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Drinking Water

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  • Disinfection By-Products Rule
  • Lead and Copper
  • Groundwater Chlorine Monitoring Forms
  • Surface Water Treatment System Report (SWTR)
  • Revised Total Coliform Rules
  • Chemical Waivers

Permitting

Apply For or Renew Permits Online (FACTS)

  • Montana Pollutant Discharge Elimination System (MPDES) General Permit Forms
  • Montana Pollutant Discharge Elimination System (MPDES) Individual Permit Forms
  • Montana Ground Water Pollution Control System (MGWPCS) Permit Forms
  • Emergency Remediation and Temporary Turbidity
  • Stormwater Permit Forms
  • Noncompliance Reporting Forms

State Revolving Fund

  • Drinking Water SRF Form
  • Water Pollution Control SRF Form
  • Universal Application Form

Subdivisions

  • Subdivisions Forms
  • Nondegradation Analysis

Engineering Plan Review

  • Engineering Plan Review Forms

Operator Certification

  • Operator Certification Forms

Public Notification

  • Instructions for Fluoride MCL Public Notice
  • Instructions for Fluoride SMCL Notice

Noncompliance Reporting Forms

  • Noncompliance Reporting Form
  • Sanitary Sewer Overflow Form

Surface Water Treatment Report Forms

Instructions

Instructions on using Microsoft Excel Forms will walk you through step-by-step to submit your forms.

Please click on the link that best suits your treatment facility type.

The Surface Water Treatment Report (SWTR) forms are listed below.

Unfiltered Forms:

  • Source Water Quality Conditions for Unfiltered Systems
  • Long-Term Source Water Quality Conditions for Unfiltered Systems
  • CT Determination for Surface Water Systems
  • CT Compliance Report & Distribution System Disinfectant Residual Data

Operator Certification Forms

General Operator Certification

  • Drinking Water Application
  • Wastewater Application
  • Temporary Operator Certification Application
  • Application for CEC Approval Forms
  • Contact/Operator Update Form
  • Contract Operator Designation Form
  • Montana Credit Report Form

Drinking Water State Revolving Loan Forms

  • DWSRF Survey Form
  • CMDP - Report Your Drinking Water Data

Compliance

  • Noncompliance Reporting Form
  • Samitary Sewer Overflow Form

Water Pollution Control State Revolving Fund

  • WPCSRF Survey Form

Ground Water Monitoring Forms

Chlorine Monitoting/Reporting

  • Daily Chlorine Residual Reporting Form (pdf)
  • Daily Chlorine Residual Reporting Form (xlsx)
  • Daily Chlorine Residual Reporting Form for Water Haulers

Disinfection By-Product Forms

  • Monthly DBP Reporting Form (pdf)
  • Quarterly DBP Reporting Form (pdf)

Instructions

  • Using Microsoft Excel Forms

Subdivision Forms

General Subdivision Forms

  • Complete Application Package (Print)
  • Complete Application Package (Fillable)
  • Guidance & Instructions
  • Pre-Application Form (Print)
  • Pre-Application Form (fillable)

Application Parts I - IV

  • Application Part I - General Description & Information (Print)
  • Application Part I - General Description & Information (Fillable)
  • Application Part II - Required for Approval under Sanitation in Subdivisions Laws
  • Application Part III - Required for Environmental Assessment under the  Subdivision & Platting Act
  • Application Part IV - Subdivision Checklist (fillable)
  • Application Part IV - Subdivision Checklist (Print)

Other Subdivision Forms

  • Municipal Facilities Exclusion Checklist (MFE)
  • Municipal Facilities Exclusion Checklist (Fillable)
  • Notice of Change to Municipal or District Water & Sewer Checklist
  • Notice of Change to Municipal or District Water & Sewer Checklist (Fillable)
  • Significance Determination Checklist
  • Subdivision Review Fee Calculation - Effective March 1, 2020
  • Environmental Assessment Checklist
  • Nitrate Calculation Sheet
  • Nitrate Calculation Sheet - Includes option for calculating cumulative effects
  • Phosphorus Calculation Sheet

Deviation Waiver Request Forms

  • Deviation Form A
  • Fillable Deviation Form A
  • Deviation Form B
  • Fillable Deviation Form B
  • Public Water Supply Deviation Request

Engineering Plan Review Forms

Forms and Checklist

  • 2014 Water Main Extension and Replacement Checklist
  • 2018 Community Water Supply Well Checklist DEQ-1
  • 2018 NonCommunity Water Supply Well Checklist DEQ-3
  • 2014 Sewer Main Certified Checklist
  • Deviation Form A
  • Fillable Deviation Form A
  • Deviation Form B
  • Fillable Deviation Form B
  • Sample Easement Language
  • Plan Review Fee Record
  • Information/Data Request Form

MPDES General Permit Forms with Descriptions

Apply For or Renew Permits Online (FACTS)

Forms Description
  Domestic Sewage Treatment Lagoons
NOI-581 Continuous Discharger Notice of Intent for Domestic Sewage Treatment Lagoons Continuous Discharger
NOI-580 Batch Discharger Notice of Intent for Domestic Sewage Treatment Lagoons Batch Discharger
  Concentrated Animal Feeding Operation (CAFO)
NOI Concentrated Animal Feeding Operation The Concentrated Animal Feeding Operation Notice of Intent (CAFO NOI) is for discharge wastewater from CAFO
Form NMP Application for Nutrient Management Plan to discharge wastewater from concentrated animal feeding operations (CAFO)
AR2 CAFO Annual Report Form
Form CD Discharge Event Form
  Construction Dewatering General Permit
NOI-07 2020 Application for Construction Dewatering General Permit
Daily Log 2020 Construction Dewatering Daily Log
NOI-07 Instructions 2020 Instructions for Construction Dewatering General Permit
  Disinfected Water & Hydrostatic Testing General Permit
NOI - 77 Application for Disinfected Water & Hydrostatic Testing General Permit
  Concentrated Aquatic Animal Production General Permit
NOI - 13 Application for Concentrated Aquatic Animal Production (Fish Farms) General Permit
  Produced Water General Permit
NOI - 31 Application for Produced Water General Permit
PW - 1 Produced Water Storage Capacity Self Evaluation
  Petroleum Cleanup General Permit
NOI - 2 Notice of Intent
  Pesticides General Permit
NOI - 87 Application for Pesticides General Permit
AR-3 Annual Report
  Suction Dredging General Permit
NOI - 37 Application for Suction Dredging General Permit
Discharge Log Suction Dredge Discharge Log
  Sand and Gravel General Permit
NOI Application for Sand and Gravel General Permit
Daily Log Sand and Gravel Discharge Log
  Non-Stormwater General Permit Forms
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 stormwater permits.
NOT - Notice of Termination Use this form to notify termination of a non-stormwater permit authorization.

Stormwater Permits with Descriptions

Apply For or Renew Permits Online (FACTS)

Forms Description
  General Permit for Stormwater Discharges Associated with Construction Activity
NOI - Notice of Intent This form is used for a construction activity eligible for coverage under the Department's General Permit for Stormwater Discharges Associated with Construction Activity.
SWPPP - Stormwater 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
Attachment A for SWPPP This form is to be used to delegate authority to additional SWPPP Administrator(s)
Attachment B for SWPPP This form is to be used by SWPPP Administrator(s) completing self inspections and corrective actions
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
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 stormwater discharges associated with construction
Stormwater Rainfall Erosivity Waiver This form is to be used for a 'stormwater 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 - RUSLE) of less than five (5)
  General Permit for Stormwater Discharges Associated with Industrial 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

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
Industrial Annual Report Form This form is to be completed yearly by all permittees authorized to discharge stormwater under the General Permit for Stormwater Discharges Associated with Industrial Activity as required by the permit
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 stormwater discharges associated with industrial activities
  General Permit for Storm Water Discharge Associated With Small Municipal Separate Storm Sewer System (MS4)
MS4 New Application This form is used to apply for a new authorization to discharge stormwater for a small municipal separate storm system
MS4 Reapplication This form is used to apply for a renewal authorization to discharge stormwater for a small municipal separate storm system
MS4 Annual Report Form This form is to be completed by each permittee or co-permittee authorized to discharge stormwater under the MS4 General Permit

Montana Pollutant Discharge Elimination System Individual Permit Forms

Apply For or Renew Permits Online (FACTS)

Forms Description
Form 1 General information application. Must be submitted by all applicants applying for an individual MPDES permit

Form 2A
Form 2A Instructions

New and existing publicly owned treatment works (POTWs)
Form 2C Application for permit to discharge wastewater - existing industrial facilities (including manufacturing, commercial, mining and silvicultural operations). Must be accompanied by Form 1
Form 2D Application for permit to discharge process wastewater - for new sources or new dischargers. Must be accompanied by Form 1
Form 2E Application for facilities which do not discharge process wastewaters. Must be accompanied by Form 1
Form 2F Application for permit to discharge storm water associated with new and existing industrial activity. Must be accompanied by Form 1
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 stormwater permits.
RFT - Request for Termination Use this form to request a termination of an Individual MPDES and Groundwater GWPCS.

Montana Ground Water Pollution Control System Permit Forms

Apply For or Renew Permits Online (FACTS)

Forms Description
Form 1 General information application. Must be submitted by all facilities applying for an individual MGWPCS permit
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
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
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 stormwater permits.
RFT - Request for Termination Use this form to request a termination of an Individual MPDES and Groundwater GWPCS.

State Authorization and Certification Forms

Forms Description Associated Authorizations/
Certifications
Application for Short-term Exemption from Surface Water Quality Standards for Emergency Remediation Application (308) 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 (318) This form is used to apply for a short term water quality standard for turbidity related to construction activities. 318 - Turbidity

Nondegradation Analysis

How to Perform a Nondegradation Analysis for Subsurface Wastewater Treatment Facilities

  • Appendix A: SWTS - Nondegradation Checklist (xls)
  • Appendix B: SWTS - Significance Determination Checklist (pdf)
  • Appendix C: SWTS - Ground Water Mixing Zone Determination Checklist (pdf)
  • Appendix D: SWTS - Surface Water Mixing Zone Determination Checklist (pdf)
  • Appendix E: Nitrate Sensitivity Analysis Spreadsheet (xls)
  • Appendix E: Nitrate Sensitivity Analysis Spreadsheet - Cumulative Effects (xls)
  • Appendix F: Bauman and Schafer Paper (pdf)
  • Appendix G: Calculating Hydraulic Conductivity from Well Log Pumping Test Data (pdf)
  • Appendix H: Hydraulic Gradient Three Point Solution Worksheet (pdf)
  • Appendix I: Hydraulic Gradient Example (gif)
  • Appendix J: Allowed Nitrate Concentrations (ARM 17.30.715) (pdf)
  • Appendix K: Examples of Accepted Methods for Drawing Mixing Zones (jpg)
  • Appendix L: Nitrate Sensitivity Analysis: Cumulative Effects Example (pdf)
  • Appendix M: Identification of Confined Aquifers (1/3) (pdf)
  • Appendix M: Identification of Confined Aquifers (2/3)(jpg)
  • Appendix M: Identification of Confined Aquifers (3/3) (jpg)
  • Appendix N: Phosphorus Breakthrough Analysis Spreadsheet (xls)
  • Appendix O: Calculation of Cumulative Phosphorus Impacts (pdf)
  • Appendix O: Calculation of Cumulative Phosphorus Impacts Figure (jpg)
  • Appendix P: Summary of Categorical Exemptions (pdf)
  • Appendix Q: Adjacent to Surface Water Dilution Analysis (xls)
  • Appendix R: Darcy's Law for Calculating Ground Water Flow Volumes (jpg)
  • Appendix S: Estimating 7Q10 on an Ungauged Stream (pdf)
  • Appendix T: Trigger Value Calculations for Impacts of Nitrates to Surface Water (pdf)
  • Appendix U: Pathogen Transport (xlsx)

Consumer Confidence Rule

CCR Certification Form

Disinfection By Products Rule

  • Monthly DBP Reporting Form (pdf)
  • Quarterly DBP Reporting Form (pdf)
  • Change of Sampling Site for Disinfection Byproducts

Lead and Copper

  • Consumer Notice Certification Form of Lead Tap Water Monitoring
  • Lead and Copper Consumer Notice Posting Template for Non-Community - Non-Transient Systems
  • Lead and Copper Consumer Notice Letter Template for Community Systems
  • Sampling Location Change
  • How to Calculate 90th Percentile Values
  • Lead and Copper Site Sampling Plan

Groundwater Chlorine Monitoring Form

Daily Chlorine Residual Reporting Form

Daily Chlorine Residual Reporting Form for Water Haulers

Surface Water Treatment System Report

SWTR form Instructions

Filtered System Forms:

Single Baffle Factor Direct & Conventional Filtration MOR

Single Baffle Factor Alternative (Membrane or Cartridge) Filtration MOR

2 Baffling Factor Direct & Conventional Filtration MOR

UV Calculated Dose Approach

UV Set Point Approach

Unfiltered System Forms

Source Water Quality Conditions for Unfiltered Systems

Long-Term Source Water Quality Conditions for Unfiltered Systems

CT Determination for Surface Water Systems

CT Compliance Report & Distribution System Disinfectant Residual Data

Consecutive Connection Systems (Surface Water Purchase)

Daily Chlorine Residual Report Form

Revised Total Coliform Rule

Level 1 Assessment Form

Seasonal System Checklist and Certification Form (Instructions)

Seasonal Start-up Form

Montana Site Sampling Plan Form

Chemical Waivers

Chemical Waiver Form

About Us

The Montana Department of Environmental Quality is charged with protecting a clean and healthy environment as guaranteed to our citizens by our State Constitution. Our ultimate goal is to protect public health and to maintain Montana's high quality of life for current and future generations.

Reclamation Nears Completion on Upper...

Davin, Moira / Tuesday, January 19, 2021 0 121

Area Opening for Recreational Use 

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