- Contact information
- For information on this page, contact:
- Jim Bertolacini
Storm Water Program Coordinator
Industrial storm water permit forms
When to submit a Notice of Intent (NOI)
New industrial facilities must apply for permit coverage with a Notice of Intent (NOI) at least 14 working days prior to initiating industrial operations. Facilities are required to develop and submit a Storm Water Pollution Prevention Plan (SWPPP) summary to the DNR prior to initiating construction and may also need to submit a Notice of Intent or WRAPP if there will be clearing, grading, excavating, or stockpiling of fill material resulting in the disturbance of one or more acre of land at the site during construction. Coverage under an industrial storm water discharge permit must be conferred before the facility is in operation.
How to apply
Use the forms below to apply for general industrial storm water discharge permits and meet compliance requirements. Owners are responsible for completing the forms, signing them, and filing the forms with the DNR for review by the local DNR regional storm water staff.
Print and submit a form
New industrial facilities that are not covered by an existing WPDES Industrial Storm Water Permit should submit the NOI and print out a copy of the general permit for your records. Click on the link below, print the forms, complete the necessary information, sign the form, and submit it to the appropriate address as listed on the form. These are the current versions as of the dates listed on each form. Older versions of these forms should not be submitted and using them may delay permit coverage.
Use the Pollution Prevention Plan, Inspection, and Chemical Monitoring (if required) forms to stay in compliance during the period of the permit.
- Step 1
Print, complete, sign and submit the Notice of Intent Form or No Exposure Certification for your industrial site.
Notice of Intent/No Exposure Certification Pub # Date Notice of Intent 3400-163 05/2014 Non-Metallic Mining 3400-179 06/2015 No Exposure Certification 3400-188 12/2014
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 DNR. E-mail submissions cannot be accepted.
- Step 2
Print out the general permit that applies to your facility, read it, and keep it in your files. See Industrial Storm Water Permits Overview to determine which permit you need. If your facility does not have materials exposed to storm water, print, complete, sign and submit the No Exposure Certification form. Review the other information if applicable to your facility.
- Step 3
Tier 1 and Tier 2 permittees develop a Storm Water Pollution Prevention Plan with your best management practices. Print, complete, sign and submit this summary of your plan:
Pollution Prevention Plan Form Pub # Date Storm Water Pollution Prevention Plan Summary 3400-167 12/2016
- Step 4
Tier 1 and Tier 2 permittees complete quarterly visual inspections and an annual facility site compliance inspection. Print, complete, sign and submit these forms:
Inspection Forms Pub # Date Quarterly Visual Inspection - Field Sheet 3400-176a 03/2001 Annual Facility Site Compliance Inspection Report 3400-176 05/2014
- Step 5
Tier 1 permittees need to perform annual chemical monitoring. Print, complete, sign and submit this form on an annual basis.
Chemical Monitoring Form Pub # Date Storm Water Chemical Analysis Report 3400-176b 05/2014
Non-Metallic Mining permittees need to perform discharge monitoring. To view Discharge Monitoring Report forms, see Industrial and municipal wastewater general discharge permits, under Nonmetallic Mining Operations.
- Step 6
Print, complete, sign and submit this form when your facility is no longer operational or the nature of the operation changes and is no longer required to have a permit.
Notice of Termination Pub # Date Notice of Termination 3400-170 06/2015
There is no application fee to apply for permit coverage. However, an annual fee is charged to all industrial storm water permittees. Invoices for the annual fees are mailed to all facilities in June of each year. Instructions on how to pay the fee, where to mail the invoice and payment, and the due date are all indicated on the invoice.
The amount of the annual fee depends on whether the facility is a general permit or an individual permit holder. At this time, the DNR is issuing only general permits.
Fees for the different general permits are $260 per year for Tier I permittees and $130 per year for Tier 2 permittees.
|Annual General Permit Fee|
|Tier 1||Tier 2||No Exposure|
Industry permit search
If you’d like to search for industry permits or are unsure if your facility has a permit, search the industrial storm water database. If your facility’s SIC code is one of those that is required, by category, to have a permit, it should be on the list of permitted industrial facilities. If your facility has been granted a no exposure exclusion, it should be on the list of facilities with that status.
If your company has no permit or no exposure exclusion, you must complete and return a Notice of Intent (form 3400-163 ) or a No Exposure Certification Request (form 3400-188 ). Submit only a No Exposure Certification request if you believe your facility qualifies for an exclusion.