Application Forms for DEC Permits
Many of these forms can be filled in electronically, then printed. The completed form cannot be saved to your hard drive if you are using Acrobat Reader.
Note: Mail the completed form to your regional office together with all necessary attachments to file an application.
If you cannot find the application you need; if you have any questions or need further assistance, contact your Regional DEC Permit Administrator.
SEQR, Coastal Zone and Historic Preservation Forms
- Short Environmental Assessment Form (PDF) (108 kB)
- Full Environmental Assessment Form (PDF) (1.8 mB)
- Positive Declaration Form (PDF) (77 kB)
- Negative Declaration Form (PDF) (82 kB)
- Notice of Complete Draft EIS/Final EIS Form (PDF) (34 kB)
- Notice of Completion of Draft EIS and Notice of SEQR Hearing (PDF) (30 kB)
- Visual Assessment Form (PDF) (914 kB)
- Coastal Assessment Forms: Information about the New York State Coastal Management Program can be found at the NYS Department of State's website. Please visit their website (see links at right) for more information, including the Coastal Assessment Form used by state agencies, and the Federal Consistency Assessment Form for applicants within the Coastal Zone seeking approval from a federal agency.
- Structural Archaeological Assessment Form (PDF) (106 kB)
- ENB SEQRA Notice Publication form (PDF) (72 kB)
General Purpose Forms
- Application for Permit Transfer (PDF) (496 kB)
- Application for Permit Transfer / Supplement A- Resolution of Environmental Monitor Escrow Account (PDF) (92 kB)
- Application for Floating Object Permit (PDF) (21 kB)
- Record of Compliance Information Form (PDF) (155 kB)
- Application for Revocable Permit for the Temporary Use of State Land
- General Permit GP 0-06-001 - Removal or Modification of Recent Beaver Dams (PDF) (574 kB)
Joint Application Form for Permit
Please read ALL instructions carefully and be sure you have completed ALL necessary parts before submitting your application. Please provide 3 copies.
Instructions for completing the Joint Application Form (PDF) (301 kB)
Joint Application Form (PDF) (543 kB)
Permission to Inspect Property form (PDF) (13 kB)
The Joint Application Form is used to apply for permits from several agencies. This form is used to apply for the following DEC Permits:
- Stream Disturbance
- Excavation and Fill in Navigable Waters
- Docks, Moorings or Platforms
- Supplemental Form Required:- Application for Permit for the Construction, Reconstruction or Expansion of Docking and Mooring Facilities (PDF) (Joint Application Supplement D-2) (66 kB)
- Application for Permit for the Construction, Reconstruction or Expansion of Docking and Mooring Facilities (PDF) (Joint Application Supplement D-2) (66 kB)
- Dams and Impoundment Structures
- Supplemental Form Required:- Application for Permit for the Construction, Reconstruction or Repair of a Dam or Other Impoundment Structure (PDF) (Joint Application Supplement D-1) (472 kB)
- Application for Permit for the Construction, Reconstruction or Repair of a Dam or Other Impoundment Structure (PDF) (Joint Application Supplement D-1) (472 kB)
- 401 Water Quality Certification
- Freshwater Wetlands
- Tidal Wetlands
- Coastal Erosion Management
- Wild, Scenic and Recreational Rivers
- Supplemental Form Required:- Application for Wild Scenic and Recreational Rivers System Permit (PDF) (Joint Application Supplement WSR-1) (1 mB)
- Application for Wild Scenic and Recreational Rivers System Permit (PDF) (Joint Application Supplement WSR-1) (1 mB)
- Water Withdrawal
- Supplemental Forms Required:- Application for Water Withdrawal Permit (PDF) (Joint Application Supplement WW-1) (546 kB);
- Water Conservation Program Form - for public water supplies (PDF) (156 KB) - To be submitted with the Water Withdrawal Permit Supplement to Joint Application WW-1
- Water Conservation Program Form - for non-potable supplies (PDF) (235 KB) - To be submitted with the Water Withdrawal Permit Supplement to Joint Application WW-1
- Legal Certification of Proper Water District or Water Works Corporation Formation (PDF) (754 KB) - For Public Water Supply Systems or Water Works Corporations, to be submitted with the above application for Water Withdrawal Permit Supplement to Joint Application WW-1
- Long Island Well
- Aquatic Vegetation Control
- Aquatic Insect Control
- Fish Control
- Incidental Take of Endangered/Threatened Species
Air Permit Applications
- Air Permitting Resources - the regulations, permit forms, instructions and guidance documents pertinent to the Department's Air Permitting Program
Mining Permit Forms
Solid and Hazardous Waste Permit Forms
- Application for a Solid Waste Management Facility Permit (PDF) (362 kB)
- Waste Transporter Permit Application (PDF) (171 kB)
State Pollutant Discharge Elimination System (SPDES) Forms
Private, Commercial & Institutional (P/C/I) SPDES Forms
- Application Form "D" for a State Pollutant Discharge Elimination System (SPDES) Permit (PDF) (Note that instructions are on page 2) (127 kB)
- Application Form "D" for a State Pollutant Discharge Elimination System (SPDES) Permit - Continuation Sheet for Multiple Outfalls (PDF) (46 kB)
- SPDES General Permit for groundwater discharge of treated sanitary waste between 1,000 to 10,000 gallons per day:
Municipal SPDES Forms
Industrial SPDES Forms
- Industrial SPDES Permit Application Form NY-2C (PDF) (331 kB)
- Water Treatment Chemical (WTC) Usage Notification Requirements (PDF) (140 kB)
- Discharge Monitoring Report (DMR) Authorization (PDF) - This form allows permittee to delegate the authority to sign and submit a discharge monitoring report (6 kB)
- Application supplement for demonstration of antidegradation due to presence of BCCs in discharge (PDF) (331 kB)
- Application supplement for discharges located within sole source aquifers (PDF) (331 B)
- Application supplement for beverage processing industry (PDF) (331 kB)
- Application supplement for dairy products processing industry (PDF) (331 kB)
- Application supplement for mixing zone analysis for discharges to estuaries (PDF) (331 kB)
- Application supplement for fruit and vegetable processing industry (PDF) (331 kB)
- Application supplement for iron & steel manufacturing industry (PDF) (331 kB)
- Application supplement for meat processing industry (PDF) (331 kB)
- Application supplement for organic chemicals, plastics, and synthetic fibers manufacturing industry (PDF) (331 kB)
- Application supplement for cogeneration and steam electric power generating industry (PDF) (331 kB)
- Application supplement for the pulp and paper industry (PDF) (331 kB)
- Application supplement for the seafood processing industry (PDF) (331 kB)
- Application Form 2E - Facilities Which Do Not Discharge Process Wastewater (PDF) - Use in conjunction with Application Form 1 (264 kB)
- Application Form 2F - Application for Permit to Discharge Storm Water Associated with Industrial Activity (PDF) - Use in conjunction with Application Form 1 (436 kB)
- Application Form 1 - General Information/Consolidated Permits Program (PDF) (713 kB)
Other SPDES Permit Forms
- Stormwater General Permit for Construction Activity
- Stormwater Municipal Separate Storm Sewer Systems (MS4s) General Permit
- Multi Sector General Permit for Stormwater Discharges from Industrial Activity
- Concentrated Animal Feeding Operations (CAFOs) General Permit
- Vessel General Permit
- SPDES Pesticide General Permit
