PTI Forms

An application cannot be considered complete unless all applicable questions are answered and the required information submitted. Several of the applications forms have been updated as of May 2007. Please make sure you have the most recent version when you prepare your application.

For an application to be considered complete, all PTI applications must include the following forms:

1. Form A
2. Corresponding B Form
3. Antidegradation Addendum Form

Each application form is available online as an Adobe Reader [PDF] file and a Microsoft Word [DOC] file. The PDF forms must be printed and completed by typewriter or by hand. The [DOC] forms can be completed by using your keyboard to type in the appropriate language or to make the appropriate selections. If the text of the [DOC] form jumps around while you're typing, switch to Normal View (under View on the Word toolbar or in the lower left hand corner of your screen).

Click HERE to view the PTI General Permits & the application forms for them.

Form	Description	Downloads
Instructions	Permit-to-Install/Plan Approval Application Instructions	[PDF]	[DOC]
Form A	Permit to Install/Plan Approval Application	[PDF]	[DOC]
Form B1	Sanitary Sewers	[PDF]	[DOC]
Form B1-att	Attachment: Sewer Pumping Stations	[PDF]	[DOC]
Form B2	Onsite Sewage Treatment Systems	[PDF]	[DOC]
Form B3	Wastewater Treatment Plants Less Than 100,000 GPD	[PDF]	[DOC]
Form B4	WWTPs Greater Than or Equal to 100,000 GPD and All Pond Systems	[PDF]	[DOC]
Form B4-1	WWTP Pumping Stations	[PDF]	[DOC]
Form B4-2	Preliminary Treatment	[PDF]	[DOC]
Form B4-3	Biological Treatment	[PDF]	[DOC]
Form B4-4	Settling	[PDF]	[DOC]
Form B4-5	Filtration	[PDF]	[DOC]
Form B4-6	Disinfection	[PDF]	[DOC]
Form B4-7	Sludge Treatment and Disposal	[PDF]	[DOC]
Form B4-8	Ponds	[PDF]	[DOC]
Form B4-9	Treated Sewage Storage Facility	[PDF]	[DOC]
Form B5	Industrial Direct Discharge Facility	[PDF]	[DOC]
Form B6	Industrial Indirect Discharger Facility	[PDF]	[DOC]
Form B7	Underground Storage Tank Remediation	[PDF]	[DOC]
Form B8	Holding Tanks	[PDF]	[DOC]
Form B8-att	NEW! Sewage Holding Tank Decommission	[PDF]	[DOC]
Form B12	Site Evaluation	[PDF]	[DOC]
Form B13	Soil Evaluation	[PDF]	[DOC]
Form C1	Plan Approval - Management Plan For Sludge or Industrial Byproducts other than Treated Sewage	[PDF]	[DOC]
Form C2	Treated Sewage Land Application Management Plan	[PDF]	[DOC]
Form C3	Sewage Holding Tank Management Plan	[PDF]	[DOC]
Antidegradation Addendum	Additional information needed to ensure compliance with OAC 3745-1-05: Antidegradation	Link
Supplement to Antideg Addendum	Stream Evaluation Addendum (S.E.A.)     S.E.A. Worksheet	[PDF] [PDF]	[DOC]
Supplement to Form C1	Optional Attachment to PTI Application Form C1 - Daily Event Record Keeping Form	[PDF]
Supplement to Form C2	Optional Attachment to PTI Application Form C2 - Daily Event Record Keeping Form	[PDF]
Transfer form	Transfer a PTI / Plan Approval from one company to another	[PDF]	[DOC]
Admin Change Form	Document any admin changes by using the PTI Modification Form	[PDF]	[DOC]

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