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Last Modified:  1/21/2010
Pollutant Discharge Elimination System, Wastewater Construction Permit Application Forms

This page provides access to Kentucky Pollutant Discharge Elimination System (KPDES) forms for permit applications and forms related to oil and gas and to antidegradation. These forms are available in both Word and PDF format.

New fees for surface water permitting went into effect Nov. 18. For permit applications under consideration prior to Nov. 18, the balance of the permitting fee (80%) will be collected under the old fee structure. Affected entities submitting applications after Nov. 18 will be subject to the revised fees.

401 KAR 5:310 "Surface water permit fees" adjusts the fees that were in KRS 224.70-120 and creates a fee for an industrial KNDOP and for a coal mining general permit. The individual discharge permit fees were adjusted based on the consumer price index. The fees established for general coal permits and industrial KNDOPs are based on the cost to review the permit application.

Individual Permits

Major Industrial

$7,000

Minor Industrial

$4,500

Non-Process Industry

$2,200

Large Non-Publicly Owned Treatment Works

$3,700

Intermediate Non-Publicly Owned Treatment Works

$3,200

Small Non-Publicly Owned Treatment Works

$2,200

Agricultural (CAFO Individual)

$1,200

Surface Mining (Individual)

$3,300

General Permits

Coal Mining

$1,300

Kentucky No-Discharge Operating Permits

Industrial

$1,200

 

                              Permit forms and instructions

KPDES Individual Permits
          
  • General Instructions
Word PDF
  • Form 1 - Submit with all KPDES applications for individual permits
Word PDF
  • Form A - For municipal wastewater discharges

Word

PDF
  • Form B - For concentrated animal feeding operations (CAFOs) that propose to have a point-source discharge
Word PDF
  • Form C - For process wastewater discharges associated with manufacturing establishments and mining operations
Word PDF
  • Form F - For individual permit coverage for storm water associated industrial activity
Word PDF
  • Form SC - For services, wholesale and retail trade, and all other establishments that have sanitary and/or non-process discharges
Word PDF
  • Change in Ownership Certification for KPDES permits
Word PDF
  • No Discharge Certification - this form is for the inactivation of an existing permit or outfall
Word

PDF

Kentucky Inter-System Operational Permits (formerly KIMOP)
   
  • Form KISOP
  • Form KISOP instructions

Word
Word

PDF
PDF
Kentucky No Discharge Operational Permits (KNDOPs)
   
  • Form ND - For facilities that do not have a point source discharge but use other means of disposal such as land application, subsurface injection, closed circuit, etc.
Word PDF
  • Form ND-CAFO - A voluntary certification of no point-source discharge for concentrated animal feeding operations. This certification does not release the facility from the requirement to obtain a Kentucky No-Discharge Operating Permit.
Word PDF
  • Short Form B - For agricultural waste handling systems that do not have a point source discharge (also used for obtaining a construction permit)
Word PDF
  • Site Survey Request - Kentucky No Discharge Operational Permit for Agricultural Wastes Handling System - For facilities that handle agricultural wastes
Word PDF
KPDES General Permits
   

Abandoned Mine Lands General Permit Coverages

   
  • NOI-AML - Notice of Intent for general permit coverage for abandoned mine lands
Word PDF

Coal Mining Operations General Permit Coverages

   
  • NOI-CM - Notice of Intent for general permit coverage for coal mining
Word PDF
  • NOT-CM - Notice of Termination of general permit coverage for coal mining
Word PDF
Drinking Water Plant Activities General Permit Coverages    
  • NOI-WTP - Notice of Intent for general permit coverage for wastewater discharges associated with drinking water plant activities
Word PDF
  • NOT-WTP - Notice of Termination of general permit coverage for wastewater discharges associated with drinking water plant activities
Word PDF
Groundwater Remediation General Permit Coverages    
  • NOI-GW - Notice of Intent for general permit coverage for discharges associated with remediation activities involving gasoline and/or diesel fuel
Word PDF
  • NOT-GW - Notice of Termination of general permit coverage for discharges of treated groundwater associated with remediation activities involving gasoline and /or diesel fuel
Word PDF
Highway Maintenance and Equipment Facilities General Permit Coverages    
  • NOI-HWY - Notice of Intent for general permit coverage for wastewater discharges associated with highway maintenance and equipment facilities
Word PDF
  • NOT-HWY - Notice of Termination of general permit coverage for wastewater discharges associated with highway maintenance and equipment facilities
Word PDF
Individual Family Residences General Permit Coverages    
  • NOI-IFR - Notice of Intent for general permit coverage for wastewater discharges associated with individual family residences
Word PDF
Noncoal (Mineral) Mining Operations General Permit Coverages    
  • NOI-MM - Notice of Intent for general permit coverage for noncoal (mineral) mining
Word PDF
  • Notice of Termination of Noncoal (Mineral) Mining Operations
Word PDF
Storm Water General Permit Coverages    
  • NOI-SMS4 - Notice of Intent for a general permit for municipal separate storm sewer systems
Word PDF
  • NOI-SWCA - Notice of Intent for general permit coverage for storm water discharges associated with construction activities under the KPDES general permit
Word PDF
  • NOT-SWCA - Notice of Termination of coverage under the KPDES general permit for storm water discharges associated with industrial activity
Word PDF
  • NE - No exposure certification for exclusion from KPDES stormwater permitting (industrial activities)
Word PDF

Wastewater Construction Forms

      
  • W-1 Construction Permit Application for Wastewater Treatment Plant
  PDF
  • S-1a Construction Permit Application for Clean Water Collection
PDF

Antidegradation

   
  • SDAA - Socioeconomic Demonstration and Alternatives Analysis 
Word PDF

DEP Kentucky Pollutant Discharge Elimination System
200 Fair Oaks Lane
Fourth Floor
Frankfort, KY 40601
Phone: 502-564-3410 ext 477
Fax: 502-564-0111
E-mail: jory.becker@ky.gov