Applications and Forms

Applications and forms are grouped by permit type and are available for download in either DOC or PDF format. Some documents require you to follow a link to an another page which may be served by an outside website.

Please select a category below

Consolidated Air Application

Acid Rain Permit Application

Minor Modifcation Request (Title V)

502(b)(10) Change Notification (Title V)

Responsible Official – Duly Authorized Representative (DAR) Designation

Certification of Construction Notice

Start of Construction Notice

Air Regulation Cross Reference Table

Name Change / Transfer Form


NPDES Permit

NPDES Form 1






NPDES Short Form D (Domestic)

Pretreatment Form 2P

State Operating Permit (SOP)

Aerial Applicator Application 

State Operating – No Discharge

State Operating – No Discharge Domestic

Misc. Forms

Name Change / Transfer Form


General Permit NOI

Click Here for General Permit Webpage

Baseline (Industrial) Stormwater Forms Package

Dry Litter Poultry AFO Forms Package

Hot Mix Asphalt Forms Package

Hydrostatic Test Forms Package

Large Construction Stormwater Forms Package

Mining Stormwater Forms Package

MS4 Phase II Stormwater Forms Package

Multimedia Concentrated Animal Feeding Operation Forms Package

Ready Mix Forms Package

Underground Storage Tank (UST) Remediation Forms Package

Wet Deck Forms Package



Sewer Plans & Specs

Environmental Permits Division will accept and encourages the submission of Plans and Specifications in an electronic file formats such as PDF, TIFF on CD or DVD. In accordance with State regulation 11 Miss. Admin. Code Pt. 6, R.1.1.6.B., EPD receives, reviews and approves plans and specifications for all proposed municipal and domestic sewage collections prior to beginning construction of proposed system. In the past, engineering firms have sent us full scale blueprint sets for these projects; this is no longer required in hardcopy format. At this time, the required information sheet should still be submitted via paper and a signed and stamped cover letter should be included with any electronic files indicating that the plans and specifications submitted electronically were developed by a professional engineer who holds a valid certificate of registration as a professional engineer issued by the Mississippi State Board of Registration for Professional Engineers and Land Surveyors.

Wastewater Information Sheet

Coastal Wastewater Information Sheet

Individual Stormwater Forms

Monthly Spill and Leak Log Form

Monthly Inspection and Visual Evaluation Form

Monthly Visual Jar Test Inspection Form

Employee Training Log Form

Annual SWPPP Evaluation Form

SWPPP Certification Form for Reissuance