Forms, Applications, Permits, Manuals and Associated Documents
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The department has changed all fill-in forms to PDF fill-in. (Most of the forms have fill-in fields, but some forms are still in the process of conversion.) You will be able to save and reuse these PDF forms. However, you will need Adobe Acrobat Reader 7 or higher to save the PDF fill-in form. Also, at this time the department does not accept digital signatures. If your Acrobat Reader prompts you to use one, we ask that you don't.
Fill in forms will accept only a limited amount of information in each individual box. If you need to insert more information than the form will accept, please use a supplemental sheet.
Permit Assistant
If you're seeking an environmental permit, registration or certification for your business, school, community, or activity, the Missouri Department of Natural Resources' Permit Assistant can help! This tool is designed to help users determine what type of environmental permits they need and provide the forms to apply for these permits. This easy-to-use tool will ask you a few simple questions to determine your needs. Let's get started!
General Information
- Environmental Permits and How to Obtain Them, Booklet--PUB98 (07/07)
- Guide to Missouri Department of Natural Resources Permit Transfers, Booklet--PUB541 (08/06)
- Understanding Environmental Regulations and Permits, Booklet--PUB595 (08/06)
- Manuals
Air Pollution
Sales Tax Exemption forms are no longer processed by the Department of Natural Resources. Applicants should use DOR Form 149 Sales/Use Tax Exemption Certificate and issue them directly to seller. They do not need to be sent to the Department of Revenue.
- Performance Test Plan Template Note: Use pages specific to process type unless unavailable then use generalized template pages.
- Dry Cleaner Notification of Compliance Status, Form--MO 780-1987 (04/08)
- GVIP Promotional Items Order Form, Form--MO 780-2031 (01/09)
- Intermediate Operating Permit Compliance, Certification and Monitoring Report Form--MO 780-1810 and Instructions (10/02)
- PART 70 Operating Permit Compliance, Certification and Monitoring Report Form--MO 780-1808 and Instructions (07/08)
- Notice of Violation/Excess Emissions 780-1640 (12/05)
Ambient Air Monitoring
Ambient Air Quality Monitoring - Quality Assurance Project Plan (QAPP)
- QAPP Template (08/06) MS Word Template
- QAPP Template Instructions (08/06) MS Word
- QAPP Template Checklist (08/06) MS Word
Asbestos (General)
- Asbestos Contractor Registration Application, Form--MO 780-1224 (07/10)
- Asbestos NESHAP Notification of Demolition and Renovation, Form--MO 780-1923 and Instructions (06/09)
- Asbestos NESHAP Notification of Demolition and Renovation Amendment, Form--MO 780-1986 (04/08)
- Asbestos Notification Amendment, Form--MO 780-1556 (07/96)
- Asbestos Occupation Certification Application, Form--MO 780-1228 (01/07)
- Asbestos Occupation Certification Renewal, Form--MO 780-1227 (12/06)
- Asbestos Post-Notification, Form--MO 780-1225 (08/04)
- Asbestos Project Notification, Form--MO 780-1226 (05/05)
- Training Course Accreditation, Form--MO 780-1229 (11/06)
- Asbestos Inspection Report - Demolition/Renovation, Form--MO 780-2130 (05/11)
Asbestos Abatement Contractor Registration
Asbestos Removal Notification
Concrete Batch Operation
Construction Permits (New Source Review Permits)
Please note: This application can be used for De Minimis, Minor Source, Major Source New Source Review/Prevention of Significant Deterioration (PSD) or Major New Source Review Hazardous Air Pollutant (HAP) Permits. (Air Construction Permits Guidance information.)
- Application for Authority to Construct, Packet--MO 780-1323 (02/07) and Instructions (08/00)
- Form 2.0 (Form 2.0 is an addendum to MO 780-1323. Duplicate this page for each emission point as needed. )
- Pre-construction Prohibition Waiver, Fact Sheet--PUB2014 (06/06)
Stage II Gasoline Vapor Recovery
- City of St. Louis Vapor Recovery System Construction/Operating Permit Application
- Delivery Vessel Pressure Test Certification Application, Form--MO 780-1262 (06/09)
- St. Louis County-Department of Health Vapor Recovery System Construction/Operating Permit Application (10/04)
- Vapor Recovery System Construction/Operating Permit Application--MO 780-1561 (09/09)
Emissions Banking and Trading
- Emissions Banking and Trading, Form--MO 780-1875 (01/04) and Instructions (06/09)
Emission Inventory Questionnaire (EIQ)
- EIQ Forms Excel Workbook (05/10) Excel Format
- 2009 Emissions Reporting for Full Emission Inventory Questionnaires
- Reduced Emission Reporting
- Overview of EIQ Forms (2008)
- Glossary of EIQ Terms (2007)
- Confidential EIQ Information Guidance (2008)
- Section 112 Hazardous Air Pollutants (12/06)
- Exempt VOC List (01/08)
- Dry Cleaner - Non-Chlorinated and Petroleum Based Solvents, Form--MO 780-1954 (12/09) and Instructions
- EIQ Form 1.0 General Plant Information, Form--MO 780-1431 (12/09) and Instructions
- EIQ Form 1.1 Process Flow Diagram, Form--MO 780-1619 (12/09) and Instructions
- EIQ Form 1.2 Summary of Emission Units and Related Processes, Form--MO 780-1620 (12/09) and Instructions
- EIQ Form 2.0 Emission Unit Information, Form--MO 780-1621 (05/10) and Instructions /li>
- EIQ Form 2.0 Part 70 Operating Permit Emission Unit Information, Form--MO 780-2087 (05/10) and Instructions
- EIQ Form 2.0C Part 70 Operating Permit Control Device Information, Form--MO 780-2088 (12/09) and Instructions
- EIQ Form 2.0C Control Device Information, Form--MO 780-1434 (12/09) and Instructions
- EIQ Form 2.0K Charcoal Kiln Information, Form--MO 780-1530 (12/09) and Instructions
- EIQ Form 2.0L Landfill Worksheet, Form--MO 780-1583 (12/09) and Instructions and Landfill Excel Spreadsheet
- EIQ Form 2.0P Portable Plant Information, Form--MO 780-1433 (12/09) and Instructions
- EIQ Form 2.0S Stack/Vent Information, Form--MO 780-1435 (12/09) and Instructions
- EIQ Form 2.0Z Ozone Season Information - "Emissions Statement," Form--MO 780-1452 (12/09) and Instructions
- EIQ Form 2.1 Fuel Combustion Worksheet, Form--MO 780-1436 (12/09), Instructions and Fuel Parameters Table
- EIQ Form 2.2 Incinerator Worksheet, Form--MO 780-1438 (12/09), Instructions and Classification of Waste Table
- EIQ Form 2.3 VOC Process Mass-Balance Worksheet, Form--MO 780-1440 (12/09) and Instructions
- EIQ Form 2.4 Volatile Organic Liquid Loading Worksheet, Form--MO 780-1625 (12/09) and Instructions
- EIQ Form 2.5L General Liquid Storage Tank Information, Form--MO 780-1444 (12/09) and Instructions
- EIQ Form 2.7 Haul Road Fugitive Emissions Worksheet, Form--MO 780-1445 (12/09), Instructions and AP-42 13.2.2-1 Chart
- EIQ Form 2.8 Storage Pile Worksheet, Form--MO 780-1446 (12/09), Instructions and AP-42 13.2.4-1 Chart
- EIQ Form 2.9 Stack Test/Continuous Emissions Monitoring Worksheet, Form--MO 780-1447 (12/09) and Instructions
- EIQ Form 2.T Hazardous Air Pollutant Worksheet, Form--MO 780-1448 (12/09) and Instructions and HAP List
- EIQ Form 3.0 Emissions Fee Calculation, Form--MO 780-1509 (12/09) and Instructions
- EIQ Form 3.0CK Charcoal Kiln Emissions Fee Calculation, Form--MO 780-1508 (12/09) and Instructions
- EIQ Form 3.0 Part 70 Operating Permit Emissions Fee Calculation, Form--MO 780-2089 (04/10) and Instructions
- EIQ Form 4.0 Financial Cost Estimate, Form--MO 780-1622 (12/09) and Instructions
Gateway Vehicle Inspection Program
- Financial Waiver Eligibility Request, Form--MO 780-1970 (06/08)
- Cost-Based Waiver Application Affidavit - Repairs Made by a Repair Technichian, Form--MO 780-1971 (08/08)
- Mileage-Based Exemption Request, Form--MO 780-1972 (10/10)
- Cost-Based Waiver Application Affidavit - Repairs Made by a Vehicle Owner, Form--MO 780-1973 (08/08)
- Estimate-Based Waiver Application Affidavit - Estimate Provided by a Vehicle Repair Technician, Form--MO 780-1994 (06/08)
- Compliance Inspection Form, Form--MO 780-2140 (08/11)
Open Burning Permit
- Application for Permit to Open Burn Vegetative Waste, Form--MO 780-1941 (09/06)
- Application for Permit to Open Burn Vegetation With an Air Curtain Destructor (ACD) in the St. Louis Region*, Form--MO 780-1840 (09/03)
- Facts on Open Burning Under Missouri Regulations, Fact Sheet--PUB2047 (06/06)
Operating Permit Application Forms (Basic)
- Basic Operating Permit Notification, Form--MO 780-1872 and Instructions (08/08)
- Basic Operating Permit Notification, St. Louis Sources Only, Form--MO 780-1871 (12/03)
Operating Permit Application Forms (Part 70 and Intermediate/Synthetic Minor)
- Operating Permit, Form--MO 780-1519 (03/06) and Instructions (02/03)
Operating Permit Compliance, Certification and Monitoring Report Form
- Intermediate Operating Permit Compliance, Certification and Monitoring Report, Form--MO 780-1810 and Instructions (10/02)
- PART 70 Operating Permit Compliance, Certification and Monitoring Report, Form--MO 780-1808 and Instructions (07/08)
Operating Permits (Stage II Gasoline Vapor Recovery)
- Vapor Recovery System Construction/Operating Permit Application, Form--MO 780-1561 (09/04)
- St. Louis County-Department of Health Vapor Recovery System Construction/Operating Permit Application (10/04)
Permit-By-Rule Notifications
- Application for Authority to Construct, Permit by Rule Notification - Crematories and Animal Incinerators, Form--MO 780-1888 (03/04)
- Application for Authority to Construct, Permit by Rule Notification - Livestock Markets and Livestock Operations, Form--MO 780-1886 (03/07)
- Application for Authority to Construct, Permit by Rule Notification - Printing Operations, Form--MO 780-1889 (03/07)
- Application for Authority to Construct, Permit by Rule Notification - Surface Coating Operations, Form--MO 780-1887 (03/07)
Portable Source Relocation Request
- Application for Authority to Construct, Packet--MO 780-1323 (02/07) and Instructions (08/00) - Portable Source Relocation forms
are found on pages 14-16 of the Application for Authority to Construct
- Form 2.0 (Form 2.0 is an addendum to MO 780-1323. Duplicate this page for each emission point as needed.
Quarry
Vapor Recovery (General)
- City of St. Louis Vapor Recovery System Construction/Operating Permit Application
- Delivery Vessel Pressure Test Certification Application, Form--MO 780-1262 (06/09)
- Request for Exemption
Stage 1 Requirement Regulation, Form--MO 780-1528 (06/09)
10 CSR 10-5.220, (4) - St. Louis; - 10 CSR 10-2.260, (3) - Kansas City Bulk Plants / "Gasoline Loading"
- St. Louis County-Department of Health Vapor Recovery System Construction/Operating Permit Application (10/04)
- Vapor Recovery System Construction/Operating Permit Application--MO 780-1561 (09/04)
- Vapor Recovery Designated Person Registration--MO 780-2138 (05-11)
Dam Safety
- Dam Inventory Questionnaire, Form--MO 780-1755 (03/04)
- Application for Construction Permit, Form--MO 780-1763 (04/11)
- Certification - Construction Permit Application, Form--MO 780-1764 (03/04)
- Certification - Registration Permit Application, Form--MO 780-1756 (03/04)
- Application for Registration Permit, Form--MO 780-1758 (04/11)
- Application to Renew Registration Permit, Form--MO 780-1757 (04/11)
- Application for Safety Permit, Form--MO 780-1759 (04/11)
- Certification - Safety Permit Appliction, Form--MO 780-1760 (03/04)
- Application to Renew Safety Permit, Form--MO 780-1761 (04/11)
- Agricultural Exemption Information Sheet, Form--MO 780-1765 (03/04)
- Inquiry and Information, Form--MO 780-1762 (03/04)
Construction Permit Checklists
- Construction Permit Application - Earth Dam
- Construction Permit Application - Modification to Existing Earth Dam
- Construction Permit Application - Industrial Water Retention Dam
Registration and Safety Permits Checklists
- Registration Permit Application - Earth Dam
- Registration Permit Application - Industrial Water Retention Dam
- Safety Permit Application - Earth Dam
- Safety Permit Application - Industrial Water Retention Dam
Energy and Renewable Energy
Energy Revolving Fund
- Energy Revolving Fund, Booklet--PUB1223 (08/05)
- Application, Fuel Use Summary, Form--MO 780-1169 (12/11)
- Wall or Ceiling Insulation Worksheet, Form--MO 780-1361 (12/11)
- Pipe Insulation Worksheet, Form--MO 780-1362 (12/11)
- Programmable Setback Thermostat Worksheet, Form--MO 780-1360 (12/11)
- Lighting Upgrade Worksheet, Form--MO 780-1359 (12/11)
- Window Replacement/Window Reduction Worksheet, Form--MO 780-1363 (12/11)
- Heating Plant and Cooling Plant Replacement Worksheets, Form--MO 780-1358 (12/11)
- Reimbursement Form--MO 780-1170 (12/11)
- Final Project Cost Report, Form--MO 780-1172 (12/11)
CAIR Annual NOx Set-Aside
- Request for Pre-Application Project Review, Missouri Energy Efficiency and Renewable Energy CAIR Annual NOx Set-Aside, Form--MO 780-1979 (12/07)
- Application for An Award Of Allowances From Missouri Energy Efficiency and Renewable Energy CAIR Annual NOx Set-Aside, Form--MO 780-1978 (12/07)
- Application for Subsequent Year Award Of Allowances From Missouri Energy Efficiency and Renewable Energy CAIR Annual NOx Set-Aside, Form--MO 780-1977 (12/07)
Home Energy Auditor Certification
- Missouri Certified Home Energy Auditor Application (Existing BPI Or RESNET Certification), Form--MO 780-2011 and Instructions (12/11)
- Missouri Certified Home Energy Auditor Application (Provisional Certification), Form--MO 780-2012 and Instructions (12/11)
- Missouri Certified Home Energy Auditor Application (Training institution), Form--MO 780-2013 and Instructions (12/11)
- Missouri Certified Home Energy Auditor Application ( Training at institution other than BPI or RESNET ), Form--MO 780-2014 and Instructions (12/11)
Transportation and Alternative Fuels
Other Energy Forms
- Dial-A-Ride Action Card, Form--MO 780-0950 (11/11)
- Wood Energy Tax Credit Application, Form--MO 780-1305 (12/11)
- Missouri State Fleet - Acquisitions and Conversions--MO 780-1663 (10/10)
- Missouri State Fleet - Operationis--MO 780-1664 (10/10)
Financial Assistance Center
Clean Water
- Clean Water Forty Percent Grant Application, Form--MO 780-2001 and Instructions (09/08)
- Clean Water Pre-closing Document Submittal Checklist (07/06)
- Clean Water State Revolving Fund Application, Form--MO 780-1951and Instructions (05/11)
- Clean Water State Revolving Fund Governing Body Resolution for Authorized Representative (07/06)
- Clean Water State Revolving Fund Applicant Assurance of Easements (07/06)
- Clean Water Statement of Work Completed (07/06)
- Facilities Plan Submittal Checklist, Form--MO 780-2041 (07/11)
- Land Acquisition and Relocation Fact Sheet
- Rural Sewer Grant Application, Form--MO 780-2036 and Instructions (02/09)
- Small Borrower Loan Application, Form--MO 780-2035 (02/09)
Drinking Water
- Drinking Water State Revolving Fund Pre-closing Document Submittal Checklist (07/06)
- Drinking Water State Revolving Fund Governing Body Resolution for Authorized Representative (07/06)
- Drinking Water State Revolving Fund Applicant Assurance of Easements (07/06)
- Drinking Water State Revolving Fund Loan Application, Form--MO 780-1845 (05-11) and Instructions (11/08)
- Drinking Water State Revolving Fund Facility Plan Submittal Checklist, Form--MO 780-2091 (07/11)
- Land Acquisition and Relocation
- Rural Water Grant Application, Form--MO 780-2037 and Instructions (02/09)
- Small Borrower Loan Application, Form--MO 780-2035 (02/09)
Geology
Administration
Geological Survey
- Request for Geohydrologic Evaluation of Liquid-Waste Treatment Facility/Site, Form--MO 780-1688 (01/09)
- Request for Geohydrologic Evaluation of Residential Housing Development (Subdivision), Form--MO 780-1690 (04/03)
- Request for Preliminary Investigation of Area Proposed for Beneficial Reuse of Solid Waste, Form--MO 780-1691 (04/03)
- Request for Preliminary Investigation of Proposed Solid-Waste Disposal Area, Form--MO 780-1689 (05/07)
- Water Trace Information Sheet Injection Point, Form--MO 780-1693 (04/03)
- Water Trace Information Sheet Monitoring Point, Form--MO 780-1694 (04/03)
- Water Trace Information Sheet Water Tracer Registration Application, Form--MO 780-1695 (04/03)
Land Survey
When submitting corner documents for registration please use legal-size (8 1/2" x 14") paper and select the "fit to page" option from your Printer Setup. If you have any questions or need assistance, please call 573-368-2300.
- Certified Land Corner Document, Form--MO 780-1708 (09/10) and CAD DWG
EDM Calibration Reports and Instructions
- Cedar City EDM Baseline, Form--MO 780-1847 (06/09)
- Dexter EDM Baseline, Form--MO 780-1849 (06/09)
- Jasper County EDM Baseline, Form--MO 780-1851 (06/09)
- Kirksville EDM Baseline, Form--MO 780-1853 (06/09)
- Lake City EDM Baseline, Form--MO 780-1855 (06/09)
- Perryville EDM Baseline, Form--MO 780-1857 (06/09)
- Pomona Valley EDM Baseline, Form--MO 780-1859 (06/09)
- River Valley EDM Baseline, Form--MO 780-1861 (06/09)
- Springfield EDM Baseline, Form--MO 780-1863 (06/09)
- Squaw Creek EDM Baseline, Form--MO 780-1865 (06/09)
- Taylor EDM Baseline, Form--MO 780-1867 (06/09)
- Vichy EDM Baseline, Form--MO 780-1869 (06/09)
Height Modernization
- Horizontal and Vertical Control Recovery, Form--MO 780-2111 (06/10)
- Observation Log, Form--MO 780-2110 (06/10)
Hazardous Waste
Drycleaning Environmental Response Trust (DERT)
- DERT Fund - Consent for Access to Property, Form--MO 780-1945 (07/10)
- Drycleaning Environmental Response Trust Fund Quarterly Report, Form--MO 780-2100 (02/10)
- Dry Cleaning Facility Change of Ownership, Form--MO 780-1877 (01/07)
- Dry Cleaner Registration - Perchloroethylene and Other Chlorinated Solvents, Form--MO 780-1745 (01/11) and Instructions
- Dry Cleaning Solvent Surcharge Calculation Sheet (Part 1 and Part 2), Form--MO 780-1725 (03/11)
- Missouri Drycleaning Environmental Response Trust (DERT) Fund Application, Form--MO 780-1837 (09/05)
- Notice of Closure of a Dry Cleaning Facility, Form--MO 780-1876 (03/06)
- Prioritization Ranking, Form--MO 780-1894 (11/05)
- Reimbursement Claim Worksheet, Form--MO 780-1891 (09/05)
Brownfields/Voluntary Cleanup
- Brownfields Assessment Application, Form--MO 780-1955 (04/10)
- Brownfields/Voluntary Cleanup Program (BVCP) Application, Form--MO 780-1712 (07/06)
- Brownfields/Voluntary Cleanup Program Quarterly Report, Form--MO 780-2101 (02/10) <
- Consent for Access to Property, Form--MO 780-1713 (12/06)
Electronics Recycling
- Electronics Manufacturer Registration, Form--780-2106 (06/10)
- Electronic Scrap Recycler Inspection Checklist, Form--MO 780-2097 (06/10)
- Host Site Registration, Form--MO 780-1981 (12/07)
- Host Site Self-Audit, Form--MO 780-1980 (12/07)
- Registered Electronics Manufacturer Recycling Report--MO 780-2128 - 2010 (12/11)
- Registered Electronics Manufacturer Recycling Report--MO 780-2157 (12/11)
Federal Facilities
Hazardous Waste Treatment, Storage and Disposal Facilities and Resource Recovery Facilities
- Certified Resource Recovery Facility Application, Form--MO 780-1163 (09/06) Instructions
- EPA RCRA Hazardous Waste Part A Permit Application -- EPA 8700-23
- Habitual Violator Disclosure Statement, Form--MO 780-1966 (07/07)
- Missouri Hazardous Waste Management Facility Application Form
Hazardous Waste Generators
- Generator's Hazardous Waste Summary Report, Part I and II, Form--MO 780-1097 (06/08) and Instructions for using Excel / Fill-in MS Excel
- Facility Summary Report, Part I and II, Form--MO 780-0408 (11/07) and Instructions for using Excel / Fill-in MS Excel
- Hazardous Waste Generator's Exception Report, Form--MO 780-0651 (10/11)
- Large Quantity Generator Inspection Checklist, Form--MO 780-1525 (01/11)
- Notification of
Regulated Waste Activity, Form--MO 780-1164 (12/11) (For acquiring an EPA ID Number)
A $100 fee is required for all new registrations or to re-activate a currently inactive registration. - Personal Identification Number Request, Form--MO 780-2063 (09/09)
- Small Quantity Generator Inspection Checklist, Form--MO 780-1602 (01/11)
- Small Quantity Generator Supplemental Inspection Checklist, Form--MO 780-2050 (01/11)
- Universal Waste Small Quantity Handler Checklist--MO 780-2129 (01-11)
Hazardous Waste Transporters
- Note: Hazardous Waste Transporter Licenses are now issued by MoDOT, Motor Carrier Services Unit http://www.modot.org/mcs/index.htm
- Hazardous Waste Transporter and Facility Checklist, Form--MO 780-2107 (04/10)
Polychlorinated Biphenyl (PCB) Facility
Radioactive Materials Shipment
Underground Storage Tank (UST) (includes underground petroleum storage tank)
- Information regarding underground storage tank systems
- Underground Storage Tank (UST) Temporary Closure Checklist, Form--MO 780-1974 (10/07)
- Notification - Installation of New Underground Storage Tank System, Form--MO 780-1949 (01/12)
- Underground Petroleum Storage Tank Registration, Form and Instructions--MO 780-1782 (05/11)
- Closure Report for Petroleum Releases at Underground Storage Tank Sites--MO 780-2120 (12/10)
- Closure Report for Petroleum Releases at Underground Storage Tanks - Soil Analysis--MO 780-2141 (06/11)
- Closure Report for Petroleum Releases at Underground Storage Tanks - Groundwater Analysis--MO 780-2142 (06/11)
- Closure Notice for Petroleum Releases at Underground Storage Tank Sites--MO 780-2121 (01/12)
- Regulatory Requirements for Installations for New Underground Storage Tank Systems Compliance Checklist--MO 780-2134 (03/11)
- Tank Piping Information Instructions
Used Oil
- Transporter's Used Oil Annual Report, Form--MO 780-1555 and Instructions (07/08)
- Transporter's Used Oil Shipment Record, Form--MO 780-1449 (04/07)
- Used Oil Aggregation Point Facility, Inspection and Record Checklist, Form--MO 780-1523 (06/04)
- Used Oil Burners Who Burn Off-Specification Used Oil for Energy Recovery, Inspection and Record Checklist, Form--MO 780-1520 (06/04)
- Used Oil Collection Center, Inspection and Record Checklist, Form--MO 780-1524 (06/04)
- Used Oil Fuel Marketers, Inspection and Record Checklist, Form--MO 780-1526 (06/04)
- Used Oil Generator, Inspection Record and Checklist, Form--MO 780-1890 (10/04)
- Used Oil Processors and Re-Refiners, Inspection and Record Checklist, Form--MO 780-1521 (06/04)
- Used Oil Transporter and Transfer Facilities, Inspection and Record Checklist, Form--MO 780-1522 (06/04)
Historic Preservation (includes Section 106)
- Archaeological Site Recordation, Form--MO 780-1927 (10/10) and E-mail Form
- Section 106 Project Information Form--MO 780-1027 (08/09)
- Missouri Drainage Basin Map (To be used when filling out at Section 106 form. 01/10)
- Section 106 Survey Memo Form--MO 780-1718 (06/00) and Instructions
- Preliminary National Register of Historic Places Eligibility Assessment--MO 780-1878 (12/10) and Instructions
- Barn and Farmstead Survey Form--MO 780-2126 (12/10) and Instructions
- Barn and Farmstead Survey Continuation Sheet--MO 780-2127 (12/10) and Instructions
- Architectural/Historic Inventory Form--MO 780-2125 (01-11) and Instructions
Human Resources
- Application for Temporary Employment, Form--MO 780-1601 (07/08)
- Summer Professional Development Program Application, Form--MO 780-2009 (02/09)
- Summer Professional Development Program Recommendation Letter, Form--MO 780-2010 (10/08)
Land Reclamation
Coal Exploration Permit
- Forms available by contacting the Land Reclamation Program at 573-751-4041.
Industrial Mineral Surface Mining Permits
In-Stream Sand and Gravel Operations
- In-Stream Sand and Gravel Operations, Instructions and Definitions, Form--MO 780-1742 (10/07)
- Permit Application for Industrial Mineral Mines, Form--MO 780-1007 (06/10)
- Consent to Entry, Form--MO 780-1329 (06/10)
- Permit Transfer, Form--MO 780-1333 (06/10)
- Company Information, Form--MO 780-1928 (04/11)
- Public Notice to Local Newspaper and Certified Mail to Adjacent Landowners
and Government Bodies Templates
- New Permit (09/10)
- Renewal (09/10)
- Revision (09/10)
- Transfer (09/10)
- Expansion (12/10)
- Transfer-Expansion (09/10)
- New to Existing Permit (09/10)
- Site information Form--MO 780-1036 (06/11) and Example
- Sand and Gravel Excavation Plan--MO 780-1895 (07/10) and Example
- Permit Renewal Form for Industrial Mineral Mines, Form--MO 780-1780 (06/10)
- Annual Operations Status Report, Form--MO 780-1884 (07/11)
Open Pit Operations
- Open Pit Operations, Instructions and Definitions, Form--MO 780-1743 (07/07)
- Permit Application for Industrial Mineral Mines, Form--MO 780-1007 (06/10)
- Consent to Entry, Form--MO 780-1329 (06/10)
- Permit Transfer, Form--MO 780-1333 (06/10)
- Company Information, Form--MO 780-1928 (04/11)
- Public Notice to Local Newspaper and Certified Mail to Adjacent Landowners
and Government Bodies Templates
- New Permit (09/10)
- Renewal (09/10)
- Revision (09/10)
- Transfer (09/10)
- Expansion (12/10)
- Transfer-Expansion (09/10)
- New to Existing Permit (09/10)
- Site information Form--MO 780-1036 (06/11) and Example
- Mine Plan, Form--MO 780-1327 and Example (07/10)
- Surety Bond Surface Mining of Minerals, Form--MO 780-0016 (06/09)
- Personal Bond Secured by A Certificate of Deposit, Form--MO 780-0936 (07/10)
- Assignment of Certificate of Deposit, Form--MO 780-1342 (07/10)
- Personal bond Secured by a Letter of Credit, Form--MO 780-1472 (11/10)
- Confirmation of Irrevocable Letter of Credit, Form--MO 780-0015 (08/10)
- Permit Renewal Form for Industrial Mineral Mines, Form--MO 780-1780 (06/10)
- Permit Application for Industrial Mineral Mines Geologic Resources Fee Worksheet, Form--MO 780-1965 (06/10)
- Request for Approval of Reclaimed Land, Form--MO 780-0946 (11/10)
- Annual Operations Status Report, Form--MO 780-1885 (07/11)
Metallic Mineral Waste Management Permit
Permit consists of an Inspection-Maintenance and Closure Plan that is available by contacting the Land Reclamation Program at 573-751-4041.
Surface Coal Mine and Reclamation Permit
Forms available by contacting the Land Reclamation Program at 573-751-4041.
Major Water Users
- Online Annual Registration
- Major Water Use Registration Form, Form--MO 780-2019 (01/12)
- Major Water Use Registration Form For Mines and Quarries, Form--MO 780-2020 (01/10)
Oil and Gas
- Organization Report, Form--MO 780-0209 (02/11) Form OGC-1
- Surety Bond, Form--MO 780-0210 (02/11) Form OGC-2
- Personal Bond - Secured by a Certificate of Deposit, Form--MO 780-1777 (02/11) Form OGC-2A
- Personal Bond, Form--MO 780-1778 (02/11) Form OGC-2B
- Application for Permit to Drill, Deepen, or Plug Back, Form--MO 780-0211 (03/11) Form OGC-3
- Injection Well Permit Application (To Drill, Deepen, Plug Back, or Convert an Existing Well), Form--MO 780-0212 (06/06) Form OGC-3I
- Well Location Plat, Form--MO 780-0213 (06/06) Form OGC-4
- Injection Well Location Plat, Form--MO 780-1136 (02/11) Form OGC-41
- Well Completion or Recompletion Report and Well Log, Form--MO 780-0215 (08/06) Form OGC-5
- Notice of Intention to Abandon Well, Form--MO 780-0214 (06/06) Form OGC-6
- Plugging Record, Form--MO 780-0217 (06/06) Form OGC-7
- Well Conversion Agreement, Form--MO 780-0218 (06/06) Form OGC-8
- Monthly Well Status and Production Report, Form--MO 780-0219 (06/06) Form OGC-9
- Monthly Report of Disposal of Produced Water, Form--MO 780-0220 (09/01) Form OGC-10
- Injection Well Schematic, Form--MO 780-0221 (08/06) Form OGC-11
- Injection Well Monitoring Report, Form--MO 780-0208 (08/06) Form OGC-12
Operator Certification and Training
- Application: For Examination for a Water Treatment, Water Distribution, Wastewater Operator or Concentrated Animal Feeding Operations (CAFO) Certificate--MO 780-1089 (11/06)
- Application: For Reciprocity of a Water Treatment, Water Distribution, Wastewater or Concentrated Animal Feeding Operations (CAFO) Operator Certificate--MO 780-1091 (07/04)
- Contract Operator Form, Form--MO 780-2002 (09/08)
Water Protection Program Operator Certification
Public Drinking Water
- Disinfection and Turbidity Report for Surface Water Systems > 10,000 Population, Form--MO 780-1591 (10/06)
- Disinfection and Turbidity Report for Surface Water Systems < 10,000 Population, Form--MO 780-1904 (10/06)
- Drinking Water State Revolving Fund Loan Application, Form--MO 780-1845 and Instructions (09/09)
- Microbiological Analysis Report, Form--MO 780-0438 (07/10)
- Missouri Drinking Water Primacy Fee Report, Form--MO 780-1380 (08/06)
- Monthly Compliance Monitoring Report for Groundwater Systems, Form--MO 780-2094 and Instructions (12/09)
- Order Bacteriological Water Analysis Sample Bottles
- Permit to Dispense Application, Form--MO 780-2122 (11/10)
- Compliance & Operational Inspection--MO 780-1617 (02/01)
- Permit to Dispense Transfer Application--MO 780-2139 (05/11)
- Inventory Public Water System Record--MO 780-1231 (08/11) and Instructions (12/11)
- Inventory Address Data--MO 780-1232 (08/11) and Instructions (12/11)
- Inventory Soruce and Treatment Record--MO 780-1233 (08/11) and Instructions (12/11)
- Report of Low Water Pressure--MO 780-2016 (10-11)
Certification
Construction
- Construction Permit Application, Form--MO 780-0701 (03/10)
- Backflow Prevention Assembly Test Data and Maintenance Report, Form--MO 780-0804 (01/06)
Solid Waste
- Certificate of Acknowledgement, Form--MO 780-1271 (03/09)
- Certificate of Insurance for Closure Application, Form--MO 780-1268 (03/09)
- Contract of Obligation, Form--MO 780-1263 (10/11)
- Closure and Post-Closure Cost Worksheet, Form--MO 780-1882 (01/12)
- Corporate Guarantee, Form--MO 780-1270 (10/11)
- Financial Guarantee Bond, Form--MO 780-1265 (07/11)
- Form A - Active Gas System Worksheet, Form--MO 780-1881 (01/10)
- Form B - Passive Gas System Worksheet, Form--MO 780-1880 (01/10)
- General Information on Solid Waste permits
- Irrevocable Escrow Agreement, Form--MO 780-1264 (10/11)
- Irrevocable Standby Letter of Credit, Form--MO 780-1267 (03/09)
- Irrevocable Trust Agreement, Form--MO 780-1272 (10/11)
- Letter from Chief Financial Officer, Form--MO 780-1269 (03/09)
- Performance Bond, Form--MO 780-1266 (07/11)
- Recycled Content Newsprint Usage Exemption, Form--MO 780-1453 (01/12)
- Recycled Content Newsprint Usage Statement, Form--MO 780-1455 (01/08)
- Resolution - Attachment A, Form--MO 780-2039 (03/09)
- Schedule A Form, Form--MO 780-2043 (03/09)
- Sheltered Workshop Recycling Form--MO 780-2150 (09/11) and Instructions
- Solid Waste Technician Certification Class Enrollment Form--MO 780-2000 (07/08)
Tonnage Fee Reporting
- Demolition Landfill Solid Waste Tonnage Fee Report, Form--MO 780-1368 (12/10)
- Infectious Waste Processing Facility Fee Report, Form--MO 780-1905 (12/10)
- Sanitary Landfill Solid Waste Tonnage Fee Report, Form--MO 780-1367 (12/10)
- Transfer Station Solid Waste Tonnage Fee Report, Form--MO 780-1369 (12/10)
Infectious Waste Processing Facility Construction and Operating Permits
Forms may be obtained by calling the Solid Waste Management Program at 573-751-5401.
Solid Waste Disposal Area
- Active Sanitary Landfill Inspection Checklist, Form--MO 780-0354 (07/11)
- Application for Solid Waste Disposal Area or Processing Facility Construction Permit, Form--MO 780-0393 (07/11)
- Non-Profit Scrap Tire Cleanup and Disposal Application, Form--MO 780-1997 (11/10)
- Non-Profit Scrap Tire Cleanup and Disposal Invoice, Form--MO 780-1998 (02/11)
- Officer/Management Employee Summary Sheet, Form--MO 780-1042 (11/11)
- Table 1 - Cover Systems Construction and Repair Costs, Form--MO 780-1879 (04/04)
- Violation History Disclosure Statement and Summary Sheet, Form--MO 780-1250 (10/11)
Solid Waste Disposal Area Construction Permit
Solid Waste Disposal Area Operating Permit
Forms may be obtained by calling the Solid Waste Management Program at 573-751-5401.
Solid Waste Management Districts
- 2008 Assessment Inventory District–Wide Survey Form, Form--MO 780-2003 (09/08)
- 2008 Assessment Inventory Form 1.1 - 1.2 Solid Waste Collection, Form--MO 780-2004 (07/11)
- 2008 Assessment Inventory Form 2.1 - 2.2 Recycling Collection, Form--MO 780-2005 (07/11)
- 2008 Assessment Inventory Form 3.1 - 3.2 Yard Waste Collection, Form--MO 780-2006 (09/08)
- 2008 Assessment Inventory Form 4. Services for Banned Items, Form--MO 780-2007 (09/08)
- District Grant Application Form, Form--MO 780-1990 and Instructions (05/08)
- District Grant Subgrantee Profile and Plan Implementation Form, Form--M0 780-1991 and Instructions (07/11)
- Fiscal Year District Operation Grant Profile and Budget Form, form--MO 780-1992 and Instructions (07/11)
- Solid Waste Management District Annual Report, Form--MO 780-1989 and Instructions (05/10)
- Solid Waste Management District Status Report, Form--MO 780-1993 and Instructions (07/11)
Solid Waste Processing Facility Construction Permit
Solid Waste Processing Facility Operating Permit
Forms may be obtained by calling the Solid Waste Management Program at 573-751-5401.
Special Wastes
Scrap Tire End-User Registration
- Application for Scrap Tire Beneficial Use Approval, Form--MO 780-2042 (10/11)
- Scrap Tire End-User Registration Form--MO 780-1594 (10/08)
- Scrap Tire Processing Facility Operations Records Form--MO 780-1037 (03/09)
- Scrap Tire Processing Facility Permit Application, Form--MO 780-1597 (07/11)
- Scrap Tire Monthly Summary Tracking Form - Collection Center--MO 780-1596 (11/08)
- Scrap Tire Tracking Form--MO 780-1593 (107/11)
- Scrap Tire Monthly Summary Tracking Form - Hauler--MO 780-1595 (11/08)
- Playground Scrap Tire Surface Material Grant Application, Form--780-2143 and Instructions (08/11)
- Non-Playground Scrap Tire Surface Material Grant Application, Form--780-2144 and Instructions (08/11)
- Disaster Recovery Scrap Tire Surface Material Grant Application, Form--780-2145 and Instructions (08/11)
Waste Tire Hauler Permit
Scrap Tire Hauler Permit Application
Waste Tire Processing Facility Permit
Water Pollution
- Nonpoint Source Implementation Grant Application, Form--MO 780-1896 and Instructions (11/10)
- Detailed Budget to Accompany Form 780-1896 (05-09) Excel
- Water Quality Monitoring Worksheet--MO 780-2124 (11/10)
- Detailed Budget to Accompany Form 780-1896 (05-09) Excel
- Application for Nonpoint Source Pollution Minigrant,
Form--MO 780-1947 and Instructions (12/10)
- Detailed Budget to Accompany Form 780-1896 (05-09) Excel
- Application for Transfer of Operating Permit--MO 780-1517 (03/08)
- Fee Calculation Information, Form--MO 780-1349 (07/08)
- Lake Monitoring Data, Form--MO 780-2047 (05/09)
- Lakes Monitoring Site Information, Form--MO 780-2046 (05/09)
- Permit Fees, State Operating Permits (11/00)
- Permit Requirements for Underground Injection Control (UIC) Wells, Technical Bulletin--PUB221 (07/06)
- Variance Application - 644.061 RSMo 1986, Form MO 780-0181 (06/04)
- Water Pollution Control Permit Requirements for Mobile Wash Business, Fact Sheet--PUB244 (01/07)
- Water Pollution Control Permit Requirements for Car Washes, Technical Bulletin--PUB247 (06/06)
- Whole Effluent Toxicity (WET) Test Report Form--MO 780-1899 (07/08)
- Form UIC - Application for Class V Permit--MO 780-1826 (08/11)
- Watershed Management Planning Grant Application--MO 780-2123 (11/10)
Antidegradation
- Antidegradation Review Summary Attachment A: Tier 2 - Significant Degradation, Form--MO 780-2021 (01/09)
- Antidegradation Review Summary Attachment B: Tier 2 - Minimal Degradation, Form--MO 780-2022 (01/09)
- Antidegradation Review Summary Attachment C: Temporary Degradation, Form--MO 780-2023 (01/09)
- Antidegradation Review Summary Attachment D: Tier 1 Review, Form--MO 780-2024 (01/09)
- Antidegradation Review Summary Tier Determination and Effluent Limit Summary, Form--MO 780-2025 (05/09)
- No Degradation Evaluation Conclusion of Antidegradation Review, Form--MO 780-2026 (01/09)
- Water Quality Review Assistance / Antidegradation Review Request, Form--MO 780-1893 (03/09)
Agrichemical Facilities
- Discharge Monitoring Certification for Agrichemical Facilities Under General Permit MO-R24000, Form--MO 780-1723 (06/04)
- Discharge Monitoring Report for Agrichemical Facilities Under General Permit MO-R240000 (Fertilizer Containment), Form--MO 780-1605 (05/02)
- Discharge Monitoring Report for Agrichemical Facilities Under General Permit MO-R240000 (Pesticide Containment), Form--MO 780-1604 (05/02)
- Form A - Application for Construction or Operating Permit, Form--MO 780-1479 (01/09)
- Form E - Application for General Permit, Form--MO 780-0795 (03/11)
Car Wash - Refer to General Permits section
Concentrated Animal Feeding Operation (CAFO) Construction and Operating Permits National Pollutant Discharge Elimination System (NPDES)
- CAFO Annual Report, Form--MO 780-1953 (10/11) and Instructions (12/11)
- CAFO Record Keeping Forms Checklist--MO 780-2153 (10/11)
- Form F - Application for Approval or Permit for Concentrated Animal Feeding Operation--MO 780-0725 (11/11)
- 2011 CAFO General Permit (MO-G01)
- 2009 Nutrient Management Technical Standards
- CAFO MOG01 Information
Construction (Water Pollution)
- Application for Construction Permit - Sewer Extension, Form--MO 780-1632 (06/04)
- Application for Letter of Authorization, Form--MO 780-2154 (11/11)
- Application for Transfer of Construction Permt--MO 780-2156 (12/11)
- Form A - Application for Construction or Operating Permit (not for domestic wastewater), Form--MO 780-1479 (01/09)
- Form B - Application for Construction or Operating Permit for Facilities which receive basically Domestic Waste, Form--MO 780-1512 (09/08)
- Form B2 - Application for Construction or Operating Permit for Facilities which receive basically domestic waste and have a design flow more than 100,000 gallons per day, Form--MO 780-1805 (10/08)
- Form I - Permit Application for Construction and Operation of Wastewater Irrigation Systems, Form--MO 780-1686 (06/04)
- Substantial Completion and Operable Wastewater Construction--MO 780-2152 (12/11)
- Statement of Work Completed--MO 780-2155 (12/11)
Discharge (Water Pollution)
- Form A - Application for Construction or Operating Permit, Form--MO 780-1479 (01/09)
- Form B - Application for Construction or Operating Permit for Facilities which receive basically Domestic Waste, Form--MO 780-1512 (09/08)
- Form B2 - Application for Construction or Operating Permit for Facilities which receive basically domestic waste and have a design flow more than 100,000 gallons per day, Form--MO 780-1805 (08/08)
- Form C - Application for Discharge Permit - Manufacturing, Commercial, Mining and Silviculture Operations, Form--MO 780-1514 (06/04)
- Form D - Application for Discharge Permit - Primary Industries, Form--MO 780-1516 (01/11)
- Form E - Application for General Permit, Form--MO 780-0795 (09/09)
- Form P - Notification of Hydrostatic Testing Under Permit By Rule, Form--MO 780-1874 (07/04)
- Discharge Monitoring Report For Storm Water and Waste Water Discharges Under General Permit, Form--MO 780-1560 (07/04)
- Monthly Monitoring Record for Wastewater Treatment Facilities, Form--MO 780-1306 (12/11)
- Annual NPDES Operations Report for Non-Municipal Wastewater Discharges, Form--MO 780-1308 (07/04)
General Permits
- Form E - Application for General Permit, Form--MO 780-0795 (03/05)
- Forms and general information regarding each type of permit listed below
can be obtained by calling the Regional Offices.
Contact information and a map of the
regional offices across the state is available online.
- Abandoned Mine Land Rec > 5 acres (G05)
- Ag/Wood/Food Compost Sites (G09)
- CAFO (G01) General information
- Car Wash (G75) Requirements
- Clay Pits (G84)
- Dredging Lakes/River Harbor (G69)
- Feed Stock Compost Sites (G92)
- Fish Farms/Hatcheries (G13)
- Fuel Spill Cleanup (G94)
- Habitat Restoration Projects (G699)
- Heat Pumps (G251)
- Hydro Testing Non-Petroleum Related Pipelines and Storage Tanks (G685)
- Hydrostatic Testing Petroleum Related Pipelines and Tanks (G67)
- Limestone Quarries (G49)
- Oil/Water Separators (G14) General information
- Petroleum Storage < 250,000 gallons (G35) General information
- Sand and Gravel Washing (G50)
- Swimming Pools Discharge (G76)
- Water Treatment Plant Settling Basins (ex. MO and MISS) (G64)
- Yard Waste Compost Sites (G97)
- Zeolite Softeners (G641)
No-Discharge General Permits - Land application of domestic wastewater biosolids 2000 or less
No-Discharge General Permits - Meat Slaughtering
Heat Pump Permit
Must be in letterform to Department of Natural Resources Water Protection Program. Questions at 10 CSR 20-6.0702(B) must be answered in letter.
Land Application Permits (National Pollutant Discharge Elimination System NPDES)
Land Application of Industrial Wastewater Biosolids and Residuals
- Form R - Permit Application for Land Application of Industrial Wastewater Biosolids and Residuals--MO 780-1684 (06/04)
- Form I - Permit Application for Construction and Operation of Wastewater Irrigation Systems, Form--MO 780-1686 (06/04)
- Form A - Application for Construction or Operating Permit, Form--MO 780-1479 (01/09)
- Form B - Application for Construction or Operating Permit for Facilities which receive basically Domestic Waste, Form--MO 780-1512 (09/08)
Land Disturbance - Refer to storm water section
Operating Permit - National Pollutant Discharge Elimination System (NPDES)
- Form A - Application for Construction or Operating Permit, Form--MO 780-1479 (01/09)
- Form B - Application for Construction or Operating Permit for Facilities which receive basically Domestic Waste, Form--MO 780-1512 (09/08)
- Form C - Application for Discharge Permit - Manufacturing, Commercial, Mining and Silviculture Operations, Form--MO 780-1514 (06/04)
- Form D - Application for Discharge Permit - Primary Industries, Form--MO 780-1516 (06/04)
Residential Wastewater
Sludge
- Form S - Section 1. Domestic Sludge Reporting, Form--MO 780-1636 (11/09)
- Form S - Section 2. Laboratory Results - Form SA and Form SB--MO 780-1630 (06/04)
- Form S - Section 3. Land Application, Form--MO 780-1629 (06/04)
Form SC - Land Application of Biosolids with Low Metals Concentrations
Form SD - Cumulative Metal Loadings for Land Application of Biosolids - Form S - Section 4. Sludge Hauling, Form--MO 780-1635 (06/04)
- Form S - Section 5. Sludge Disposal Lagoon, Form--MO 780-1634 (06/04)
- Form S - Section 6. Sludge Incineration, Form--MO 780-1633 (06/04)
Storm Water
- Application for Change of Ownership - Land Disturbance Permit, Form--MO 780-2051 (07/09)
- Form E - Application for General Permit, Form--MO 780-0795 (03/05)
- Form G - Application for Storm Water Permit, Under the General Permit: Land Disturbance, Form--MO 780-1408 (03/10) (Note: Form E Must Be Included)
- Form K - Application for Individual Small MS4 General Permit, Form--MO 780-1802 (06/04)
- Form L - Application for Co-permittee Small MS4 General Permit, Form--MO 780-1801 (06/04) (Note: Form M must also be submitted)
- Form M - Application For Storm Water Permit Under The General Permit: Small Municipal Separate Storm Sewer System (MS4), Form--MO 780-1800 (05/07) (Note: Form K or L must be included)
- Form O - Application for Land Disturbance Less than 5 Acres, Form--MO 780-1829 (09/09)
- Storm Water Annual Report - Small MS4 Permits, Form--MO 780-1846 (07/09)
- Storm Water Annual Report - Small MS4 Permits Addendum - Water Quality Program Assessment (Municipal Separate Storm Sewer System), Form--MO 780-2049 (07/09)
- Storm Water Permit Requirements for Lubricant Manufacturing, Fact Sheet--PUB230 (01/07)
- Storm Water Permit Requirements for Oil/Water Separators, Technical Bulletin--PUB234 (06/06)
- Forms and general information regarding each type of permit listed below can be obtained by calling the Regional Offices. Contact information and a map of the regional offices across the state is available online.
Storm Water General Permits
Swimming Pools Discharge - Refer to General Permits section
Termination
- Form H - Request for Termination of a General Permit, Form--MO 780-1409 (03/05)
- Form J - Request for Termination of a State Operating Permit, Form--MO 780-1576 (03/05)
Underground Injection Control Permit
- Refer to publication Underground Injection Control (UIC) Wells.
- Form UIC - Application for Class V Permit, MO 780-1826 (06/04)
Wetland or Dredge and Fill Approval
Must contact the Department of Natural Resources Water Protection Program and ask for a 401 certification
Yard Waste Compost Sites - Refer to General Permit section
Zeolite Softeners - Refer to General Permit section
Water, Heat Pump and Monitoring Wells
Well Certification and Registration
- Abandonment Registration Record, Form--MO 780-1603 (07/11)
- Closed Loop Heat Pump Certification Record, Form--MO 780-1413 (05/09)
- Domestic/Multifamily Well Record and Pump Information Data, Form--MO 780-1902 (06/11)
- Monitoring Well Certification Record, Form--MO 780-1415 (07/11)
- Public Well/High Yield Record, Form--MO 780-1901 (04/10)
- Pump Information Record, Form--MO 780-1900 (03/10)
- Reconstruction Record, Form--MO 780-1414 (03/10)
Driller and Pump Installation Contractor Permitting
- Apprentice Permit Application, Form--MO 780-2038 (03/09)
- Contractor and Apprentice Testing Application, Form--MO 780-1424 (05/09)
- Contractor Permit Application, Form--MO 780-1731 (05/09
- Personal Bond - Secured by an Irrevocable Letter of Credit, Form--MO 780-2044 (06/09)
- Personal Bond - Secured by Certificate of Deposit, Form--MO 780-2045 (04/11)
- Personal Bond - Secured by Surety Bond, Form--MO 780-2054 (06/10)
- Vehicle Application, Form--MO 780-1425 (03/02)
Miscellaneous Other Forms
- Casing Depth Request, Form--MO 780-1426 (04/03)
- Investigation Request, Form--MO 780-1618 (04/02)
- Public Water Supply Notification, Form--MO 780-1427 (10/04)
- Variance Request, Form--MO 780-1422 (04/03)
- Lost or Destroyed Well Reporting Form for Tanks Sites--MO 780-2158 (01/12)