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Department of Environmental Management Forms

To search this catalog: From the toolbar in the Edit menu, select "Find". When the Find search box appears, enter a keyword or form number. The first search result will display with the keyword or number highlighted, at the top of the page. Click "Find next" until the desired form is highlighted.

For forms labeled "PDF", the free Adobe Acrobat Reader software is required to view and in some cases fill them out. Forms in other formats (MS Word, MS Excel, etc) are indicated where appropriate.

To open a form once you have chosen it, click on the linked State Form Number (such as 01365.pdf).

For questions about individual forms, please contact this agency's forms coordinator, Pat Quinn at 317-232-8175.

For questions about how to use this catalog, or to inform us of a technical problem, please send e-mail to the Forms Management Division.

Forms marked "read-only" cannot be filled in on your computer. They must be printed out and filled in by hand or typewriter.

Title

Form Number
Electronic Format

302 Emergency Planning Notification (read-only)

52016.pdf

311 Reporting (read-only)

52017.pdf

319-A (Agriculture Cost-Share Form) Clean Water Act Section 319 Cost-Share Program (read-only)

50065.pdf

319-A (Agriculture Cost-Share Form) Clean Water Act Section 319 Cost-Share Program

50065.doc

319-U (Non-Agricultural) Landowner/User Application And Completion Certification (read-only)

50063.pdf

Abandoned Tank Community Assistance Program

49493.pdf

Adjacent Landowner/Occupant Affidavit (read-only)

51872.pdf

Adjacent Landowner/Occupant Affidavit

51872.doc

AEF-01 Alternate Emission Factor Request (read-only)

51860.pdf

AEF-01 Alternate Emission Factor Request

51860.doc

AES-01 Air Emission Statement Certification

52052.pdf

AES-01 Air Emission Statement Certification

52052.doc

AES-02 General Facility Information

52053.pdf

AES-02 General Facility Information

52053.doc

AES-03 Stack Information

52054.pdf

AES-03 Stack Information

52054.doc

AES-04 Abatement Equipment

52055.pdf

AES-04 Abatement Equipment

52055.doc

AES-05 Group/Process/Emissions Information

52056.pdf

AES-05 Group/Process/Emissions Information

52056.doc

AES-06 Voluntary Hazardous Air Pollutant Reporting (read-only)

52057.pdf

AES-06 Voluntary Hazardous Air Pollutant Reporting

52057.doc

Affidavit: Applicant Notification to Adjoining Property Owners/Occupants

49785.pdf

Air Permit Application Cover Sheet

50639.pdf

Air Permit Application Cover Sheet

50639.doc

Air Permit Application - Forms Checklist (read-only)

51607.pdf

Air Permit Application - Forms Checklist

51607.doc

Air Permit Application - Renewal Checklist (read-only)

51755.pdf

Air Permit Application - Renewal Checklist

51755.doc

Annual Manifest Summary Report - OS (read-only)

52717.pdf

Annual Manifest Summary Report - OS

52717.doc

Annual Manifest Summary Report - WG

52718.doc

Annual Manifest Summary Report - WG (read-only)

52718.pdf

Annual Report - Concentrated Animal Feeding Operations (read-only)

52510.pdf

Annual Report - Concentrated Animal Feeding Operations

52510.doc

Annual Tire Summary (read-only)

52716.pdf

Annual Tire Summary

52716.doc

Application Checklist for Asbestos Contractor

52571.doc

Application for Approval of Training for Continuing Education - Drinking Water (read-only)

45675.pdf

Application for Approval of Training for Wastewater Operator/Apprentice Continuing Education Credit

51138.pdf

Application for Approval to Use Water Treatment Additives

50000.pdf

Application for Asbestos Contractor License

52575.doc

Application for Asbestos Training Course - Provider Approval

48741.doc

Application for Authorization to Discharge Dredged or Fill Material to Isolated Wetlands and/or Waters of the State

51821.pdf

Application for a Wastewater Management Business Permit & Vehicle License (read-only)

50399.doc

Application for a Wastewater Management Land Application Site Permit (read-only)

50403.doc

Application for a Wastewater Management Storage / Treatment Facility Permit (read-only)

50402.doc

Application for Construction Permit For Public Water System

35058.pdf

Application for Duplicate Asbestos License

48740.doc

Application for Individual Asbestos License

43786.doc

Application for Industrial Wastewater Pretreatment (IWP) Permit

50271.pdf

Application for Industrial Wastewater Treatment Construction Permit per 327 IAC 3

53161.doc

Application for Listing as a Qualified Inspector for Drug Lab Cleanup (read-only)

53316.pdf

Application for Listing as a Qualified Inspector for Drug Lab Cleanup

53316.doc

Application for Provisional Wastewater Treatment Plant Operator Certification (read-only)

51494.pdf

Application for Sanitary Sewer Construction Permit per 327 IAC 3

53159.doc

Application for Waste Tire Processing Operation Registration (read-only)

47221.pdf

Application for Waste Tire Storage Site Registration (read-only)

47222.pdf

Application for Wastewater Treatment Plant Construction Permit per 327 IAC 3

53160.doc

Application for Wastewater Treatment Plant Operator Certification By Reciprocity (read-only)

47290.pdf

Application for Wastewater Treatment Plant Operator Certification Examination (read-only)

47289.pdf

Application for Wastewater Treatment Plant Operator-In-Training Certification (read-only)

44663.pdf

Boating Infrastructure Grant Program Tier I Application (read-only)

53433.pdf

Boating Infrastructure Grant Program Tier I Application

53433.doc

Bypass/Overflow Incident Report (read-only)

48373.pdf

Bypass/Overflow Incident Report

48373.doc

CAFO/CFO Public Meeting Question & Public Comment Submittal (read-only)

53455.pdf

CD-01 Emissions Unit Compliance Status (read-only)

51861.pdf

CD-01 Emissions Unit Compliance Status

51861.doc

CD-02 Compliance Plan Requirements Per Applicable Requirement (read-only)

51862.pdf

CD-02 Compliance Plan Requirements Per Applicable Requirement

51862.doc

CD-03 Compliance Plan Requirements Per Emissions Unit

51863.pdf

CD-04 Compliance Schedule and Certification (read-only)

51864.pdf

CD-04 Compliance Schedule and Certification

51864.doc

CE-01 Control Equipment Summary (read-only)

51904.pdf

CE-01 Control Equipment Summary

51904.doc

CE-02 Particulate Control - Baghouse / Fabric Filter (read-only)

51953.pdf

CE-02 Particulate Control - Baghouse / Fabric Filter

51953.doc

CE-03: Particulate Control - Cyclone (read-only)

52620.pdf

CE-03: Particulate Control - Cyclone

52620.doc

CE-04: Particulate Control - Electrostatic Precipitator (read-only)

52621.pdf

CE-04: Particulate Control - Electrostatic Precipitator

52621.doc

CE-05: Particulate Control - Wet Collector / Scrubber / Absorption (read-only)

52622.pdf

CE-05: Particulate Control - Wet Collector / Scrubber / Absorption

52622.doc

CE-06: Organics - Flare / Oxidizer / Incinerator (read-only)

52623.pdf

CE-06: Organics - Flare / Oxidizer / Incinerator

52623.doc

CE-07: Organics - Adsorber (read-only)

52624.pdf

CE-07: Organics - Adsorber

52624.doc

CE-08: Organics - Condenser (read-only)

52625.pdf

CE-08: Organics - Condenser

52625.doc

CE-09: Nitrogen Oxide Reduction Technology (read-only)

52626.pdf

CE-09: Nitrogen Oxides Reduction Technology

52626.doc

CE-10: Miscellaneous Control Equipment (read-only)

52436.pdf

CE-10: Miscellaneous Control Equipment

52436.doc

Certified Operator in Responsible Charge (CORC) - Request for Information - Operator of Multiple Public Water Systems

53249.pdf

Certified Operator in Responsible Charge (CORC) - Request for Information - Operator of Multiple Public Water Systems

53249.doc

Chlorine and Chloramines Residual Reporting (DS) (read-only)

53296.pdf

Chlorine and Chloramines Residual Reporting (POE) (read-only)

53295.pdf

Claim for Payment for Mercury Switches from End-of Life Vehicles (read-only)

53238.pdf

Clean Vessel Act Program Grant Application (read-only)

53432.pdf

Clean Vessel Act Program Grant Application

53432.doc

Closure of Manure, Litter, Process Wastewater Storage Structures (read-only)

51913.pdf

Closure of Manure, Litter, Process Wastewater Storage Structures

51913.doc

Confined Animal Feeding Operation Approval Renewal (read-only)

51318.pdf

Confined Animal Feeding Operation Facility Change Notification (read-only)

50209.pdf

Confined Animal Feeding Operation Pre-construction Notification (read-only)

50210.pdf

Confined Animal Feeding Operation Request for Approval Transfer (read-only)

49832.pdf

Confined Animal Feeding Operation Request for Approval Voidance (read-only)

49827.pdf

Confined Feeding Facility Approval Application (read-only)

48436.pdf

Confined Feeding Operation Completed Construction Affidavit (read-only)

51255.pdf

Confined Feeding Operation Manure Management Plan Update (read-only)

49924.pdf

Construction Completion Affidavit (read-only)

51912.pdf

Construction Completion Affidavit

51912.doc

Construction Notification (read-only)

51911.pdf

Construction Notification

51911.doc

Corrective Action Plan Form SWF-18 (read-only)

50394.pdf

CSP-01: Initial Nox Allowance Reservation Request

53181.doc

Drycleaner Notification

48625.doc

Drycleaner Notification of Compliance Status

53430.doc

EC-01 Emission Credit Registry - Generation of Emission Credits (read-only)

51783.pdf

EC-01 Emission Credit Registry - Generation of Emission Credits

51783.doc

EC-02 Emission Credit Registry - Transfer of Emission Credits (read-only)

51784.pdf

EC-02 Emission Credit Registry - Transfer of Emission Credits

51784.doc

EC-03 Emission Credit Registry - Use of Emission Credits (read-only)

51785.pdf

EC-03 Emission Credit Registry - Use of Emission Credits

51785.doc

EC-04 Emission Credit Registry - Emission Credits Request (read-only)

51906.pdf

EC-04 Emission Credit Registry - Emission Credits Request

51906.doc

EE-01: Clean Energy Credit Program - Initial Nox Allowance Request (read-only)

52719.pdf

EE-01: Clean Energy Credit Program - Initial Nox Allowance Request

52719.doc

EE-02: Clean Energy Credit Program - Notification of Actual Results (read-only)

52720.pdf

EE-02: Clean Energy Credit Program - Notification of Actual Results

52720.doc

EE-03: Clean Energy Credit Program - Nox Allowance Reapplication (read-only)

52721.pdf

EE-03: Clean Energy Credit Program - Nox Allowance Reapplication

52721.doc

Environmental Disclosure for Transfer of Real Property

52653.pdf

Environmental Disclosure for Transfer of Real Property

52653.doc

Excess Liability Trust Fund Application (read-only)

47139.pdf

Facility Specific Operator (FSO) Application for Water Treatment Plant & Water Distribution System Operator Certification (read-only)

53210.pdf

Facility Specific Operator (FSO) Application for Water Treatment Plant & Water Distribution System Operator Certification

53210.doc

FESOP Renewal Permit Application

50083.pdf

Field Tile Monitoring At Land Application Sites (Personal Document) (read-only)

51910.pdf

Field Tile Monitoring At Land Application Sites (Personal Document)

51910.doc

Final Report for Organic Projects - Indiana Recycling Grant Program (read-only)

51984.pdf

Final Report for Organic Projects - Indiana Recycling Grant Program

51984.doc

Final Report for Recycling Projects - Indiana Recycling Grant Program (read-only)

51985.pdf

Final Report for Recycling Projects - Indiana Recycling Grant Program

51985.doc

Good Character Disclosure Statement (read-only)

50400.pdf

Good Character Disclosure Statement

50400.doc

Governor's Environmental Art Challenge Entry (read-only)

51756.pdf

Governor's Environmental Art Challenge Entry

51756.doc

Grant Expenditure Report - Indiana Recycling & HHW Grant Programs (read-only)

51986.pdf

Grant Expenditure Report - Indiana Recycling & HHW Grant Programs

51986.doc

GSD-01 General Source Data - Basic Source Level Information (read-only)

50640.pdf

GSD-01 General Source Data - Basic Source Level Information

50640.doc

GSD-02 General Source Data - Plant Layout Diagram (read-only)

51605.pdf

GSD-02 General Source Data - Plant Layout Diagram

51605.doc

GSD-03 General Source Data - Process Flow Diagram (read-only)

51599.pdf

GSD-03 General Source Data - Process Flow Diagram

51599.doc

GSD-04 General Source Data - Stack / Vent Information (read-only)

51606.pdf

GSD-04 General Source Data - Stack / Vent Information

51606.doc

GSD-05 General Source Data - Emissions Unit Information (read-only)

51610.pdf

GSD-05 General Source Data - Emissions Unit Information

51610.doc

GSD-06 General Source Data - Particulate Emissions Summary (read-only)

51612.pdf

GSD-06 General Source Data - Particulate Emissions Summary

51612.doc

GSD-07 General Source Data - Criteria Pollutant Emissions Summary (read-only)

51602.pdf

GSD-07 General Source Data - Criteria Pollutant Emissions Summary

51602.doc

GSD-08 General Source Data - Hazardous Air Pollutant Emissions Summary (read-only)

51604.pdf

GSD-08 General Source Data - Hazardous Air Pollutant Emissions Summary

51604.doc

GSD-09 General Source Data - Summary of Additional Information (read-only)

51611.pdf

GSD-09 General Source Data - Summary of Additional Information

51611.doc

GSD-10 General Source Data - Insignificant Activities (read-only)

51596.pdf

GSD-10 General Source Data - Insignificant Activity

51596.doc

GSD-11 General Source Data - Alternative Operating Scenario Summary (read-only)

51601.pdf

GSD-11 General Source Data - Alternative Operating Scenario Summary

51601.doc

GSD-12 General Source Data - Affidavit of Nonapplicability (read-only)

51600.pdf

GSD-12 General Source Data - Affidavit of Nonapplicability

51600.pdf

GSD-13 General Source Data - Affidavit of Applicability (read-only)

51603.pdf

GSD-14 General Source Data - Owners and Occupants Notified (read-only)

51609.pdf

GSD-15 General Source Data - Government Officials Notified (read-only)

51608.pdf

Hazardous Waste Biennial Report CC (read-only)

52387.pdf

Hazardous Waste Biennial Report CC

52387.doc

Hazardous Waste Biennial Report GM (read-only)

52388.pdf

Hazardous Waste Biennial Report GM

52388.doc

Hazardous Waste Biennial Report OI (read-only)

52389.pdf

Hazardous Waste Biennial Report OI

52389.doc

Hazardous Waste Biennial Report WM (read-only)

52390.pdf

Hazardous Waste Biennial Report WM

52390.doc

Hazardous Waste Biennial Report WR (read-only)

52391.pdf

Hazardous Waste Biennial Report WR

52391.doc

Hazardous Waste Facility Permit Fee Transmittal (read-only)

47214.doc

Hazardous Waste Generator Tank Survey (read-only)

52386.pdf

Hazardous Waste Generator Tank Survey

52386.doc

Hazardous Waste Transfer Facilities Notification (read-only)

52123.pdf

Hazardous Waste Transfer Facilities Notification

52123.doc

HHW/CESQG Materials Reporting - Indiana HHW Grant Program (read-only)

51989.pdf

HHW/CESQG Materials Reporting - Indiana HHW Grant Program

51989.doc

Hoosier Water Guardian Award Application

53248.pdf

Household Hazardous Waste Grant Application - Indiana Household Hazardous Waste Grant Programs (read-only)

51899.pdf

Household Hazardous Waste Grant Application - Indiana Household Hazardous Waste Grant Programs

51899.doc

Household Hazardous Waste Grant Final Report - Indiana HHW Grant Program (read-only)

51991.pdf

Household Hazardous Waste Grant Final Report - Indiana HHW Grant Program

51991.doc

Household Hazardous Waste Grant Progress Report - Indiana HHW Grant Program (read-only)

51990.pdf

Household Hazardous Waste Grant Progress Report - Indiana HHW Grant Program

51990.doc

Household Hazardous Waste (HHW) Data - Indiana HHW Grant Program (read-only)

52509.pdf

Identification of Potentially Affected Parties

49456.pdf

Identification of Potentially Affected Persons (read-only)

49635.pdf

Identification of Potentially Affected Persons

49635.doc

IE/LT1 SWTR Combined Filter Effluent Turbidity (read-only)

523294.pdf

Indiana 5-Star Environmental Recognition Program for Child Care Facilities Application

49200.pdf

Indiana 5-Star Environmental Recognition Program for Metal Finishers -- Information packet and Application

50214.pdf

Indiana Brownfields Program Comfort/Site Status Letter Request

51493.pdf

Indiana Brownfields Program Comfort/Site Status Letter Request

51493.doc

Indiana Clean Boater Pledge (Read-Only)

53581.pdf

Indiana CLEAN Community Challenge Annual Performance Report

53116.doc

Indiana CLEAN Community Challenge Program Application

51826.doc

Indiana Clean Marina Pledge (Read-Only)

53582.pdf

Indiana Clean Marina Program Designation Checklist (Read-Only)

53567.pdf

Indiana Department of Environmental Management Notification of Demolition and Renovation Operations

44593.pdf

Indiana Environmental Stewardship Program Annual Performance Report

53475.doc

Indiana Environmental Stewardship Program Application (read-only)

52772.pdf

Indiana Environmental Stewardship Program Application

52772.doc

Indiana Pollution Prevention Grant Program Application (read-only)

53334.pdf

Indiana Pollution Prevention Grant Program Application

53334.doc

Indiana Wellhead Protection Phase II Application (read-only)

53117.pdf

Industrial Streamlined Mercury Variance (SMV) Application (read-only)

52111.pdf

Industrial Streamlined Mercury Variance (SMV) Application

52111.doc

Initial Notification Report Under Regulation 40 CFR Part 63, Subpart DDDDDD (read-only)

51956.pdf

Inorganic Compounds (IOCs) in Drinking Water (read-only)

53285.pdf

Insignificant Permit Modification Checklist - Solid Waste Land Disposal Facilities

53317.doc

Inventory Change (read-only)

523291.pdf

Justification For PDF To Be Placed On IDEM Website (read-only)

51749.pdf

Justification For PDF To Be Placed On IDEM Website

51749.doc

Landowner Notification Attachment

50401.doc

Lead & Copper (PbCu) in Drinking Water Reporting (read-only)

53289.pdf

Location Information Sheet (Confidential & Non Confidential) (read-only)

52015.pdf

MACT-01 Pre-Construction Review

51905.pdf

Manure Distribution (read-only)

52381.pdf

Manure Distribution

52381.doc

Mercury Reduction And Recycling For Schools Pledge Program: School Pledge (read-only)

51900.pdf

Monthly Bromate Reporting (read-only)

53290.pdf

Monthly Chlorine Dioxide Monitoring (read-only)

53282.pdf

Monthly Chlorite Monitoring (read-only)

53283.pdf

Monthly Individual Filter Effluent (IFE) Turbidity Monitoring (read-only)

53293.pdf

Monthly Monitoring Report (MMR) for Industrial Discharge Permits (read-only)

30530.pdf

Monthly Monitoring Report (MMR) for Industrial Discharge Permits

30530-xls

Monthly Report of Operation Activated Sludge Type Wastewater Treatment Plant (Expanded) (read-only)

10829.pdf

Monthly Report of Operation Activated Sludge Type Wastewater Treatment Plant (Expanded)

10829-xls

Monthly Report of Operation Activated Sludge Type Wastewater Treatment Plant - Standard (read-only)

53463.pdf

Monthly Report of Operation Activated Sludge Type Wastewater Treatment Plant - Standard

53463-xls

Monthly Report of Operation Lagoon Type Wastewater Treatment Plant (read-only)

53343.pdf

Monthly Report of Operation Lagoon Type Wastewater Treatment Plant

53343-xls

Monthly Report of Operation of Water Treatment Plant (read-only)

34609.pdf

Monthly Report of Operation Package Type Wastewater Treatment Plant - Less than 0.05 mgd (read-only)

53344.pdf

Monthly Report of Operation Package Type Wastewater Treatment Plant - Less than 0.05 mgd

53344-xls

Monthly Report of Operation Sequencing Batch Reactor Wastewater Treatment Plant (read-only)

53339.pdf

Monthly Report of Operation Sequencing Batch Reactor Wastewater Treatment Plant

53339-xls

Monthly Report of Operation Trickling Filter or RBC Wastewater Treatment Plant (read-only)

53340.pdf

Monthly Report of Operation Trickling Filter or RBC Wastewater Treatment Plant

53340-xls

Monthly Report of Operation Vertical Loop Reactor Wastewater Treatment Plant (read-only)

53341.pdf

Monthly Report of Operation Vertical Loop Reactor Wastewater Treatment Plant

53341-xls

Monthly Total Coliform Reporting (read-only)

53297.pdf

Monthly Total Organic Carbon Removal Reporting (read-only)

53284.pdf

Municipal Solid Waste Landfill Air Permit Application GSD-01SW (read-only)

50395.pdf

Municipal Solid Waste Landfill Closure Plan (329 IAC 10-22)

50391.doc

Municipal Solid Waste Landfill Closure Plan Form SWF-3 (read-only)

50390.pdf

Municipal Solid Waste Landfill Post-Closure Plan

50388.doc

Municipal Streamlined Mercury Variance (SMV) Application (read-only)

52112.pdf

Municipal Streamlined Mercury Variance (SMV) Application

52112.doc

National Pollutant Discharge Elimination System (NPDES) Permit Application Form 2D

51957.pdf

New System Questionnaire (read-only)

46977.pdf

New Well Site Survey (read-only)

50896.pdf

New Well Site Survey

50896.doc

Nitrate & Nitrite in Drinking Water (read-only)

53281.pdf

Nomination Cover Page for Governor's Awards for Environmental Excellence

51656.doc

Noncompliance 24-hour Notification Fax Report (read-only)

52415.pdf

Noncompliance 24-hour Notification Fax Report

52415.doc

Notice of Intent to Construct a Water Main Extension

49008.pdf

Notice of Intent to Purchase UST and Reinstate Eligibility

48079.pdf

Notification for the Construction of a Storage Structure for Biosolids / Industrial Waste Product or Pollutant-Bearing Water

50405.doc

Notification for the Land Application of Agricultural Lime Substitute

50407.doc

Notification for the Land Application of Small Quantities of Pollutant-Bearing Water

53558.doc

Notification for Underground Storage Tanks

45223.doc

NPDES Industrial Permit Information Application Instructions General Information Form

51952.pdf

OA-01: Summary of Application & Existing Agreements

53438.pdf

OA-01: Summary of Application & Existing Agreements

53438.doc

OA-02: Industrial / Commercial Surface Coating Operations or Graphic Arts Operations

53439.pdf

OA-02: Industrial / Commercial Surface Coating Operations or Graphic Arts Operations

53439.doc

OA-03: Surface Coating or Graphic Arts Operations

53440.pdf

OA-03: Surface Coating or Graphic Arts Operations

53440.doc

OA-04: Woodworking Operations

53441.pdf

OA-04: Woodworking Operations

53441.doc

OA-05: Abrasive Cleaning Operations

53442.pdf

OA-05: Abrasive Cleaning Operations

53442.doc

OA-06: Grain Elevators

53443.pdf

OA-06: Grain Elevators

53443.doc

OA-07: Sand & Gravel Plants

53444.pdf

OA-07: Sand & Gravel Plants

53444.doc

OA-08: Crushed Stone Processing Plants

53445.pdf

OA-08: Crushed Stone Processing Plants

53445.doc

OA-09: Ready-Mix Concrete Batch Plants

53446.pdf

OA-09: Ready-Mix Concrete Batch Plants

53446.doc

OA-10: Coal Mines and Coal Preparation Plants

53447.pdf

OA-10: Coal Mines and Coal Preparation Plants

53447.doc

OA-11: Automobile Refinishing Operations

53448.pdf

OA-11: Automobile Refinishing Operations

53448.doc

OA-12: Degreasing Operations

53449.pdf

OA-12: Degreasing Operations

53449.doc

OA-13: External Combustion Sources

53450.pdf

OA-13: External Combustion Sources

53450.doc

OA-14: Internal Combustion Sources<

/TD>

53451.pdf

OA-14: Internal Combustion Sources

53451.doc

OAQ Federal Rule Incorporation Application FED-03: Compliance Assurance Monitoring (CAM)

53377.pdf

OAQ Federal Rule Incorporation Application FED-03: Compliance Assurance Monitoring (CAM)

53377.pdf

OAQ Federal Rule Incorporation Application FED-03: Compliance Assurance Monitoring (CAM)

53377.doc

PAL-01: Actuals Plantwide Applicability Limit (read-only)

52451.pdf

PAL-01: Actuals Plantwide Applicability Limit

52451.doc

PAL-02: Revised Plantwide Applicability Limit (read-only)

52452.pdf

PAL-02: Revised Plantwide Applicability Limit

52452.doc

PAL-03: Plantwide Applicability Limit Renewal (read-only)

52453.pdf

PAL-03: Plantwide Applicability Limit Renewal

52453.doc

PAL-04: Request for Termination of Plantwide Applicability Limit (read-only)

52454.pdf

PAL-04: Request for Termination of Plantwide Applicability Limit

52454.doc

Part 2 MACT Application / Application For 112(J) Case-By-Case MACT Determination

51105.pdf

PEP 6 Month Progress Report (read-only)

51998.pdf

PEP 6 Month Progress Report

51998.doc

PEP Grant Final Evaluation Report - Indiana Recycling Grant Program (read-only)

51999.pdf

PEP Grant Final Evaluation Report - Indiana Recycling Grant Program

51999.doc

Permit Application for the Land Application of Industrial Waste Products

53517.doc

Permit Application for the Marketing and/or Distribution of Biosolids

50408.doc

Permit Application for the Marketing and/or Distribution of Industrial Waste Products

53514.doc

Permit Application Package
(Contains SF 50103 and SF 50104)

50103.pdf

Photo Contest Entry

53311.doc

PI-01: Miscellaneous Process (read-only)

52534.pdf

PI-01: Miscellaneous Process

52534.doc

PI-02A: Combustion Unit Summary (read-only)

52535.pdf

PI-02A: Combustion Unit Summary

52535.doc

PI-02B: Combustion - Boilers, Process Heaters, & Furnaces (read-only)

52536.pdf

PI-02B: Combustion - Boilers, Process Heaters, & Furnaces

52536.doc

PI-02C: Combustion - Turbines & Reciprocating Internal Combustion Engines (read-only)

52537.pdf

PI-02C: Combustion - Turbines & Reciprocating Internal Combustion Engines

52537.doc

PI-02D: Combustion - Incinerators & Combustors (read-only)

52538.pdf

PI-02D: Combustion - Incinerators & Combustors

52538.doc

PI-02E: Combustion - Kilns (read-only)

52539.pdf

PI-02E: Combustion - Kilns

52539.doc

PI-02F: Combustion - Fuel Use (read-only)

52540.pdf

PI-02F: Combustion - Fuel Use

52540.doc

PI-02G: Combustion - Emission Factors (read-only)

52541.pdf

PI-02G: Combustion - Emission Factors

52541.doc

PI-02H: Combustion - Federal Rule Applicability (read-only)

52542.pdf

PI-02H: Combustion - Federal Rule Applicability

52542.doc

PI-03: Storage & Handling of Bulk Material (read-only)

52543.pdf

PI-03: Storage & Handling of Bulk Material

52543.doc

PI-04: Hot or Cold Mix Asphalt Plants (read-only)

52544.pdf

PI-04: Hot or Cold Mix Asphalt Plants

52544.doc

PI-05: Brick & Clay Products (read-only)

52545.pdf

PI-05: Brick & Clay Products

52545.doc

PI-06: Electroplating (read-only)

52546.pdf

PI-06: Electroplating

52546.doc

PI-07: Welding & Cutting of Metal (read-only)

52547.pdf

PI-07: Welding & Cutting of Metal

52547.doc

PI-08: Concrete Batchers (read-only)

52548.pdf

PI-08: Concrete Batchers

52548.doc

PI-09: Degreasing Operations (read-only)

52549.pdf

PI-09: Degreasing Operations

52549.doc

PI-10: Dry Cleaning Operations (read-only)

52550.pdf

PI-10: Dry Cleaning Operations

52550.doc

PI-11: Foundry, Smelting & Die Cast Operations (read-only)

52551.pdf

PI-11: Foundry, Smelting & Die Cast Operations

52551.doc

PI-12: Grain Elevators (read-only)

52552.pdf

PI-12: Grain Elevators

52552.doc

PI-13: Lime Manufacturing (read-only)

52553.pdf

PI-13: Lime Manufacturing

52553.doc

PI-14: Volatile Organic Liquid Storage (read-only)

52554.pdf

PI-14: Volatile Organic Liquid Storage

52554.doc

PI-14ALT: Volatile Organic Liquid Compound Storage (read-only)

52555.pdf

PI-14ALT: Volatile Organic Liquid Compound Storage

52555-xls

PI-15: Portland Cement Manufacturing (read-only)

52556.pdf

PI-15: Portland Cement Manufacturing

52556.doc

PI-16: Reinforced Plastics & Composites (read-only)

52557.pdf

PI-16: Reinforced Plastics & Composites

52557.doc

PI-17: Blasting Operations (read-only)

52558.pdf

PI-17: Blasting Operations

52558.doc

PI-18: Mineral Processing (read-only)

52559.pdf

PI-18: Mineral Processing

52559.doc

PI-19: Surface Coating & Printing Operations (read-only)

52560.pdf

PI-19: Surface Coating & Printing Operations

52560.doc

PI-20: Woodworking & Plastic Machining (read-only)

52561.pdf

PI-20: Woodworking & Plastic Machining

52561.doc

PI-21: Site Remediation (read-only)

52570.pdf

PI-21: Site Remediation

52570.doc

Pollution Complaint Clearinghouse: File A Pollution Complaint (read-only)

50014.pdf

Precipitation Events at Land Application Sites (read-only)

52382.pdf

Precipitation Events at Land Application Sites

52382.doc

Progress Report for Recycling & Organic Projects (read-only)

51997.pdf

Progress Report for Recycling & Organic Projects

51997.doc

Public Water Supply, Application For Water Treatment Plant and Water Distribution System Operator Certification (read-only)

12094.pdf

Public Water Supply, Application For Water Treatment Plant and Water Distribution System Operator Certification

12094.doc

Public Water Supply Drinking Water Operator Continuing Education Credit Report (read-only)

45674.pdf

Quarterly Land Application Report (read-only)

50397.pdf

Recycling Grant Application - Indiana Recycling Grant Program

51898.doc

Remediation Work Plan Completeness Checklist (read-only)

53413.pdf

Removal from NPDES CATO Permit Program (read-only)

51914.pdf

Removal from NPDES CATO Permit Program

51914.doc

Request for Use of an Air Curtain Open Pit Destructor (read-only)

43688.pdf

Request for Use of an Air Curtain Open Pit Destructor

43688.doc

Request for Variance from 326 IAC 4-1 (Fire Training) (read-only)

49634.pdf

Request for Variance from 326 IAC 4-1 (Fire Training)

49634.doc

Request for Variance from 326 IAC 4-1 (Motor Vehicle Fire Training) (read-only)

50337.pdf

Request for Variance from 326 IAC 4-1 (Motor Vehicle Fire Training)

50337.doc

Request for Variance from 326 IAC 4-1 (Prescribed Vegetation Burn) (read-only)

50864.pdf

Request for Variance from 326 IAC 4-1 (Prescribed Vegetation Burn)

50864.doc

Request for Variance from 326 IAC 4-1 (Tree Waste or Clean Wood Waste) (read-only)

43692.pdf

Request for Variance from 326 IAC 4-1 (Tree Waste or Clean Wood Waste)

43692.doc

Requests for Permit Change in Regard to Changes in 326 IAC 2-6 (read-only)

51655.pdf

Risk Integrated System of Closure Technical Guidance Document & User's Guide Order Form (read-only)

50389.pdf

Rule 5 - Notice of Intent (NOI) (read-only)

47487.pdf

Rule 5 - Notice of Intent (NOI)

47487.doc

Rule 5 - Notice of Termination (NOT) Storm Water Runoff Associated With Construction Activity (read-only)

51514.pdf

Rule 6 - Notice of Intent (NOI) Letter (read-only)

51286.pdf

Rule 6 - Notice of Intent (NOI) Letter (read-only)

51286.doc

Rule 6 - Storm Water Pollution Prevention Plan (SWP3)- Certification Checklist (read-only)

51287.pdf

Rule 6 - Storm Water Pollution Prevention Plan (SWP3) - Certification Checklist (read-only)

51287.doc

Rule 13 Annual Report

51278.pdf

Rule 13 Annual Report

51278.doc

Rule 13 Certification of the Development and Implementation, of a Program to Reduce Pollutant Run-Off from Municipal Operations for the Municipal Operations Pollution Prevention and Good Housekeeping MCM

51281.pdf

Rule 13 Certification of the Development and Implementation, of a Program to Reduce Pollutant Run-Off from Municipal Operations for the Municipal Operations Pollution Prevention and Good Housekeeping MCM

51281.doc

Rule 13 Certification of the Development, Implementation, Management and Enforcement of an Erosion and Sediment Control Program for the Construction Site Storm Water Run-Off Control MCM (read-only)

51272.pdf

Rule 13 Certification of the Development, Implementation, Management and Enforcement of an Erosion and Sediment Control Program for the Construction Site Storm Water Run-Off Control MCM

51272.doc

Rule 13 Certification of the Development, Implementation, Management and Enforcement of a Postconstruction Storm Water Run-Off Control Program for the Postconstruction Storm Water Run-Off Control MCM (read-only)

51274.pdf

Rule 13 Certification of the Development, Implementation, Management and Enforcement of a Postconstruction Storm Water Run-Off Control Program for the Postconstruction Storm Water Run-Off Control MCM

51274.doc

Rule 13 Certification of the Informational Program for the Public Education and Outreach MCM

51279.pdf

Rule 13 Certification of the Informational Program for the Public Education and Outreach MCM

51279.doc

Rule 13 Certification of the Plan to Detect, Address and Eliminate Illicit Discharges for the Illicit Detection and Elimination MCM (read-only)

51271.pdf

Rule 13 Certification of the Plan to Detect, Address and Eliminate Illicit Discharges for the Illicit Detection and Elimination MCM

51271.doc

Rule 13 Certification of the Public Participation and Involvement Program for the Public Participation and Involvement MCM (read-only)

51273.pdf

Rule 13 Certification of the Public Participation and Involvement Program for the Public Participation and Involvement MCM

51273.doc

Rule 13 - Monthly Summary Report of Construction Projects (read-only)

51276.pdf

Rule 13 - Monthly Summary Report of Construction Projects

51276.doc

Rule 13 Notice of Intent (NOI) Letter (read-only)

51270.pdf

Rule 13 Notice of Intent (NOI) Letter

51270.doc

Rule 13 Storm Water Quality Management Plan (SWQMP) - Part A: Initial Application Certification Submittal and Checklist (read-only)

51277.pdf

Rule 13 Storm Water Quality Management Plan (SWQMP) - Part A: Initial Application Certification Submittal and Checklist

51277.doc

Rule 13 Storm Water Quality Management Plan (SWQMP) - Part B: Baseline Characterization and Report Certification Checklist (read-only)

51275.pdf

Rule 13 Storm Water Quality Management Plan (SWQMP) - Part B: Baseline Characterization and Report Certification Checklist

51275.doc

Rule 13 Storm Water Quality Management Plan (SWQMP) - Part C: Program Implementation Certification Checklist

51280.pdf

Rule 13 Storm Water Quality Management Plan (SWQMP) - Part C: Program Implementation Certification Checklist

51280.doc

School Visit Request

53454.doc

Scope of Work (read-only)

51955.pdf

Scope of Work

51955.doc

Section 319 Nonpoint Source Pollution Grant Application

49367.doc

Section 401 WQC Regional General Permit Notification Form

51937.pdf

Section 401 WQC Regional General Permit Notification Form

51937.doc

Site Categorization For Prioritization of Claims (read-only)

51920.pdf

Site Categorization For Prioritization of Claims

51920.doc

Solid Manure Staging Record (Personal Document) (read-only)

51827.pdf

Solid Waste Disposal Fee Report (read-only)

50413.pdf

Solid Waste Facility Permit Application & Registration Fee Transmittal Form (read-only)

47215.pdf

Solid Waste Facility Permit Application & Registration Fee Transmittal Form

47215.doc

Solid Waste Facility Permit Renewal Application

50387.pdf

Solid Waste Facility Permit Transfer Application SWF-13 (read-only)

50393.pdf

Solid Waste Land Disposal Facility Permit Application (read-only)

50404.pdf

Solid Waste Land Disposal Facility Permit Renewal Application

50386.doc

Solid Waste Land Disposal Facility Quarterly Report (read-only)

51908.pdf

Solid Waste Land Disposal Facility Quarterly Report

51908.doc

Solid Waste Processing Facilities and Incinerators - New Facility and Major Modification Permit Application Checklist

53315.doc

Solid Waste Processing Facility Permit Application (read-only)

50392.doc

Solid Waste Processing Facility Permit Application

50392.pdf

Solid Waste Processing Facility Quarterly Report (read-only)

51909.pdf

Solid Waste Processing Facility Quarterly Report

51909.doc

Submission of Public Comments & Questions for Public Meetings & Hearings

53534.doc

Synthetic Organic Compounds (SOCs) in Drinking Water (read-only)

53287.pdf

Transfer Station Annual Report (read-only)

51885.pdf

Trihalomethanes & Haloacetic Acids Analyses in Drinking Water (read-only)

53288.pdf

Used Oil Management Report (read-only)

52392.pdf

Used Oil Management Report

52392.doc

Virtual Private Network Request Form (read-only)

50695.pdf

Virtual Private Network Request Form

50695.doc

Volatile Organic Compounds (VOCs) in Drinking Water (read-only)

53286.pdf

Voluntary Remediation Program Application With Instructions (read-only)

47271.pdf

Waste Tire Grant Application - Indiana Waste Grant Recycling Program (read-only)

48561.pdf

Waste Tire Grant Application - Indiana Waste Grant Recycling Program

48561.doc

Waste Tire Manifest (read-only)

47273.pdf

Waste Tire Transporter Registration (read-only)

47220.doc

Wastewater Management Permit Request for Voidance (read-only)

50396.doc

Wastewater Operator Continuing Education Credit Report (read-only)

51139.pdf

Water Quality Parameters and Source Water Reporting (read-only)

53292.pdf

Yard Waste Composting Facility Registration Application (read-only)

50414.pdf