The NPDES Individual Permit is regulated under
Hawaii Administrative Rules, Chapter 11-55,
Water Pollution Control, effective June 15, 2009.
The amendments to HAR, Chapter 11-55, Water Pollution Control repealed the
requirement for applicants to submit the National Pollutant Discharge Elimination
System permit application or Notice of Intent to the Department of Land and
Natural Resources, State Historic Preservation Division.
Apply for an NPDES Individual Permit with the EPA or CWB application forms and guidelines listed below and the
CWB-NPDES Signatory and Certification Statement.
- CWB-NPDES
Signatory and Certification Statement to NPDES Permit Applications and
Guidelines (Rev. 11/20/2002). This Statement shall be submitted with
the $1000 filling fee and EPA or CWB application form(s).
- Zone of Mixing - CWB-ZOM Form and Guidelines (Rev. 1/31/2003). As
applicable, this form shall be submitted with the application.
- CWB-Individual NPDES Form C and Guidelines (Rev. 09/30/2004):
Application for permit to discharge storm water associated with
construction activities. The EPA Form 3510-1 is not required to be
submitted with this form.
- cwb-npdesc.wpd(242 kb)
- cwb-npdesc.doc (221 kb)
- cwb-npdesc.pdf (88 kb)
- guide-npdesc.wpd (580 kb)(Rev. 05/25/2006)
- guide-npdesc.pdf (169 kb)(Rev. 05/25/2006)
- EPA Forms from
EPA NPDES Permit Applications and Forms webpage
(scroll to the applicable link on the page to obtain the EPA Form).
Use Adobe Acrobat Reader 7.0 or higher to open these files. Even though these publications are PDF files,
these documents allow you to type directly onto the form and save the PDF with the form fields populated.
You should enter your facility information on the form, print it, sign it, and mail the form to the CWB address below.
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NPDES Form 1 Application (EPA Form 3510-1)
General Information. Must be submitted by all facilities applying for an individual NPDES permit,
with the exception of construction activities submitting CWB-Individual NPDES Form C and municipal
separate storm sewer systems (MS4s).
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NPDES Form 2A Application (EPA Form 3510-2A)
Application for permit to discharge municipal wastewater from publicly owned treatment works
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NPDES Form 2B Application (EPA Form 3510-2B)
Application for permit to discharge wastewater (from) concentrated
animal feeding operations and aquatic animal production facilities
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NPDES Form 2C Application (EPA Form 3510-2C)
Application for permit to discharge wastewater (from) existing
manufacturing, commercial, mining and silvicultural operations.
Revisions proposed for Form 2C have been discontinued.
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NPDES Form 2D Application (EPA Form 3510-2D)
Application for permit to discharge process wastewater (from) new
sources and new dischargers.
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NPDES Form 2E Application (EPA Form 3510-2E)
Application for facilities which do not discharge process wastewater.
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NPDES Form 2F Application (EPA Form 3510-2F)
Application for permit to discharge storm water associated with industrial activity.
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NPDES Form 2S Application (EPA Form 3510-2S)
Application for sewage sludge (biosolids) permit for new and existing treatment
works treating domestic sewage (TWTDS).
| 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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