Water Protection Bureau Forms, Applications and Certifications

Go To Facts
is now available for completing, submitting and paying for MPDES permits and general permit authorizations online. The forms below are copies of the forms that will be completed and submitted within the FACTS system. The 'save form data' feature is not available on these forms and they should not be used as an alternative to using the FACTS system.  Please call the WPB's main phone number, 406-444-3080, if you have questions concerning completing the forms.

 

Forms Description Associated Permits
NOI - Notice of Intent This form is used for a construction activity eligible for coverage under the Department's General Permit for Storm Water Discharges Associated with Construction Activity. General Permit for Storm Water Discharges Associated with Construction Activity
SWPPP - Storm Water Pollution Prevention Plan The SWPPP is used to direct and assist permittees in identifying sources of potential pollutants at the construction activity site and Best Management Practices (BMPs ) to be used to help ensure such pollutants do not impact receiving surface waters through storm water runoff. General Permit for Storm Water Discharges Associated with Construction Activity
Attachment A for SWPPP This form is to be used to delegate authority to additional SWPPP Administrator(s). General Permit for Storm Water Discharges Associated with Construction Activity
Attachment B for SWPPP This form is to be used by SWPPP Administrator(s) completing self inspections and corrective actions. General Permit for Storm Water Discharges Associated with Construction Activity
NOT - Notice of Termination This form is used to notify the Department that a facility or site has achieved final stabilization and permit coverage should be terminated. General Permit for Storm Water Discharges Associated with Construction Activity
PTN - Permit Transfer Notification Use this form to request a transfer or change in the legal entity that holds a Montana Pollutant Discharge Elimination System (MPDES) permit,  permit authorization under the general permit for storm water discharges associated with construction. General Permit for Storm Water Discharges Associated with Construction Activity
Storm Water Rainfall Erosivity Waiver This form is to be used for a 'storm water discharge associated with construction activity' that results in a construction-related disturbance of less than five acres of total land area, and which results in the construction activity having a Rainfall Erosivity Factor ('R' in the Revised Universal Soil Loss Equation - RULSE) of less than five (5). General Permit for Storm Water Discharges Associated with Construction Activity
NOI Industrial Stormwater This form is used to obtain coverage under a general permit for storm water discharges associated with industrial facilities, mining and oil and gas operations, or that the Department has determined are contributing to a violation of water quality standards or are a significant source of pollutants. General Permit for Storm Water Discharges Associated with Industrial Activity

Industrial No Exposure Certification Form

This form is for use by industrial, mining and oil and gas facilities subject to regulation under the Montana Pollutant Discharge Elimination System (MPDES) regulations whose regulated activities and materials are completely sheltered. See ARM 17.30.1116
Industrial Annual Report Form This form is to be completed yearly by all permittees authorized to discharge storm water under the General Permit for Storm Water Discharges Associated with Industrial Activity as required by the permit. General Permit for Storm Water Discharges Associated with Industrial Activities
PTN -Storm Water Industrial Use this form to request a transfer or change in the legal entity that holds a Montana Pollutant Discharge Elimination System (MPDES) permit, permit authorization under the general permit for storm water discharges associated with industrial activities.  
MS4  New Application This form is used to apply for a new authorization to discharge storm water for a small municipal separate storm system. General Permit for Storm Water Discharge Associated With Small Municipal Separate Storm Sewer System (MS4)
MS4 Reapplication This form is used to apply for a renewal authorization to discharge storm water for a small municipal separate storm system. General Permit for Storm Water Discharge Associated With Small Municipal Separate Storm Sewer System (MS4)
MS4 Annual Report Form This form is to be completed by each permittee or co-permittee authorized to discharge storm water under the MS4 General Permit. General Permit for Storm Water Discharge Associated With Small Municipal Separate Storm Sewer System (MS4)
Forms Description Associated Permits
Form 1 General information application. Must be submitted by all applicants applying for an individual MPDES permit.  

NOI-581 Continuous Discharger

NOI-580 Batch Discharger

Notice of Intent for Domestic Sewage Treatment Lagoons GP Domestic Sewage Treatment Lagoons General Permit

Form 2A

Form 2A Instructions

New and existing publicly owned treatment works (POTWs). Domestic Sewage Treatment Lagoons, MPDES Permits
Form 2C Application for permit to discharge wastewater - existing industrial facilities (including manufacturing, commercial, mining and silvicultural operations. Must be accompanied by Form 1. MPDES Permits
Form 2D Application for permit to discharge process wastewater - for new sources or new dischargers. Must be accompanied by Form 1.

MPDES Permits

Form 2E Application for facilities which do not discharge process wastewaters. Must be accompanied by Form 1. Water Treatment Plants and Others
Form 2F Application for permit to discharge storm water associated with new and existing industrial activity. Must be accompanied by Form 1. Individual Storm Water Discharges Composed completely of storm water
NOI Concentrated Animal Feeding Operation The Concentrated Animal Feeding Operation Notice of Intent (CAFO NOI) is for discharge wastewater from CAFO. Concentrated Animal Feeding Operation (CAFO)
Form NMP Application for Nutrient Management Plan to discharge wastewater from concentrated animal feeding operations (CAFO). Concentrated Animal Feeding Operation (CAFO)
AR2 CAFO Annual Report Form Concentrated Animal Feeding Operation (CAFO)
NOI - 07 Application for Construction Dewatering GP Construction Dewatering General Permit
NOI - 77 Application for Disinfected Water & Hydrostatic Testing GP Disinfected Water & Hydrostatic Testing General Permit
NOI - 13 Application for Concentrated Aquatic Animal Production (Fish Farms) GP Concentrated Aquatic Animal Production General Permit
NOI - 31 Application for Produced Water GP Produced Water General Permit
PW - 1 Produced Water Storage Capacity Self Evaluation Produced Water General Permit
NOI - 37 Application for Suction Dredging GP Suction Dredging General Permit
Forms Description Associated Permits
Form 1 General information application. Must be submitted by all facilities applying for an individual MGWPCS permit. Domestic Wastewater
Treated Ground Water
Industrial Ground Water
Sewage, Industrial or Other Ground Water
GW-1 Form GW-1 is to be used for facilities that discharge or propose to discharge domestic sewage to state ground water. Must be accompanied by Form 1. Domestic Wastewater
GW-2 Form GW-2 is to be used for facilities that discharge or propose to discharge waste from the process of business or industry or the development of any natural resource together with any sewage that may be present (industrial waste) or other waste. Must be accompanied by Form 1. Treated Ground Water
Potable Ground Water
Industrial Ground Water
Forms Description Associated Authorizations/
Certifications
Application for Short-term Exemption from Surface Water Quality Standards for Emergency Remediation Application This form is used to apply for a short term exemption from surface water quality standards for emergency remediation application. 308 - Emergency Remediation
Application for Short-Term Water Quality Standard for Turbidity Related to Construction Activity This form is used to apply for a short term water quality standard for turbidity related to construction activities. 318 - Turbidity
Forms Description Associated Permits

Discharge Monitoring Report (DMR)

Instructions

DMR Example

Discharge monitoring results must be recorded on a DMR form. The permittee shall complete and submit a DMR form for each point source outfall requiring monitoring, including discharges that were not activated. MPDES Permits
MGWPCS Permits
PTN - Permit Transfer Notification Use this form to request a transfer or change in the legal entity that holds a Montana Pollutant Discharge Elimination System (MPDES) permit, Ground Water Pollutant Control System (GWPCS) permit, or permit authorization under a general permit including storm water permits. MPDES Permits
MGWPCS Permits
RFT - Request for Termination Use this form to request a termination of an Individual MPDES and Groundwater GWPCS. MPDES Permits
MGWPCS Permits
NOT - Notice of Termination Use this form to notify termination of a non-storm water permit authorization. Non-Storm Water general permits