Aquatic Pesticide Permit
Application and Instructions
1. What is an "Aquatic Site?"
Part 2. Completion
of the Aquatic Pesticide Permit Form
Part 3. Permit Fees
Part 4. Mailing Procedures
Part 5. Record of Actual Treatment
Part 6. Permit Revision Request
Part 7. Aquatic Pesticide Justification
2013 AQUATIC PESTICIDE PERMIT INFORMATION AND PROCEDURES
NEW: ONLINE AQUATIC PESTICIDE USE PERMIT PROCESSING.
Go to http://www.nj.gov/dep/online/ for an instructional video.
All aquatic pesticide permits must be submitted in this form; paper permits are no longer being accepted.
As the responsible applicator for the permit, you are responsible for identifying and contacting any and all other agencies, including NJDEP that may need to be involved with or have interest in the aquatic site(s) you are proposing to treat:
Fish and Wildlife (908-236-7280)
Land Use Regulation (609-292-0060)
Lake Hopatcong (973-601-1070)
Aquatic Permits that fall within the Pinelands area will continue to be forwarded to the Commission by this Office.
Aquatic Pesticide Product registration can be found by going to Online Reports. Scroll to Product Registration by EPA Registration. Number to check current registration status of the aquatic pesticide you propose to use.
APP Revision procedures will remain the same for you, the aquatic applicator. At this time no written correspondence will be returned. Your revision request will be attached to your initial permit application. REMEMBER, if the revision request pertains to the use of a new aquatic pesticide, you must ensure that the aquatic pesticide is registered for use in New Jersey prior to application.
Aquatic permit information pertaining to New Jersey Sand Bottom Swimming Pools (Ponds/Lakes) can be obtained by contacting the NJDEP Pesticide Control Program Permits Unit at 609-984-6666.
All previous dosage rate revisions implemented by the PCP Permits Unit applied to previous years permitted aquatic sites for individual aquatic pesticides remain in effect and must be complied with when appropriate.
|Record of Actual
||pdf / Word
|Record of Actual
Treatment 24c sites SLN NJ-020001
||pdf / Word
|Record of Actual
Treatment 24c sites SLN NJ-040003
||pdf / Word
|Record of Actual
Treatment 24c site (Example)
Part 1. What is an "Aquatic Site?"
N.J.A.C. 7:30-9.3 is the regulation that mandates
an Aquatic Pesticide Permit for most applications of pesticides
to any "waters of the State" or on "Aquatic sites".
To determine if a permit is necessary, for the type of application
you intend to make, read the following:
According to the Pesticide Control Code N.J.A.C.
"Aquatic pesticide means any pesticide that contains
labeling instructions indicating that the pesticide is intended
for use on aquatic sites, except for those uses listed below.
If a pesticide label contains both exempted and non-exempted
aquatic uses, the pesticide shall still be considered an aquatic
pesticide for the purposes of this chapter:
1. Pesticides labeled only for flushing down
toilets or to be directly applied to water or sewer pipes,
for use in controlling tree roots inside those pipes;
2. Pesticides labeled only for use in cooling towers,
3. Pesticides labeled only as algaecides for use in swimming
pools, hot tubs, ornamental ponds, fountains, fish tanks,
or water beds. These sites are an artificial, self-contained
water with no inlet from or outlet to "natural"
water and with label statements prohibiting such discharge;
4. Algaecides labeled only for use in water treatment plants,
wastewater treatment plants or sewerage treatment plants.
All "Aquatic Pesticides" are considered
restricted use in New Jersey.
An "aquatic site means those areas
meeting the definition of waters of the state or wetland."
"Water or waters of the State means the ocean
and its estuaries, all springs, streams, and bodies of surface
or ground water, whether natural or artificial, within the boundaries
of the State or subject to its jurisdiction."
A "Wetland means a freshwater wetland
pursuant to N.J.S.A. 13:9B-3, a coastal wetland pursuant to
N.J.S.A. 13:9A-2 or any wetlands located within the jurisdiction
of the Hackensack Meadowlands Commission pursuant to N.J.S.A.
13:17-1 et seq., or the Pinelands Commission pursuant to N.J.S.A.
13:18A-1 et seq."
All pesticides labeled for aquatic use are restricted
use in New Jersey. This includes the copper products. The purchase
and application of a restricted use pesticide requires certification
and licensing as a pesticide applicator. An application of ANY
pesticide to an aquatic site requires an Aquatic Pesticide Permit.
An Aquatic Pesticide Permit shall not be required if;
1. The application is made to waters of the
State which are not used as a source of potable water, and:
2. The application is made to waters of the State which have
no outlet, and;
3. The application is made to waters of the State which are
bounded by land wholly owned or rented, and controlled, by
one person; or
4. The application is made to control mosquitoes or flies
which then falls under the Pesticide Control Program's Mosquito/Fly
Control Permit Program; or
5. The application is made to drainage ditches with no water
flow, which are not used for any other purpose besides drainage.
If you need an Aquatic Pesticide Permit, complete
the application form and required sketch entirely, using the
NOTE: It is important to determine whether or
not the body of water you intend to treat is within the Pinelands
Commission's jurisdiction prior to submission of the Aquatic
Pesticide Permit application. See Appendix A for a map of the
NJ Pinelands and a list of Municipalities within the Pinelands
If the body of water you intend to treat is
not within the Pinelands Commission's jurisdiction, skip a,
b, and c below. If it is within their jurisdiction you must
follow steps a, b and c.
a. Determine if the body of water you intend
to treat is defined as a "lake", "pond",
or an "aquatic site" according to the Memorandum
of Agreement Between the New Jersey Pinelands Commission and
the New Jersey Department of Environmental Protection, Pesticide
Control Program. In the Pinelands Area, these sites are defined
1. "Lakes" and "ponds"
will refer to seasonal or permanent standing bodies of water.
2. "Aquatic sites" will refer
to all areas, other than lakes and ponds, which are inundated
or saturated by water at a magnitude, duration and frequency
sufficient to support the growth of hydrophytes. However,
specific areas where hydrophytes are being grown as an agricultural
crop shall not be considered to be aquatic sites.
b. If the body of water is defined as a "lake"
or "pond" in accordance with the agreement, attach
a note to your application indicating that the body of water
is within the Pinelands, skip c. below and follow the rest
of the instructions for completing the Aquatic Pesticide Permit
form. Your application will be sent to the Pinelands Commission
by the Pesticide Control Program for comment. If you do not
indicate that your proposed treatment is within the Pinelands
jurisdiction your application may be delayed.
c. If the body of water is defined as an "aquatic site"
in accordance with the agreement, you will need to receive
a Certificate of Filing from the Pinelands Commission before
submitting your Aquatic Pesticide Permit application to the
Pesticide Control Program.
Part 2. Instructions for Completion of the Aquatic Pesticide
1. Fill in Person or Organization contracting
treatment information. Make sure to include the contact person
and their telephone and fax number, if applicable.
2. Fill in name of Organization or Applicator
Business and License # information when applicable.
Fill in Applicator's Name and License #. Your application
will be denied if a license is not current. In most cases a
Commercial Pesticide Applicator license with Category 5, Aquatic
Pest Control, is required for pesticide applications to aquatic
sites. These applications include any governmental treatments,
treatments done for private residences, lake associations, commercial
establishments, and any treatments done on a for-hire basis.
However, if aquatic site to be treated is part of an agricultural
site and is being treated by the owner or the owner's employees,
the applicator may be licensed as a Private Pesticide Applicator.
3. Fill in the Site Name of the aquatic
site to be treated along with its Site ID# and Watershed
Management Area (WMA). If you do not know the ID#, leave
that space blank. The WMA can be identified by accessing the Division
of Watershed Management's Webpage and entering the zip
code of the aquatic site location. In addition, the Pesticide
Control Program, Permits Unit must be notified immediately of any change to the Site Name.
4. Fill in the County and Municipality where the aquatic site is located and the total size of
the entire aquatic site, in acres.
5. Fill in the total size of the Treatment
Area in acres. Fill in the Average Depth of that
treatment area in feet.
6. Check all Uses of the aquatic site
to be treated. Indicate where these are located on the sketch
required in number 15.
7.a. List all of the major fish species that
are present in the waterbody.
7.b. Check whether this aquatic site is stocked
with fish. If the aquatic site is stocked, the species
of fish stocked must be listed.
In steps 8, 9, 10, & 11, you are
matching the treatment date with the target pest, the pesticide
to be used and the dosage rate.
8. Fill in the Target Pest(s) you wish
to treat for. Make sure to specify the species.
9. Fill in all Proposed Treatment Dates of application. Be as specific as possible. You are not
held to the exact date on the permit form, since factors such
as weather and outflow conditions may delay application. However,
unless specifically allowed for in the approved permit, aquatic
pesticide applications (with the exception of Phragmites control
treatments which can be permitted until October 31) are only
approved from April 1 to September 30. Treatments approved outside
of this treatment season are on a case by case basis and have
additional permit conditions appended. In most cases, the specific
number of treatments performed is not limited. What is limited
is the total amount of a particular pesticide used over a treatment
season. Example: if a 1 PPM treatment is approved, you can make
two treatments at 0.5 PPM each instead of one at 1 PPM. The
time allowed between treatments varies among the products and
this time is stated on the permit condition page.
10. Complete Pesticide(s) to be Used information:
a. Brand Name
b. EPA Registration #
c. Active ingredient
When determining which aquatic pesticide(s)
to propose for use, keep in mind the uses of the aquatic site
and the water use restrictions specified on the pesticide label(s).
Pesticide Guidelines may help with this determination.
No more than four pesticides can be submitted per permit. IF
MORE THAN FOUR PESTICIDES ARE PROPOSED, YOUR APPLICATION WILL
BE RETURNED. If more than one pesticide is to be applied
to the same area there are time restrictions on how long the
applicator must wait between applications. They are as follows:
||Time Period Before Another
Same Type of Aquatic Plant Can be Used
|7-14 days (depends on product)
11. Fill in the Dosage
Rate to be used. Remember that "ppm" is not
a dosage rate, it is a concentration. Therefore, when filling
out "ppm" you must specify weight (ounces, pounds)
or volume (pints, quarts, gallons) of product per area (surface
acre, acre feet). Any permit whose rate exceeds label directions
will be denied immediately. Remember that the dosage you propose
cannot be exceeded in actual treatment. You can always use a
dosage rate less than proposed. NOTE: Pesticide Control
Program policy does not allow Hydrothol applications above 0.3ppm
due to the fact that fish can be killed at higher concentrations.
12. Check if there is an outlet structure
or stream. If the aquatic site has any type of outlet structure
(spillway, pipe, culvert, stream, etc.) or an outflowing stream,
please check the box. It is also important for you to know the
outflow condition, especially for Aquashade and diquat applications.
Under these applications the label states that the outflow must
be little to none. While this is a fairly subjective determination,
below are some guidelines you can follow:
a. If the outlet is dry or has a trickle of
water - this is little to no outflow. If this is the case
through most of the season, excluding heavy rain conditions,
then an application is possible.
b. If there is normally a running stream at the end of the
outlet - this is NOT little to no outflow. If there is barely
an outflow stream and the streambed is small with dry land
vegetation present - outflow is normally little to none and
an application is possible.
13. Check whether there are any shallow wells within 50 feet of the shoreline (a shallow well is a well with
a casing of approximately 50 feet or less in depth). The applicator
must identify all wells that fit this description if they are
located on the shoreline of the aquatic site to be treated or
they are within ½ mile of the treatment site still within
50 feet of the shoreline. Make sure to mark all of these wells
on the required sketch. This is important when planning an aquatic
pesticide treatment. Precautions must be taken for certain aquatic
pesticides when a shallow well is located close to the shoreline,
in order to prevent contamination of the well water. The applicator
is responsible for obtaining this information and reporting
it correctly on the permit form.
14. Check whether or not the aquatic site and
its surrounding shoreline is owned and controlled by one
person. See the definition of "Person" in Appendix
C. If the aquatic site is not owned and controlled by one
person, a detailed explanation must be made on the form provided
Pesticide Justification Form BPO-07). The applicator
is responsible for obtaining this information and reporting
it correctly on the form.
15. Complete and attach a sketch (example)
of the aquatic site to be treated. Please make sure your sketch
is complete to prevent your application from being returned.
The sketch requirements are:
a. Sketch must be made to scale on
8.5 x 11-inch paper.
b. Mark all inlets and outlets.
c. State the type of outlet (spillway,
pipe, culvert, stream, etc.)
d. State the name of the receiving aquatic
site. The receiving aquatic site is the next aquatic site,
lake, or pond immediately downstream to which the aquatic
site to be treated, overflows. It is important to know the
name of the receiving aquatic site to assess possible downstream
affects. If the aquatic site outlets directly to another lake
or pond, state the name of that lake or pond. If the aquatic
site outlets to an unnamed stream, label it "unnamed
tributary to ________ River."
e. Mark all uses such as potable intakes,
irrigation, and designated stock watering, swimming and fishing
f. Mark all shallow wells within 50
feet of the shoreline and ½ mile of the treatment area
still within 50 of that shoreline.
g. Show each treatment area and state
the treatment acreage, average depth, and pesticide to be
used for each.
h. Indicate the sketch scale and north arrow.
NOTE: For wetland mitigation aquatic
sites and large scale right-of-way aquatic sites an USGS quad
map detailing the above information (a-h) will be accepted.
i. Include a legible copy of the portion
of county or township map (locator map) where this
aquatic site is located. If the aquatic site is not indicated
on the map, please mark it on the map. This is needed so we
can pinpoint the physical location of the aquatic site.
16. Check if the aquatic application is to be
made from either the Land, Water, or Air. Check all that
a. If you are indicating in question #16 that
an application is to be made from the Water, and the aquatic
site has a designated boat launch, make sure that launch
is noted on the sketch.
b. If you are indicating in question #16 that
an application is to be made from the Air, and there is a designated aircraft landing/mixing/loading area at
the aquatic site, make sure that area is noted on the sketch.
17. Integrated Pest Management (IPM) Practices:
Attach a list to each aquatic permit detailing the IPM practices
implemented at the aquatic site. These practices may include
but are not limited to the following: mechanical control; aeration,
biological control; cross contamination control such as picking
up weed fragments, washing off boots, boats and trailers; and
the distribution of educational materials pertaining to land
use practices such as fertilizers, landscape pesticides, animal/waterfowl
droppings, and non point source pollution. If some method
of Goose Control is utilized at this location, specify
the method (ex: ReJeX-iT Bird Repellent, Balloons, Fencing,
Dogs, etc.) of Goose Control used. If IPM is not practiced
at a particular aquatic site, please state that on an attached
sheet and explain.
18. Indicate whether or not the aquatic site
is currently permitted by and/or awaiting permit approval from
any other NJ DEP Program. If "Yes", you must provide
a detailed explanation on the Aquatic
Pesticide Justification Form (BPO-07). The detailed
explanation must include NJ DEP contact(s) information from
the appropriate NJ DEP permitting program.
NOTE: The Responsible Applicator must then print and
sign their name and date the permit application in order to
certify that all the information supplied was true, that they
are familiar with these instructions for completing the Aquatic
Pesticide Permit Form and that they agree to do the following
when the permit is approved:
A) Follow all label directions for the aquatic
B) Be responsible for all damages which occur
from this proposed treatment.
C) Abide by any further conditions as specified
upon approval of this permit.
D) Provide the contracting party (person/organization
requesting treatment) with pretreatment notification as specified
I. A copy of the approved permit.
II. Label instructions of the aquatic pesticide(s) to be
used relating to contracting party for general public safety,
III. No treatments shall be made until the contracting party
has been given the opportunity to review the above information,
which shall be provided by the applicator/applicator business
E) Perform the pretreatment requirements for
algaecide applications as specified below:
There are many factors that can cause
algaecide and/or copper and copper sulfate applications to
have a severe impact on the lake environment, especially the
fish. Water hardness is one of these factors. Most copper
and copper sulfate product labels warn the applicator that
fish toxicity can occur at labeled rates, especially in "soft
or acidic waters". Applicators should be aware of the
hardness of the lake water before they make an application.
However, the applications do not have to be directly toxic
to cause a fish kill. Dissolved oxygen levels and the amount
of algae present can also be responsible. The algae population
in an aquatic site produces oxygen during photosynthesis and
uses oxygen during respiration. Dying algae also use oxygen
during the decomposition process. When applications of algaecides
kill off large portions of the algal population, not only
aren't the algae producing oxygen but they are also using
it in the decay process. During the evening following the
application, oxygen levels can be further decreased by the
respiration of the surviving algae and other aquatic plants.
Levels may be decreased below the tolerance level for the
fish and a kill can occur. If the applicator is aware of the
algal population and the level of dissolved oxygen in the
aquatic site, the applicator can take precautions in order
to avoid causing a fish kill resulting from an algaecide application.
According to the EPA's Lake and Reservoir
Restoration Guidance Manual, "The Secchi disk is a 20
cm plastic or metal disk that is either entirely painted white
or divided into alternating painted black and white quadrants.
The disk is lowered into the water, and the observer measures
the depth at which it can no longer be seen. This depth is
recorded and is referred to as the Secchi transparency, or
Secchi depth, of the water body...The transparency is based
on the transmission of light through water and is related,
in part, to the natural light attenuation of the water being
measured, the amount of inorganic suspended solids, and the
amount of organic suspended solids (algae cells)". Low
Secchi depth readings indicate that the body of water may
have a high algal biomass and precautions should be taken
when considering an aquatic pesticide treatment.
The following pretreatment requirements should
make the applicator more aware of the algal biomass in the
aquatic site and should lessen the chance of a fish kill due
to oxygen depletion resulting from an algaecide treatment:
I. Take at least one Secchi depth from the
middle of aquatic sites >3 acres in size, or from the
deepest edge of aquatic sites < 3 acres in size, immediately
prior to treatment, but at least 1 hour after sunrise and
1 hour before sunset. This is so that light reflection off
the water surface does not interfere with an accurate reading.
Coves or separate areas proposed for treatment require an
additional reading. Secchi depth and time of day Secchi
was taken shall be recorded and kept, as part of the required
records of application.
II. No treatment is to be made for Secchi
depths < one foot. A reading this low is an indication
that the algal biomass may be too high for algaecide treatment
and a fish kill may occur.
III. Treatment areas must be reduced to
half their normal size for Secchi depths < two feet.
While most algaecide and/or copper and copper sulfate labels
already dictate this restriction, a reading between 1 and
2 feet should alert the applicator to an aquatic site that
may be stressed due to a high algal biomass and caution
should be taken if attempting an application.
Most copper and copper sulfate labels restrict
application to 1/3 to 1/2 of the aquatic site to help prevent
the reduction of aquatic organisms due to copper toxicity
or oxygen depletion. Since this restriction allows for some
latitude with respect to what part of the aquatic site to
treat, the Pesticide Control Program has obtained and paraphrased
the interpretation of this statement from the Environmental
Protection Agency (EPA). The interpretation is as follows:
The applicator is not permitted to treat more than ½
of the surface area of the aquatic site. An aquatic site can
be treated in small segments or zones such as strips, grids,
or other geometric shapes as long as there is sufficient untreated
area, in close proximity, for fish or other aquatic organisms
to congregate. The applicator will have to take caution to
assure that there is adequate distance between treated areas
to permit survival of aquatic organisms. Treating an entire
half of a body of water at one time is not recommended, unless
it is a very small pond. The applicator will have to ensure
that the amount of product used is calculated for the water
volume of each area treated.
This interpretation places a great deal of
responsibility on the applicator. It relies on the applicator's
expertise and their familiarity with the aquatic site to make
sound judgement as to which areas to treat in order to get
effectiveness without negatively impacting the environment
of the aquatic site.
Dissolved oxygen readings are not a pretreatment
requirement of the permit this year. However, the applicator
should be aware of the dissolved oxygen levels prior to treatment
in order not to cause significant harm or injury to the lake
F) POSTING REQUIREMENTS - Requirements listed
here should only be used as a guide to the posting
regulations enforced by the NJ DEP Pesticide Control Program.
Complete posting requirements explained in detail can be found
in the Pesticide Control Regulations, N.J.A.C. 7:30-9.4, effective
November 19, 2001.
Signs shall be posted on the shoreline of
all treated water as specified below:
I. Signs must be posted prior to the start
of all applications, and shall contain date and time application
was completed. The signs shall remain legible and posted
until the greatest time for the use of the treated water
has passed according to label directions. Some products
have water use restrictions but no time limit because they
prohibit that use altogether. In these instances the restriction
must be posted and the following used to dictate how long
the posting must remain:
Acid Blue 9, Acid Yellow 23
II. Signs must be made on a minimum of 90
weight paper with letters at least 1 inch high and shall
bear the following statement: "PESTICIDE TREATED WATER."
III. The signs shall also contain the brand
name of pesticide products applied, date of application,
and all water use restrictions pertaining to the pesticide(s)
used on that date. For each water use restriction, the length
of time that water use is restricted is also required. If
there is a total prohibition of specific water use, that
prohibition shall also be stated. If there are water use
restrictions on the sign that have no time limit, such as
the total prohibition of a specific water use, the signs
shall remain legible and posted for 30 days. In addition,
signs shall include the name and telephone number of the
commercial applicator or applicator business to contact
for additional information.
IV. The signs shall be posted in such a
manner that they are legible from the principle and common
access points to the treated site. For golf course aquatic
treatment sites, signs shall be posted at the starting tees
(1st and 10th). When partial aquatic site treatments are
made the following dictates the distance from the treatment
area that posting must extend:
V. The pesticide applicator/applicator business
shall be responsible for posting and removal of the signs.
If any part of the task is delegated to the contracting
party the responsibility still lies with the pesticide applicator/applicator
G. Notify all users of the aquatic site, and
all users of downstream water (under circumstances when movement
of the pesticide may be reasonably foreseen), who likely will
be impacted by the treatments, of the water use restrictions
as specified on the label of the aquatic pesticide(s) used.
Notification shall include, at a minimum, the following:
I. The name, address and telephone number
of the applicator/applicator business;
II. The telephone number of the New Jersey Poison Information
and Education System (1-800-POISON1);
III. A statement in writing that a copy of the label(s)
for the Aquatic Pesticide(s) used will be available, if
IV. Prior notification of the specific date of the application,
shall be provided by the applicator/applicator business,
Record method of notification, contact person, and date
and time notification was made.
H. Community or Areawide Notification is required
as per NJAC 7:30-9.10 on aggregate treatment sites greater
than 3 surface acres in size.
I. The aquatic pesticide applicator/applicator
business shall keep and maintain for each application of aquatic
pesticides, a record of application (Record of Actual Pesticide
Treatment - Form BPO-03). These records must be submitted
to the PCP-Permits Unit by November 15th of the treatment
If this aquatic site has been previously
granted a permit, please fill in the most recent permit number
in the box provided.
Part 3. Permit Fees
The Pesticide Control Regulations were revised
in 1990 to require a $75.00 fee per Aquatic Pesticide Permit.
This fee is intended to fund the necessary work involved in
the reviewing and issuance of these permits. Below are some
guidelines to use when sending in your permit fee:
1. Payment must be made by check or money order.
NO CASH can be accepted. Make checks payable to: "Treasurer
- State of NJ." Governmental agencies at the local or county
level can use a purchase order. Submit the completed purchase
order with the Aquatic Pesticide Permit application. The "Payee"
section is to be completed as follows:
|Treasurer-State of NJ
DEP-Pesticide Control Program
PO Box 411, Trenton, NJ 08625-0411
State agencies should use an Intra-Governmental
Payment Voucher (IGPV). Call the Pesticide Control Program at
(609) 984-6647 for the Seller account numbers to fill in. The
IGPV must be submitted with the Aquatic Pesticide Permit application.
Note: If the organization requesting treatment is part of the
DEP, there is no permit fee required.
2. If more than one permit is being submitted at a time, a single
check can be written, provided that the total covers the $75.00
per permit fee.
3. Only one aquatic site per permit will be
approved. This is necessary to prevent numerous proposals on
one permit. However, a few exceptions have been made. The
Pesticide Control Program reserves the right to make the final
determination on whether or not multiple aquatic sites submitted
on one permit follow the intent of the exceptions made below.
The following multiple aquatic sites on one permit will be accepted:
|a. multiple aquatic sites for one private
residence owned and controlled by one person (See definition
of "Person" in Document BPO-02); or
|b. multiple aquatic sites for one industrial
or commercial park owned and controlled by one person; or
|c. multiple aquatic sites for one golf
course or country club owned and controlled by one person;
|d. multiple aquatic sites for an agricultural
site and being treated by the owner or owner's employees
and owned and controlled by one person; or
|e. multiple aquatic sites managed by one
association, such as a homeowner, condominium, or lake association,
owned and controlled by one person.
4. Revisions are allowed to an approved aquatic
pesticide permit but are limited to three per permit. Additional
revisions to a previously revised permit (3x) will be reviewed
on a case by case bases. ALL revisions must be requested using
Pesticide Permit Revision Request Form (BPO-05). No
exceptions will be allowed, and no revisions will be approved
for any aquatic pesticide permit without submittal of such form.
At this time no revision fee will be charged.
5. No refunds of permit fees will be made.
Note: You are completing a permit application
form. This is not an approved Aquatic Pesticide Permit. Your
application form will be reviewed by the DEP's Pesticide Control
Program-Permits Unit and Division of Fish, Game & Wildlife.
You will normally receive an approved or denied permit within
30 days of receipt of all required information deemed necessary
to evaluate the application. All permits will be issued by
the Pesticide Control Program only. Any extra time you can
give us would be greatly appreciated.
Part 4. Mailing Procedures
Send completed permit applications to:
|NJ Department of
Pesticide Control Program
Bureau of Pesticide Operations - Permits Unit
PO Box 411
Trenton, NJ 08625-0411
|NJ Department of
Pesticide Control Program
Bureau of Pesticide Operations - Permits Unit
22 South Clinton Ave, Station Plaza 4 3rd Floor
Trenton, NJ 08609
Part 5. Record of Actual Treatment
Record of Actual Treatment Form (BPO-03) -pdf / Word
Record of Actual Treatment 24c sites SLN NJ-020001- pdf / Word
Record of Actual Treatment 24c sites SLN NJ-040003- pdf / Word
Record of Actual Treatment 24c site (Example) - pdf
Instructions for Form BPO-03 - pdf
As an aquatic pesticide applicator/applicator
business, you are required to maintain a record of application
for each aquatic pesticide application you perform. The information
requested on this form shall be submitted to the PCP Permits
Unit by November 15thof the actual treatment year. Your
aquatic pesticide application records should contain all information
required on Form BPO-03 (Form BPO-06 for 24C sites). Your application
records shall include, but are not limited to, the information
you are required to maintain on the Record of Actual Treatment
Part 6. Aquatic Pesticide Permit Revision Request
Revision Request Form (BPO-05) - pdf
An aquatic pesticide permit revision request
form must be filled out and submitted to the PCP for review
before any approval for a revision to an approved aquatic pesticide
permit will be granted. Information submitted on such form shall
include the name of the applicator/applicator business requesting
the revision, aquatic site information (permit #, site name
and #), what the revision is and the reason for such a revision.
This form must be signed and dated by the responsible applicator that initially signed the aquatic pesticide permit application.
Part 7. Aquatic Pesticide Justification (#'s 15 & 19)
Aquatic Pesticide Justification Form (BPO-07)
- pdf / Word
An Aquatic Pesticide Justification Form must
be filled out and submitted to the PCP with the Aquatic Pesticide
Permit Form (BPO-01) in the following situations. If "No"
is checked in the box for Item #15 (Is the aquatic site and
surrounding shoreline owned and controlled by one person?),
a detailed explanation of the ownership circumstances must be
provided in the appropriate box on this form. In addition, if
"Yes" is checked in the box for Item #19 (Is this
aquatic site currently permitted by and/or awaiting permit approval
from any other NJ DEP Program?), a detailed explanation, including
the appropriate NJ DEP contacts, must be provided.
If you have questions concerning the permit
application or the record of actual treatment form, please contact
Hollie Ezze at:
Phone (609) 984-6666
Fax (609) 984-6555