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The IDEM Forms page provides a one-stop collection for all forms used in IDEM programs, permits, applications, etc. There are a number of ways to use this section and find the forms you need:

Forms.IN.gov Search

The Forms.IN.gov collection has a handy search tool you can use to quickly search all IDEM forms if you know the name, form type, or even just a key term for the form you need.

Find a Form Using Ctrl+F

If you know the name of a form, the form number, or even just the general topic you are looking for, modern browsers come with a built in "find" feature. To use the “find” feature, press the Ctrl and F key at the same time to bring up a small search bar on your screen. In the search bar, type the name of the form, form number, or a general topic. The words you typed in the search bar are then highlighted on the webpage and you can scroll or hit Enter until you locate the form you need.

Forms by Topic

The complete collection of all forms used for and by IDEM, organized by topic:

Agency Forms

  • IDEM Complaint Form - 50014 [PDF]
  • Public Records Request Form - 55542 [PDF] [DOC]

Office of Air Quality

Clean Air Interstate Rule (CAIR)
Voluntary Idling Program
  • Voluntary Idling Pledge - 53902 [PDF]

Permits Branch

General Source Data
Process Information
Control Equipment
Compliance Determination for Part 70 Sources
Best Available Control Technology
  • Analysis of Best Available Control Technology
  • PSD / Emission Offset Checklist
Emission Credit Registry
Plantwide Applicability Limits
  • PAL-01: Actuals Plantwide Applicability Limit - 52451 [PDF] [DOC]
  • PAL-02: Revised Plantwide Applicability Limit - 52452 [PDF] [DOC]
  • PAL-03: Plantwide Applicability Limit Renewal - 52453 [PDF] [DOC]
  • PAL-04: Request for Termination of Plantwide Applicability Limit - 52454 [PDF] [DOC]
Air Toxics
Special Permits
  • Interim Approval
  • Phase 2 Acid Rain Permit
Source Specific Operating Agreements (SSOA) Instructions (Forms Under Development)

Compliance Branch

  • Drycleaner Notification Form - 48625 [DOC]
  • Drycleaner Notification of Compliance Status - 53430 [DOC]
  • Initial Notification Report Under Regulation 40 CFR Part 63, Subpart DDDDD - 51956 [PDF]
  • Outdoor Hydronic Heater Dealer Notice to Buyers - 53597 [PDF] [DOC]
Asbestos
  • Application Checksheet for Asbestos Contractor - 52571 [DOC]
  • Application for Asbestos Contractor License - 52575 [DOC]
  • Application for Asbestos Training Course - Provider Approval - 48741 [DOC]
  • Application for Duplicate Asbestos License - 48740 [DOC]
  • Application for Individual Asbestos License - 43786 [DOC]
  • Notification of Demolition and Renovation Operations - 44593 [PDF]
Open Burning
  • Identification of Potentially Affected Persons - 49635 [PDF] [DOC]
  • Notification of Fire Training Burn Exemption - 54801 [PDF] [DOC]
  • Request for Approval Under 326 IAC 4-1 for Prescribed Vegetation Burn - 50864 [PDF] [DOC]
  • Request for Use of an Air Curtain Open Pit Destructor - 43688 [PDF] [DOC]
  • Request for Variance from 326 IAC 4-1 (Fire Training) - 49634 [PDF] [DOC]
  • Request for Variance from 326 IAC 4-1 (Motor Vehicle Fire Training) - 50337 [PDF] [DOC]
  • Request for Variance from 326 IAC 4-1 (Tree Waste or Clean Wood Waste) - 43692 [PDF] [DOC]
Stack Test Forms
  • Compliance Test Protocol Form - 55003 [PDF]
  • RATA Notification Protocol Form - 55059 [PDF]
  • VOCs & Toxics Compliance Test Protocol Form - 55058 [PDF]

Programs Branch

DieselWise

Office of Land Quality

  • Adjacent Landowner/Occupant Affidavit - 51872 [DOC]
  • Field Tile Monitoring At Land Application Sites (Personal Document) - 51910 [DOC]
Auto Salvage Recyclers
  • Application for Indiana Salvage Motor Vehicle Business License - 40248 [PDF]
  • Auto Salvage Recyclers Certification Program Certification Statement - 53766 [PDF]
  • Auto Salvage Recyclers Environmental Self-Audit Checklist - 53765 [PDF]
  • Indiana Clean Yard Best Management Practices Checklist - 53924 [DOC]
  • Payment for Mercury Switches from End-of-life Vehicles (ELVs) - 53238 [PDF] [DOC]
Confined Feeding Operations
  • Complete CFO/CAFO Application Packet - 55051 [PDF] [DOC]
CFO Forms
  • CFO Closure Certification - 55054 [PDF] [DOC]
  • CFO Construction Affidavit - 51255 [PDF] [DOC]
  • CFO Construction Notification - 50210 [PDF] [DOC]
  • CFO Facility Change Notification - 50209 [PDF] [DOC]
  • CFO Request for Approval Transfer - 49832 [PDF] [DOC]
  • CFO Request for Approval to Surface Apply Manure to Frozen or Snow-Covered Ground - 55162 [PDF] [DOC]
  • CFO Request for Exiting the Program - 49827 [PDF] [DOC]
  • Professional Engineer Certification Construction of Concrete Liquid Manure Storage Structures - 55053 [PDF] [DOC]
  • Professional Engineer Certification Construction of Earthen Liquid Manure Storage Structures - 55052 [PDF] [DOC]
  • Professional Engineer Certification for Construction of Geomembrane Lined Liquid Manure Storage Structures - 55716 [PDF] [DOC]

The following operator record forms and documents are not returned to IDEM:

The following compliance information forms and documents are not required, but recommended to be maintained on site:

NPDES CAFO Individual Permit Forms
  • CAFO Annual Report - 52510 [PDF]
  • CAFO Closure of Manure, Litter, Process Wastewater Storage Structures - 51913 [PDF]
  • CAFO Construction Completion Affidavit - 55056 [PDF]
  • CAFO Construction Notification - 51911 [PDF]
  • CAFO Removal from NPDES CAFO Permit Program - 55055 [PDF]

The following operator record forms are not returned to IDEM:

Electronic Waste
Hazardous Waste Facilities
  • Biennial Report CC - Closure/Post Closure Cost Estimate - 52387 [PDF] [DOC]
  • Facility Permit Fee Transmittal - 47214 [DOC]
  • Hazardous Waste Disposal Fee - 46244 [PDF] [DOC]
  • Transfer Facilities Notification - 52123 [PDF] [DOC]
  • Used Oil Management Report - 52392 [PDF] [DOC]
Guidance:
Institutional Controls
  • Environmental Restrictive Covenant / Deed Notice Modification or Termination Request - 56082 [PDF] [DOC]
Land Application of Biosolids and Other Pollutant-bearing Waters
  • Notification for the Construction of a Storage Structure for Biosolids/Industrial Waste Product or Pollutant-bearing Water - 50405 [DOC]
  • Permit Application for the Construction of a Storage Structure for Biosolids/Industrial Waste Product or Pollutant-Bearing Water - 50406 [DOC]
  • Notification for the Land Application of Agricultural Lime Substitute - 50407 [DOC]
  • Permit Application for the Marketing and/or Distribution of Biosolids - 50408 [DOC]
  • Permit Application for the Land Application of Domestic Wastewater - 50409 [DOC]
  • Permit Application for the Land Application of Biosolids - 50410 [DOC]
  • Permit Application for the Marketing and/or Distribution of Industrial Waste Products - 53514 [DOC]
  • Permit Application for the Land Application of Industrial Waste Products - 53517 [DOC]
  • Notification for the Land Application of Small Quantities of Pollutant-bearing Water - 53558 [DOC]
  • Permit Application for the Land Application of Industrial Process Wastewater - 53584 [DOC]
Satellite Manure Storage Structures (SMSS)
  • Satellite Manure Storage Structure (SMSS) Permit Application Packet - 56423 [PDF] [DOC]
Solid Waste Facilities
  • Adjacent Landowner/Occupant Affidavit - 51872 [PDF] [DOC]
  • Alternative Fuel Processor Registration Application - 55308 [PDF]
  • Biomass Digester/Gasification Facility Registration Application - 55309 [PDF]
  • Insignificant Permit Modification Checklist Solid Waste Land Disposal Facilities - 53317 [DOC]
  • Mobile Home Salvaging Facility Registration Application - 55307 [PDF]
  • Municipal Solid Waste Landfill Closure Plan (329 IAC 10-22) - 50391 [DOC]
  • Municipal Solid Waste Landfill Post-Closure Plan (329 IAC 10-23) - 50388 [DOC]
  • Solid Waste Facility Permit Application & Registration Fee Transmittal - 47215 [PDF] [DOC]
  • Solid Waste Facility Transfer Application - 50393 [PDF]
  • Solid Waste Land Disposal Facility Permit Application - 50404 [PDF] [DOC]
  • Solid Waste Land Disposal Facility Permit Renewal Application - 50386 [PDF] [DOC]
  • Solid Waste Processing Facilities and Incinerators / New Facility and Major Modification Permit Application Checklist - 53315 [PDF] [DOC]
  • Solid Waste Processing Facility Permit Application - 50392 [PDF] [DOC]
  • Solid Waste Processing Facility Permit Renewal Application - 50387 [PDF] [DOC]
  • Solid Waste Quarterly Fees - 56723 [PDF]
  • Transfer Station Annual Report - 51885 [PDF]
State Cleanup Program
  • Independent Closure Process - Site Closure - 54166 [PDF] [DOC]
Underground Storage Tanks (UST) Branch
Excess Liability Trust Fund (ELTF)
Leaking Underground Storage Tank (LUST) Program
  • LUST Further Site Investigation (FSI) Report Cover Sheet & Report Format - 55441 [PDF] [DOC]
  • LUST Initial Incident Report - 54487 [PDF] [DOC]
  • LUST Initial Site Characterization (ISC) Checklist - 55440 [PDF] [DOC]
  • LUST Initial Site Characterization (ISC) Report Cover Sheet & Report Format - 55439 [PDF] [DOC]
  • LUST No Further Action Request Cover Sheet and Report Format - 56088 [PDF] [DOC]
  • LUST Quarterly Monitoring Report (QMR) Cover Sheet and Report Format - 56087 [PDF] [DOC]
Underground Storage Tank (UST) Program
Voluntary Remediation Program
  • Application and Instructions - 47271 [PDF] [DOC]
  • Remediation Completion Report Completeness Checklist - 54168 [PDF] [DOC]
  • Remediation Work Plan Completeness Checklist - 53413 [PDF]
Waste Tires
  • Application for Waste Tire Processing Operation Registration (or Renewal) - 47221 [PDF]
  • Application for Waste Tire Storage Site Registration (or Renewal) - 47222 [PDF]
  • Application for Waste Tire Transporter Registration (or Renewal) - 47220 [DOC]
  • Contingency Plan for Waste Tire Processing Operations and Storage Sites - 54817 [PDF]
  • Registered Tire Storage Site Closure Cost Estimate - 53784 [DOC]
  • Waste Tire Manifest - 47273 [PDF]
  • Waste Tire Facility Closure Notification - 55351 [DOC]
Wastewater (Septage) Program
  • Application for a Wastewater (Septage) Management Land Application Site Permit - 50403 [DOC]
  • Application for a Wastewater (Septage) Management Storage/Treatment Facility Permit - 50402 [DOC]
  • Application for Septage Management Business Permit - 50399 [DOC]
  • Septage Land Application Quarterly Report - 50397 [PDF] [XLS]
Yard Waste Composting Program
  • Yard Waste Composting Facility Registration Application - 50414 [PDF] [DOC]

Office of Program Support

  • Earth Day Speaker Request Form - 53454 [PDF] [DOC]
  • Good Character Disclosure Statement - 50400 [PDF] [DOC]
  • Grant Expenditure Report - 51986 [PDF] [DOC]
CLEAN Community Challenge
  • CLEAN Community Challenge New Applicant Pre-Application - 56136 [DOC]
  • CLEAN Community Challenge Annual Performance Report - 53116 [PDF] [DOC]
  • CLEAN Community Challenge Program Application - 51826 [DOC]
Clean Marina Program
  • Indiana Clean Boater Pledge - 53581 [PDF] [DOC]
  • Indiana Clean Marina Program Designation Checklist - 53567 [PDF]
  • Indiana Clean Marina Pledge - 53582 [PDF]
Clean Vessel Act
  • Clean Vessel Act Program Grant Application - 53432 [PDF] [DOC]
  • Claim for Payment of Clean Vessel Act Operation and Maintenance - 55334 [PDF] [DOC]
Environmental Stewardship Program
Governor’s Award for Environmental Excellence
  • Governor's Award for Environmental Excellence - 51656 [PDF] [DOC]
  • Governor's Environmental Art Challenge Entry - 51756 [PDF] [DOC]
Partners for Pollution Prevention
  • Partners for Pollution Prevention Application - 56054 [PDF] [DOC]
Pollution Prevention Grants
  • Indiana Pollution Prevention (P2) Grant Program Application - 53334 [PDF] [DOC]
  • Partners for Clean Air PCA Scholarship Application – 56875 [PDF]
Recycling
  • Community Recycling Grant Expenditure Report - 51986 [PDF]
  • Community Recycling Grant Program Application Package - 56847 [PDF] [DOC]
  • Community Recycling Grant Personnel Activity Report - 56962 [PDF]
  • Community Recycling Grant Program Final Report - 56957 [PDF] [DOC]
  • Recycling Activity Report for Recycler Facility [PDF]
Recycling Market Development Program
  • Recycling Market Development Grant Expenditure Report - 54926 [PDF]
  • Recycling Market Development Grant Final Report - 54922 [PDF]
  • Recycling Market Development Grant Progress Report - 54921 [PDF]
  • Recycling Market Development Grant Proposal Cover Page - 56936 [DOC]
Self-Disclosure and Environmental Audit
  • Self-Disclosure and Environmental Audit Application Form - 55075 [PDF] [DOC]

Office of Water Quality

Drinking Water & Wastewater Facilities

Public Water Supply
  • Application for Construction Permit For Public Water System - 35058 [PDF]
  • Asbestos Monitoring Waiver Certification Statement – 56955 [PDF] [DOC]
  • Backflow Device Test Form - 55788 [PDF] [DOC]
  • Determination of Groundwater Under the Direction of Influence of Surface Water - 49187 [PDF]
  • CCR Electronic Delivery Certification - Drinking Water - 55623 [PDF] [DOC]
  • CCR Certification in Drinking Water - 54187 [PDF]
  • Chlorine and Chloramines Residual Reporting (DS) - 53296 [PDF] [DOC]
  • Chlorine and Chloramines Residual Reporting (POE) - 53295 [PDF] [DOC]
  • Consumer Notice of Lead Result in Drinking Water - 55275 [PDF] [DOC]
  • Electronic Sample Entry (eSE) Subscriber Agreement - 55656 [PDF]
  • Emergency Drinking Water Construction Permit Request Form - 54188 [PDF] [DOC]
  • Filter Backwash Recycling Rule (FBRR) Recordkeeping - 54186 [PDF]
  • IE/LT1 SWTR Combined Filter Effluent Turbidity - 53294 [PDF]
  • Inorganic Chemicals (IOC's) IN Drinking Water - 53285 [PDF]
  • Joint IDEM-DNR Waterways Application for Construction and for Discharge of Dredged or Fill Material to Waters of the State - 56893[PDF]
  • Lead & Copper (PBCU) In Drinking Water Reporting - 53289 [PDF]
  • Level 1 Assessment – Non-Transient Non-Community (NTNC) or Community Water Systems (CWS) - 52998 [PDF] [DOC]
  • Level 1 Assessment - Transient Non-Community Water Systems - 52999 [PDF] [DOC]
  • Level 2 Assessment - Non-Transient Non-Community (NTNC) or Community Water Systems (CWS) - 55981 [PDF] [DOC]
  • Level 2 Assessment - Transient Non-Community Water Systems - 55983 [PDF] [DOC]
  • Monthly Bromate Reporting - 53290 [PDF]
  • Monthly Chlorine Dioxide Monitoring - 53282 [PDF]
  • Monthly Chlorite Monitoring - 53283 [PDF]
  • Monthly Individual Filter Effluent (IFE) Turbidity Monitoring - 53293 [PDF]
  • Monthly Report of Operation of Water Treatment Plant - 34609 [PDF]
  • Monthly Total Organic Carbon Removal Reporting - 53284 [PDF]
  • New Public Water Supply Well Pump Test Report - 56206 [PDF] [DOC]
  • New System Questionnaire - 46977 [PDF] [DOC]
  • New Well Site Application - 50896 [PDF] [DOC]
  • Nitrate & Nitrite In Drinking Water - 53281 [PDF]
  • Notice of Intent to Construct a Water Main Extension - 49008 [PDF] [DOC]
  • Notice of Public Education Certification - 56823 [PDF] [XLS]
  • Radionuclides Reporting - 56391 [PDF]
  • Reporting of Aboveground Storage Tanks - 55906 [PDF]
  • Seasonal Systems Start-up Requirements - 55927 [PDF]
  • Seasonal Systems Start-up Requirements (Hand Pump(s) Only) - 53001 [PDF]
  • Stage 2 Disinfectants and Disinfection Byproducts Rule Reporting - 54923 [PDF] [DOC]
  • Stage 2 Operational Evaluation - Distribution System - 55261 [PDF] [DOC]
  • Stage 2 Operational Evaluation - Source Water - 55263 [PDF] [DOC]
  • Stage 2 Operational Evaluation - Summary - 55260 [PDF] [DOC]
  • Stage 2 Operational Evaluation - Treatment Process - 55262 [PDF] [DOC]
  • Synthetic Organic Compounds (SOC's) In Drinking Water - 53287 [PDF]
  • Total Coliform / Groundwater Rule Reporting - 53297 [PDF]
  • Total Coliform Site Sampling Plan- Non-Transient Non-Community Water Systems (NTNC) 53016 [PDF]
  • Total Coliform Site Sampling Plan- Transient Non-Community Water Systems (TNC) 55982 [PDF] [DOC]
  • Trihalomethanes (TTHM) And Haloacetic Acids (HAA5) Analyses In Drinking Water - 53288 [PDF]
  • Volatile Organic Compounds (VOC's) In Drinking Water - 53286 [PDF]
  • Water Quality Parameters And Source Water Reporting - 53292 [PDF]
Wastewater Facilities
  • Wastewater Reporting Notices and Instructions (MROs and MMRs)
  • Application for Approval to Use Water Treatment Additives - 50000 [PDF]
  • Application for Industrial Wastewater Pretreatment (IWP) Permit - 50271 [PDF]
  • Application for Industrial Wastewater Treatment Construction Permit Per 327 IAC 3 - 53161 [DOC]
  • Application for Preliminary Effluent Limitations - 53912 [PDF] [DOC]
  • Application for Sanitary Sewer Construction - 53159 [DOC]
  • Application for Wastewater Treatment Plant Construction Permit Per 327 IAC 3 - 53160 [DOC]
  • Bypass/Overflow Incident Report - 48373 [PDF]
  • Identification of Potentially Affected Parties - 49456 [PDF] [DOC]
  • Industrial Streamlined Mercury Variance (SMV) Application - 52111 [PDF] [DOC]
  • Monthly Monitoring Report (MMR) for Industrial Discharge Permits - 30530 [XLS]
  • Monthly Monitoring Report (MMR) for Wet Weather Treatment Facilities - 56109 [XLS]
  • Monthly Report of Operation Activated Sludge Type Wastewater Treatment Plant - Expanded - 10829 [XLS]
  • Monthly Report of Operation Activated Sludge Type Wastewater Treatment Plant - Standard - 53463 [XLS]
  • Monthly Report of Operation Lagoon Type Wastewater Treatment Plant - 53343 [XLS]
  • 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 - 53339 [XLS]
  • Monthly Report of Operation Trickling Filter or RBC Wastewater Treatment Plant - 53340 [XLS]
  • Monthly Report of Operation Vertical Loop Reactor Wastewater Treatment Plant - 53341 [XLS]
  • Municipal Chloride Variance Application - 55044 [DOC]
  • Municipal Streamlined Mercury Variance (SMV) Application - 52112 [PDF] [DOC]
  • National Pollutant Discharge Elimination System (NPDES) CSO Monthly Report of Operations and Instructions - 50546 [XLS]
  • Noncompliance 24-hour Notification Report - 52415 [DOC]
  • Notice of Intent (NOI) Letter for ING420000 Temporary Discharges General NPDES Permit - 56913 [PDF] [DOC]
  • NPDES Form 2C Application Package - 55637 [PDF]
  • NPDES Form 2D Application Package - 51957 [PDF]
  • NPDES Form 2E Application Package - 55639 [PDF]
  • NPDES General Permit Notice of Intent Submittal Application - 49401 [PDF]
  • NPDES Industrial Permit Information Application Instructions General Information Form - 51952 [PDF]
  • NPDES Public Water Supply Permit Application Package - 50103 [PDF]
  • NPDES Semi Public and Minor Municipal Permit Application - 54924 [PDF] [DOC]
Operator Certification and Continuing Education
  • Certified Operator in Responsible Charge (CORC) Request for Information – Operator of Multiple Public Water Systems - 53249 [PDF] [DOC]
  • Drinking Water Certification: Application for Approval of Continuing Education Training - 45675 [PDF]
  • Drinking Water Certification: Continuing Education Credit Report - 45674 [PDF]
  • Facility Specific Operator (FSO): Application for Water Treatment Plan and Water Distribution System Operator Certification - 53210 [PDF] [DOC]
  • Public Water Supply: Application For Water Treatment Plant and Water Distribution System Operator Certification - 12094 [PDF] [DOC]
  • Public Water Supply: Certified Operator in Responsible Charge (CORC) Request for Information – Operator of Multiple Public Water Systems [PDF] [DOC]
  • Wastewater Operator Certification: Application for Wastewater Treatment Plant Operator Certification Examination - 47289 [PDF] [DOC]
  • Wastewater Operator Certification: Application for Wastewater Treatment Plant Operator Certification Examination - Short Form for Apprenticeship Only - 53583 [PDF]
  • Wastewater Operator Apprentice: Application for Wastewater Treatment Plant Apprentice to Request Certification - 53785 [PDF]
  • Wastewater Operator Provisional Certification: Application for Provisional Wastewater Treatment Plant Operator Certification - 51494 [PDF]
  • Wastewater Operator Certification: Application for Wastewater Treatment Plant Operator Certification by Reciprocity - 47290 [PDF] [DOC]
  • Wastewater Operator Continuing Education: Application for Approval of Continuing Education - 51138 [PDF]
  • Wastewater Operator Continuing Education: Credit Report - 51139 [PDF]

Storm Water & Wetlands

  • Rule 5: Notice of Intent (NOI) - 47487 [PDF] [DOC] [ONLINE]
  • Rule 5: Notice of Termination (NOT) Storm Water Runoff Associated With Construction Activity - 51514 [PDF] [DOC] [ONLINE]
  • Rule 6: General Permit Annual Report - 54185 [PDF] [DOC]
  • Rule 6: Industrial Storm Water Discharge Monitoring Report - 53590 [PDF] [DOC]
  • Rule 6: Notice of Intent (NOI) Letter - 51286 [PDF] [DOC]
  • Rule 6: Storm Water Pollution Prevention Plan (SWP3) - 51287 [PDF] [DOC]
  • Rule 6: Notice of Termination/Exclusion (NOT/E) Letter - 54087 [PDF] [DOC]
  • Rule 13: Annual Report - 51278 [PDF] [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] [DOC]
  • Rule 13: Certification of the Development, Implementation, Management and Enforcement of a Post-construction Storm Water Run-Off Control Program for the Post-construction Storm Water Run-Off Control MCM - 51274 [PDF] [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 - 51272 [PDF] [DOC]
  • Rule 13: Certification of the Informational Program for the Public Education and Outreach MCM - 51279 [PDF] [DOC]
  • Rule 13: Certification of the Plan to Detect, Address and Eliminate Illicit Discharges for the Illicit Detection and Elimination MCM - 51271 [PDF] [DOC]
  • Rule 13: Certification of the Public Participation and Involvement Program for the Public Participation and Involvement MCM - 51273 [PDF] [DOC]
  • Rule 13: Monthly Summary Report of Construction Projects - 51276 [PDF] [DOC]
  • Rule 13: Notice of Intent (NOI) Letter - 51270 [PDF] [DOC]
  • Rule 13: Storm Water Quality Management Plan (SWQMP) - Part A: Initial Application Certification Submittal and Checklist - 51277 [PDF] [DOC]
  • Rule 13: Storm Water Quality Management Plan (SWQMP) - Part B: Baseline Characterization and Report Certification Checklist - 51275 [PDF] [DOC]
  • Rule 13: Storm Water Quality Management Plan (SWQMP) - Part C: Program Implementation Certification Checklist - 51280 [PDF] [DOC]
  • Wetlands: Application For Authorization to Discharge Dredged or Fill Material to Isolated Wetlands and/or Waters of the State - 51821 [PDF] [DOC]
  • Wetlands: Section 401 WQC Regional General Permit Notification Form - 51937 [PDF] [DOC]

Watershed Management

  • Hoosier Riverwatch Water Monitoring Equipment Application - 55220 [PDF] [DOC]
  • Hoosier Riverwatch Workshop Evaluation - 55189 [PDF] [DOC]
  • Hoosier Riverwatch Workshop Registration - 55188 [PDF] [DOC]
  • Hoosier Riverwatch Workshop Summary - 55190 [PDF] [DOC]
  • Itemization of Invoice Expenditures - 50067 [PDF] [DOC]
  • Report of In-kind/Cash Match Contributions - 50066 [PDF] [DOC]
  • Section 205 Nonpoint Source Pollution Grant Application – 53970 [PDF] [DOC]
  • Section 319 Nonpoint Source Pollution Grant Application - 49367 [PDF] [DOC]
  • Section 319 & 205j Grant Program Progress Report Form - 50068 [PDF] [DOC]
  • Section 319: 319A (Agriculture) Cost Share Form - 50065 [PDF]
  • Section 319: 319U (Urban) Cost Share Form - 50063 [PDF]

Wellhead Protection

  • Hoosier Water Guardian Award Application - 55411 [PDF] [DOC]
  • Indiana Wellhead Protection Phase I Application - 54189 [PDF] [DOC]
  • Indiana Wellhead Protection Phase II Application - 53117 [PDF]
  • Indiana Wellhead Protection Phase II Five Year Update Survey - 53796 [PDF] [DOC]
  • New Well Site Application - 50896 [DOC]
  • Source Water Proximity Determination Request - 54297 [PDF]

Other Non-Agency Forms

Auditor of the State of Indiana

  • Automated Direct Deposit Authorization Agreement - 47551 [PDF]
  • Vendor Information - 53788 [PDF]

Indiana Bureau of Motor Vehicles

  • Application for Salvage Motor Vehicle Business License - 40248 [PDF]

Indiana Department of Administration

  • Indiana Economic Impact - Proposals and Contracts - 51778 [PDF] [XLS]

Indiana Department of Local Government Finance

  • Statement for Deduction of Assessed Valuation - 18865 [PDF]

Indiana Department of Natural Resources

  • Registration of a Significant Water Withdrawal Facility - 20094 [PDF]

Indiana State Board of Accounts

  • Automated Direct Deposit Authorization Agreement - 47551 [PDF]

Indiana State Department of Health

  • Water Test Kit Order - 46270 [PDF]

U.S. Environmental Protection Agency

  • Application for Permit to Discharge Storm Water Discharges Associated with Industrial Activity, Form 2F NPDES [PDF]
  • Boiler MACT Initial Notification: National Emission Standards for Hazardous Air Pollutants (NESHAP) for Major Sources [PDF]
  • CAIR Permit Application (Sources Covered Under the CAIR SIP) - Part 96 [DOC]
  • CAIR Permit Application (Sources Covered under the FIP) - Part 97 [DOC]

U.S. Internal Revenue Service

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