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The CWB-NOI Forms, guidelines and CWB-NOC Form have been updated. The use of Adobe Reader 8.0 will allow you to save some of your forms in pdf format.

Forms for NPDES Program

• National Pollutant Discharge Elimination System (NPDES) Individual Permit
• NPDES General Permit Coverage Notice of Intent Forms
• CWB-NPDES “No Exposure” Certification Form

Forms for Section 401 Water Quality Certification

• Section 401 Water Quality Certification (WQC)
• U.S. Environmental Protection Agency Vessel General Permit for Discharges Incidental to the Normal Operation of Vessels (VGP) in Waters of the State of Hawaii

Forms Used to Report NPDES Individual and General Permit Compliance Data

• Discharge Monitoring Report (DMR) Form (EPA 3320-1)
• CWB-NOC Form - Notice of Cessation Form
• Solid Waste Disclosure Form for Construction Sites

Form to Submit for Copies of Public Records

• Request to Access a Government Record Form

Form Used to Request Funding

• Polluted Runoff Control Program Request for Proposals Form

Discharge Monitoring Report (DMR) Form (EPA 3320)

The DMR form and instructions may be downloaded as MSWord, or Adobe Acrobat files.

• DMR Form
  • dmrform.doc
  • dmrform.pdf
    
    
• DMR Instructions
  • dmrinstr.doc
  • dmrinstr.pdf

CWB-NOC Form   (Rev. 09/30/2004)

The Notice of Cessation shall be submitted if the discharge or activity, or phase of discharge or activity has ceased.

• cwb-noc.wpd (185kb)
• cwb-noc.pdf (63 kb)
• cwb-noc.doc (147 kb)

Request to Access a Government Record

The Request to Access a Government Record form and the related Notice to Requestor form are now available in PDF format. Print, complete, and either fax or mail this form to the Clean Water Branch.
Please obtain compliance reports on the EPA's Environmental Compliance History Online (ECHO) at http://www.epa.gov/echo/.

Contact Us

Phone:		(808) 586-4309
Fax:		(808) 586-4352
Current Warnings, Advisories, and Closures:		(808) 586-5826
Mailing Address:		Clean Water Branch Environmental Management Division State Department of Health P.O. Box 3378 Honolulu, HI 96801-3378
Office Address:		Clean Water Branch Environmental Management Division State Department of Health 919 Ala Moana Blvd., Room 301 Honolulu, HI 96814-4920
EMail Address:		CleanWaterBranch@doh.hawaii.gov

Clean Water Branch - Kauai Phone: (808) 241-3323 Fax: (808) 241-3566 Kauai District Health Office 3040 Umi Street Lihue, Hawaii 96766

Clean Water Branch - Maui Phone: (808) 984-8234 Fax: (808) 984-8237 Maui District Health Office 54 High Street, Room 300 Wailuku, Hawaii 96793

Clean Water Branch - Hilo Phone: (808) 933-0401 Fax: (808) 933-0400 Hawaii District Health Office - Hilo 1582 Kamehameha Avenue Hilo, Hawaii 96720

Clean Water Branch - Kona Phone: (808) 322-1967 Fax: (808) 322-1511 West Hawaii Environmental Health Office Keakealani Building 79-1020 Haukapila Street, Room 113 Kealakekua, Hawaii 96750