DENR forms and applications by environmental program

Select a program to go to the pertinent forms/applications (please read the NOTE below first):

The following forms/applications are available for downloading:

• Downloadable forms are available in a PDF or WORD format and may be printed out and completed by hand.
• Fillable forms are available in either a PDF, WORD or HTML format.  Fillable PDF forms may be downloaded and completed using the free Adobe Reader software and Word documents can be completed using Microsoft Word.

These icons associated with forms/applications on this page are links to:
     "fillable" PDF forms/applications to download and complete using Adobe Reader (complete and print/submit, work is NOT saved)
     "fillable" PDF forms/applications to download and complete using Adobe Reader (print/submit anytime, work can be saved)
    MS Word forms/applications to download and complete with Microsoft Word
     "downloadable" forms/applications to print and complete by hand
      information regarding forms/applications

Air Quality
Air Quality Forms: General Application for Title V (Part 70) Sources, General Application for Minor Sources, Source Specific Data Sheets to be Submitted with a General Application, Pollution Control Data Sheets to be Submitted with a General Application, General Permit Notice of Intent Applications, and Portable Relocation Form.
Drinking Water
	Capacity Assessment Worksheets for Public Water Systems
	Certification of Epichlorohydrin and Acrylamide Usage
	Consumer Confidence Report Certification of Distribution
	Monitoring Waivers for Asbestos
	Monitoring Waivers for IOC's
	Monitoring Waiver for SOC Use
	Monitoring Waiver for SOC Susceptibiity
	Monitoring Waiver for VOC's
	New Water System Application
	New Drinking Water System Notice of Completion
	Operator Certification Exam Application
	Operator Certification via Reciprocity
Feedlot Permit
	2017 General Permit for Concentrated Animal Feeding Operations and an application form for obtaining coverage under the permit.
	Certification of Applicant Form
	Change of Producer Form
	Complaint Form - Form for filing a complaint pertaining to a surface water quality violation
	Manure Application Agreement Form
	Notice of Completion Form
	Notice of Intent Form
	Notice of Termination Form
	Septic - Septic Installer Certification Application
Geological Survey
Maps and Publications for Sale
Ground Water
	Aboveground Storage Tank Registration Form
	Certification of Applicant Form
	Change of Ownership Form
	Consent to Inspect Form
	Ground Water Discharge Plan Application
	Section 302/303 Reporting
	Section 311 Reporting
	Spill Follow-up Report
	Tank Removal Notification
	Tier II Reporting Form
	Underground Storage Tank Registration Form
Minerals and Mining
	Cash Deposit Form for Mine Permits and Exploration Notices of Intent
	Cash Deposit Form for Mine Licenses
	Certification of Applicant Form
	Exploration Application Form: Notice of Intent to Conduct Mineral Exploration Operation and Reclamation Plan
	Large Scale Mine Permit Application Form: Application for Mining/Milling Permit
	Letter of Credit Form for Exploration Notices of Intent (Must be issued on bank letterhead and/or bank safety paper)
	Letter of Credit Amendment Form for Exploration Notices of Intent (Must be issued on bank letterhead and/or bank safety paper)
	Letter of Credit Form for Mine Licenses (Must be issued on bank letterhead and/or bank safety paper)
	Letter of Credit Amendment Form for Mine Licenses (Must be issued on bank letterhead and/or bank safety paper)
	List of Government Agencies to be Notified
	Mine License Application Form
	Notice of Intent to Mine
	Notification of Other Operators to Mine Under License
	Permit Amendment Form: Application for Amendment to Mining/Milling Permit
	Request for Determination - Special, Exceptional, Critical, Or Unique Lands and Notice of Intent to Operate
	Small Scale Mine Permit Application Form
	Surety Bond Form: Minerals and Mining Program
	Uranium Exploration Permit Application
Oil and Gas Exploration
	Application for Permit to Drill (Form 2)
	Certificate of Negotiation (Form 9)
	Certification of Applicant (Form 13)
	Monthly Report for Injection Wells (Form 5A)
	Monthly Report of Production for Oil & Gas Wells (Form 5)
	Notice of Transfer of Operator (Form 12)
	Organization Report (Form 1)
	Permission to Inspect (Form 8)
	Plugging and Performance Bond (Form 3)
	Plugging and Performance Bond Acknowledgement (Form 3 Supplement)
	Plugging Record (Form 7)
	Sundry Notices and Report on Wells (Form 6)
	Well Completion or Recompletion Report (Form 4)
	Underground Injection Well Class II Permits
Petroleum Release Compensation Fund
	Abandoned Tank Removal Form
	PRCF Forms Instruction Sheet
	PRCF Application Form
	PRCF Checklist for Fund Applicants
	PRCF Partial List of Ineligible Expenses
	PRCF Subrogation Agreement
	PRCF SD Substitute W-9 Tax Identification Number (TIN) Form
	PRCF Pay Request Form (for Environmental Consultant Expenses)
	PRCF Pay Request Form (for Contractor Excavation Expenses)
Surface Water, NPDES, and Storm Water
	Biosolids - Application form for obtaining an Individual Permit for Biosolids Management
	Certification of Applicant Form
	Complaint - Form for filing a complaint pertaining to a surface water quality violation
	Stormwater - General Permit Authorizing Stormwater Discharges Associated with Construction Activities
	Stormwater - Contractor Authorization for Construction Activities
	Stormwater - Notice of Intent (NOI) for Construction Activities
	Stormwater - Notice of Intent (NOI) for Industrial Activities
	Stormwater - Notice of Intent (NOI) for Temporary Discharge and Temporary Water Rights Use
	Stormwater - Transfer of Permit Coverage Associated with Construction Activities
	Stormwater - Notice of Termination (NOT) for Temporary Discharge Activities
	Stormwater - Notice of Termination (NOT) for Construction Activities
	Stormwater - Notice of Termination (NOT) for Industrial Activities
	Stormwater - No Exposure Certification for Exclusion from the Industrial Activities Permit Requirements
	Stormwater - General Permit for Stormwater Discharges from Small Municipal Separate Storm Sewer Systems (MS4) and the Notice of Intent (NOI) form
	Stormwater - Temporary Discharge and Temporary Water Rights Use Permit
	Wastewater - General Permit for discharges from Water Treatment and Distribution Activities
	Wastewater - Water treatment plant, Application form for obtaining a permit to discharge process wastewater associated with water treatment and distribution activities
	Wastewater - Application form for obtaining a permit to Discharge Wastewater from a Publicly Owned Treatment Works facility.
	Wastewater - Application form for obtaining a permit to discharge Industrial Process Wastewater from new facilities
	Wastewater - Application form for obtaining a permit to discharge Industrial Process Wastewater from existing facilities
	Wastewater - Application form for obtaining a permit to discharge Industrial Nonprocess wastewater water from New and Existing Industrial Facilities
Waste Management
	Asbestos Certification Form
	Asbestos Notification Form
	Hazardous Waste Biennial Report Form
	Hazardous Waste Notification Form
	Initial Application for Construction and Demolition Debris Site
	Initial Application for Municipal Solid Waste Landfill
	Initial Application for Petroleum Contaminated Landfarm Site
	Initial Application for Restricted Use Site
	Initial Application for Storage or Land Application of Solid Waste
	Initial Application for Transfer Station
	Initial Application for Yard Waste Compost Facility
	Radioactive Materials and Radiation Machine
	Renewal Application for Construction and Demolition Debris Site
	Renewal Application for Municipal Solid Waste Landfill
	Renewal Application for Petroleum Contaminated Landfarm Site
	Renewal Application for Restricted Use Site
	Renewal Application for Storage or Land Application of Solid Waste
	Renewal Application for Transfer Station
	Renewal Application for Yard Waste Compost Facility
	Initial Application for Storage and Land Application of Dairy Processing By Products and Waste Milk
	Renewal Application for Storage and Land Application of Dairy Processing By Products and Waste Milk
Water Rights
	Application for a Flood Control Permit
	Application for a Water Right Permit for Irrigation water use
	Application for a Water Right Permit for Nonirrigation uses (e.g. Municipal, Rural Water System, Commercial, Industrial, Recreation uses)
	Application for a Vested Water Right Permit for Irrigation uses (system operational prior to 1955)
	Application for a Vested Water Right Permit for Nonirrigation uses (system operational prior to 1955)
	Application for a Well Driller License (written exam also required)
	Application for a Well Pump Installer License
	Application to renew a Well Driller License
	Application to renew a Well Pump Installer License
	Irrigation Questionnaire Annual Reporting Form (2017 Questionnaire now available)
	Location Notice for construction of a Dam/Dugout
	Notice of Completion of Works and Application of Water to Beneficial Use filed for Water Use Permits
	Notice of Transfer of Ownership of a Water Use Permit/Right
	Registration of Navigable Stream Fence Crossing
	South Dakota Water Well Completion Report
	South Dakota Well and Test Hole Plugging Report
	South Dakota Well Rehabilitation Report
	Temporary water use permit for construction activities, drilling or testing purposes
Water, Wastewater, and Solid Waste Funding
	Drinking Water Facilities Funding Application
	Planning District Payment Form
	Sanitary/Storm Sewer Facilities Funding Application
	Small Community Planning Grant Application Form
	Small Water Facilities Funding Application
	Solid Waste Management Program Application Form
	State Revolving Fund Interim Financing Application
	State Revolving Fund General Conditions with Davis-Bacon Provisions
	State Water Plan Application Form
	State Water Resource Management System (SWRMS) Funding Application
	Very Small System Compliance Grant Application Form
	Watershed Restoration Project Funding Application