Complete Form 62-604.300(3)(b) by clicking on the document (pdf) above.
Please review the Electronic Submission Instructions and Domestic Wastewater Permit Application Fees documents prior to submitting a form electronically.
Please email the completed form to the appropriate DEP District Office’s email address.
Note, if your facility is regulated by a delegated local program and you want to submit the form electronically, please contact your delegated local program.
Interested in subscribing to DEP newsletters or receiving DEP updates through email?
Sign UpThe Florida Department of Environmental Protection is the state’s lead agency for environmental management and stewardship – protecting our air, water and land. The vision of the Florida Department of Environmental Protection is to create strong community partnerships, safeguard Florida’s natural resources and enhance its ecosystems.
Learn More
