NPDES Permit for Stormwater Discharges from Construction Activities- forms
This page last revised June 2021
Although we do our best to keep these forms up to date, occasionally they are updated by DEP and the most current forms are available on the Department of Environmental Protection (DEP)’s "eLibrary" website. If you are aware of updated forms not included here, please notify us at your convenience. Thank you.
As of December 2019, there are now two separate forms (previously, it was one form with checkbox(s) to indicate desired coverage) to apply for NPDES General (GP; providing PAG-02 coverage) –and- NPDES Individual (IP) permits. They are:
PAG-02 NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) GENERAL PERMIT FOR DISCHARGES OF STORMWATER ASSOCIATED WITH CONSTRUCTION ACTIVITIES NOTICE OF INTENT (NOI) INSTRUCTIONS (PDF), revised April 2020
These forms replace the previous method of a letter notification to each the County and Municipality of the project site:
There are now Modules that need to be completed and submitted with permit Notice of Intents and Applications- Modules needed depends on which (GP or IP) permit being applied for. For the 2019 NPDES General Permit, DEP is seeking to improve the efficiency and consistency of DEP and CCD completeness and technical reviews by requiring the use of templates for the narrative components of E&S and PCSM Plans (i.e., E&S Module 1 and PCSM Module 2). In addition to Modules 1 & 2, Modules 3 & 4 may apply (one or both) to proposed Individual NPDES permits.
General Information Form (GIF), Instructions, and Checklist (this form is used for several DEP permit/programs; required also for an Individual Permit NPDES for Stormwater Discharges Associated with Construction Activities):
Previously, one form served to add Co-Permittees or to Transfer the permit to a new Permittee. Now there are two forms; one for use for either action. Note that a separate, signed Co-Permittee or Transfer Agreement is not needed with proper use of these new forms.
NPDES "self-inspection" Report Form (NPDES permits require owner or operator to document operation and maintenance of all site BMPs on a weekly basis and after each stormwater event):
CHAPTER 102 VISUAL SITE INSPECTION REPORT (PDF), December 2019
To request a Pre-Application meeting with Conservation District as well as partnering agency(s):
This may be used to remove an operator or Co-Permittee from a NPDES permit with acknowledgement from the Permit holder (Permittee).
Notice of Termination of a General OR Individual NPDES Permit for Discharges of Stormwater Associated with Construction Activities -OR- for an Erosion and Sediment Control Permit:
Notice of Termination for a NPDES permit (PDF), revised September 2020
NOT Instructions (PDF), revised April 2021
Sample Instrument for the Declaration of Restrictions and Covenants (Instrument). Use of this template is not mandatory, but it is recommended...
Sample Instrument (PDF), (no date)
Guidance on instrument filing (required for NPDES termination process when sites completed), providing 5 scenarios as examples. Note: this does not cover every possible scenario or situation.
Instrument Filing Scenarios (PDF), dated January 2018
Sample New Property Owner PCSM BMP(s) Notification and Operation and Maintenance Agreement: Sample Agreement (PDF), (no date)
Pennsylvania "Conservation Explorer" tool
In March 2016, the Pennsylvania Natural Heritage Program replaced the Pennsylvania Natural Diversity Inventory (PNDI) Environmental Review tool with the new Pennsylvania Conservation Explorer. This new tool is a "one stop shop" for conservation planning and PNDI Environmental Review. The Explorer provides conservation information on biological diversity, protected lands, streams and other natural resources for planning purposes and also allows users to screen a project area for potential impacts to threatened, endangered, and special concern species. As a reminder, a PNDI receipt is needed to apply for most permits and approvals under the Chapter 102 and 105 programs. In order to obtain an online search receipt, the Pennsylvania Natural Heritage Program charges a convenience fee of $40.00 per project using Visa, MasterCard or Discover Card. Government agencies and Municipalities are exempt from this convenience fee.
To conduct a PNDI search online, go to the Pennsylvania Natural Heritage Program site and follow the Quick Links for CONSERVATION EXPLORER.
- In addition, users may submit for a fee free manual review (For sites of any size, review free of cost- see instructions): PNDI Manual Submission Form (PDF), revised February 2016. A manual review may take 4 to 8 weeks or longer for results.
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