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.

Individual permits

KPDES Individual Permits
General Instructions	Word	PDF
Form 1 Instructions	Word	PDF
Form 1 - Submit with all KPDES applications for individual permits	Word	PDF
Form A - For municipal wastewater discharges Form A - Instructions	Word Word	PDF PDF
Form B - For concentrated animal feeding operations (CAFOs)	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	Word	PDF
Kentucky Inter-Municipal Operational Permits (KIMOPs)
Form KIMOP	Word	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
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
CAFO General Permit Coverages
NOI-CAFO - Notice of Intent for general permit coverage for concentrated animal feeding operations (poultry, swine, beef and dairy)	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
NOI-GWT - Notice of Intent for general permit coverage for temporary discharge of treated groundwater 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 mineral mining	Word	PDF
Notice of Termination of Noncoal (Mineral Mining) facilities	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-SW - Notice of Intent for general permit coverage for storm water discharges associated with industrial or construction activities under the KPDES general permit	Word	PDF
NOT-SW - Notice of Termination of coverage under the KPDES general permit for storm water discharges associated with industrial activity	Word	PDF
Wastewater Construction Forms
W-1 Construction Permit Application for Wastewater Treatment Plant	Word NA	PDF
S-1 Construction Permit Application for Sewer Line Extension	Word NA	PDF
Oil and Gas Related Forms
Application for Construction and Operation of a Produced Water Holding Pit	Word	PDF
Application to Dispose of Produced Water Off-Facility	Word	PDF
Produced Water Disposal Registration	Word	PDF
Transfer of Ownership for Oil and Gas Facilities	Word	PDF
Antidegradation Related Forms
High Quality Water Alternatives Analysis	Word	PDF
Exceptional Water Alternatives Analysis	Word	PDF