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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 Word 97(WD97) 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 97: 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 WD97 PDF
62-604.300(8)(b) Request For Approval To Place A Domestic Wastewater Collection/Transmission System Into Operation WD97 PDF
62-610.300(4)(a)1 Notice of Intent to Use General Permit for Addition of a Major User of Reclaimed Water (3) WD97 PDF
62-610.300(4)(a)2 Annual Reuse Report (8) WD97 PDF
62-610.300(4)(a)3 Application for Permission to Place a Public Access Reuse System in Operation (4) WD97 PDF
62-610.300(4)(a)4 Pathogen Monitoring (4) WD97 PDF
62-620.910(1) Wastewater Facility or Activity Permit Application—General Information—Form 1 WD97 PDF
62-620.910(2) Wastewater Permit Application Form 2A for Domestic Wastewater Facilities (49)  Get the application pages only! WD97 PDF
62-620.910(3) Application to Discharge Wastewater from Concentrated Animal Feeding Operations and Aquatic Animal Production Facilities -Form 2B (7) WD97 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) WD97 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) WD97 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) WD97 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) WD97 PDF
62-620.910(8) Permit to Discharge Stormwater  Associated with Industrial Activity Application Form 2F (19) (Revised 10/23/00) WD97 PDF
62-620.910(9) Application for a Minor Revision to a Wastewater Facility or Activity Permit (2) (Revised 10/23/00) WD97 PDF
62-620.910(10) Discharge Monitoring Report (6) WD97 PDF
62-620.910(11) Application for Transfer of a Wastewater Facility or Activity Permit (1) (Revised 10/23/00) WD97 PDF
62-620.910(12) Notification of Completion of Construction for Wastewater Facilities or Activities (3) (Revised 10/23/00) WD97 PDF
62-620.910(13) Notification of Availability of Record Drawings and Final Operation and Maintenance Manuals (3) (Revised 10/23/00) WD97 PDF
62-620.910(14) Application for Permit to Operate a Non-Discharge/Closed Loop Recycle System Form 2CR (2) WD97 PDF
62-620.910(15) Reclaimed Water or Effluent Analysis Report (5) WD97 PDF
62-620.910(16) Request for Approval of Monitoring Plans for Discharge of Domestic Wastewater to Wetlands (3) WD97 PDF
62-620.910(18) Permit Application for Permit to Discharge Demineralization Concentrate – Form 2DC WD97 PDF
62-621.300(3)(b)

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

WD97 PDF
62-621.300(4)(b)

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

WD97 PDF
62-621.300(5)(b) Notice of Intent to Use Multi-Sector Generic Permit for Stormwater Discharge Associated with Industrial Activity(5) WD97 PDF
62-621.300(6) National Pollutant Discharge Elimination System (NPDES) Stormwater Notice of Termination(3) WD97 PDF
62-621.500(1)(b) Request for Coverage Under the Generic Permit for Discharges from Fresh Citrus Fruit Packinghouses to Percolation Ponds WD97 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. WD97 PDF
62-640.210(2)(a) Agricultural Use Plan (7) WD97 PDF
62-640.210(2)(b) Residuals Annual Summary (5) WD97 PDF
62-640.210(2)(c) Monthly Residuals Distribution and Marketing Report (2) WD97 PDF
62-640.210(2)(d) Residuals Monitoring Report (3) WD97 PDF
62-660.806(1)(g) Notification Form to Use General Permit for Disposal of Fresh Citrus Fruit Wash Water WD97 PDF
62-660.900(4) Laundromat General Permit Notification Form (Rule 62-660.801, F.A.C.) (3) WD97 PDF
62-660.900(5) Car Wash Recycle System General Permit Notification Form (3) WD97 PDF
62-660.900(6) Sand and Limestone Mine General Permit Notification Form (3) WD97 PDF
62-660.900(7) Tomato Wash Water General Permit Notification Form (3) WD97 PDF
62-660.900(8) Fish Farm Permit Notification Form (4) WD97 PDF
62-660.900(9) Marine Bivalve Facility General Permit Notification Form (3) WD97 PDF
62-673.900(1) Phosphogypsum Stack System Construction/Operation Permit Application (5) WD97 PDF
62-673.900(2) Certification of Completion of Construction for Phosphogypsum Stack System (1) WD97 PDF
62-673.900(3) Phosphogypsum Stack System Closure Permit Application (5) WD97 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 10, 2008

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