• Public Water System Water Conservation Questionnaire (Word Format) [Revised Jan 2004]
• TTHM/HAA5 Monitoring Plan Form [Revised Mar 2003]
• Wellhead Protection: New Well / Spring Application [Revised Jul 2008]
• Chemical Monitoring Laboratory Report Form [Revised Oct 2000]
• Application for a Permit to Operate a Public Water System (Adobe Format) [Revised Oct 2003]
• Application for a Permit to Operate a Public Water System (Word Format) [Revised Oct 2003]
• Drinking Water Project Sumbittal [Revised Jun 2001]
• Surface Water Sanitary Survey for Public Water Systems [Revised May 2001]
• Surface Water System Description (Part B) Sanitary Survey for Public Water Systems [Revised May 2001]
• Ground/Purchased Water Sanitary Survey for Public Water Systems [Revised May 2001]
• Ground/Purchased Water System Description (Part B) Sanitary Survey for Public Water Systems [Revised May 2001]
• Surface Water Treatment Plant Monthly Operating Report Forms (Excel Format) [Revised Nov 2005]
• Ground Water Treatment Plant Monthly Operating Report Forms (Excel Format) [Revised Dec 2003]
• Stage 1 Disinfectants and Disinfection Byproducts Quarterly Reporting for Total Trihalomethanes (TTHM) and Haloacetic Acids (HAA5) [Revised Dec 2003]
• Compliance Determination: Treatment Technique for DBP Precursor Removal (TOC Removal Report) [Revised Dec 2003]
• Manual for Chemical and Radiochemical Certification of Drinking Water Laboratories (Word format) [Revised Sep 2003]
  

Erosion and Sedimentation

• Variance Application for 25-foot Vegetative Buffer Encroachment [Revised Jan 2005]
• Variance Application for 50-foot Vegetative Buffer Encroachment [Revised Jan 2005]

• Model Soil Erosion, Sedimentation And Pollution Control Ordinance

*link to Technical Guidance page*

• Field Guide for Determining the Presence of State Waters that Require a Buffer [Sept. 2006]

Michael Berry

Peggy Chambers

Jan Sammons

404.675.6240

404.675.6240

Engineering and Technical Support (Wastewater)

• Inspection Checklist and Enforcement Tracking (**SHORT FORM) [Revised MAR 2002]
  • Instructions for Submitting the Inspection Checklist and Enforcement Tracking form
• Inspection Checklist (**LONG FORM) [Revised MAR 2002]
  • Instructions for Submitting the Inspection Checklist
• Sanitary Sewer Extension Submittal [Revised Sept 2006]

404.675.1697
404.675.6232

Non-Point Source

Section 319(h) Nonpoint Source Implementation Grant

Under Section 319(h) of the Clean Water Act, the U. S. Environmental Protection Agency (USEPA) awards a Nonpoint Source Implementation Grant to the Georgia Environmental Protection Division (GAEPD) to fund eligible projects, which support the implementation of the Georgia Nonpoint Source Management Program. Section 319(h) Grant funds for the prevention, control, and/or abatement of Nonpoint Sources of Pollution (NPS pollution) are available via competitive process to public agencies in Georgia.

Update July 21, 2009: FY2010 funds are now available. Please use the updated FY2010 grant application and guidance materials for your proposals. Application deadline is November 30, 2009

• FY2010 Grant Announcement

• Nonpoint Source Implementation Grant Application - Section 319(h) FY2010 Grant Application in MS Word Format [Revised July 2009]

• Section 319 (h) FY2010 Grant Guidelines can be found here.

• Nonpoint Source Section 319(h) Grant Administration Guidance - This document provides the necessary information to successfully administer a Section 319(h) funded project. The Section 319 (h) Administration Guidance can be found here. [Revised August 2008]

Storm Water

Construction

Notice of Intent Forms

• Notice of Intent for Primary Permittees (MS Word format) [Revised Aug 2008]
• Notice of Intent for Primary Permittees (PDF format) [Revised Aug 2008]

• Notice of Intent for Secondary Permittees (MS Word format) [Revised Aug 2008]
• Notice of Intent for Secondary Permittees (PDF format) [Revised Aug 2008]

• Notice of Intent for Blanket Secondary Permittees (MS Word format) [Revised Aug 2008]
• Notice of Intent for Blanket Secondary Permittees (PDF format) [Revised Aug 2008]

• Notice of Intent for Tertiary Permittees (MS Word format) [Revised Aug 2008]
• Notice of Intent for Tertiary Permittees (PDF format) [Revised Aug 2008]

 

Notice of Termination Forms

• Notice of Termination (MS Word format) [Revised Aug 2008]
• Notice of Termination (PDF format) [Revised Aug 2008]

• Notice of Termination for Blanket Secondary Permittees (MS Word format) [Revised Aug 2008]
• Notice of Termination for Blanket Secondary Permittees (PDF format) [Revised Aug 2008]
  

Construction Land Disturbance Fees Form

• GAEPD - Construction Land Disturbance Fees Form (Word Format) [Revised Aug 2008]
  • NPDES Construction Permit's Fee Fact Sheet [Revised August 2008]

Industrial

• NOTICE OF INTENT - For Coverage Under 2006 Reissuance of NPDES General Permit GAR000000
  To Discharge Storm Water Associated With Industrial Activity (Adobe Format) [July 2006]

• NOTICE OF INTENT - For Coverage Under 2006 Reissuance of NPDES General Permit GAR000000
  To Discharge Storm Water Associated With Industrial Activity (MS Word Format) [July 2006]

• Notice of Termination - Industrial Activities (Adobe format) [Revised Aug 2000]

• Notice of Termination - Industrial Activities (Word Perfect format) [Revised Aug 2000]

• Industrial No Exposure Certification Form (Adobe Format) [Revised July 2006]

• Industrial No Exposure Certification Form (MS Word Format) [Revised July 2006]

Municipal

• Phase I MS4 Annual Report Form (Word format) [Revised April 2009]
• Georgia Notice of Intent (Phase II Municipal) [Revised Jan 2003]
• Georgia Notice of Intent (Phase II Municipal) (Word format) [Revised Jan 2003]
• Phase II Annual Report Form [Revised Oct. 2008] *Updated*

Construction

Jan Sammons

Industrial

Mark Wyland

Michele Earles

EPD Small Business Environmental Assistance Program for Industrial Stormwater

Chip Scroggs
404.362.2659

Municipal

Lyn Mickelson

Lisa Perrett

Connie Haynes

404.675.6240

404.675.6240

404.675.6240

Wastewater (NPDES & LAS)

• NPDES EPA Form1
• NPDES EPA Form2A
• NPDES EPA Form2C
• NPDES EPA Form2D
• NPDES EPA Form2E
• NPDES EPA Form2F
• Application for an LAS Permit
• Application for a Pretreatment Permit [Revised Jan 2005]
  
  
• Offsite Link (Animal Feeding Operation Permitting Information and Forms)
  • UGA Extension Service

David Bullard

Jane Hendricks

404.362.2680

404.362.2680

• UIC Mixed Waste Non-Domestic Septic Systems Permit Application Form [Revised Apr 2007]
• UIC Application Form [Revised Apr 2007]
• UIC Application Checklist [Revised Dec 1991]
• UIC Pilot Test Notification Form [Revised Aug 2008]

• Water Well Driller and Pump Installer Information

Water Withdrawal Permitting

Agricultural

• Agricultural Permitting Unit Information Page hosted by UGA/NESPAL with links to Aerial Photo Reference Maps *NOTE: Offsite Link*

• Agricultural Withdrawal Application (Abobe format) [Revised August 2008]
• Agricultural Well Completion Data Form (MS Word format) [Revised March 2008]
• EPD Request For Changes To Agricultural Withdrawal Permit (Adobe format) [Revised Jan 2007]
• GASWCC Flow Meter Contact Map (Adobe format) [Revised March. 2008]
• GASWCC Flow Meter Approval Form (Adobe format) [Revised Dec. 2007]
• Low Flow Plan Guide - Drought Contingency Plan 

Municipal and Industrial Surface Water

• Industrial Surface Water Withdrawal Application (Word format) [Revised Nov 2009]
• Municipal Surface Water Withdrawal New Application (Word format) [Revised Nov 2009]
• Surface Water Monthly Withdrawal Report - Raw Water Intake Data (Excel format) [Revised Jul 2005 ]
• Surface Water Withdrawal Interbasin Transfer Annual Report (Excel format) [Revised Apr 2004]
• Surface Water Coosa-Tallapoosa River Basin Withdrawal Interbasin Transfer Monthly Report (Excel format) [Revised Apr 2004]
• Water Conservation Progress Report (Word format) [Revised Jan. 2006]

Municipal and Industrial Groundwater

All Groundwater Permit Applicants Must Complete:

• Part A Application - General System Information
  • Part A Application Form - General System Information (MS Word Format) [Revised Aug. 2008] 

• Part A Application Form - General System Information (Editable Adobe .PDF Format) [Revised Aug. 2008]

• Part B Application - Well Data
  • Part B Application Form - Well Data (MS Word Format) [Revised Aug. 2008]
  • Part B Application Form - Well Data (Editable Adobe .PDF Format) [Revised Aug. 2008]

• Monthly Groundwater Use Reporting Form (MS Excel Format) [Jan. 2009]

 

Municipal Groundwater Permit Applicants Must Also Complete:

• Municipal Water Conservation Plan [Revised Apr 2004]
• Municipal Water Conservation Plan Characteristics [Revised Apr 2004]
• 5-Year Water Conservation Progress Report for Municipal facilities [Revised Mar 2003]
• Submit a signed copy of HB489 Service Delivery Strategy (from the Georgia Department of Community Affairs)

Industrial Groundwater Permit Applicants Must Also Complete:

• Industrial Water Conservation Plan [Revised Apr 2004]
• 5-Year Water Conservation Progress Report for Industrial facilities [Revised Mar 2003]

Golf Course Groundwater Permit Applicants Must Also Complete:

• Golf Course Water Conservation Plan [Revised Apr 2004]
• Golf Course Water Conservation Plan Characteristics [Revised Apr 2004]
• 5-Year Water Conservation Progress Report for Golf Course facilities [Revised Mar 2003]

 

Agricultural

Edward Rooks

Surface Water

Ade Oke

Groundwater

Bill Frechette

229.391.2400

404.362.2637

404.675.1680