The MO 780 0795 form serves a vital role for those interacting with the Missouri Department of Natural Resources, specifically within the realm of the Water Protection Program. It's an application for a general permit under the Missouri Clean Water Law, a requirement for facilities wishing to manage stormwater and wastewater discharge in compliance with state regulations. Designed to streamline the permit application process, this form outlines details about the facility, its operations, and the nature of discharges, ensuring that all necessary information is captured efficiently and effectively.
If you're looking to ensure your facility aligns with the Missouri Clean Water Law, completing the MO 780 0795 form is a crucial step. Click the button below to start filling out your form with confidence.
The Missouri Department of Natural Resources plays a pivotal role in the protection and management of the state's water resources through the Water Protection Program. Key to this initiative is the MO 780 0795 form, an Application for General Permit under the Missouri Clean Water Law. This form is designed for entities needing permits for operations that may affect water quality, including new facilities, existing facilities planning expansions, or changes in discharged water volume. It requires detailed information about the business, including the nature of its operations, facility location, owner and operator details, as well as specific information about outfalls and receiving waters. This documentation is crucial for regulatory compliance, aiming to minimize environmental impacts on Missouri's water bodies. Whether for stormwater permits, construction activities, agricultural chemical storage, concentrated animal feeding operations, or other scenarios requiring permits, this form is a first step toward environmental stewardship. It emphasizes the importance of accurate and thorough reporting, antidegradation reviews, and adherence to state guidelines to protect water quality, reflecting a broad initiative to balance economic activities with ecological integrity.
MISSOURI DEPARTMENT OF NATURAL RESOURCES
FOR AGENCY USE ONLY
WATER PROTECTION PROGRAM
CHECK NUMBER
FORM E – APPLICATION FOR GENERAL PERMIT
UNDER MISSOURI CLEAN WATER LAW
DATE RECEIVED
FEE SUBMITTED
1.00 BRIEFLY DESCRIBE THE NATURE OF YOUR BUSINESS
1.10
a.
This facility is now in operation under Missouri Operating Permit Number, or NPDES, MO –
and there
is not a proposed increase in design stormwater or wastewater flow.
b.
This facility is now in operation under Missouri Operating Permit Number MO –
and there is a proposed
increase in design stormwater or wastewater flow.
c.
This is a new permit (for a new facility).
d. Construction Permit if required by the General Permit.
If you checked either item b or c above then you may need to submit an antidegradation review. See instructions.
2.00 NAME OF FACILITY
2.10 ADDRESS (PHYSICAL)
CITY
STATE
ZIP CODE
3.00 OWNER
NAME
E-MAIL ADDRESS
PHONE NUMBER WITH AREA CODE
FAX NUMBER WITH AREA CODE
STREET
4.00 CONTINUING AUTHORITY
5.00 OPERATOR (if applicable)
6.00 FACILITY CONTACT
TITLE
7.00 FOR EACH OUTFALL GIVE THE LEGAL DESCRIPTION (ATTACH ADDITIONAL SHEETS AS NECESSARY)
Outfall Number
¼
Sec.
T
R
__________ County
7.10 FOR EACH OUTFALL LIST THE NAME OF THE RECEIVING WATER
___________
Receiving Water ________________
7.20
Does the discharge(s) for which you are seeking a permit discharge to a combined sewer system?
Yes
No
7.40
Primary SIC Code ___________
7.50
If this application is for a storm water permit, please provide an attached list of any materials that are stored outside and exposed to storm water.
7.60
Attach a USGS 1” = 2,000’ scale map showing the location of the facility in relation to the local road system. Indicate on the map the facility, the receiving stream, the points of discharge
and the map section, township and range.
7.70
If this is an existing discharge, submit a summary of pollutants analyzed in the past two years.
7.80
If applying for a permit for an industrial site (i.e. stormwater), what is the method of domestic wastewater disposal? _________________
7.90
I certify that I am familiar with the information contained in the application and to the best of my knowledge and belief such information is true, complete and accurate, and if granted this
permit, I agree to abide by the Missouri Clean Water Law and all rules, regulations, orders and decisions, subject to any legitimate appeal available to applicant under the Missouri Clean
Water Law of Missouri Clean Water Commission.
A. NAME AND OFFICIAL TITLE (TYPE OR PRINT)
B. TELEPHONE NUMBER WITH AREA CODE
C. SIGNATURE
D. DATE SIGNED
MO 780-0795 (10-12)
INSTRUCTIONS
This form must be submitted with the application fee (listed below). Persons with more than one operating location shall obtain a general permit for each location unless other permitting arrangements are allowed by the terms of the general permit. Where multiple discharge points exist at a single operating location, one application may cover all the applicable discharges. If there are any questions concerning this form, please contact the appropriate regional office (see map available at www.dnr.mp.gov/regions/regions.htm).
Fees: Land Disturbance (Form G must be included) - $300 (due at application time only)
Ag Chem Fertilizer/Pesticide Storage- $150 due with application for new permits; $50/year while permit is in effect; no fee required with renewal application Concentrated Animal Feeding Operation, or CAFO - $150 (due at application time only)
Pesticide Applications - $150 due for the application for new permit and each year until expiration; $60/year thereafter; no fee required with renewal application. General Permit – Other (e.g., Motor Vehicle Salvage, Limestone Quarry, Petroleum Storage, Sand/Gravel Mining, etc.) - $150 due with application for new permits and each year until expiration; $60/year thereafter; no fee required with renewal application.
Construction Permit $750
1.00Give the name of the specific general permit you are applying for: (e.g. Motor Vehicle Salvage.) and describe the primary business conducted at this site. If you are unsure about the specific name for the general permit, contact the Water Protection Program, Water Pollution Branch at 573-751-6825.
As of April 27, 2012, a new general permit is available for private domestic no-discharge facilities with design flow of less than 50,000 gallons per day. These facilities must have no industrial contributors and are subject to specific requirements. Please see the web address below to review MO-G823 before applying for this permit.
1.10Fill out either item (a., item (b., item (c., or item (d. as applicable.
Each general permit may have specific antidegradation review requirements contained within it. Go to the following websites to verify your specific requirements: For MO-G permits visit www.dnr.mo.gov/env/wpp/permits/wpcpermits-general.htm.
For MO-R permits visit www.dnr.mo.gov/env/wpp/permits/wpcpermits-stormwater.htm.
Effective Sept. 1, 2008, facilities are required to use Missouri’s Antidegradation Rule and Implementation Procedure. This document is available on the Web at www.dnr.mo.gov/env/wpp/docs/aip-cwc-appr-050708.pdf. For more information please contact the Department at 800-361-4827 or 573-751-1300.
For some general permits, a construction permit is required prior to beginning construction of the facility. For other general permits, an exemption is provided from construction permit requirements. Please review the general permits at one of the web addresses noted above. For domestic wastewater treatment facilities, an engineering report, plans, and specifications as defined in 10 CSR 20-8.020 or 8.110 through 8.220 must be submitted for approval and issuance of a Construction Permit. If the facility is designed for greater than 22,500 gallons per day, the engineering report must be submitted and approved prior to submittal of the Form E Application, fee, plans and specifications. A Summary of Design Data must be submitted with the engineering plans and specifications.
2.00Name of facility – by what name is this facility known locally? (e.g., Southwest Sewage Treatment Plant or Oak Hill Mobile Home Park.)
2.10Give the street address of the facility. If the facility lacks a mailing address, give an accurate geographic description. (e.g., Intersection of Route A and M.)
3.00Owner – legal name and address of owner.
4.00Continuing Authority – permanent organization which will serve as the continuing authority for the operation, maintenance and modernization of the facility.
5.00Operator – name, certificate number of person operating the facility.
6.00Give name of person at the facility who can be contacted by the Department if necessary.
7.00An outfall is the point(s) at which wastewater is discharged. For storm water this may be the point(s) where water leaves the property. Outfalls should be given in terms of the legal description of the facility. Sufficient information should be submitted so the outfall may be located by Department staff.
7.10Receiving stream(s) – the name of the stream(s) to which the discharge is directed and any subsequent tributary until a lake or continuous flowing stream is reached.
7.30A combined sewer system is one in which the sanitary and storm sewers are one pipe. In Missouri, parts of Macon, Moberly, Cape Girardeau, St. Joseph, Kansas City, Sedalia and all of the city of St. Louis are on combined sewer systems. To find out information, consult with your municipal public works department or, if in St. Louis, the St. Louis Metropolitan Sewer District (MSD). If this discharge is to a combined sewer system, it is exempt from storm water permitting requirements. You do not need to file this application if it is for storm water discharges only.
7.40List only your primary Standard Industrial Classification, or SIC, code. The SIC system was devised by the U.S. Office of Management and Budget to cover all economic activities. The primary SIC code is that of the operation that generates the most revenue, or, secondly, employs the most personnel. To find the correct SIC code, contact the Missouri Department of Natural Resources at 573-526-6627 or refer to the following Web sites: www.census.gov/epcd/www/naicstab.htm or www.osha.gov/pls/imis/sicsearch.html. Do not list the North American Industry Classification System (NAICS) code.
7.50Please list anything stored outside, including wood pallets, empty storage barrels, waste disposal containers (except for a secured Dempsey dumpster), or anything that is a raw material, by-product, or product of your manufacturing activities.
If your facility is listed under any of the following SIC codes or major group codes, and you can certify that no materials are stored outside, then you are exempt from storm water permitting requirements. You do not need to file this application if it is for storm water discharges only. This information refers to the first two, first three, or all four numbers of your SIC code listed in 7.40 above. The SIC codes that are exempt from regulations if no materials are stored outside are: 20xx-23xx, 25xx, 265x, 267x, 27xx, 283x, 285x, 30xx, 31xx, 323x, 34xx-39xx, and 4221-4225.
7.60A map showing the facility in relation to the local roads and receiving streams is required. Attach a 1” = 2000’ scale U.S. Geological Survey topographic map, available from the department’s Division of Geology and Land Survey in Rolla at 573-368-2125.
7.70If this is an existing discharge, submit a list of pollutants analyzed in the past two years and any laboratory findings.
7.80Give the method of domestic wastewater disposal; identify the future method if the site is currently undeveloped. If public sewers, give name of sewer agency. If private system with a State Operating Permit, give name of facility and permit number. If other, please describe.
8.00Signature – all applications must be signed as follows and the signature must be original.
a.For a corporation, by an officer having responsibility for the overall operation of the regulated facility or activity or for environmental matters.
b.For a partnership or sole proprietorship, by a general partner or the proprietor (owner).
c.For a municipal, state, federal, or other public facility, by either a principal executive officer or by an individual having overall responsibility for environmental matters at the facility.
After obtaining the Mo 780 0795 form for applying under the Missouri Clean Water Law, it is crucial to understand the step-by-step process needed to fill it out accurately. This process involves providing detailed information about your facility, its operation, outfalls, and compliance with environmental regulations. Accurate completion of this form is essential for compliance with the Missouri Department of Natural Resources' requirements and in securing the necessary permits to operate your facility in accordance with state water protection standards.
By closely following these steps and providing comprehensive, accurate information, you will complete the Mo 780 0795 form correctly. This completeness ensures that your application is processed efficiently by the Missouri Department of Natural Resources, bringing you closer to compliance with the state's water protection laws.
The MO 780-0795 form is an application used to request a General Permit under the Missouri Clean Water Law. It is designed for entities seeking permission to discharge wastewater or stormwater, ensuring that their operations comply with state environmental standards and regulations.
This form must be completed by any facility operating within the scope of the Missouri Clean Water Law that intends to discharge wastewater or storm water. This includes new facilities requiring a permit, existing facilities with proposed changes in their discharge, and those needing a construction permit as dictated by their general permit requirements.
The form requires detailed information about the facility, including:
Yes, depending on the type of permit being applied for, there are various fees:
Guidelines for the antidegradation review are specified within each general permit and can also be found on the Missouri Department of Natural Resources (DNR) website. Facilities required to undergo this review should consult the specific instructions relevant to their permit type on the DNR website or contact the DNR for further assistance.
The primary SIC code, which describes the principal activity of the facility, can be determined by consulting resources provided by the U.S. Office of Management and Budget, or by contacting the Missouri DNR directly. The primary SIC code is typically the one that generates the most revenue or employs the most personnel at the facility.
If the discharge from the facility is directed to a combined sewer system, such as those found in specific areas of Missouri, it may be exempt from storm water permitting requirements. Applicants should consult their local municipal public works department or the St. Louis Metropolitan Sewer District (MSD) for guidance and confirm whether this exemption applies to their operation.
After filling out the form, it must be signed by an authorized individual based on the facility’s type of ownership (e.g., an officer for corporations, a general partner for partnerships). The original signed form, along with the appropriate fee and any required supporting documentation, should then be submitted to the Missouri Department of Natural Resources for processing and review.
When individuals fill out the Missouri Department of Natural Resources' MO 780 0795 form for a General Permit under the Missouri Clean Water Law, they sometimes make errors that can hinder their application process. Understandably, the form is detailed, catering to a wide array of facilities and operations. Below are nine common mistakes:
Not specifying the type of general permit being applied for, which is crucial to direct the application correctly within the Missouri Clean Water Law framework.
Incorrectly answering questions about facility operation status and proposed changes in stormwater or wastewater flow. These details significantly influence the need for additional permits or reviews.
Omitting the name of the facility as known locally, which can lead to confusion or misidentification since many facilities might have formal names that differ from their common names.
Providing incomplete or inaccurate addresses, both of the facility's physical location and the owner's contact address, making it challenging for the Department to correspond or verify information.
Leaving operator information blank when applicable, is a common oversight that can delay processing, especially since certain facilities mandate a certified operator.
Failing to describe accurately each outfall's legal description and receiving waters, which is essential for environmental impact assessments and compliance considerations.
Not listing or incorrectly listing the primary Standard Industrial Classification (SIC) code, leading to misclassification of the facility's primary economic activities.
Forgetting to attach the necessary US Geological Survey map or providing an inadequate map scale, which complicates the Department's ability to locate the facility in relation to local road systems and receiving streams.
Incorrectly completing the certification section or signature part incorrectly, which can invalidate the application if not aligned with the specified requirements for the type of ownership.
In summary, attention to detail and completeness are imperative when submitting the MO 780 0795 form to avoid delays or complications in the permit application process. Understanding and accurately providing all required information facilitates a smoother review and approval process by the Department of Natural Resources.
When handling the MO 780 0795 form, which is an application for a general permit under Missouri Clean Water Law, certain companion documents often need to be prepared and submitted alongside it. These additional documents support the application by providing detailed information required by the Missouri Department of Natural Resources Water Protection Program. Understanding these documents is crucial for a seamless application process.
Together, these documents provide a comprehensive overview of a project's potential environmental impact and compliance strategy related to water resources. Applicants must diligently prepare and review each document to ensure their application adheres to Missouri's environmental protection standards. Accurate and thorough documentation is key to securing the necessary permits for responsible water use and management.
The MO 780 0795 form is similar to various other documents required by environmental and regulatory bodies for operations that might have an impact on water quality. These documents generally serve to ensure adherence to regulatory standards, facilitate monitoring, and manage the environmental effects of industrial, construction, or agricultural activities. By examining other forms, similarities in function, structure, and required information become apparent, highlighting the interconnected nature of environmental regulation.
NPDES (National Pollutant Discharge Elimination System) Permit Application: One comparable document is the NPDES permit application. Both the MO 780 0795 form and the NPDES permit application require detailed information about the facility's discharge of pollutants into waters of the United States. They are designed to regulate the quality of wastewater and stormwater runoff, ensuring compliance with state and federal water quality standards. The forms necessitate descriptions of the nature of the business, operational details, and specific information on pollutant discharges, including the locations and the receiving waters. The main difference lies in their scope; while the MO 780 0795 form is specific to Missouri, NPDES permits are a broader requirement under the U.S. Environmental Protection Agency (EPA) for discharges nationwide.
Construction General Permit Notice of Intent: Another document with similarities is the Construction General Permit Notice of Intent (NOI). This form is often required for construction activities that disturb one or more acres of land and may result in water pollution if not properly managed. Both the MO 780 0795 form and the Construction General Permit NOI request detailed site information, descriptions of the construction activity, expected pollutants, and measures for pollution prevention. The forms play a crucial role in protecting water quality during construction projects by minimizing sediment and erosion impacts. The distinction between them primarily pertains to their specific use cases—the MO 780 0795 form encompasses a broader range of activities beyond construction.
Stormwater Pollution Prevention Plan (SWPPP) Documentation: While not a form per se, the requirement for a Stormwater Pollution Prevention Plan shares objectives with the MO 780 0795 form. Facilities or construction sites that could affect stormwater quality must develop an SWPPP, detailing how they will prevent water pollution. Like the form submissions, SWPPPs require comprehensive information on facility operations, descriptions of potential pollutant sources, strategies for minimizing pollution, and details about the site's practices for handling stormwater. Both aim to mitigate the environmental impact of stormwater discharges, yet the MO 780 0795 form serves as an application for permit coverage while an SWPPP is a document that supports compliance under a previously granted permit.
When filling out the MO 780 0795 form for the Missouri Department of Natural Resources, it’s crucial to approach the process carefully. Executed properly, it helps ensure compliance with Missouri Clean Water Law. Here are several dos and don’ts to consider:
When discussing the MO 780 0795 form, which is essential for compliance with Missouri's clean water regulations, several misconceptions often arise. Understanding these misconceptions is crucial for individuals and businesses aiming to adhere to environmental standards effectively. Here, we'll clarify some common mistakes to ensure applicants can navigate the process more smoothly.
The form is only for big businesses: This is a common misconception. The MO 780 0795 form applies to a range of operations, not just large corporations. Small businesses, agricultural operations, and even some nonprofit organizations may need to file this form depending on the nature of their discharges into Missouri's waterways.
Once submitted, no further action is required: Merely submitting the form does not ensure compliance. Applicants must ensure that they follow up on their application, adhere to specific permit requirements, and engage in regular monitoring and reporting as dictated by the permit they are granted.
It's only for wastewater discharges: While wastewater discharge is a significant focus, the form also covers other types of discharges, including stormwater. It's designed to ensure that any discharge into state waters meets the Missouri Clean Water Law's requirements.
Any facility can choose not to increase its discharge flow: The option to not increase discharge flow, as mentioned in section 1.10a, might not be available to all facilities, especially if expansion or operational changes necessitate increased discharge. Compliance involves accurately reporting current and projected discharge flows.
Antidegradation reviews are optional: For many permits, submitting an antidegradation review is a critical step in the application process. This review helps ensure that new or increased discharges do not adversely affect water quality beyond established thresholds.
Fees are standardized for all applications: Actually, fees vary widely based on the nature of the operation and the type of permit applied for. The form outlines different fees for various operations, emphasizing the need to review the specific fee requirements relevant to the applicant’s operation.
A public sewer connection negates the need for this permit: Even if wastewater is treated off-site through a public sewer connection, the facility may still need a permit for other discharges like stormwater. Understanding the full scope of a facility's discharge scenario is essential.
The form is a one-time requirement: Permit holders must renew their permits according to the specified timelines and update their MO 780 0795 form accordingly. Permit requirements can change, and submissions might be necessary for modifications or expansions of existing facilities.
Correcting these misconceptions helps demystify the permit application process and reinforces the importance of compliance with environmental regulations. By understanding the form's scope and requirements, applicants can better contribute to Missouri's clean water initiatives.
Filling out the MO 780 0795 form is essential for compliance with the Missouri Department of Natural Resources Water Protection Program under the Missouri Clean Water Law. To ensure that you navigate this process effectively, here are key takeaways to guide you:
Providing accurate and comprehensive information on the MO 780 0797 form is not only a legal requirement but also a crucial step in protecting Missouri’s water resources. Careful attention to each section will facilitate a smoother permitting process and contribute to environmental stewardship.
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