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Forms, Applications, and Templates

For more detailed information for any of these Sectors, please  check for the appropriate sector on the left-hand navigation bar "I'm looking for information on...."
TO SUBMIT EFFLUENT DATA FOR ALL PERMIT TYPES REQUIRING DATA SUBMITTAL
Sector Permit Name Permit Number  
Biosolids Use and Distribution of biosolids for application to agricultural land or for reclamation of land     Application pdf file
  For Unrestricted (lawn and garden) or bagged or containerized biosolids for restricted use   Application pdf file
Commerce & Industry Commercial and Industrial Individual Permit Application   Application pdf file
  Hard Rock Mining and Milling Individual Permit Application   Application pdf file
  Aquatic Animal Production COG130000 Application pdf file
  Commercial Washing of Outdoor Structures COG607000 Application pdf file
  Coal Mining Process and Stormwater Combined COG850000 Application pdf file
  Hydrostatic Testing of Pipelines, Tanks, and Similar Vessels COG604000 Application pdf file
  Metal Mining Stormwater COR040000 Application pdf file
  Non-Contact Cooling Water COG605000 Application pdf file
 

Non-Extractive Industries - Stormwater Discharges

COR0900000   Application pdf file
  No Exposure Exclusion from CDPS Industrial Stormwater Permitting   Application pdf file
  Produced Water Treatment Facilities  COG840000 Application pdf file
  Sand & Gravel Mining Waste Water & Stormwater combined   COG500000 Application pdf file
  Sand & Gravel Mining & Processing (and other non-metallic minerals except fuel) Stormwater Only  COR340000 Application pdf file
  Subterranean Dewatering or Well Development  COG603000 Application pdf file
  Water Treatment Plant Wastewater Discharge  COG641000 Application pdf file
 Construction Sites Construction Stormwater Discharges  COR030000

Application pdf file

  Construction Permit Reassignment Application - reassigns a portion of an existing permit to a 2nd party  COR030000 Application pdf file
  Construction Activity R-Waiver   Application pdf file
  Construction Dewatering  COG070000

  Application pdf file

   Hydrostatic Testing of Pipelines, Tanks, & Similar Vessels  COG604000 Application pdf file
   Remediation Activities Discharging to Surface Water  COG315000 Application pdf file
   Remediation Activities Discharging to Ground Water  COG316000   Application
  Municipal Stormwater MS4  Standard MS4 General Permit  COR090000 Application word document
   Non-Standard MS4 General Permit  COR070000 Application word document
   Cherry Creek Reservoir Basin MS4 General Permit  COR080000 Application word document
Pesticides

Pesticides Compliance Certification Template pdf file

 Pretreatment  Pretreatment Program   Application pdf file
   Pretreatment Non-Significant Industrial User Notification   Application pdf file
Reclaimed Water/ Reuse  Letter of Intent to Treat and Supply Reclaimed Water   Application pdf file
   User Plan to Comply for the Use of Reclaimed Water   User Plan to Comply Irrigation pdf file  
  User Plan to Comply Industrial pdf file  
   User Plan to Comply Fire Protection pdf file  
  User Plan to Comply Commercial pdf file
Sewage Systems  Domestic Surface Water Discharge - Individual Application pdf file Application word document
   Domestic Ground Water Discharge - Individual Application pdf file   Application word document
   Domestic Wastewater Treatment Plants with Chronic Low Flow - Design Flow Ration 100:1  COG588000

Application pdf file Application word document

   Domestic Wastewater Treatment Facilities  COG589000

Application pdf file Application word document

   Domestic Wastewater Treatment Systems with Land Disposal of Effluent  COX631000

Application pdf file

Instructions pdf file

   Domestic Wastewater Treatment Systems with Land Treatment of Effluent  COX632000

Application pdf file

Instructions pdf file

   Domestic Wastewater Treatment Systems with Land Treatment of Effluent at Agronomic Rates  COX633000

Application pdf file

Instructions pdf file

   Domestic Wastewater Treatment On-Site Systems w/ Avg Design Cap =/> 2,000 Gal/day  COX621000

Application pdf file

Instructions pdf file

   Domestic Wastewater Treatment Works with No Groundwater Monitoring Requirements  COX622000

Application pdf file

Instructions pdf file

Other Applications Termination for all permits, authorizations, etc., except Stormwater Construction Termination pdf file   Info Regarding Domestic Treatment Works Decommissioning pdf file
  Termination for Stormwater Construction Termination pdf file  
  Permit or Certification Modification Request pdf file  
  Modification for Construction Stormwater Request pdf file  
  Modification for Oil & Gas Construction Stormwater Request pdf file  
  Transfer Request  - to transfer the entire permit to another party Request pdf file  
  Request to Withdraw an Application or Modification Request Request pdf file  
  Application Supplement Form - used when providing the Division with additional information after submitting the initial application. Supplement Form pdf file

 

Type of Form
Needed
Name  
Annual Reports For 2012 there are no annual reports required for COR020000, COR010000, and COR060000 which were replaced by COR900000.  The form for this permit will be available in January 2013.
  Biosolids Annual Report Form word document
  Metal Mining Industry (COR040000) Annual Report   Form pdf file
  Non Extractive Industry Stormwater Annual Report (COR900000)   Form pdf file
  MS4 Standard (COR090000) Annual Report Form word document
  MS4 Non-Standard (COR070000) Annual Report Form pdf file
  MS4 Cherry Creek Reservoir Basin (COR080000) Annual Report Form word document
  Sand & Gravel Mining (COG500000 & COR340000) Annual Report Form pdf file
  Sewage Systems Discharging to Groundwater
Self Reporting Form Groundwater COX622000
Reporting Form pdf file
  Sewage Systesms Discharging to Groundwater
Self Reporting Form Groundwater COX633000
Reporting Form pdf file
Biosolids
Inspection Forms
Biosolids Site Inspection Form pdf file
  Biosolids Facility Inspection Form pdf file
  Biosolids Facility Audit Form pdf file
Other
Compliance Forms
Change of Contacts  - change of any permit contact   Form pdf file
  Significant Change in Discharge   Request pdf file
  Compliance Schedule Submittal   Form pdf file
   Notice of Non-compliance  
  Blank DMR Form DMR Form pdf file  
  Pesticides Pesticides Compliance Certification Template pdf file