Water Discharge Permit Documentation Checklist

Applicant Information

Applicant Name
Organization/Company
Address
Contact Information

Permit Application Documents

Completed Application Form
Location Map of Discharge Point
Process Flow Diagram
Description of Wastewater Source
Characteristics of Discharged Water
Laboratory Analysis Results
Wastewater Treatment Plan
Proof of Payment

Compliance & Other Requirements

Environmental Compliance Certificate (ECC)
Monitoring Reports
Notarized Affidavit of Authorization
Other Supporting Documents

For official use only: Review and verify each requirement as submitted.