Form Description
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Form #
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Application Form
Form Instructions
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PDF
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New Forms for EPA/DNR Work Plan
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AFO Regulatory Status. To be determined after a desktop assessment. 12/13
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542-0310
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Forms for Confinement Feeding Operations
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Manure Management Plans
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Manure Management Plan Forms for Confinement Animal Feeding Operations. Use with Appendix A 9/15. Updated 1/19.
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542-4000
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Appendix A - Reference Tables Revised 4/20 with updated yield data
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542-4000a
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Manure Management Plans for Sales of Dry Manure 10/14, updated 1/19.
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542-8069
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MMP Short Form for Annual Updates 2/17
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542-8162
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Manure Application Record Keeping
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542-8002
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Statement of Intent - Commercial Fertilizer Application for Livestock and Poultry Producers, 8/05, Rev. 11/08
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542-8167
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For Producer Use: Stockpile Inspection Form 12/09. Updated 6/14 for new office address.
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542-0017
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For DNR Use: Manure Management Plan Compliance Review - Nonsales of Manure, Rev. 10/05. Updated 1/19 for new office address.
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542-8119
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For DNR Use: Manure Management Plan Compliance Review - Sales of Manure, Rev. 10/05. Updated 1/19 for new office address.
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542-8120
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For DNR Use: Contact Information Form - MMP Compliance Appointment Review Protocol 2/05
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542-8161
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For DNR Use: Manure Management Plan Administrative Review Checklist 3/12
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542-0138
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Construction, Expansion or Modification Forms
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Construction Design Statement Rev. 9/19.
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542-8068
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Petition for a Flood Plain Determination or Declaratory Order 5/16.
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542-8157
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Permit Required: Construction Permit Application Rev. 10/09, updated 2/20
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542-1428
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Professional Engineer Design Certification 10/15, updated 4/18, 1/19.
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542-8122
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Master Matrix document
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542-8043
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Storm Water Permit - Notice of Intent for NPDES Coverage Under General Permit - No.2
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542-1415
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Storm Water Permit - Public Notice of Storm Water Discharge
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542-8117
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Storm Water Permit - Notice of Discontinuation of a Storm Water Discharge - No.2
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542-8115
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Water Use Permit Application 4/15
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542-3106
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Flood Plain Permit
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542-3234
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For DNR Use: Construction Observation – Formed Manure Storage Structure
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542-8123
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Construction Certification for Confinements updated 2/20
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542-0627
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Fees:
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Manure Storage Indemnity & Filing Fee. (Required only with construction, expansion or modification of an operation that does not need a construction permit. Rev. 3/08, Updated 5/19.
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542-4021
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Manure Storage Indemnity & Filing Fee for Ownership Transfer (required only for operations changing ownership). Rev 5/19
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542-4026
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Manure Storage Indemnity & Filing Fee with Construction Permit Fee (incorporated into permit application) Rev. 10/09, Updated 2/20.
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542-1428
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Annual Compliance Fee
(Required only with an annual updated manure management plan. Rev. 4/06, Updated 4/11, 12/13 and 1/19.
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542-8064
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Other:
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Business Form for Commercial Manure Services Rev. 10/08, updated 6/14 for new office address and 11/14 for new phone number. Document added 11/14.
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542-4022
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Commercial Manure Services - Employee Substitution and Termination Form, updated 6/14 for new office address and 11.14 for new phone number. Document added 11/14.
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542-4023
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Verification of County Receipt used with annual MMP updates and for confinements that do not need a permit Rev. 4/06. Updated 12/13, 1/19.
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542-8046
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Verification of County Receipt with a Construction Permit Rev. 10/09, Updated 2/20.
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542-1428
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Animal Unit Capacity Calculation
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Forms for Open Feedlots
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Nutrient Management Plans:
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Nutrient Management Plan (NMP) 12/15, Rev. 1/19
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542-2021
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For DNR Use: Nutrient Management Plan Compliance Review – Nonsales of Manure 12/13, Rev. 1/19
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542-2022
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Public Notice - Nutrient Management Plan for an Open Feedlot, Created 5/07, updated 1/19 for new office address.
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542-1553
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For DNR Use: Nutrient Management Plan Administrative Review Checklist
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542-0139
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Construction Permit:
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Construction Permit Application Rev. 7/17 (new phone number)
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542-1427
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Storm Water Permit - Notice of Intent for NPDES Coverage Under General Permit - No.2, Word document added 12/14
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542-1415
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Storm Water Permit - Public Notice of Storm Water Discharge
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542-8117
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Storm Water Permit - Notice of Discontinuation of a Storm Water Discharge - No.2
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542-8115
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Water Use Permit Application 4/15
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542-3106
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Flood Plain Permit (Form 36)
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542-3234
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Fees:
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Annual NPDES Permit Fee Invoice (not required until after you receive a NPDES permit; DNR will mail form when it is due)
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542-1254
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Forms for Open Feedlots and Some Confinements
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Well Variance Petition
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Petition for Well Variance on new Construction 12/12
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542-0163
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NPDES Permit:
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Individual NPDES Permit Application for Beef and Dairy Open Feedlots, including cow yards, confinements and combined CAFO operations, Rev. 2/12, 9/1/2020
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542-4001
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Compliance Steps for Combined CAFOs 11/15, Rev. 1/19
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542-0190
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NPDES Open Feedlot Quarterly Report. 2/11
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542-1551
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NPDES Annual Report. Rev. 2/11
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542-1552
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Nutrient Management Plan (NMP) 12/15, Rev. 1/19
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542-2021
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Application fee invoice for a permit application. Required to be submitted with all NPDES permit applications.
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542-1240
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Construction Permit
Application Animal Truck Wash Facility
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542-0982
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Forms for Livestock Truck Washes
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Construction Permit Application Animal Truck Wash Facility
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542-0982
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Livestock Truck Wash Water - Larger facilities are required to submit a Nutrient Management Plan. (Form 542-2021 above.)
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