567—60.3 (455B,17A) Forms. The following forms are used by the public to apply for departmental approvals and to report on activities related to the wastewater programs of the department. All forms may be obtained from the Environmental Protection Division, Administrative Support Station, Iowa Department of Natural Resources, Henry A. Wallace Building, 900 East Grand Avenue, Des Moines, Iowa 50319-0032. Properly completed application forms should be submitted in accordance with the instructions, to the Wastewater Permits Section, Environmental Protection Division. Reporting forms should be submitted to the appropriate field office. (See rule 567—1.4(455B))
	 60.3(1) Construction permit application forms.
	  a.   	 Schedules 28 — “A” to “S”
“A” — General Information 542-3129
“B” — Collection System 542-3095
“C” — Lateral Sewer System 542-3096
“D” — Trunk and Interceptor Sewer 542-3097
“E” — Pump Station 542-3098
“F” — Treatment Project Site Selection 542-3099
“G” — Treatment Project Design Data 542-3106
“H1” — Schematic Flow Diagram 542-3101
“H2” — Treatment Process Removal Efficiency 542-3102
“H3” — Mechanical Plant Reliability 542-3239
“I” — Screening, Grit Removal and Flow Measurement 542-3089
“J” — Septic Tank System 542-3090
“K1” — Controlled Discharge Pond 542-3091
“K2” — Aerated Pond 542-3092
“K3” — Anaerobic Lagoon 542-3093
“L” — Settling Tanks 542-3094
“M” — Fixed Film Reactor—Stationary Media 542-3081
“N” — Rotating Biological Contactor 542-3082
“O” — Aeration Tanks or Basins 542-3083
“P” — Gas Chlorination 542-3084
“Q” — Sludge Dewatering and Disposal 542-3085
“R1” — Sludge Dewatering and Disposal 542-3086
“R2A” — Low Rate Land Application of Sludge (Part I) 542-3087
“R2B” — Low Rate Land Application of Sludge (Part II) 542-3088
“S” — Land Application of Wastewater (To be developed)
	  b.   	 Form 29 — Sewage Treatment Agreement 542-3219
	 60.3(2) Operation permit application forms.
	  a.   	 Form 30 — public or private domestic sewerage systems 542-3220
	  b.   	 Form 31 — treatment agreement 542-3221
	  c.   	 Form 34 — open feedlots 542-3225
	  d.   	 Form 1 — general information for industrial, manufacturing or commercial systems 542-1376. (For storm water discharge EPA Form 3510-1, also referred to as EPA Form 1, may be used.)
	  e.   	 Form 2 — facilities which do not discharge process wastewater—industrial, manufacturing or commercial systems 542-1377. (For storm water discharge EPA Form 3510-2E, also referred to as EPA Form 2E, may be used.)
	  f.   	 Form 3 — facilities which discharge process wastewater existing sources—industrial, manufacturing, and commercial systems 542-1378. (For storm water discharge EPA Form 3510-2C, also referred to as EPA Form 2C, may be used.)
	  g.   	 Form 4 — facilities which discharge process wastewater—new sources—industrial, manufacturing or commercial systems 542-1379. (For storm water discharge EPA Form 3510-2D, also referred to as EPA Form 2D, may be used.)
	  h.   	 EPA Form 2F (EPA Form 3510-2F)—application for NPDES individual permit to discharge storm water discharge associated with industrial activity.
	  i.   	 Notice of Intent for Coverage Under Storm Water NPDES General Permit No.	1 “Storm Water Discharge Associated with Industrial Activity” or General Permit No.	2 “Storm Water Discharge Associated with Industrial Activity for Construction Activities” or General Permit No.	3 “Storm Water Discharge Associated with Industrial Activity from Asphalt Plants, Concrete Batch Plants, Rock Crushing Plants and Construction Sand and Gravel Facilities” 542-1415.
	  j.   	 Notice of Intent for Coverage Under NPDES General Permit No.	4 “Discharge from On-Site Wastewater Treatment and Disposal Systems.”
	  k.   	 Notice of Intent for Coverage Under NPDES General Permit No.	5 “Discharge from Mining and Processing Facilities” 542-4006.
	  l.   	 Notice of Discontinuation From Coverage Under General Permit No.	5 542-8038.
	  m.   	 Information Required to Accompany Application for the Municipal Separate Storm Sewer System (MS4) Permit 542-8039.
	 60.3(3) Wastewater monitoring report forms.
	  a.   	 Form 35-1 — general/monthly 542-3226
	  b.   	 Form 35-2 — general/quarterly 542-3227
	  c.   	 Form 35-3 — commercial/industrial contributor/monthly 542-3228
	  d.   	 Form 35-4 — general/monthly 542-3229
	  e.   	 Form 35-5 — waste stabilization lagoons 542-3230
	  f.   	 Form 35-6 — trickling filter 542-3231
	  g.   	 Form 35-7 — activated sludge/contact stabilization 542-3232
	  h.   	 Form 35-8 — commercial/industrial contributor/quarterly 542-3233
	  i.   	 General Permit No.	5, “Discharge from Mining and Processing Facilities,” Annual Monitoring Report 542-8035.