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Wastewater Forms

 

Below is an index of the wastewater forms associated with our rules. Before selecting a form, please take a minute to read the following instructions.

Form Integrity - our forms have been created as a protected form and then saved with password protection. While you will be able to enter your data into the text fields provided in the form, you will not be able to alter the format or the context of the form.

To open a form click on either the Adobe (PDF) or MSWord link next to the title of the form that you want. Due to the form size and/or form fields some forms may take a minute or two to open. For your convenience, these forms have been designed to allow you to fill the form in on the computer.

To fill in a form using Adobe: enter the appropriate information into the field and tab to the next field. Once all the information is filled in, print the form out, send us a copy, and keep a hard copy for yourself. Adobe Reader will not let you save the document with any of the text you have entered, nor will you be able to e-mail it to us. If you do not wish to fill the form in on the computer, simply print out a copy and either complete it in ink or use a typewriter.

To fill in a form using Word: enter the appropriate information into the field and tab to the next field. Once all the information is filled in, print the form out, send us a copy, and keep a hard copy for yourself. These forms can be saved after the information has been entered; however, you will not be able to spell check them since they are form protected. If you do not wish to fill the form in on the computer, simply print out a copy and either complete it in ink or use a typewriter.

Form #

Form Title (# of pages)

Version

62-604.300(8)(a) Notification/Application For Constructing A Domestic Wastewater Collection/Transmission System MSWord PDF
62-604.300(8)(b) Request For Approval To Place A Domestic Wastewater Collection/Transmission System Into Operation MSWord PDF
62-610.300(4)(a)1 Notice of Intent to Use General Permit for Addition of a Major User of Reclaimed Water (3) MSWord PDF
62-606.400(4)(a) Gambling Vessel Registration Form MSWord PDF
62-606.400(4)(b) Gambling Vessel Verification of Marine Waste Treatment System MSWord PDF
62-610.300(4)(a)2 Annual Reuse Report (8) MSWord PDF
62-610.300(4)(a)3 Application for Permission to Place a Public Access Reuse System in Operation (4) MSWord PDF
62-610.300(4)(a)4 Pathogen Monitoring (4) MSWord PDF
62-620.910(1) Wastewater Facility or Activity Permit Application—General Information—Form 1 MSWord PDF
62-620.910(2) Wastewater Permit Application Form 2A for Domestic Wastewater Facilities (49)  - Get the 62-620.910(2) application pages only! MSWord PDF
62-620.910(3) Application to Discharge Wastewater from Concentrated Animal Feeding Operations and Aquatic Animal Production Facilities -Form 2B (7) MSWord PDF
62-620.910(4) Application to Discharge Process Wastewater from New or Existing Industrial Wastewater Facilities to Ground Water - Forms 2CG and 2CGA (27) - Get the 62-620.910(4) application pages only! MSWord PDF
62-620.910(5) Application to Discharge Process Wastewater from New or Existing Industrial Wastewater Facilities to Surface Water - Forms 2CS and 2CSA (31) - Get the 62-620.910(5) application pages only! MSWord PDF
62-620.910(6) Permit to Discharge Non-Process Wastewater from New or Existing Industrial Wastewater Facilities to Ground Waters - Application Form 2EG (8) - Get the 62-620.910(6) application pages only! MSWord PDF
62-620.910(7) Permit to Discharge Non-Process Wastewater from New or Existing Industrial Wastewater Facilities to Surface Waters -Application Form 2ES (8) - Get the 62-620.910(7) application pages only! MSWord PDF
62-620.910(8) Permit to Discharge Stormwater  Associated with Industrial Activity Application Form 2F (19) (Revised 10/23/00) - Get the 62-620.910(8) application pages only! MSWord PDF
62-620.910(9) Application for a Minor Revision to a Wastewater Facility or Activity Permit (2) (Revised 10/23/00) MSWord PDF
62-620.910(10) Discharge Monitoring Report (6) MSWord PDF
62-620.910(11) Application for Transfer of a Wastewater Facility or Activity Permit (1) (Revised 10/23/00) MSWord PDF
62-620.910(12) Notification of Completion of Construction for Wastewater Facilities or Activities (3) (Revised 10/23/00) MSWord PDF
62-620.910(13) Notification of Availability of Record Drawings and Final Operation and Maintenance Manuals (3) (Revised 10/23/00) MSWord PDF
62-620.910(14) Application for Permit to Operate a Non-Discharge/Closed Loop Recycle System Form 2CR (2) MSWord PDF
62-620.910(15) Reclaimed Water or Effluent Analysis Report (5) MSWord PDF
62-620.910(16) Request for Approval of Monitoring Plans for Discharge of Domestic Wastewater to Wetlands (3) MSWord PDF
62-620.910(18) Permit Application for Permit to Discharge Demineralization Concentrate – Form 2DC  - Get the 62-620.910(18) application pages only! MSWord PDF
62-621.300(3)(b)

Notice of Intent to Use Generic Permit for Discharges from Concrete Batch Plants

MSWord PDF
62-621.300(4)(b)

Notice of Intent to Use Generic Permit for Stormwater Discharge from Large and Small Construction Activities

MSWord PDF
62-621.300(5)(b) Notice of Intent to Use Multi-Sector Generic Permit (MSGP) for Stormwater Discharge Associated with Industrial Activity(5) MSWord PDF
62-621.300(6) National Pollutant Discharge Elimination System (NPDES) Stormwater Notice of Termination, NOT(3) MSWord PDF
62-621.300(8)(f) Notice of Intent (NOI) to Comply with the Terms of the Generic Permit for Pollutant Discharges to Surface Waters of the State from the Application of Pesticides MSWord PDF
62-621.300(8)(g) Notice of Termination of Coverage Under the Generic Permit for Pollutant Discharges to Surface Waters of the State from the Application of Pesticides MSWord PDF
62-621.500(1)(b) Request for Coverage Under the Generic Permit for Discharges from Fresh Citrus Fruit Packinghouses to Percolation Ponds MSWord PDF
62-621.500(2)(c) Notice of Intent to Use a Generic Permit for Domestic Wastewater Facilities Under Rules 62-621.500(2)(a) or (b), F.A.C. MSWord PDF
62-640.210(2)(a) Treatment Facility Biosolids Plan MSWord PDF
62-640.210(2)(b) Treatment Facility Biosolids Annual Summary MSWord PDF
62-640.210(2)(c) Biosolids Application Site Annual Summary MSWord PDF
62-640.210(2)(d) Biosolids Site Permit Application MSWord PDF
62-640.210(2)(e) Biosolids Application Site Log MSWord PDF

62-640.210 as
amended on
3/30/98

Note: for facilities using existing land application sites, provisions in the 3-30-98 version of Chapter 62-640, F.A.C., may still be applicable through January 1, 2013. Therefore, the following are still available for download:

Forms as Amended on 3-30-98:

  • DEP Form 62-640.210(2)(a), F.A.C., Agriculture Use Plan (MSWord | PDF)
  • DEP Form 62-640.210(2)(b), F.A.C., Residuals Annual Summary  (MSWord | PDF)
62-660.806(1)(g) Notification Form to Use General Permit for Disposal of Fresh Citrus Fruit Wash Water MSWord PDF
62-660.900(4) Laundromat General Permit Notification Form (Rule 62-660.801, F.A.C.) (3) MSWord PDF
62-660.900(5) Car Wash Recycle System General Permit Notification Form (3) MSWord PDF
62-660.900(6) Sand and Limestone Mine General Permit Notification Form (3) MSWord PDF
62-660.900(7) Tomato Wash Water General Permit Notification Form (3) MSWord PDF
62-673.900(1) Phosphogypsum Stack System Construction/Operation Permit Application (5) MSWord PDF
62-673.900(2) Certification of Completion of Construction for Phosphogypsum Stack System (1) MSWord PDF
62-673.900(3) Phosphogypsum Stack System Closure Permit Application (5) MSWord PDF
62-673.900(4)(a) Phosphogypsum Stack System Trust Fund Agreement to Demonstrate Closure, Water Management and/or Long-Term Care Financial Assurance, effective 7-2-05. PDF
62-673.900(4)(b) Phosphogypsum Stack System Standby Trust Fund Agreement to Demonstrate Closure, Water Management and/or Long-Term Care Financial Assurance, effective 7-2-05. PDF
62-673.900(4)(c) Phosphogypsum Stack System Irrevocable Standby Letter of Credit, effective 7-2-05. PDF
62-673.900(4)(d) Phosphogypsum Stack System Insurance Certificate to Demonstrate Closure, Water Management and/or Long-Term Care Financial Assurance, effective 7-2-05. PDF
62-673.900(4)(e) Phosphogypsum Stack System Financial Guarantee Bond to Demonstrate Closure, Water Management and/or Long-Term Care Financial Assurance, effective 7-2-05. PDF
62-673.900(4)(f) Phosphogypsum Stack System Performance Bond to Demonstrate Closure, Water Management and/or Long-Term Care Financial Assurance, effective 7-2-05. PDF
62-673.900(4)(g) Phosphogypsum Stack System Letter from Chief Financial Officer to Demonstrate Closure, Water Management and/or Long-Term Care Financial Assurance, effective 7-2-05. PDF
62-673.900(4)(h) Phosphogypsum Stack System Corporate Guarantee, effective 7-2-05. PDF
62-673.900(4)(i) Financial Assurance Tests for Closure, Water Management and/or Long-Term Care Costs, effective 7-2-05. PDF
62-673.900(4)(j) Phosphogypsum Stack System Closure, Water Management and Long Term Care Cost Estimate, effective 7-2-05. PDF

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Last updated: June 26, 2013

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