State Pollutant Discharge Elimination System (SPDES) Permit Application Forms
These forms are available in Adobe Acrobat (PDF) format or may be submitted electronically in the DEC eBusiness Forms Portal. If you cannot find an application or you need further assistance, contact your Regional Permit Administrator. If you have difficulty accessing these PDFs, please contact us using the information in the right side bar.
Private, Commercial & Institutional (P/C/I) SPDES Forms
- SPDES Application Form P/C/I Discharge of Treated Sanitary Sewage (PDF) (formerly Application Form "D")
- Instructions for SPDES Application Form P/C/I Discharge of Treated Sanitary Sewage (PDF)
- SPDES General Permit GP-0-15-001 for groundwater discharge of treated sanitary waste of 1,000 to 10,000 gallons per day (gpd) per outfall, and less than 30,000 gpd per facility:
- General Permit 0-15-001 (PDF)
- General Permit 0-15-001 Application Instructions (PDF)
- General Permit 0-15-001 Application Form (PDF)
- General Permit 0-15-001 Application Form, Continuation Sheet for Multiple Outfalls (PDF)
- General Permit 0-15-001 Design Certification Form (PDF)
- General Permit 0-15-001 Post-Construction Certification Form (PDF)
Municipal SPDES Forms
- Application Form NY-2A for Municipal Facilities (PDF) Form NY-2A is used to apply for new, or modification to existing municipal wastewater discharge SPDES permits. (Revised 9/25/2020)
- Form NY-2A Overview Presentation (PDF)
- Stormwater No Exposure Certification Form (PDF)
Industrial SPDES Forms
- Industrial SPDES Permit Application Form NY-2C, instructions, tables, and forms. Form NY-2C is used to apply for new or modifications to existing industrial wastewater discharge SPDES permits (PDF). (Replaces EPA Form 1, Form 2C & Form 2D) (Revised 9/25/2020)
- Form NY-2C Overview Presentation (PDF)
- Stormwater No Exposure Certification Form (PDF)
- Application supplement for demonstration of antidegradation due to presence of BCCs in discharge (PDF)
- Application supplement for discharges located within sole source aquifers (PDF)
- Application supplement for beverage processing industry (PDF)
- Application supplement for dairy products processing industry (PDF)
- Application supplement for fruit and vegetable processing industry (PDF)
- Application supplement for iron & steel manufacturing industry (PDF)
- Application supplement for meat processing industry (PDF)
- Application supplement for organic chemicals, plastics, and synthetic fibers manufacturing industry (PDF)
- Application supplement for cogeneration and steam electric power generating industry (PDF)
- Application supplement for the pulp and paper industry (PDF)
- Application supplement for the seafood processing industry (PDF)
SPDES Stormwater Permit Forms
Other SPDES Permit Forms
SPDES Annual Report Form (PDF)
SPDES Pesticide General Permit NOI (PDF) 
SPDES Permit Designation of Authority (PDF) Complete and submit this form for any contact and authorization changes for your facility.
Mixing Zone Form Instructions (PDF)
Mixing Zone Analysis - Detailed Form (PDF)
Mixing Zone Analysis - Simple Form (PDF)
