Name of Forms | Form Number |
112 (j) Part 1 Applicability Notification | 493 |
ADEM Baseline Monitoring Report Submittal Form | 314 |
ADEM NPDES Individual Permit Application M-3 | 315 |
ADEM NPDES Pesticide Adverse Incident Report | 29 |
ADEM Line Leak Detector (LLD) Test Report Form M-1 | 551 |
Air Permit Application For Gasoline Dispensing Facilities M-5 | 197 |
Alabama Clean Vessel Act Grant Application | 517 |
Alabama Coastal Area Management Program Application for Approval of a Non-Regulated Use ADEM Administrative Code rule 335-8-1-.11 Groundwater Extraction 50 PM or Greater | 316 |
Alabama Hazardous Waste Receipt for Samples and Documents | 546 |
Alabama Hazardous Waste/Used Oil Transporter Permit Application | 317 |
Alabama Recycling Fund Grant Application | 9 |
Alabama Tank Trust Fund Cost Proposal Form | 318 |
Alabama Tank Trust Fund Payment Request Form | 319 |
Alternative Analysis | 311 |
Alternative Medical Waste Treatment Technology Equipment Approval Application | 323 |
Annual Certification Form for Discharges Associated with Petroleum Storage and Handling Areas M-1 | 324 |
Annual Containment Sump Inspection Log | 19 |
Annual Recycling Report | 16 |
Annual Statistical Inventory Reconciliation (SIR) Report Form | 326 |
Application for a Permit for the Construction for a Motel, Hotel, or Other Multi-Unit Development on a Property Intersected by the Construction Control Line in the Alabama Coastal Area | 327 |
Application for a Permit for the Construction of Single Family Dwellings, Duplexes, or Other Similar Structures on Properties Intersected by the Construction Control Line in the Alabama Coastal Area | 328 |
Application for Alabama Well Driller's License M-1 | 193 |
Application for Approval of a Non-Regulated Use in the Alabama Coastal Area Developments and Subdivisions of Property Greater than 5 Acres in Size | 329 |
Application for Approval to Use a Water Supply Well | 259 |
Application for Name Change or Transfer of Permit or Exemption M-4 | 330 |
Asbestos Removal Contractor Certification | 497 |
Birmingham Fuel Supplier Report M-4 | 494 |
Boating Infrastructure Grant Application | 518 |
Brownfields Assessment Request Application | 550 |
Brownfields State Revolving Fund Application Form | 543 |
Brownfields State Revolving Fund Pre-Application Form | 542 |
Bulk (Gasoline) Plant Application M-2 | 331 |
CAIR Permit Application (for sources covered under a CAIR SIP) | 519 |
Calculation of Total Annualized Project Cost for Private-Sector Projects | 313 |
Calculation of Total Annualized Project Cost for Public-Sector Projects | 312 |
Cargo Tank Tightness Test Report M-l | 309 |
Cathodic Protection Monitoring Form M-l | 332 |
Cathodic Protection Monitoring for Galvanic Systems | 545 |
CBM NPDES Stormwater Discharge Monitoring Report | 333 |
CBM Toxicity Test Report Summary | 334 |
Chemical Monitoring Data Report | 335 |
Chemical Monitoring Waiver Application | 336 |
Chemical Sampling Chain of Custody Form | 337 |
Clean Water State Revolving Fund (CWSRF) Loan Application Form | 339 |
Clean Water State Revolving Fund (CWSRF) Preapplication Form M-2 | 340 |
Coal Permit Precipitation Event Discharge Limitations Exemption Claim Report M-2 | 342 |
Coalbed Methane Stormwater Inspection Summary Report M-l | 343 |
Coalbed Methane Temporary Pit Wastewater Land Application Certification Report M-1 | 344 |
Community Public Notification Certification Form | 345 |
Community System Susceptibility Analysis Sheet | 346 |
Composing Facility Application | 18 |
Consumer Confidence Report Certification Form M-1 | 347 |
Cooling Water Supplemental Information M-1 | 510 |
CT Profiling Spreadsheet | 535 |
Discharge Monitoring Report for CBM Coal - Type 60 Effluent | 348 |
Discharge Monitoring Report for CBM Coal - Type 60 Manual | 349 |
Discharge Monitoring Report for CBM Coal - Type 60 Standard | 350 |
Discharge Monitoring Report for Coal - Type 1 & Type 3 | 351 |
Discharge Monitoring Report for Coal - Type 11 | 352 |
Discharge Monitoring Report for Coal - Type 13 | 353 |
Discharge Monitoring Report for Coal - Type 14 Sand & Gravel | 354 |
Discharge Monitoring Report for Coal - Type 14 Fire Clay | 355 |
Discharge Monitoring Report for Coal - Type 14 Shale -Common Clay | 356 |
Discharge Monitoring Report for Coal - Type 15 | 357 |
Discharge Monitoring Report for Coal - Type 38 | 358 |
Discharge Monitoring Report for Coal - Type 5 & Type 7 | 359 |
Discharge Monitoring Report for Coal - Type 9 | 360 |
Discharge Monitoring Report for NonCoal - Type 30 | 361 |
Discharge Monitoring Report for NonCoal - Type 32 | 362 |
Discharge Monitoring Report for NonCoal - Type 34 | 363 |
Discharge Monitoring Report for NonCoal - Type 36 & Type 48 & Type 50 | 364 |
Discharge Monitoring Report for NonCoal - Type 41 | 365 |
Discharge Monitoring Report for NonCoal - Type 42 | 366 |
Discharge Monitoring Report for NonCoal - Type 44 & Type 45 | 367 |
Discharge Monitoring Report for NonCoal - Type 46 | 368 |
Disposal Approval Request | 278 |
Documentation of Disability Related Needs | 533 |
Drinking Water State Revolving Fund (DWSRF) Loan Application Form | 369 |
Drinking Water State Revolving Fund (DWSRF) Preapplication Form M-2 | 370 |
EDMR-1 Permittee Registration Form | 511 |
EDMR-2 Electronic Signature Application Agreement | 512 |
EDMR-3 Deactivation Request Form | 513 |
EDMR Daily Discharge Monitoring Report Form | 514 |
EDMR Monthly Discharge Monitoring Report Form | 515 |
EHS Notification Form | 534 |
Emissions Statement Reporting Form M-1 | 372 |
Excess Emission Monitoring Report | 373 |
Exemption Claim Form for Cofired Combustors (Appendix H -Division 3) | 374 |
Exemption Claim Form for Incinerators Burning Only Pathological, Low-Level Radioactive, and Chemotherapeutic Waste (Appendix H - Division 3) | 375 |
NPDES Individual Permit Application Addendum M-1 | 376 |
NPDES Individual Permit Application Minor Permit Modification Addendum M-1 | 377 |
Gasoline Dispensing Facility Information Survey M-1 | 378 |
Gasoline Transport Tank Truck Application M-2 | 198 |
General Permit ALR100000 Facility Sign | 22 |
General Permit Application Package - NOI-11 M-2 | 380 |
General Permit Application Package - NOI-12 M-2 | 381 |
General Permit Application Package - NOT-14 M-2 | 382 |
General Permit Application Package - NOI-15 M-1 | 383 |
General Permit Application Package - NOI-16 M-1 | 384 |
General Permit Application Package - NOI-17 M-1 | 385 |
General Permit Application Package - NOI-18 M-1 | 386 |
General Permit Application Package - NOT-2 M-1 | 387 |
General Permit Application Package - NOI-20 M-1 | 388 |
General Permit Application Package - NOI-23 M-1 | 389 |
General Permit Application Package - NOI-24 M-1 | 390 |
General Permit Application Package - NOI-25 M-2 | 391 |
General Permit Application Package - NOI-28 M-3 | 392 |
General Permit Application Package - NOT-3 M-1 | 393 |
General Permit Application Package - NOI-34 M-1 | 394 |
General Permit Application Package - NOI-36 M-3 | 395 |
General Permit Application Package - NOT-6 M-1 | 396 |
General Permit Application Package - NOI-67 M-1 | 397 |
General Permit Application Package - NOI-64 M-1 | 522 |
General Phase II MS4 Stormwater Permit Renewal | 520 |
General Permit for Phase II Small Municipal Separate Storm Sewer Systems (MS4) ALNOI M-2 | 503 |
General Permit Renewal Form M-1 | 398 |
Groundwater System Monthly Operational Data Report | 8 |
Hydrogeology Unit Evaluation Report Form | 531 |
Hydrograph Control Release (HCR) Attachment | 399 |
Name of Forms | Form Number |
Impressed Current Cathodic Protection System 60-Day Inspection Log | 400 |
Individual NPDES Permit Noncompliance Notification (5-day Report) | 401 |
Information Needed for 316 (b) Determination in Regards to General NPDES Permits | 14 |
Interior Lining Inspection Form | 403 |
Interior Lining Report Form | 404 |
Joint Application and Notification U. S. Department of Army, Corps of Engineers Alabama Department of Environmental Management M-l | 166 |
Lead and Copper Monitoring Data Report | 405 |
Major Source Operation Permit Skeleton Form | 495 |
Manual Interstitial Monitoring Monthly Log | 406 |
Material Safety Data Sheet Reporting | 407 |
Maximum Residual Disinfectant Level Input Form (Samples) | 408 |
Maximum Residual Disinfectant Level Input Form (Sources) | 409 |
Medical Waste Notification Form M-1 | 410 |
Medical Waste Transporter Permit Application M-4 | 411 |
Medical Waste Treatment Permit Application M-4 | 412 |
Monthly Filter Plant Monthly Operational Data Report M-4 | 242 |
Monthly Membrane Surface Plant Operational Data Report | 243 |
Monthly Statistical Inventory Reconciliation (SIR) Report | 414 |
Municipal POTW SS0/MS4 Event Reporting Form M-l | 415 |
Municipal Water Pollution Prevention (MWPP) Annual Report (Collection Systems) Package M-l | 416 |
Municipal Water Pollution Prevention (MWPP) Annual Report Package M-2 | 417 |
Municipal Water Pollution Prevention Resolution Form | 418 |
MWPP Sewage Sludge Survey | 419 |
Non-Community Public Notification Certification Form | 420 |
Non-Compliance Report Form M-2 | 421 |
Notice of Demolition and/or Asbestos Removal M-l | 496 |
Notice of Intent-General Permit ALR100000 | 24 |
Notice of Intent-General Permit ALG850000 | 26 |
Notice of Intent-General Permit ALG870000 | 28 |
Notice of Intent to Permanently Close Underground Storage Tanks M-1 | 422 |
Name of Forms | Form Number |
Notice of Proposed UST New Installation or Upgrade M-l | 423 |
Notice of Temporary Closure M-l | 310 |
Notice of Termination-General Permit Number ALG870000 | 30 |
Notification - Above the Threshold Planning Quantities (TPQ) of Extremely Hazardous Substances | 424 |
Notification for Above Ground Storage Tanks M-1 | 283 |
Notification for Underground Storage Tanks M-1 | 279 |
Notification of Election of Coverage under The Alabama Drycleaning Environmental Response Trust Fund Act | 425 |
Notification of Intent to Drill a Water Well | 60 |
Notification of Regulated Waste Activity M-2 | 8700-12 |
N0X Budget Permit Application Form | 426 |
N0X Budget Retired Unit Exemption Claim Form | 427 |
NPDES Annual Notice of Registration (NOR) | 429 |
NPDES Coalbed Methane Operation M-2 | 549 |
NPDES Noncoal/Nonmetallic Mining and Dry Processing Less than Five Acres, Program Notice of Registration Form M-2 | 498 |
NPDES Noncoal/Nonmetallic Mining and Dry Processing Less than Five Acres Stormwater Inspection Report and BMP Certification Form M-l | 500 |
NPDES Noncoal/Nonmetallic and Dry Processing Less than Five Acres Stormwater Noncompliance Notification Report Form M-1 | 501 |
NPDES Construction, Noncoal Mining Less than Five Acres Stormwater Registration Termination Request and Certification Form M-1 | 499 |
NPDES Construction Stormwater Inspection Report and BMP Certification | 23 |
NPDES Construction Stormwater Noncompliance Notification | 25 |
NPDES Discharge Monitoring Report Form (Monthly) | 430 |
NPDES Discharge Monitoring Report Form (Quarterly) | 431 |
NPDES Individual Permit Pollution Abatement/Treatment Measures and Sediment Control Structures Certification Report M-2 | 432 |
NPDES Permit Application Semi-Public And Private Facilities M-1 | 188 |
NPDES Permit Application Supplementary Information M-3 | 187 |
NPDES Permitted Coalbed Methane Operations Pollution Abatement/Treatment Measures and Waste Treatment Facilities Certification Report M-l | 433 |
Open Burning Incident Report | 434 |
Operating Permit Application Facility Identification Form M-5 | 103 |
Name of Forms | Form Number |
Operational Evaluation Level Exceedance Report | 27 |
Operator Certification Renewal Form M-1 | 435 |
Perc Dry Cleaner Status Update M-1 | 436 |
Permit Application for Air Pollution Control Device M-2 | 110 |
Permit Application for Compliance Schedule M-1 | 437 |
Permit Application for Continuous Emission Monitoring Systems (CEMS) | 438 |
Permit Application for Indirect Heating Equipment M-1 | 104 |
Permit Application for Loading and Storage of Organic Compounds M-1 | 108 |
Permit Application for Manufacturing or Processing Operation M-3 | 105 |
Permit Application Solid Waste Disposal Facility | 439 |
Permit Application Solid Waste Disposal Facility Construction/Demolition Landfill | 305 |
Permit Application for Solvent Metal Cleaning | 112 |
Permit Application for Stationary Internal Combustion Engines M-5 | 107 |
Permit Application for Volatile Organic Compound Surface Coating Emission Source M-2 | 109 |
Permit Application for Waste Disposal | 106 |
Petroleum Solvent Dry Cleaning Questionnaire | 440 |
Plant and Collection System Personnel Inventory | 441 |
Pollution Prevention Survey | 548 |
Potable Water Laboratory Certification Application M-2 | 442 |
Processing and Recycling General Information | 15 |
Progress Report Form | 443 |
Project Completion Form | 444 |
PSD Project Information Form | 445 |
Purchase Water System Monthly Operation Report | 185 |
Raw Sewage Bypass and Overflow Event Reporting Form | 446 |
Registration Form for the Construction, Installation, or Modification of an Incinerator M-2 | 52 |
Release Information Form | 447 |
Remediation Approval Form M-2 | 448 |
Remediation Reporting Form M-2 | 449 |
Representative Stormwater Outfall Certification M-2 | 450 |
Request for Coal Permit Post-Mining Discharge Limitations M -1 | 451 |
Request for Release from Monitoring and Reporting Requirements M-l | 452 |
Request to Remove Subsurface Withdrawal From Discharge Structure M-l | 453 |
Request to Remove Treatment Basin/Pond or Other Discharge Structure M-l | 454 |
Required Information for Mixing Zone Modeling M-l | 455 |
SARA Title III Section 302 Notification | 302 |
Scrap Tire Manifest M-3 | 536 |
Scrap Tire Processor Permit Application M-3 | 540 |
Scrap Tire Quarterly Report M-3 | 539 |
Scrap Tire Registration & Exemption Application M-4 | 537 |
Scrap Tire Site Registration | 541 |
Scrap Tire Transporter Permit Application M-4 | 538 |
Seal Gap Test Form | 184 |
Segmental Water System Certification Application | 456 |
SID Discharge Monitoring Report Form (Monthly) | 457 |
SID Discharge Monitoring Report Form (Quarterly) | 458 |
Solid Waste Landfill Operator Certification Renewal | 13 |
Solid Waste Landfill Operator Initial Certification Application | 11 |
Solid Waste Landfill Operator Reciprocal Certification Application | 12 |
Solid Waste Profile Sheet | 300 |
Specifications for Air Curtain Incinerators | 17 |
Spill Catchment Basin/Spill Bucket Annual Test Log | 20 |
SRF Payment Request Form | 459 |
State Indirect Discharge Permit Application M-4 | 186 |
Statistical Inventory Reconciliation SIR 7 Day Release Investigation Notice Form | 460 |
Supplemental Petroleum Application Information | 516 |
Surface Source Susceptibility Analysis Worksheet | 461 |
Tank Trust Fund Eligibility/Ineligibility Determination Form | 462 |
Technical Proposal for Qualification as a Large Site Scrap Tire Fund Remediation Center M-l | 530 |
Termination Request-General Permit Number ALR100000 | 21 |
Name of Forms | Form Number |
Toxicity Discharge Monitoring Report Form | 464 |
Toxicity Test Report Summary | 465 |
Transfer Agreement Form | 466 |
UIC Permit Application for Coal Mining Wastewater M-l | 532 |
Underground and Above Ground Storage Tank Transfer of Ownership M-l | 469 |
UST ARBCA Tier 1 Report Forms | 471 |
UST ARBCA Tier 2 Report Forms | 472 |
UST ARBCA Tier 3 Report Forms | 473 |
UST Closure Site Assessment Report Form M-2 | 474 |
UST Closure Total Potential VOC Emissions Calculations | 492 |
UST Free Product Recovery Report Form | 475 |
UST Groundwater Monitoring Report Form | 476 |
UST Line Tightness Test Report Form M-l | 477 |
UST Natural Attenuation Monitoring Report Form | 478 |
UST Release Fact Sheet | 479 |
UST Release Report Form M-2 | 480 |
UST Site Classification System Checklist | 481 |
UST System Effectiveness Monitoring Report Form | 482 |
UST Tracer Tank Tightness Test Report Form M-l | 483 |
UST Ullage Tank Tightness Test Report Form M-l | 484 |
UST Vacuum Tank Tightness Test Report Form | 485 |
UST Volumetric Overfill Tank Tightness Test Report Form M-l | 486 |
UST Volumetric Underfill Tank Tightness Test Report Form | 487 |
Visible Emission Field Test Sheet | 502 |
Voluntary Cleanup Program Application | 521 |
Water Supply Construction Permit Application M-l | 488 |
Water Supply Permit Application (Modification) | 489 |
Water Supply Permit Application (Renewal) M-l | 490 |
Water System Update | 491 |
Water Treatment Plant Quarterly Report for the Disinfectants and Disinfection Byproducts Rule M-l | 547 |
Water and Wastewater Operator Exam Application M-l | 505 |
Water and Wastewater Operator Experience Verification M-l | 506 |
Water and Wastewater Operator for Multiple Systems M-l | 508 |
Water and Wastewater Reciprocal Application M-l | 507 |
Water Well Driller Reciprocal Application | 194 |
Water Well Standards Program License Renewal | 195 |
Ala. Admin. Code r. 335-1-1-.01
Rule .07 was renumbered to .01 as per certification filed April 15, 2014; effective May 20, 2014.
Authors: Marilyn Elliott, Russell A. Kelly
Statutory Authority:Code of Ala. 1975, §§ 22-22A-5, 22-22A-6, 22-22A-8, 411-22-4, 41-22-5.