Industrial Storm Water Permit Forms

NOTICE: Reissuance of the General Wisconsin Pollutant Discharge Elimination System (WPDES) Industrial Storm Water Discharge Permits

In accordance with state and federal law, the Tier 1 and Tier 2 Industrial Storm Water General Permits (WPDES Permit No. WI-S067849-2 and WI-S067857-2) used to cover qualifying industrial activities under Subchapter II of NR 216, Wis. Adm. Code, expire every five years. Consequently, the current industrial general permits are scheduled to expire on March 31, 2006.

The Department will not require that permittees complete a new permit application for continued coverage under one of the reissued industrial general permits listed above. The Department will automatically cover industrial activity under the reissued industrial permit when it becomes available. This might not occur until after March 31, 2006. As indicated in Part VI.D. of the industrial permits, permit coverage will continue in force and effect until the Department revokes the permit or replaces it with a reissued permit.

Permit Forms
Wisconsin Storm Water Manual
Industrial Storm Water Pollution Prevention Planning (SWPPP)
WI Guidance for Industrial Storm Water Sampling
Chapter NR 216 WI Administrative Code
Industrial SWPPP Examples

WPDES Storm Water Permit Forms

To submit a form to the Department, click on the link below, print the form, complete the necessary information, and submit it to the appropriate address as listed on the form.

Industrial Facility Permit Forms

These are the current versions as of the dates listed on each form. Older versions of these forms should not be submitted. Doing so could delay permit coverage.

Form/Publication Name	Pub #	Date
Notice of Intent PDF [458KB] \| Fillable MS-Word [620KB]^*	3400-163	10/07/05
Notice of Termination [20KB]	3400-170	11/05/02
Non-metallic Mining Notice of Intent [177KB]	3400-179	5/28/04
Storm Water Pollution Prevention Plan Summary PDF [97KB] \| Fillable Word [237KB]^*	3400-167	10/27/05
Annual Facility Site Compliance Inspection Report PDF [27KB]	3400-176	3/30/05
Quarterly Visual Inspection - Field Sheet [5KB]	3400-176a	3/21/01
Storm Water Chemical Analysis Report [22KB]	3400-176b	3/21/01
Tier 1 Industrial General Permit To Discharge Under WPDES [157KB] Tier 1 Fact Sheet [58KB]	S067849-2	10/26/05 9/29/05
Tier 2 Industrial General Permit To Discharge Under WPDES [156KB] Tier 2 Fact Sheet [55KB]	S067857-2	10/26/05 9/29/05
Non-metallic Mining Operations General Permit - Storm Water [1.3MB] More info	0046515-5	7/1/09
Auto Parts Recycling GP & Briefing Memo [187KB]	S059145-1	6/16/03
Scrap Recycling GP & Briefing Memo [188KB]	S058831-1	6/16/03
No Exposure Certification PDF [82KB] \| Fillable MS-Word [72KB]^*	3400-188	04/05/05

* Note: This file can be downloaded and used to fill out and print the form. However, the form must still be signed and sent in to the Department. E-mail submissions cannot be accepted.

Wisconsin Storm Water Manual

Originally published in 1994, this technical manual was developed to aid local units of government, developers, contractors, and consulting engineers in controlling storm water pollutants from existing and new developments. Part One is an overview. The second part of the manual is an elaboration of technical design guidelines for storm water management practices.

Part 1: Overview
- Available at DOA Document Sales & Distribution, Publication #1720-1D, DNR WR-349 ($5.90)

Storm Water Planning
Storm Water Legal Issues
Pollution Prevention
Best Management Practices

Part 2: Technical Design Guidelines
- Available for download at UWEX Learning Store [exit DNR]
- Introduction [exit DNR]
- Overview and Screening Criteria
- Hydrology
- Infiltration Basins and Trenches
- Wet Detention Basins
- Artificial Wetland Storm Water Management Systems
- Filter Strips
- Grassed Swales