ESPC Application
Package
2012 ESPC Manual
Environmental Review Form
New Chapter 102 Regulations
Notice of Intent Form and Checklist (PDF) Rev. 8-2016
Notice of Intent Form and Checklist (Word) Rev. 8-2016

Notice of Intent Instructions (PDF) Rev. 8-2016

General Permit PAG-02 Fact Sheet (PDF)

Sample PAG-02 Permit (PDF)

Transferee / Co-Permitee Application (PDF) Rev. 9-2016
Transferee / Co-Permitee Application (Word) Rev. 9-2016

Co-Permitee Liability Release Form (PDF)
Co-Permitee Liability Release Form (Word)

Visual Site Inspection Report (PDF)
Visual Site Insepction Report (Word)

Notice of Termination for NPDES Permits Submitted BEFORE 11-19-2010 (PDF)  Rev. 9-2016
Notice of Termination for NPDES Permits Submitted BEFORE 11-19-2010 (Word)  Rev. 9-2016

Notice of Termination for NPDES Permits Submitted AFTER 11-19-2010 (PDF)  Rev. 10-2016
Notice of Termination for NPDES Permits SUbmitted AFTER 11-19-2010 (Word) Rev. 10-2016

Post Construction Stormwater Management (PCSM) -  Instrument Filing Notice (PDF) 9-2016
Post Construction Stormwater Management (PCSM) -  Instrument Filing Notice (Word) 9-2016

Property Owner Notification of PCSM BMP Operation and Maintenance (PDF)

Generic Declaration of Restrictions and Covenants (PDF)

Declaration of Restrictions and Covenants for Buffers (PDF)

Offsite Disharges to Areas that are not Surface Waters

Dauphin County Conservation District Forms

 (All submissions require an application form)
Dauphin County Conservation District E&S Plan Review Application Information Pack (PDF)

Dauphin County Conservation District E&S Plan Review Application Form (PDF)
Dauphin County Conservation District E&S Plan Review Application Form (Word)

National Pollutant Discharge Elimination System (NPDES) Forms

Erosion and Sediment Pollution Control Program Forms

Timber Harvestering Operation E&S Plan (PDF)

ESCP permit application  3930-PM-WM0018 (PDF)  Rev. 3-2016
ESCP permit application  3930-PM-WM0018 (Word)  Rev. 3-2016

ESCP permit Instructions  3930-PM-WM0018 (PDF) Rev. 4-2016

ESCP Completeness Checklist; 3930-PM-WM0018 (PDF) Rev. 3-2016
ESCP Completeness Checklist; 3930-PM-WM0018 (Word) Rev. 3-2016

Notice of Intent ESCGP2  8000-PM-OOGM0005 (PDF)
Notice of Intent ESCGP2  8000-PM-OOGM0005 (Word)

Notice of Intent Instructions ESCGP2  8000-PM-OOGM0005 (PDF)

1451 Peters Mountain Road Dauphin PA 17018 phone: 717-921-8100