD) to fund eligible projects, which support the implementation of the Georgia Nonpoint Source Management Program. Section 319(h) Grant funds for the prevention, control, and/or abatement of Nonpoint Sources of Pollution (NPS pollution) are available via competitive process to public agencies in Georgia.

Update June 22, 2011: FY2012 funds are now available. Please use the updated FY2011 grant application and guidance materials for your proposals.  Application deadline is October 31, 2011.

• Grant Announcement -
  • FY2012 Grant Announcement

• Grant Application -
  • Section 319(h) FY2012 Nonpoint Source Implementation Grant Application (Word Format) [Revised June 2011]

• Grant Project Implementation and Drawdown Schedule -
  • Section 319 (h) FY2012 Grant Project Implementation and Schedule (Excel Format) [June 2011]  This document is a required component of the FY2012 319(h) Grant application and will be used to track the completion of tasks and reporting requirements and the expenditure of fund.

• Grant Guidelines -
  • Section 319 (h) FY2012 Grant Guidelines [Revised June 2011]

• Priority Projects -
  • Priority is given to projects developing, revising, and/or implementing a TMDL Implementation Plan or Watershed Plan in order to alleviate the criterion violated as identified in Georgia’s Section 305(b)/303(d) list of impaired waters.

Storm Water

Construction

Notice of Intent Forms

• Notice of Intent for Primary Permittees (MS Word format) Version 2008 [Revised March 2011]
• Notice of Intent for Primary Permittees (PDF format) Version 2008 [Revised March 2011]

• Notice of Intent for Secondary Permittees (MS Word format) Version 2008 [Revised March 2011]
• Notice of Intent for Secondary Permittees (PDF format) Version 2008 [Revised March 2011]

• Notice of Intent for Blanket Secondary Permittees (MS Word format) Version 2008 [Revised March 2011]
• Notice of Intent for Blanket Secondary Permittees (PDF format) Version 2008 [Revised March 2011]

• Notice of Intent for Tertiary Permittees (MS Word format) Version 2008 [Revised March 2011]
• Notice of Intent for Tertiary Permittees (PDF format) Version 2008 [Revised March 2011]

 

Notice of Termination Forms

• Notice of Termination (MS Word format) Version 2008 [Revised March 2011]
• Notice of Termination (PDF format) Version 2008 [Revised March 2011]

• Notice of Termination for Blanket Secondary Permittees (MS Word format) Version 2008 [Revised March 2011]
• Notice of Termination for Blanket Secondary Permittees (PDF format) Version 2008 [Revised March 2011]
  

Construction Land Disturbance Fees Form

• GAEPD - Construction Land Disturbance Fees Form (Word Format) [Revised Aug 2008]
  • NPDES Construction Permit's Fee Fact Sheet [Revised August 2008]

Industrial

*NEW* Posted Jan. 26, 2011 - The 2006 NPDES General Permit No. GAR000000 for Storm Water Discharges Associated with Industrial Activity will expire on July 31, 2011. EPD is currently revising the existing permit for re-issuance, which is slated for August 2011. Please continue to check EPD’s website to obtain information on the re-issuance process. The 2006 NPDES General Permit No. GAR000000 continues in force and effect until the new general permit is issued. Any permittee who submitted a properly-completed Notice of Intent - Version 2006 or Version 2010 (NOI) form to obtain coverage under the current permit prior to the expiration date will automatically remain covered until the new permit is issued. Existing permitttees will have up to thirty (30) days after the effective date of the new permit to submit an NOI (NOI-Version 2011 only) to obtain coverage under the new permit.

General NPDES Permits for Storm Water Discharges From Industrial Activities (GAR000000) and Other Infomation [July 2011]

• ANNUAL REPORT FORMAT - NPDES Industrial Storm Water General Permit GAR000000 (MS Word Format) [March 2010]

• ANNUAL REPORT FORMAT - NPDES Industrial Storm Water General Permit GAR000000 (Adobe Format) [March 2010]

• NOTICE OF INTENT - For Coverage Under 2006 Reissuance of NPDES General Permit GAR000000 To Discharge Storm Water Associated With Industrial Activity (MS Word Format) [June 2010]

• NOTICE OF INTENT - For Coverage Under 2006 Reissuance of NPDES General Permit GAR000000 To Discharge Storm Water Associated With Industrial Activity (Adobe Format) [June 2010]

• NOTICE OF TERMINATION - NPDES Industrial Activities (MS Word format) [Revised Sept. 2010]

• NOTICE OF TERMINATION - NPDES Industrial Activities (Adobe format) [Revised Aug 2000]

• Industrial No Exposure Certification Form (MS Word Format) [Revised July 2006]

• Industrial No Exposure Certification Form (Adobe Format) [Revised July 2006]

Municipal

• ANNUAL REPORT FORM - Phase I Municipal Separate Storm Sewer System (MS4) (Word format) [Revised Sept. 2010]

• ANNUAL REPORT FORM - Phase I Medium Municipal Separate Storm Sewer System (MS4) (Word format) [revised Feb. 2011] 

• ANNUAL REPORT FORM - Phase II Municipal Separate Storm Sewer System (MS4) (Word Format) [Revised Oct. 2008]

• NOTICE OF INTENT - Phase II Small Municipal Separate Storm Sewer Systems (MS4) GAG610000 (Adobe Format) Revised Jan 2003]

• NOTICE OF INTENT - Phase II Small Municipal Separate Storm Sewer Systems (MS4) GAG610000 (Word Format) [Revised Jan 2003]

Construction

Jan Sammons

Industrial

Mark Wyland

Michele Robbins

Municipal

Mildred Granderson

Connie Haynes

Lyn Mickelson

Lisa Perrett

404.675.6240

404.675.6240

404.675.6240

Wastewater (NPDES & LAS)

• NPDES EPA Form1
• NPDES EPA Form2A
• NPDES EPA Form2C
• NPDES EPA Form2D
• NPDES EPA Form2E
• NPDES EPA Form2F
• Application for an LAS Permit
• Application for a Pretreatment Permit [Revised Jan 2005]
  
  
• Offsite Link (Animal Feeding Operation Permitting Information and Forms)
  • UGA Extension Service

Gigi Steele

Jane Hendricks

404.362.2680

404.362.2680

• UIC Mixed Waste Non-Domestic Septic Systems Permit Application Form [Revised July 2010]

• UIC Application Form [Revised July 2010]

• UIC Application Checklist [Revised Dec 1991]

• UIC Pilot Test Notification Form [Revised July 2010]

• Water Well Driller and Pump Installer Information

Water Withdrawal Permitting

Agricultural

• Agricultural Permitting Unit Information Page hosted by UGA/NESPAL with links to Aerial Photo Reference Maps *NOTE: Offsite Link*

• Agricultural Withdrawal Application (Abobe format) [Revised August 2008]

• Agricultural Well Completion Data Form (MS Word format) [Revised March 2008]

• Agricultural Well Pump Information Form (Adobe format) [Revised Sep 2011]

• EPD Request For Changes To Agricultural Withdrawal Permit (Adobe format) [Revised April 2010] *updated*

• Notification of Agricultural Water Withdrawal Permit Relinquishment, Inactivation, or Revocation (Adobe format) [Revised Aug 2011]

• GASWCC Flow Meter Approval Form and Contact Map (Adobe format) [Revised Nov. 2010]

• Low Flow Plan Guide - Drought Contingency Plan 

Municipal and Industrial Surface Water

• Industrial Surface Water Withdrawal Application (Word format) [Revised Nov 2009]

• Municipal Surface Water Withdrawal New Application (Word format) [Revised Nov 2009]

• Surface Water Monthly Withdrawal Report - Raw Water Intake Data (Excel format) [Revised Jul 2005 ]

• Surface Water Withdrawal Interbasin Transfer Annual Report (Excel format) [Revised Apr 2004]

• Surface Water Coosa-Tallapoosa River Basin Withdrawal Interbasin Transfer Monthly Report (Excel format) [Revised Apr 2004]

• Water Conservation Progress Report (Word format) [Revised Aug. 2010]

Municipal and Industrial Groundwater

All Groundwater Permit Applicants Must Complete:

• Part A Application - General System Information
  • Part A Application Form - General System Information (MS Word Format) [Revised Aug. 2008] 

• Part A Application Form - General System Information (Editable Adobe .PDF Format) [Revised Aug. 2008]

• Part B Application - Well Data
  • Part B Application Form - Well Data (MS Word Format) [Revised Aug. 2008]
  • Part B Application Form - Well Data (Editable Adobe .PDF Format) [Revised Aug. 2008]

• Monthly Groundwater Use Reporting Form (MS Excel Format) [Jan. 2009]

 

Municipal Groundwater Permit Applicants Must Also Complete:

• Municipal Water Conservation Plan [Revised Apr 2004]
• Municipal Water Conservation Plan Characteristics [Revised Apr 2004]
• Water Conservation Progress Report (Word format) [Revised Aug. 2010]
• Submit a signed copy of HB489 Service Delivery Strategy (from the Georgia Department of Community Affairs)

 

Industrial Groundwater Permit Applicants Must Also Complete:

• Industrial Water Conservation Plan [Revised Apr 2004]
• 5-Year Water Conservation Progress Report for Industrial facilities [Revised Mar 2003]

Golf Course Groundwater Permit Applicants Must Also Complete:

• Golf Course Water Conservation Plan [Revised Apr 2004]
• Golf Course Water Conservation Plan Characteristics [Revised Apr 2004]
• 5-Year Water Conservation Progress Report for Golf Course facilities [Revised Mar 2003]

 

Agricultural

Ted Jackson

Surface Water

Ade Oke

Groundwater

Bill Frechette

229.391.2400

404.362.2637

404.675.1680