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Biosolids Application Site Annual Summary

Complete Form 62-640.210(2)(c) 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.

To submit this 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.

Form Number: 
Effective-Revision Date: 
Monday, June 21, 2021
Last Modified:
July 7, 2022 - 12:47pm

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