New or Adjusted Aquifer Water Quality Standards (AWQS)

Aquifer Protection Permit (APP) Amendment Pre-Application Meeting Request

Does this request relate to an ADEQ Case or Enforcement Action?
What type of amendment are you wishing to have a pre-meeting for?
What is your existing permit information?

Applicant Information

Enter the Person/Entity responsible for complying with the terms and conditions of the AWQS Permit Amendment. Permit fees will be billed monthly, including hours billed during the pre-application phase | View Fees >

What is the Applicant/Owner mailing address

Authorized Agent

Enter the Person who is acting on behalf of the Applicant

What is your agent's mailing address?

Facility Information

Enter information for the facility where this APP application pre-meetings is for:

Where is the facility located?
Is there a landfill on the property?
Is this an Underground Storage Facility (USF)?
Is this facility under the Voluntary Remediation Program?
What type of facility? (Select all that apply.)

Pre-Meeting Proposed Schedule

Propose at least one date and time that you would like to meet with ADEQ

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