Effectively addressing water quality issues in waterbodies impaired due to stormwater sources requires improved tools and approaches that will strengthen connections between two key federal programs under the Clean Water Act (CWA) the National Pollutant Discharge Elimination System (NPDES) stormwater permitting program and the Total Maximum Daily Load (TMDL) program. There are challenges associated with bridging the programs for both regulatory agency staff, as well as stormwater permittees. The purpose of this report is to compile and summarize states current practices for developing TMDLs and for implementing TMDLs through stormwater permitting. Initiated by the U.S. Environmental Protection Agency Region 5 (USEPA), at the suggestion of state TMDL managers and staff, this project set out to document how several states are currently addressing technical and programmatic TMDL and stormwater permitting issues. USEPA Region 5 received input on technical and programmatic issues from several states; this report presents information from the following: California, Georgia, Maine, New Mexico, Oregon, Pennsylvania, Tennessee, Vermont, Virginia, and Washington. Information presented in this report is intended to provide examples of current technical approaches, TMDL and permit language, as well as suggestions to overcome challenges associated with bridging the programs.