Storm Water Permit Forms and Publications

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.

A Notice of Intent is the application form to obtain a WPDES Storm Water Permit:

Construction Site: Form 3500-053
Industrial Facility: Form 3400-163 [PDF 12KB].

A Notice of Termination form is required to terminate permit coverage:

Construction Site: Form 3400-162 [PDF 14KB]
Industrial Facility: Form 3400-170 [PDF 8KB]. It is especially important for industrial facilities that cease operations or move to a new location to submit a Notice of Termination to the Department.

If you have any questions about the proper form to use, or for information on applying for Municipal Storm Water Permits, please contact a member of the Storm Water Permit Program Staff.

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]	S067849-2	10/26/05
Tier 1 Fact Sheet [58KB]	-	9/29/05
Tier 2 Industrial General Permit To Discharge Under WPDES [156KB]	S067857-2	10/26/05
Tier 2 Fact Sheet [55KB]	-	9/29/05
Non-metallic Mining General Permit - Storm Water [96KB]	0046515-4 mod1	4/10/06
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.

Construction Site 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 Name	Form #	Date
Construction Project Consolidated Permit Information Application [PDF 24KB] \| Fillable Form [RTF 199KB] (Formerly known as NOI) Application Instructions [PDF 37KB] Attachment - Construction Erosion and Sediment Control [PDF 21KB] \| Fillable Form [RTF 159KB] Attachment - Post-Construction Storm Water Management [PDF 22KB] \| Fillable Form [RTF 143KB]	3500-053	12/08/06
Notice of Termination [PDF 14KB]	3400-162	6/08/01
General Permit To Discharge Under a WPDES Permit - Construction Site Storm Water Runoff [PDF 269KB]	S067831-3	10/13/06
Sample Construction Site Inspection Report [PDF 58KB] \| Fillable Form [RTF 64KB]	3400-187	9/08/04

MS4 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. (All forms open in a new window)

Form Name (click)	Form #	Date
Notice of Intent (NOI) Fillable [MS-Word 97KB] \| Printable [PDF 88KB]	3400-191	21-Mar-2006
General Permit To Discharge Under WPDES-Municipal Separate Storm Sewer System (MS4) WPDES Permit No. WI-S050075-1 [PDF 116KB]	S0050075	02-Mar-2006

WI Administrative Code NR216

Wisconsin Legislature Administrative Code & Register ch. NR216 [PDF 190KB]

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: Publication #1720, DNR WR-349 $5.90

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

DOA Document Sales & Distribution

Part 2: Technical Design Guidelines [exit DNR] (SKU: G3691-P) $15.00
- 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

DOA Document Sales & Distribution
Order form [PDF 535KB]
202 S. Thornton Ave.
P. O. Box 7840
Madison, WI 53707-7840
Credit card orders: 800-362-7253
Information: 608-266-3358

Industrial Storm Water Pollution Prevention Planning Manual

This manual reflects the requirements in a Tier 1 or Tier 2 Industrial Storm Water Discharge permit for preparing an industrial storm water pollution prevention plan. The four phases discussed are planning and organization, assessment, plan design, and evaluation and monitoring.

Manual
- Downloadable [PDF 7.0MB]
- Publication #1723 ($3.65) available from DOA Document Sales & Distribution
SWPPP Model Examples:

Wisconsin Guidance for Industrial Storm Water Sampling

This document introduces and prepares one for storm water sampling in Wisconsin. You also learn how to establish a sampling program and make appropriate collections of storm water samples. It is primarily designed to help the owners/operators of an industrial site in the planning for and fulfilling of the Wisconsin Pollutant Discharge Elimination System (WPDES) Tier 1 Storm Water Discharge permit sampling requirements.

Manual, Publication #1724 ($3.65) available from DOA Document Sales & Distribution

Does Your Construction Site Need a Storm Water Permit?

A Guide to Wisconsin Erosion Control and Storm Water Management Permit Requirements [PDF 268KB]

Authorized Local Program (ALP) For Storm Water Construction Site Permitting

The Wisconsin Department of Natural Resources (Department), under s. NR 216.415, Wis. Adm. Code, allows a municipality to become an Authorized Local Program (ALP) to allow a municipality to authorize coverage under a Wisconsin Pollutant Discharge Elimination System (WPDES) storm water construction site permit.

Brochure [PDF 174KB]

Storm Water Basins: Using natural landscaping for water quality & esthetics

This twenty-two page informational publication from the UW Extension is a primer on planting and managing native landscaping for storm water basins. It provides important information on how to get started and then carry through with a native plants landscaping plan for the basin. [exit DNR in new window]

Where to go with snow

Snow treatment and disposal guidance for municipalities PUBL-WR-154-06REV [PDF, 80 KB]

Contact Jim Bertolacini with feedback about this page.

Last Revised: Monday June 30 2008