Water Protection Bureau
Forms, Applications and Certifications
The forms below are pdf forms that can be completed online. The save form data feature is not available on these forms. You may need to download the newer version of Acrobat Reader 8. If you prefer to print the form out and then complete it, you can do that as well. 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 |
| 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 |
| 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 |
| 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 |
| SW-1 - Storm Water Dischargers | This form is used to obtain coverage under a general permit for storm water discharges associated with industrial facilities and 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 General Permit for Storm Water Discharges Associated with Mining and with Oil and Gas Activity |
| 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 Compliance Evaluation 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 |
| Mining and Oil and Gas Annual Compliance Evaluation Report Form and Discharge Monitoring Report | This form is divided into three major portions. Permittees may complete and submit the entire form package or only Section One or Section Two along with Section Three. This option depends on the General Permit requirements specific to your facility and/or the time of year. | General Permit for Storm Water Discharges Associated with Mining and with Oil and Gas Activities |
| MS4 Application | This form is used to apply for 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. | Construction Dewatering Disinfected Water Domestic Sewage Treatment Lagoons Petroleum Cleanup Produced Water Sand and Gravel Suction Dredges MPDES Permits |
| New and existing publicly owned treatment works (POTWs). Must be accompanied by Form 1. | Domestic Sewage Treatment Lagoons, MPDES Permits | |
| Form 2B | Application for permit to discharge wastewater from concentrated animal feeding operations (CAFOs) and aquatic animal production facilities. For CAFOs also see Form NMP. | Concentrated Animal Feeding Operation (CAFO) Fish Farms |
| 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. | Construction Dewatering Disinfected Water Petroleum Cleanup Produced Water Sand and Gravel Suction Dredges Other |
| 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 |
| 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) |
| PW-1 | Produced Water Impoundment Capacity Self Evaluation | Produced Water General Permit, MPDES Permits |
| 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/Pesticide Application | This form is used to apply for a short term exemption from surface water quality standards for emergency remediation/pesticide application. | 308 - Pesticides |
| 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) | 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 |
| LA-1 - Land Application | Form LA-1 is to be used for facilities that dispose of wastewater (sewage, industrial or other wastes) to the land surface. | 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 |
