Georgia Environmental Protection Division

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EPD Forms
Watershed Protection Branch

Please Note:

As of February 2014, the Georgia EPD Watershed Protection Branch offices have relocated from the

4220 International Parkway location to the Capitol Hill area.

Please refer to the New WPB Program/Unit Addresses and Contact Numbers for more information.

This page contains links to frequently requested forms and instructions and other information for the Watershed Protection Branch. Download these forms by right-clicking and selecting "Save Link (Target) As" to save them to your computer.

Branch and Regulated Facility Group Contact Person Contact Phone

Drinking Water

Application and Modification Forms

 

Sanitary Survey for Public Water Systems

 

Treatment Plant Monthly Operating Report Forms

 

Disinfection Byproducts (TTHM & HAA5) Report Forms

 

Certifications for Drinking Water


Ted Jackson 404.651.5155

Erosion and Sedimentation

*link to Technical Guidance page*

 

Michael Berry

Frank Carubba

Peggy Chambers

Jan Sammons

 

404.651.8554

404.651.8550

404.651.8549

404.463.1463

Engineering and Technical Support (Wastewater)

 

Jane Hendricks

404.463.4930

Non-Point Source

 

Section 319(h) Georgia’s 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 projects in support of Georgia’s Nonpoint Source Management Program. Funding is distributed via a competitive process to projects that will lead to direct reductions in pollutant loads and measurable water quality improvements. The maximum amount of individual Federal awards is $400,000 over a maximum timeline of 3 years.

Update July 2, 2013: FY2014 funds are now available.

Visit the Georgia EPD Nonpoint Source Grant page for FY2014 Grant Announcement, Application and Guidance materials for your proposals. 

Application Deadline is OCTOBER 31, 2013


 

Jeff Linzer 404.651.8532

Storm Water

Construction

Update Sept. 30, 2013:

For information regarding the NPDES Construction Storm Water General Permit Re-Issuance and public hearing, please visit Georgia EPD NPDES Construction Storm Water General Permits page.

Notice of Intent Forms *New for Version 2013*

 

Notice of Termination Forms *New for Version 2013*

 

Construction Land Disturbance Fees Form

Industrial

The 2012 NPDES General Permit No. GAR050000 for Storm Water Discharges Associated with Industrial Activity (2012 IGP) was issued April 16, 2012. This is the replacement permit for the 2006 IGP (GAR000000) which expired on July 31, 2011. The new general permit became effective on June 1, 2012.

FINAL PERMIT AND FORMS: NPDES General Permit No. GAR050000 for Storm Water Discharges Associated with Industrial Activity (2012 IGP) [April 16, 2012]

Existing permitttees will have 30 days after the effective date of the 2012 IGP to submit a 2012 Notice of Intent (2012 NOI, Version 2012 only) to obtain coverage under the new permit.

New facilities and/or facilities that are seeking new coverage under the 2012 IGP must submit an NOI 7 days before commencing discharge.

The 2012 forms (Notice of Intent, No Exposure Exclusion, Notice of Termination and Annual Report Form) are now available on the NPDES Industrial Storm Water General Permits web page. Older versions of these forms will not be accepted.

For information regarding GAR050000 contact Dan Loudermilk, Lyn Mickelson or Frances Carpenter at 404.651.8548. 

 

Municipal

 

 

 

 

 

 

Construction

Jan Sammons

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Industrial

Dan Loudermilk

Lyn Mickelson

Frances Carpenter

 

 

 

 

 

 

 

 

 

Municipal

Mildred Granderson

Connie Haynes

Lyn Mickelson

Lisa Perrett

 

 

 

 

 

 

 

404.463.1463

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

404.463.1511

 

 

 

 

 

 

 

 

 

 

 

 

 

404.463.1511

 

Wastewater (NPDES & LAS)

NPDES forms are available from USEPA NPDES Permit Program Basics: Permit Applications and Forms page.  Below are direct links to most recent forms available from USEPA. *updated*

Land Application System Permit Form

Pretreatment Permit Form

Notice of Intent Form

 

 

Gigi Steele

 

 

 

Jane Hendricks

 

404.463.4949

 

 

 

404.463.4930

Underground Injection Control

 

Bijan Rahbar 404.656.3229
Water Well Standards

 

Jim Kennedy

Ted Jackson

404.463.0679

404.651.5155

Water Withdrawal Permitting

Agricultural

 

Municipal and Industrial Surface Water

 

 

Municipal and Industrial Groundwater

 

All Groundwater Permit Applicants Must Complete:

 

Municipal Groundwater Permit Applicants Must Also Complete:

 

Industrial Groundwater Permit Applicants Must Also Complete:

Golf Course Groundwater Permit Applicants Must Also Complete:

 

 

 

Agricultural

Cliff Lewis

 

 

 

 

 

 

 

 

 

 

 

Surface Water

Lebone Moeti

 

 

 

 

 

 

 

 

 

 

 

Groundwater

Bill Frechette

 

 

 

229.391.2400

 

 

 

 

 

 

 

 

 

 

 

 

 

404.232.7834

 

 

 

 

 

 

 

 

 

 

 

 

404.232.7833

Updated 04/09/2014

 

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Georgia Environmental Protection Division
Georgia Department of Natural Resources
2 Martin Luther King Jr. Drive, Suite 1456 East Tower
Atlanta, GA 30334
Telephone: 404.657.5947 or 888.373.5947 (toll-free throughout Georgia)
Copyright © 2013 by the Georgia Environmental Protection Division. All rights reserved.