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ADEM Departmental Forms

Division: Water
Form #Form Name
188 NPDES Individual Permit Application Supplementary Information for Publicly-Owned Treatment Works (POTW), Other Treatment Works Treating Domestic Sewage (TWTDS), and Public Water Supply Treatment Plants
370 Drinking Water State Revolving Fund (DWSRF) Preapplication Form
395 Notice of Intent - NPDES General Permit Number ALG360000
443 Drinking Water - Construction Project Update
450 Representative Stormwater Outfall Certification
500 NPDES Noncoal/Nonmetallic Mining and Dry Processing Less than Five Acres Stormwater Inspection Report and BMP Certification
533 Documentation of Disability Related Needs
029 NPDES Pesticide Adverse Incident Report Form
193 Application For Alabama Well Driller's License
380 Notice of Intent - NPDES General Permit Number ALG110000
396 Notice of Intent - NPDES General Permit Number ALG060000
444 Drinking Water - Project Completion Form
455 Required Information for Mixing Zone Modeling
501 ALG890000 Small Mining General Permit Noncompliance Notification Report Form
535 Drinking Water - Giardia and Virus Profile Spreadsheet
030 Notice of Termination - General Permit Number ALG870000
242 Drinking Water - Filter Plant Monthly Operational Data Report
381 Notice of Intent - NPDES General Permit Number ALG120000
397 Notice of Intent - NPDES General Permit Number ALG670000
446 Raw Sewage Bypass and Overflow Event Reporting Form
456 Segmental Water System Certification Application
503 General Permit for Phase II Small Municipal Separate Storm Sewer Systems (MS4) ALNOI
547 Drinking Water - WTP Quarterly Report for the Disinfectants and Disinfection Byproducts Rule
033 eDWRS Permittee Registration Form
259 Drinking Water - Application for Approval to Use a Water Supply Well
382 Notice of Intent - NPDES General Permit Number ALG140000
405 Drinking Water - Lead and Copper Monitoring Data Report
315 NPDES Individual Permit Application (Mining Operations)
457 SID Discharge Monitoring Report Form (Monthly)
505 Water and Wastewater Operator Exam Application
549 NPDES Coalbed Methane Operation
034 eDWRS Lab Registration Form
311 Alternative Analysis
383 Notice of Intent - NPDES General Permit Number ALG150000
408 Drinking Water - Maximum Residual Disinfectant Level Input Form (Samples)
343 Coalbed Methane Stormwater Inspection Summary Report
458 SID Discharge Monitoring Report Form (Quarterly)
506 Water and Wastewater Operator Experience Verification
194 Water Well Driller Reciprocal Application
035 eDWRS Terms and Conditions Agreement
312 Calculation of Total Annualized Project Cost for Public - Sector Projects
384 Notice of Intent - NPDES General Permit Number ALG160000
409 Maximum Residual Disinfectant Level Input Form (Sources)
344 Coalbed Methane Temporary Pit Wastewater Land Application Certification Report
459 SRF Payment Request Form
507 Water and Wastewater Reciprocal Application
195 Water Well Standards Program License Renewal
036 Drinking Water - Total Coliform Rule - Level 1 Assessment
313 Calculation of Total Annualized Project Cost for Private - Sector Projects
385 Notice of Intent - NPDES General Permit Number ALG170000
415 Sanitary Sewer Overflow (SSO) Event Reporting Form
376 Field Operation Division NPDES Individual Permit Application Addendum Form
461 Drinking Water - Surface Source Susceptibility Analysis Worksheet
508 Water and Wastewater Operator for Multiple Systems
243 Drinking Water - Monthly Membrane Surface Plant Operational Data Report
037 Drinking Water - Total Coliform Rule - Level 2 Assessment
314 ADEM Baseline Monitoring Report Submittal Form
386 Notice of Intent - NPDES General Permit Number ALG180000
416 Municipal Water Pollution Prevention (MWPP) Annual Report (Collection Systems) Package
377 Field Operation Division NPDES Individual Permit Application Minor Permit Modification Addendum Form
464 Toxicity Discharge Monitoring Report Form
510 Cooling Water Supplemental Information
014 Information Needed for 316(b) Determination in Regards to General NPDES Permits
189 Permit Application for Reclaimed Water Use (RWR)
324 Annual Certification Form for Discharges Associated with Petroleum Storage and Handling Areas
387 Notice of Intent - NPDES General Permit Number ALG020000
417 Municipal Water Pollution Prevention (MWPP) Annual Report Package
429 NPDES Annual Notice of Registration (NOR)
465 Toxicity Test Report Summary
514 Daily Discharge Monitor Report
021 Termination Request - General Permit Number ALR100000
552 Notice of Intent - UIC General Permit Number ALIG010000
335 Drinking Water - Chemical Monitoring Data Report
388 Notice of Intent - NPDES General Permit Number ALG200000
418 Municipal Water Pollution Prevention Resolution Form
432 NPDES Individual Permit Pollution Abatement/Treatment Measures and Sediment Control Structures Certification Report
466 NPDES/SID Permit Transfer Agreement
515 Monthly Discharge Monitoring Report
022 NPDES General Permit ALR100000
553 Notice of Intent - UIC General Permit Number ALIG020000
336 Drinking Water - Chemical Monitoring Waiver Application
389 Notice of Intent - NPDES General Permit Number ALG230000
419 MWPP Sewage Sludge Survey
433 NPDES Permitted Coalbed Methane Operations Pollution Abatement/Treatment Measures and Waste Treatment Facilities Certification Report
488 Drinking Water - Construction Permit Application
516 Supplemental Petroleum Application Information
023 NPDES Construction Stormwater Inspection Report and BMP Certification
554 Notice of Termination - NPDES General Permits (Industrial Activities)
008 Drinking Water - Groundwater System Monthly Operational Data Report
339 Clean Water State Revolving Fund (CWSRF) Loan Application Form
390 Notice of Intent - NPDES General Permit Number ALG240000
420 Drinking Water - Non-Community Public Notification Certification Form
447 Release Information Form
489 Drinking Water - Modification Permit Application
517 Alabama Clean Vessel Act Grant Application
024 Notice of Intent - General Permit Number ALR100000
555 No Exposure Certification for Exclusion from NPDES Stormwater Permitting for Industrial Activities
060 Drinking Water - Notification of Intent to Drill a Water Well
340 Clean Water State Revolving Fund (CWSRF) Preapplication Form
391 Notice of Intent - NPDES General Permit Number ALG250000
421 NPDES/SID Non-Compliance Notification Form
451 Request for NPDES Permit Post-Mining Discharge Limitations (Coal Mining Operations)
490 Drinking Water - Renewal Permit Application
518 Boating Infrastructure Grant Application
025 NPDES Construction Stormwater Noncompliance Notification Report
567 NPDES Mining and Preparation Plant Outfall Data for Metals, Cyanide, and Total Phenols
185 Drinking Water - Purchase Water System Monthly Operation Report
345 Drinking Water - Community Public Notification Certification Form
392 Notice of Intent - NPDES General Permit Number ALG280000
435 Operator Certification Renewal Form
452 Request for Release from NPDES Permit Monitoring and Reporting Requirements (Mining Operations)
491 Drinking Water - Public Water System Information Update
520 General Phase II MS4 Stormwater Permit Renewal Notice of Intent
026 Notice of Intent - NPDES General Permit Number ALG850000
347 Drinking Water - Consumer Confidence Report (CCR) Certification Report
186 State Indirect Discharge (SID) Permit Application
346 Drinking Water - Community System Susceptibility Analysis Sheet
393 Notice of Intent - NPDES General Permit Number ALG030000
441 Plant and Collection System Personnel Inventory
453 Request to Remove Subsurface Withdrawal From Discharge Structure (NPDES-Permitted Mining Operations)
498 Notice of Intent - NPDES General Permit Number ALG890000
522 Notice of Intent - NPDES General Permit Number ALG640000
027 Drinking Water - Operational Evaluation Level Exceedance Report
570 One-Time Compliance Report for Dental Discharges
187 NPDES Individual Permit Application Supplementary Information for Industrial Facilities
369 Drinking Water State Revolving Fund (DWSRF) Loan Application Form
394 Notice of Intent - NPDES General Permit Number ALG340000
442 Drinking Water - Laboratory Certification Application
454 Request to Remove Treatment Basin/Pond or Other Discharge Structure (NPDES-Permitted Mining Operations)
499 Notice of Termination - NPDES General Permit Number ALG890000
028 Notice of Intent - General Permit Number ALG870000
531 Hydrogeology Unit Evaluation Report Form