Connecticut Department of Energy and Environmental Protection

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Permit Application for Wastewater Discharges from Domestic Sewage Treatment Works

Main Application
Depending on your existing or proposed wastewater discharge, you will need to complete the main application and also complete one or more of the supporting documents listed below. Review the instructions for a summary of which supporting documents must be submitted for your wastewater discharge.
Permit Type and Related Information
Application
Forms
Instructions
Last Revised
Required Common Forms
and Other Related Forms
Domestic Sewage Treatment Works
(DEEP-WPMD-APP-300)
Link to Permit Application for Discharges from Domestic Sewage Treatment Works
Link to Permit Application for Discharges from Domestic Sewage Treatment Works
8 Pgs
Link to Instructions for Permit Application for Discharges from Domestic Sewage Treatment Works
22 Pgs
04/05/19
Related Guidance and Other Information

Supporting Documentation
Review the main instructions for a summary of which supporting documents (attachments) must be submitted. Instructions for each of the supporting documents are included with the main instructions listed above.
Attachment Name Forms Last Revised

Attachment A: Executive Summary (DEEP-WPED-APP-101)
Link to Attachment A: Executive Summary
Link to Attachment A: Executive Summary
2 Pgs
10/01/13

Attachment B: Applicant Background Information (DEEP-APP-008)
Link to Attachment B: Applicant Background
Link to Attachment B: Applicant Background
5 Pgs
06/12/12

Attachment C: Applicant Compliance Information (DEEP-APP-002)
Link to Attachment C: Applicant Compliance
Link to Attachment C: Applicant Compliance
2 Pgs
08/08/11

Attachment D: USGS Quadrangle Map and Latitude and Longitude (DEEP-APP-003)

 
Link to Attachment D: Latitude and Longitude
Link to Attachment D: Latitude and Longitude
2 Pgs
08/08/11

Attachment E: Coastal Consistency Review Form (DEEP-APP-004)
Link to Attachment E: Coastal Consistency Review
Link to Attachment E: Coastal Consistency Review
2 Pgs
02/06/14

Attachment F: Copy of the NDDB Determination response letter that has not expired, if applicable. Include a copy of any mitigation measures developed for this activity and approved by NDDB.
N/A
N/A

Attachment G: Conservation or Restriction Information
No DEEP form
N/A

Attachment H: Copy of the Written Environmental Justice Public Participation Plan Approval Letter

 
N/A
N/A

Attachment I-1: Site Plans and Floor Plans
No DEEP form
N/A

Attachment I: Operation and Maintenance of Collection and Treatment Systems - Description, Plan Checklist and Certification (DEP-WPED-APP-103)

 

 
Link to Attachment I: Operation and Maintenance
Link to Attachment I: Operation and Maintenance
4 Pgs
10/01/13
Attachment M: Line Drawing and Process Flow Diagram
No DEEP form
N/A

Attachment N:  Description, and Plans and Specifications of Collection, Treatment and Disposal Systems

No DEEP form
N/A

Attachment P: Sewage Sludge Information for Domestic Sewage Treatment Facilities (DEEP-WPED-APP-108)
(includes Summary Sheet of Industrial and Commercial Non-hazardous Waste hauled to Water Pollution Control Facilities - formerly Attachment V)
Link to Attachment P: Sewage Sludge Information
Link to Attachment P: Sewage Sludge Information
3 Pgs
10/01/13

Attachment W: Renewal of an Existing Permit or Other Discharges Previously Licensed by DEEP (DEEP-WPED-APP-102)
Link to Attachment W: Renewal of an Existing Permit
Link to Attachment W: Renewal of an Existing Permit
2 Pgs
10/01/13
Attachment X:  Certification Regarding Submittal of Previously Approved Documents(DEP-WPED-APP-102A)
Link to Attachment X: Certification Regarding Submittal of Previously Approved Documents
Link to Attachment X: Certification Regarding Submittal of Previously Approved Documents
2 Pgs
10/01/13
Attachment Y:  Discharge Information  (DEEP-WPMD-APP-301)
Link to Attachment X: Certification Regarding Submittal of Previously Approved Documents
Link to Attachment X: Certification Regarding Submittal of Previously Approved Documents
18 Pgs
04/05/19
 

 

Last Updated February 25, 2020