Water Discharge Permit Application
Applicant Information
Full Name
Organization/Company
Address
Email
Phone
Discharge Site Details
Location/Address of Discharge Site
Coordinates (Lat, Long)
Receiving Water Body
Discharge Characteristics
Type of Discharge
Industrial
Domestic
Stormwater
Other
Average Flow Rate (m³/day)
Description of Effluent (include significant pollutants, processes, etc.)
Expected Start Date
Expected Duration
Additional Information
List of Supporting Documents Attached
Remarks