* Notice *
Industrial Storm Water General Permittees may submit the CWB-No Exposure Certification (NOXP) Form if they believe
that their industrial activities are not exposed to any storm water.
If the subject activities are no longer occurring, the General Permittee shall submit a CWB-Notice of Cessation
(NOC) Form.
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.
For coverage under a specific NPDES General Permit, the following items are
required to be submitted to the Clean Water Branch (CWB):
A. CWB NOI General Form (CWBNOI_General.pdf) with Certifying Person’s
original signature [via “Submit via Email” button and hard copy]
B. General Permit Specific CWB NOI Form B, C, D, E, F, G, H, I, K, or L (CWBNOI_B.pdf through CWBNOI_L.doc)
[via “Submit via Email” button, as applicable, and hard copy]
C. All applicable attachments [via hard copy]
D. $500 Filing Fee [Check made payable to “State of Hawaii”]
E. Additional copies as required for Islands other than Oahu [see Notes V.D.
and V.E. of the General Guidelines]
Classification of the receiving State water may be obtained from the
Water Quality Standards Maps used
in conjunction with HAR, Chapter 11-54, Water Quality
Standards or by contacting the Clean Water Branch.
Apply for NPDES General Permit coverage with the Notice of Intent
(NOI) forms and guidelines (revised 08/01/2007, unless otherwise noted)
listed below. They may be downloaded as Adobe Acrobat and/or MSWord files.
Please use these updated forms to comply with NGPC conditions.
Terminate the NPDES General Permit coverage with the Notice of Cessation form
(CWB NOC Form).
General Form and Guidelines for NOI Forms B through L
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This information is applicable to ALL
NOI Forms. |
| Form B and Guidelines |
Storm water associated with industrial activity |
| Form C and Guidelines |
Storm water associated with construction activities |
| Form D and Guidelines |
Treated effluent from leaking underground storage tank remedial
activities |
| Form E and Guidelines |
Once through cooling water less than one (1) million gallons per
day |
| Form F and Guidelines |
Hydrotesting waters |
| Form G and Guidelines |
Construction activity dewatering effluent |
| Form H and Guidelines |
Treated process wastewater associated with petroleum bulk stations
and terminals |
| Form I and Guidelines |
Treated process wastewater associated with well drilling
activities |
| Form J and Guidelines |
Occasional or unintentional discharges from recycled water
systems |
| Form K and Guidelines |
Storm water and certain non-storm water discharges from
small municipal separate
storm sewer systems (Small MS4s) |
| Form L and Guidelines |
Circulation water from decorative ponds or tanks |
CWB NOI General Form and Guidelines for NOI Forms B through L:
Applicable to all CWB-NOI Forms.
General Instructions for the fillable Adobe Acrobat CWB NOI General Form. Please:
1. SAVE the blank form file in Adobe Acrobat Reader 8.0 or newer. If the form is completed while open in the web browser, it will NOT be saved and data will be lost.
2. Insert the required information
3. Save the completed form
4. Submit via the “Submit by Email” button. Please insert the existing NGPC File No. or New Project Name in the subject line (remove the text within the parentheses).
5. Print with “Print Form” button
6. Sign (submit form with original signature)
7. Submit with the applicable discharge specific CWB NOI Form, attachments, and $500 Filing Fee.
CWB NOI Form
B and Guidelines: Appendix B - Storm water
associated with industrial activity
CWB NOI Form
C and Guidelines: Appendix C - Storm water
associated with construction activities
CWB NOI Form
D and Guidelines: Appendix D - Treated effluent
from leaking underground storage tank remedial activities
CWB NOI Form
E and Guidelines: Appendix E - Once through
cooling water less than one (1) million gallons per day
CWB NOI Form
F and Guidelines: Appendix F - Hydrotesting
waters
CWB NOI Form
G and Guidelines: Appendix G - Construction
activity dewatering effluent
CWB NOI Form
H and Guidelines: Appendix H - Treated process
wastewater associated with petroleum bulk stations and terminals
CWB NOI Form
I and Guidelines: Appendix I - Treated process
wastewater associated with well drilling activities
WWB-NOI Form
J and Guidelines (Rev. 09/30/2004): Appendix J - Occasional or
unintentional discharges from recycled water systems
| Submit this form to: |
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Wastewater Branch
State Department of Health
P.O. Box 3378
Honolulu, HI 96801-3378 |
CWB NOI Form
K and Guidelines: Appendix K - Storm water and
certain non-storm water discharges from small municipal separate storm
sewer systems (Small MS4s)
CWB NOI Form
L and Guidelines: Appendix L - Circulation water
from decorative ponds or tanks
| Phone: |
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(808) 586-4309 |
| Fax: |
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(808) 586-4352 |
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Current Warnings, Advisories, and Closures: |
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(808) 586-5826 |
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| Mailing Address: |
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Clean Water Branch
Environmental Management Division
State Department of Health
P.O. Box 3378
Honolulu, HI 96801-3378 |
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| Office Address: |
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Clean Water Branch
Environmental Management Division
State Department of Health
919 Ala Moana Blvd., Room 301
Honolulu, HI 96814-4920 |
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| EMail Address: |
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CleanWaterBranch@doh.hawaii.gov
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Clean Water Branch - Kauai
Phone: (808) 241-3323
Fax: (808) 241-3566
Kauai District Health Office
3040 Umi Street
Lihue, Hawaii 96766
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Clean Water Branch - Maui
Phone: (808) 984-8234
Fax: (808) 984-8237
Maui District Health Office
54 High Street, Room 300
Wailuku, Hawaii 96793
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Clean Water Branch - Hilo
Phone: (808) 933-0401
Fax: (808) 933-0400
Hawaii District Health Office - Hilo
1582 Kamehameha Avenue
Hilo, Hawaii 96720
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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
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