FORMS: Applications, Registration, Reporting, Etc

 

Bureau of Air Quality

Please visit the Permitting Contacts page.

Paper applications for Title V sources will no longer be accepted after January 1, 2024. All submissions should be submitted through ePermitting. This includes permit applications, reports, source testing etc.

Air Permitting - Construction Application

Form Name DHEC Form # ePermitting
Expedited Review Request Form - Air Quality Construction Permits - Request for submittal of construction applications into the Expedited Review Program PSD - Modifications Expedited Fee Memo D-2212 Apply Online
Construction Permit Application - For sources requesting to install new or modify existing equipment. D-2566 Apply Online
Emission Point Information Form - Provides Source Dispersion Parameters for any new sources or any revised sources. D-2573 Apply Online

For more information about construction permits, please visit the Air Quality Construction Permits page.

 

Air Permitting - Registration Permit Applications

Form Name DHEC Form # ePermitting
Registration Permit Application Form for Temporary Crushing and Screening Operations D-3976 Apply Online
Registration Permit Request for Auto Body Refinishing Shops D-2089 Apply Online
Registration Permit Application for Cotton Ginning Operations D-2344 Apply Online
Registration Permit Application for Crematory Operations D-0131 Apply Online
Registration Permit Application for Fuel Combustion Operations D-2958 Apply Online
Registration Permit Application for Gasoline Dispensing Operations D-4265 Apply Online
Registration Permit Application for Wood Working Operations (Flowchart) D-0872 Apply Online

For more detailed information about the registration permits visit the Air Quality General and Registration Permits webpage.

 

Air Permitting -  General Permit Applications for Asphalt and Concrete Plants

Form Name DHEC Form # ePermitting
General Permit Application for Asphalt Plants - Used to request coverage under any of the General Asphalt Permits. D-4111 Apply Online
General Permit Application for Concrete Plants - Used to request coverage under any of the General Concrete Permits. D-2068 Apply Online
Relocation Application for Concrete Plants - Used to request relocation of concrete plant D-2639 Apply Online

For more detailed information about the general permits visit the Air Quality General and Registration Permits websites.

Air Permitting - Notification (For use by all permitted sources)

Form Name DHEC Form # ePermitting
Start of Construction Notification - Identifies all of the equipment and control devices, as listed in the original construction permit, for which construction has started. D-2572 Apply Online
Facility Information Update - For use by all facilities to update general facility information and to transfer operating or construction permits to a new owner (Physical Address, Facility Name, Contact Information, etc.). D-2959 Apply Online
Air Permit Cancellation - For use by existing permitted sources to request cancellation of all air permits due to facility closure. D-2374 Apply Online
Low NOX Burner Assembly Replacement Notification- For notifying the Bureau of Air Quality (BAQ) that the facility is replacing an existing burner assembly per SC Regulation 61-62.5, Standard 5.2. D-2935 Apply Online
Facility Relocation Application - For use by existing permitted sources to request permission for relocation of the permitted source. D-0662 Apply Online
Operating Ranges - For use by existing permitted sources to submit required operating permit ranges in accordance with issued permits. D-0304 Apply Online

For more detailed information about these forms contact Permit Writer on Call at (803) 898-4123.

 

Air Permitting - Operating Permit Applications

Form Name DHEC Form # ePermitting
Operating Permit Request - Used to request Operating Permit, to modify an existing operating permit, to notify BAQ of initial start-up of equipment, and to certify that construction was performed per an issued construction permit. This form can be used by a Title V facility to request an operating permit under SC Regulation 61-62.1 prior to a Title V permit being issued. D-2574 Apply Online
State Operating and Conditional Major Permit Renewal Application- For use by facilities requesting renewal of their State or Conditional Major Operating Permit. D-2955 Apply Online

 

Title V Application (New and Renewal)

Paper applications for Title V sources will no longer be accepted after January 1, 2024. All submissions should be submitted through ePermitting. This includes permit applications, reports, source testing etc.

Form Name DHEC Form # ePermitting
Air Permitting - Title V --- Apply Online
Air Permitting - Title V Renewal --- Apply Online
The South Carolina approved Insignificant Activities List can be found here. --- ---

Title V Modification

Paper applications for Title V sources will no longer be accepted after January 1, 2024. All submissions should be submitted through ePermitting. This includes permit applications, reports, source testing etc.

Form Name DHEC Form # ePermitting
Air Permitting - Title V Modification --- Apply Online
Air Permitting - Title V 502(b)(10) Modification (Form can be found as an as needed schedule.) --- Apply Online

For more information about operating permits please visit the Air Quality Operating Permits webpage.

 

Title V Annual Compliance Certification (TVACC)

Paper applications for Title V sources will no longer be accepted after January 1, 2024. All submissions should be submitted through ePermitting. This includes permit applications, reports, source testing etc.

Form Name DHEC Form # ePermitting
Air - TMS - TV Annual Compliance Certification - required annual certification from Title V permitted facilities to list deviations from the terms or conditions in their Title V permits. --- Apply Online

For more information or questions about our forms, please visit the Compliance Reporting webpage or contact Brittany Staples at (803) 898-3891.

 

Asbestos - Demolition and Renovation Application Forms

Form Name DHEC Form # ePermitting
Demolition License Application - for the notification of regulated demolition projects. D-3428 Apply Online
Asbestos Abatement Project License Application - for the notification of regulated asbestos abatement projects. D-3430 Apply Online
Abatement Project Quarterly Report - for the quarterly reporting of small-scale abatement projects by facilities holding a Group License (i.e., Industrial Manufacturing & Electrical Generating Facilities). D-3575 Apply Online
Waste Shipment Record - for the documentation of asbestos-waste transport and disposal. Please submit this as a schedule on your existing removal permit ------ Submit Online

For more detailed information about Asbestos Forms, visit the Asbestos Resources page or contact Jennifer Boryk at (803) 898-2634.

 

Asbestos - Disposal Authorization Forms

Form Name DHEC Form # ePermitting
Notification of Non-Friable Asbestos Abatement Project - for obtaining disposal authorization to transport nonregulated asbestos-containing materials to a DHEC approved landfill. D-3654 Apply Online
Notification of Residential Non-Friable Asbestos Abatement Project - for obtaining disposal authorization to transport nonregulated asbestos-containing materials removed from a nonregulated residence to a DHEC approved landfill. D-3653 Apply Online
Temporary Asbestos Storage Containment Area License Application - for obtaining authorization to temporarily store waste from Small and Minor projects at a specified location by Non-industrial Facilities and Asbestos Abatement Contractors. D-3423 Apply Online
Temporary Asbestos Storage License Application Directions - directions for completing the Temporary Asbestos Storage Containment Area License application. ------ ------

For more detailed information about Asbestos Forms, visit the Asbestos Resources page or contact Jennifer Boryk at (803) 898-2634.

 

Asbestos - Abatement License Forms

Form Name DHEC Form # ePermitting
Asbestos Abatement License Application - for obtaining personnel and contractor licensing for disciplines described here. D-2925 Apply Online
Application Form for Asbestos Group License - for obtaining Industrial Group Licenses or Non-industrial Facility Operations & Maintenance (O & M) Licenses. D-3422 Apply Online

For more detailed information about Asbestos Forms, visit the Asbestos Resources page or contact Jennifer Boryk at (803) 898-2634.

 

Asbestos - Training

Form Name DHEC Form # ePermitting
Application for Asbestos Training Course Approval (pdf) - for seeking DHEC approval to conduct asbestos training in South Carolina. D-3895 Apply Online
Application for Asbestos Instructor Approval (pdf) - for any individual seeking approval as an instructor for any asbestos course discipline regulated by DHEC. D-3894 Apply Online

 

Emissions Inventory

Form Name DHEC Form # ePermitting
Emission Inventory Point Source Data Report - DHEC has developed and now requires Emissions Inventories to be performed and submitted using SLEIS. Use of this form to report an Emissions Inventory is only allowed at the request of or with the written permission of the Emissions Inventory Section of DHEC's Bureau of Air Quality. D-1904 Apply Online

For more detailed information about performing an emission inventory or HAP Emission Summary, visit the Emissions Inventory webpage or contact Chad Wilbanks at (803) 898-4106.

 

Ground-level Ozone Nonattainment Areas: Reporting Requirements

Form Name DHEC Form # ePermitting
Emissions Statement Reporting Form - Section 182(a)(3)(B) of the Clean Air Act requires South Carolina's State Implementation Plan (SIP) to contain a requirement for all owners or operators of stationary sources located in a nonattainment area that emit either NOX or VOC to submit a statement of actual emissions annually. D-1216 Apply Online

For more detailed information about Emissions Statement Reporting Form, please visit the Reporting Requirements for Ground-level Ozone Nonattainment Areas webpage or contact Chad Wilbanks at (803) 898-4106.

 

Maximum Achievable Control Technology (MACT)

Form Name DHEC Form # ePermitting
Ongoing Compliance Report, Subpart N - 40 CFR Part 63, Subpart N: National Emission Standards for Chromium Emissions from Hard and Decorative Chromium Electroplating and Chromium Anodizing Tanks D-2909 Apply Online

 

Monitoring and Reporting

The following forms were created to assist facilities with reporting required by construction or operating permits. Use of these forms is not mandatory. These forms are intended for guidance purposes only and may not be applicable to all facilities. Some forms require manipulation so that spreadsheets represent materials used at your facility.

Form Name DHEC Form # ePermitting
Deviation/Incident Log D-2228 Apply Online
Deviation/Incident Reporting Form (Instructions) D-2227 Apply Online
VOC Emissions Calculation Worksheet (Instructions) D-2226 Apply Online
VOC Emissions Reporting Form (Instructions) D-2225 Apply Online
Visual Inspection Log D-2224 Apply Online
Visual Inspection Log for Abnormal Emissions D-2223 Apply Online
Visual Inspection Reporting Form D-2222 Apply Online
Parameter Log D-0924 Apply Online
Operation & Maintenance Log D-0925 Apply Online

For more information or questions about our forms, please visit the Compliance Reporting webpage or contact Brittany Staples at (803) 898-3891.

 

Source Evaluation/Stack Testing

Form Name DHEC Form # ePermitting
Site-Specific Test Plan Outline - Prior to conducting a source test subject to Regulation 61-62.1 Section IV, the owner or operator are required to submit a site-specific test plan detailing all source testing methods to be used at a permitted facility. ------ Apply Online

For more information about source evaluation, contact Michael Verzwyvelt at (803) 898-1789.

 

Bureau of Environmental Health Services

Food Safety

Form Name DHEC Form #
Application for Retail Food Establishment Permit - Apply to operate retail food establishment D-1769
File a Food Safety Complaint - Use this online form to file a food safety complaint about a South Carolina Food Service D-1218
Permit Amendment - Apply to operate retail food establishment D-1716
Event Authorization Application - Apply to operate retail food establishment D-1717

Bureau of Environmental Health Services, Division of Food Protection - Phone: (803) 896-0640 Fax: (803) 896-0645.

 

Septic Tanks

Form Name DHEC Form #
Application for Permit to Construct an Individual Sewage Treatment and Disposal System Apply Online
Application for License to Construct or Clean Onsite Wastewater Systems and Self-Contained Toilets D-1777

Bureau of Environmental Health Services, Onsite Wastewater Management Division - Phone: (803) 896-0640 Fax: (803) 896-0645.

 

Laboratory

Form Name DHEC Form #
Application for Laboratory Certification- Use this form to apply for DHEC laboratory certification D-2802
Instructions for Completing Laboratory Certification Application- Instructions for Form D-2802 D-2802i
Chlorite Analysis form (pdf) - This form is designed for laboratories performing chlorite and/or chlorine dioxide analyses. ----
Colilert-18® Fecal Coliform QC Form (pdf) - This is an example form for performing media quality control checks with pure cultures for fecal coliform analyses. ----
Colilert® QC Form (pdf) - This is an example form for performing media quality control checks with pure cultures for total coliform/E. coli analyses. ----
Colilert Quanti-Tray® Total Coliform/E. coli MPN Form (pdf) - This form is designed for laboratories performing total coliform/E. coli MPN analyses using the Quanti-Tray®. ----
Colilert-18 Quanti-Tray® Fecal Coliform MPN Form (pdf) - This form is designed for laboratories performing fecal coliform MPN analyses using the Quanti-Tray®. ----
Enterococci Medium Quality Control Record (08/05) (pdf) - This is an example record that the laboratory may use to record the quality control checks performed on the medium. ----
Enterolert© Sample Analysis Form (10/06) (pdf) - This is a form that laboratories may use when recording enterolert© results. ----
Initial Demonstration of Capability (IDOC) form (pdf) - This form is designed for laboratories performing organic analyses. The form includes all required information to make the necessary review possible. Please ensure that when applying for certification, the IDOC studies submitted include all of the information included on this form. ----
Method Detection Limit (MDL) form (pdf) - This form is designed for laboratories performing organic analyses. The form includes all required information to make the necessary review possible. Please ensure that when applying for certification, the MDL studies submitted include all of the information included on this form. ----
Spore Ampule Sterilization Confirmation (pdf) - This is an example form for performing spore ampule sterilization checks on the autoclave. ----

Bureau of Environmental Health Services, Office of Laboratory Certification - Phone: (803) 896-0970 Fax: (803) 896-0850.

 

Healthcare Facilities Licensing

Healthcare Facilities Licensing

Form Name DHEC Form #
All Healthcare Facility Forms ------

For additional information, contact: Division Director Gwendolyn Thompson - (803) 545-4370

 

Bureau of Land and Waste Management

Groundwater Monitoring Wells

Form Name DHEC Form #
Monitoring Well Approval - Apply for a well location and parameters to be monitored. D-3736

For more information or questions about Groundwater Monitoring Wells, please contact Robert Cole at (803)-898-0802

 

Drycleaners

Form Name DHEC Form #
Drycleaner Eligibility Application - Drycleaner Eligibility Application D-3469
Drycleaner Notice of Property Transfer or Name Change - Drycleaner Notice of Property Transfer or Name Change D-2057
Drycleaner Containment Structure Certification Form - Drycleaner Containment Structure Certification Form D-3879

For more information or questions about our Drycleaning Forms, please contact Robert Hodges at (803)-898-0919.

 

Electronic Manufacturers

Form Name DHEC Form #
Covered Electronic Devices Manufacturer Registration (D-2425) D-2425

Hazardous Waste

Form Name DHEC Form #
Hazardous Waste Transporter Permit Application - Hazardous Waste Transporter Permit Application ------
Notification of Regulated Waste Activity Form - The Notification and Reporting Form is used by companies that are required under the South Carolina Hazardous Waste Management Regulations to notify the South Carolina Department of Health and Environmental Control (SCDHEC) that they are involved in hazardous waste activities. SCDHEC is responsible for assigning the Environmental Protection Agency Identification Number (EPA ID #). EPA 8700-12
Quarterly Hazardous Waste Report Codes - Form Codes, Management Method Codes, Source Codes, and Waste Minimization Codes ------
Quarterly Hazardous Waste Report - Generation and On-Site Treatment, Storage, Disposal and Recovery - "Generation and On-Site T,S,D,R" - This form is used to report the amount IN POUNDS of hazardous waste generated during a quarter. Any waste generated on-site and then treated, stored, (accumulated), disposed of (on-site) or recovered should be reported on this form. The treatment, disposal and recovery activities mentioned here may require either currently having Interim Status or obtaining a Hazardous Waste Permit from S.C. DHEC. Large Quantity Generators are allowed to store (accumulate) hazardous waste under 90 days without a permit. The EPA ID # and name of all initial transporters who hauled hazardous waste for you during this quarter. D-1962
Quarterly Hazardous Waste Report - Waste Shipped Off-Site for Treatment, Storage, Disposal and Recovery (Instructions) - "Waste Shipped Off-Site for T,S,D,R" - This form is a log of manifested hazardous waste shipments transported off-site for a quarter. D-1963
Quarterly Hazardous Waste Report - Off-Site Facility Report (Instructions) - "Off-Site Facility Report" - This form is to be completed only by those companies who accept hazardous waste that was generated by other companies for the purpose of treatment, storage, disposal and/or recovery. The treatment, storage, disposal and recovery activities mentioned here require either currently having Interim Status or obtaining a Hazardous Waste Permit from S.C. DHEC. D-1964
Hazardous Waste Index (Instructions) - "Hazardous Waste Index" - This form is used to create an index of all the hazardous waste streams a company generates. When a new waste stream is generated, this form is to be completed and submitted with the rest of the quarterly report forms. Please do not repeat old waste stream information. This form is never required to be completed by those companies who submit an Annual Declaration. D-1965

For more information or questions about Regulated Waste Activity, Hazardous Waste Transporters, and Hazardous Waste Reporting Forms, please contact Jessica Price at (803) 898-0461.

 

Infectious Waste

Form Name DHEC Form # ePermitting
Checklist for Infectious Waste Management Plan Review - Checklist for Infectious Waste Management Plan Review ------ Apply Online
Infectious Waste Generator Registration - Infectious Waste Generator Registration D-1999 Apply Online
Infectious Waste Transporter Registration - Infectious Waste Transporter Registration D-3408 Apply Online
Infectious Waste Transporter Certificate of Insurance - Infectious Waste Transporter Certificate of Insurance D-3407 Apply Online
Infectious Waste Manifest - The Program recommends that the Infectious Waste Manifest be printed as a four page carbonless form. It is also recommended that the four pages be printed on different color paper. D-2116 Apply Online

For more information or questions about Infectious Waste Reporting Forms, please contact Kim Clyburn at (803) 898-0239.

 

Mining

Form Name DHEC Form #
MR-200: Application for an Exploration Certificate ($300.00 fee) - Application for an Exploration Certificate ($300.00 fee) D-3100
MR-300: Reclamation Plan for Exploration - Reclamation Plan for Exploration D-3101
MR-400GP1: Notice of Intent for Coverage Under a General Mine Operating Permit (with instructions) ($600 fee) - Click here if site is located in Beaufort, Berkeley, Charleston, Colleton, Dorchester, Georgetown, Horry, or Jasper counties.
Click here for GP1 Permit/Reclamation Plan.
A NPDES permit is required for all mine sites.
D-3114
MR-400: Application for a Mine Operating Permit ($600 fee ) - Click here if site is located in Beaufort, Berkeley, Charleston, Colleton, Dorchester, Georgetown, Horry, or Jasper counties.
Click here for Information to Mine in Water Bodies
D-3102
MR-500: Reclamation Plan for an Individual Mine Operating Permit - Reclamation Plan for an Individual Mine Operating Permit D-3103
MR-600: Land Entry Agreement for Land Owned by Mine Operator - Land Entry Agreement for Land Owned by Mine Operator D-3104
MR-700: Land Entry Agreement for Land Leased by Mine Operator - Land Entry Agreement for Land Leased by Mine Operator D-3105
MR-800: Reclamation Bond Form to Post a Surety Bond - Reclamation Bond Form to Post a Surety Bond D-3106
MR-900: Reclamation Bond Form to Post a Bond Other than a Surety Bond - Reclamation Bond Form to Post a Bond Other than a Surety Bond D-3107
MR-1000: Assignment - Assignment of Reclamation Bind D-3108
MR-1050: Irrevocable Letter of Credit - Irrevocable Letter of Credit D-3109
MR-1100 : Annual Reclamation Report to be submitted with $375.00 annual fee - Mining Annual Operating Fee per mine D-3110
MR-1300: Application for Modifying a Mine Operating Permit and/or Reclamation Plan - Application for Modifying a Mine Operating Permit and/or Reclamation Plan D-3111
MR-1400: Mine Operating Permit Transfer Agreement ($600 fee) - Mine Operating Permit Transfer Agreement D-3112

For more information or questions about Mining Forms, please contact Wendy Hamilton at (803) 898-1368.

 

Radioactive Waste

Form Name DHEC Form #
Application for Radioactive Waste Transport Permit - Application for Radioactive Waste Transport Permit D-0800
Radioactive Waste Shipment Prior Notification and Manifest Form - Radioactive Waste Shipment Prior Notification and Manifest Form D-0802
Radioactive Waste Shipment Certification - Radioactive Waste Shipment Certification D-0803

For more information or questions about Radioactive Waste Forms, please contact Kim Clyburn at (803) 898-0239.

 

Solid Waste Compliance

Form Name DHEC Form #

Class -1 Landfill Annual Report Form

Submit Online

Class -2 Landfill Annual Report Form

Submit Online

Class-3 Landfill Annual Report Form

Submit Online

Composting / Mulch Production Facility Annual Report Form

Submit Online
Lead Acid Battery Facilities Registration Form  Submit Online

SW Incineration and Pyrolysis Annual Report Form

Submit Online

SW Processing Facility Annual Report Form

Submit Online
Transfer Station Annual Report Form Submit Online

Used Oil Transporters - Transfer Station Annual Report Form

Submit Online
Used Oil Collection Center and Aggregation Point  Submit Online
Used Oil Transporter and Transfer Facility Registration  Submit Online
Waste Tire Collection/Processing Facility Annual Report Form Submit Online
Waste Tire Hauler Annual Report Form  Submit Online
Waste Tire Hauler Registration  Submit Online
Waste Tire Hauler Manifest  D-2738
Waste Tire Hauler - Irrevocable Letter of Credit ------
Waste Tire Hauler - Assignment of Certificate of Deposit ------
Waste Tire Hauler - Financial Guarantee Bond ------
Electronic Recovery Facility - Financial Guarantee Bond ------
SW Management Facility - Financial Guarantee Bond ------
SW Management Facility - Irrevocable Letter of Credit ------
SW Management Facility - Performance Bond ------
SW Management Facility - Assignment of Certificate of Deposit - ------
SW Management Facility - Trust Fund Agreement ------
SW Management Facility - Standby Trust Fund Agreement ------

For more information or questions about Waste Tires, Lead Acid Battery, or Used Oil Forms, please contact Jessica Price at (803) 898-0461

 

Solid Waste Permitting

Form Name DHEC Form # ePermitting
Application for Permit to Construct a Solid Waste Management System - Application for Permit to Construct a Solid Waste Management System D-1932 Apply Online
Application for Registration or Permit to Land Apply - Application for Registration or Permit to Land Apply D-3568 Apply Online
Application of Registration for Structural Fill - Application of Registration for Structural Fill D-3570  
Application of Registration of Construction & Demolition Debris Recycling Facility - Application of Registration for Construction & Demolition Debris Recycling Facility D-3328 Apply Online
Application for Permit to Construct a Solid Waste Tire Facility - Application for Permit to Construct a Solid Waste Tire Facility D-3571 Apply Online
Local Government Full Cost Disclosure Report D-1409  
Registration for Wood Chipping, Shredding and/or Composting - Registration for Wood Chipping, Shredding and/or Composting D-1988 Apply Online
Notice of Intent to Operate a Land-Clearing Debris and Yard Trash Landfill - Notice of Intent to Operate a Land-Clearing Debris and Yard Trash Landfill D-3569 Apply Online

For more information or questions about Solid Waste Permitting, please contact Justin Koon at (803) 898-1339

 

Underground Storage Tanks - Assessment and Corrective Action Section

Form Name DHEC Form #

Site Rehabilitation Contractor Certification Application

D-3499
Owner/Operator Contractor Selection Form D-3244
Site-Specific Work Plan D-0653
Initial Groundwater Assessment Invoice D-3666
Tier I Assessment Invoice D-3665
Well Installation or Boring Invoice 8/16/16                     D-0725A
Well Installation or Boring Invoice 1/1/20 D-4072
Well Installation or Boring Invoice 7/1/22 D-4343
Well Installation and Boring Invoice 8/9/23 D-4408
Assessment Component Cost Agreement 6/15/17 D-2495
Assessment Component Invoice and Instructions 6/15/17 D-0728A
Assessment Component Cost Agreement 1/1/20 D-4074
Assessment Component Invoice and Instructions 1/1/20 D-4073
Assessment Component Invoice 7/1/2022  D-4293
Assessment Component Cost Agreement 7/1/2022  D-4294
Assessment Component Cost Agreement 8/9/23 D-4406
Assessment Component Invoice 8/9/23 D-4407
Active Corrective Action (ACA) Invoice - pre 8/2012 D-3687
Active Corrective Action (ACA) Invoice - Free Product Only 9/2016 D-0426
Active Corrective Action (ACA) Invoice - Dissolve Clean-Up 9/2016 D-3728
Active Corrective Action (ACA) Invoice - Free Product & Dissolve Clean-Up 9/2016 D-3868
Active Corrective Action (ACA) Invoice - Dissolve Clean-Up 8/2018  D-3957
Active Corrective Action (ACA) Invoice - Free Product & Dissolve Clean-Up 8/2018 D-3956
Request for Review D-3668
Field Data Sheet - Gauging D-0424
Field Data - Purge Groundwater Sampling Form D-0423
Field Date Sheet -  No Purge Groundwater Sampling D-2540
Summary of Slug Test D-3531
Well Development Data Verification Form D-2099

For more information or questions about our UST Assessment and Correction Action Forms please call (803) 898-2544

 

Underground Storage Tanks - Regulatory Compliance Section

Form Name DHEC Form #
Alternate Fuel Installation Application - Alternate Fuel Installation Application D-3885
Application for Permit to Operate Field Constructed Systems D-3179
Application for Permit to Install Airport Hydrant Systems D-3180
Application for Permit to Install Field Constructed Systems D-3181
Application for Permit to Operate Airport Hydrant Systems D-3178
Assessment Guidelines for Permanent Closure and Change in Service - Assessment Guidelines for Permanent Closure and Change in Service D-3182
Certificate of Financial Responsibility - Certificate of Financial Responsibility D-3472
Change of Service Form - This form can be used to comply with UST Control Regulations R61.92, Section 280.71(a) D-4377
Class A/B Operator Log - Class A/B Operator Log D-2213
Containment Sump Integrity Testing D-3183
Financial Responsibility Mechanisms Information Sheet - Financial Responsibility Mechanisms Information Sheet ------
Letter of Consent to Release Inspection Documents D-4031
List of Insurance Agencies - List of Insurance Agencies ------
Monthly Dispenser Inspection Log  D-4381
Monthly Electronic Link Leak Detector (ELD) Inspection Log  D-4380
Monthly Statistical Inventory Reconciliation (SIR) Report - Monthly Statistical Inventory Reconciliation (SIR) Report D-3574
Notification of USTs No Longer in Operation - Notification of USTs No Longer in Operation D-3856
Notification of USTs Currently in Operation - Notification of USTs Currently in Operation D-1917
Overfill Prevention Equipment Operability Check D-3187
Owner/Operator Information Form D-4075
Rectifier Log - Rectifier Log D-0648
Release Detection Equipment Testing D-3188
Site Check Fact Sheet - Site Check Fact Sheet ------
Spill Bucket Integrity Testing - Spill Bucket Integrity Testing D-2562
State of South Carolina Galvanic (Sacrificial Anode) Cathodic Protection System Evaluation - State of South Carolina Galvanic (Sacrificial Anode) Cathodic Protection System Evaluation D-2550
State of South Carolina Impressed Current Cathodic Protection System Evaluation - State of South Carolina Impressed Current Cathodic Protection System Evaluation D-2551
Tank and Sludge Disposal Form - Tank and Sludge Disposal Form D-2233
Underground Storage Tank - Application for Permit to Install - Underground Storage Tank - Application for Permit to Install D-2101
Underground Storage Tank - Application for Permit to Operate - Underground Storage Tank - Application for Permit to Operate D-1959
Underground Storage Tank Transfer of Ownership - Underground Storage Tank Transfer of Ownership D-3871
Walkthrough Inspection Checklist D-3184
Walkthrough Inspection Checklist/Operator Log D-3185
24-Hour Release Report - 24-Hour Release Report D-3177
Line Tightness Testing D-3315
Automatic Line Leak Detector Function Check D-3316
Sump Sensor Function Check D-3318
Tank Tightness Testing D-3317

For more information or questions about our UST Regulatory Compliance Forms, please call (803) 898-0589.

 

Waste Assessment

Form Name DHEC Form #
An Overview of Waste Assessment ------
Generator's Knowledge Certification Statement Template - Generator's Knowledge Certification ------
Inorganic Parameters for Waste Determinations - Use for Hazardous Waste Determinations and All Landfill Characterizations D-3657
Volatile Organic Parameters for Waste Determinations - Use for Hazardous Waste Determinations and All Landfill Characterizations D-3658
Semi-Volatile Organic Parameters for Waste Determinations - Use for Hazardous Waste Determinations and All Landfill Characterizations D-3659
Additional Inorganic Parameters for Waste Determinations - Use for Class 2 Landfill Characterizations and other waste determinations as necessary D-3660
Additional Volatile Organic Parameters for Waste Determinations - Use for Class 2 Landfill Characterizations and other waste determinations as necessary D-3661
Additional Semi-Volatile Organic Parameters for Waste Determinations - Use for Class 2 Landfill Characterizations and other waste determinations as necessary D-3662
Petroleum and Associated Parameters for Waste Determinations - Use for Hazardous Waste Determinations and Landfill Characterizations as necessary D-3667
Land Application - Microsoft Excel needed to open spreadsheets D-3734
TCLP Variable Detection Levels Memo (rev. 6/9/2017) - TCLP Variable Detection Levels Memo ------

For more information or questions about Waste Assessment Forms, please contact Jeff Schrag at (803) 898-4326.

 

Ocean and Coastal Resource Management

Critical Area Permitting - Forms

Form Name DHEC Form # ePermitting
Critical Area Permit Application - to seek authorization to utilize or alter the critical areas (coastal tidelands, coastal waters, beaches, beach/dune systems) of the SC Coastal Zone. Common activities include docks, bulkheads, and additions to existing structures such as boatlifts, floating docks and pier heads.  D- 3898 Apply Online
Critical Area Line Setting Request - to request DHEC staff to establish the line delineating the Critical Area along a property. D-3902 Apply Online
Construction Placard Request Form - to obtain a placard to post at the construction site to document the authorized work to be performed. D-3911 Apply Online
Request to Amend a Critical Area Permit - to seek authorization for an amendment or modification to an existing permit. Common amendments include increase of square footage of a dock or addition such as floating docks or boat lifts. D-3897 Apply Online
Request to Extend a Critical Area Permit - to seek authorization to extend an active permit (prior to its expiration date) in order to complete work in progress. Expired permits cannot be extended.  D-3901 Apply Online
Permit Assignment/Transfer Form - to seek authorization to transfer an active permit to a new site owner.  D-3900 Apply Online
General Permit Application - to seek authorization under a listed OCRM General Permit. General permits authorize specific activities which are minor or have minimal impacts. D-3903 Apply Online
Beachfront Notification Form - to notify DHEC and seek authorization for activities within SC’s beachfront jurisdiction including but not limited to construction, reconstruction or repair of habitable structures and/or pools.   D-3896 Apply Online
Request for Maintenance and Repair Authorization - to notify and seek authorization of maintenance or repair work on a structure that is previously permitted, grand-fathered or exempted, and is still generally intact and functional in its present condition.  D-3899 Apply Online

 

Coastal Zone Consistency for Federal and State Permits - Forms

Form Name DHEC Form #
State Coastal Zone Consistency Request Form - to request a coastal zone consistency review of a state permit application(s) for projects or activities within the SC Coastal Zone (Jasper, Beaufort, Colleton, Charleston, Dorchester, Berkeley, Georgetown, Horry). D-0478

Policy Group Checklists for Coastal Zone Consistency 
The following Policy Checklists were created to assist in identifying coastal management policies that are applicable to proposed projects or activities within the SC Coastal Zone. More than one Policy Checklist may apply. All applicable Policy Checklists must be submitted with the State Coastal Zone Consistency Request Form

D-0479
D-0480
  • Coastal Industries - for agriculture, forestry, mineral extraction (mining), manufacturing, fish and seafood processing, and aquaculture
D-0481
D-0482
D-0484
D-0485
D-0486
  • Dredging - for dredging projects, dredged material disposal and underwater salvage
D-0487
  • Public Services and Facilities - for sewage treatment facilities, solid waste disposal projects, public/quasi-public buildings, dams and reservoirs, and water supply projects
D-0483
  • Erosion Control - for seawalls, bulkheads, revetments, expenditure of public funds for erosion control, and the management of sand dunes outside of Critical Areas
D-0488
D-0489
D-0490
  • Stormwater Management - for land disturbing projects, and runoff from golf courses, mines and landfills.  
D-0491
D-0492

General Coastal Zone Consistency (GCZC) Certification Form - to request a coastal zone consistency certification for specific activities which propose minimal impact.

Please see the listing of the individual GCZCs for complete details.

D-0352

Bureau of Water

Agricultural Facilities

Form Name DHEC Form #
Burial Site Request - Daily & Mass Burial Site Request Form D-2622
Burial Site Guidance - Guidance document for dead animal & disposal site approval  
Request for a Preliminary Site Inspection - Preliminary Site Inspection Form D-2623
Notice of Intent to Construct an Agricultural Facility - Notice of Intent Form for the New Agricultural Facilities D-3579
Agricultural Animal Facilities (Other than Swine) - Standard Application Form for New or Expanding Agricultural Animal Facilities Other than Swine D-3580
New or Expanding Small Swine Facilities (500,000 lbs or less) - Standard Application Form for New or Expanding Small Swine Facilities (500,000 lbs or less) D-3577
New or Expanding Large Swine Facilities (500,001 lbs or more) - Standard Application Form for New or Expanding Large Swine Facilities (500,001 lbs or more) D-3578
Stacking Shed and/or Composter - Standard Application Form for Stacking Shed and/or Composter D-2512
Agricultural Manure Brokers - Standard Application Form for Agricultural Manure Brokers D-2514
Agricultural Manure Applicators - Standard Application Form for Agricultural Manure Applicators D-2510
Modifications (for existing facilities) - Standard Application Form for Agricultural Facilities Modifications (for existing facilities) D-2511
Agricultural Permit Transfer of Ownership or Operation - Standard Application Form for Agricultural Permit Transfer of Ownership or Operation D-2513
Integrator Registration Form - Request for Integrator Registration Form D-2516
Manure Balance Sheet - Manure Balance Sheet for Manure Brokers ------
Manure Transfer Agreement - Manure Transfer Agreement Form D-4153

Kelly Whitlock, Section Manager - (803) 898-3574

 

Dams

Form Name DHEC Form #
Application to Construct or Alter a Dam - Application to Construct or Alter a Dam Application to Construct or Alter a Dam
Surveillance, Emergency Notification, and Action Plan for S.C. Regulated Dams - Surveillance, Emergency Notification, and Action Plan for S.C. Regulated Dams D-2606
Notification Form for Ownership Change of South Carolina Regulated Dams D-2605

John McCain - (803) 898-8178

 

Drinking Water

Form Name DHEC Form #
Consumer Confidence Report (CCR) Certification Form -  No later than the date the system is required to distribute the report to its customers (no later than July 1st), each community water system shall mail a copy of the report (CCR) to the Department (no later than July 1st), followed within 3 months (October 1st) by a certification that the report has been distributed to customers, and that the information is correct and consistent with the compliance monitoring data either provided by or submitted to the Department.  Click here for an example. D-3999

Construction Permit Application - Drinking Water and/or Wastewater Facilities - This form must be completed as part of an application package submitted for DHEC approval of water and/or wastewater systems construction plans.

D-1970
Small Business Water System Construction Permit Application - For building a well system for small business (not federally-defined systems) D-1206
Water Line Extensions - General Construction Permit Application for Public Water Supply Systems - For utilities who design their own water line extensions and meet certain criteria. D-2507
Application for Transfer of Operating Permit for A Public Water System - Drinking water systems have operating permits that must be transferred (and a viability review completed) D-1329
Bacteriological Analysis Input Form - This form is used by all Community and Non-Transient Non-Community PWS to reports their monthly/quarterly bacteriological samples as well as their average Chlorine Residual. D-1974
Optimum Corrosion Control Treatment (OCCT) Recommendation - Desktop Evaluation Short Form for Small and Medium Public Water Systems - This form is used to describe a small or medium public water system after the system has exceeded a Lead & Copper Rule trigger value. The Department requires a water system that has exceeded a trigger value to complete an Optimum Corrosion Control Treatment study and this form is used to help determine if the proposed treatment will be effective at lowering lead and/or copper levels. D-2134
Optimum Corrosion Control Treatment - Documentation Flushing Records - This form is used to document water system flushing activities after a water system has proposed flushing as optimum treatment to lower Lead and Copper values. D-2515
Controlled Fluoridation Monthly Report - This form is submitted to the Department monthly by drinking water systems that add fluoride to the water. D-2613
Lead and Copper Monitoring Report Form Justification for Change of Sample Site - Form used if a system needs to change a lead and copper tap sampling site, proper justification for the change must be provided. D-3023
Lead and Copper Monitoring Reporting Form Analytical Results for Lead and Copper - Form to submit analytical results from sampling. D-3024
 Lead and Copper Monitoring Reporting Form Analytical Results for Water Quality Parameter Monitoring - Form to submit analytical results for water quality parameter monitoring. D-3025
Lead and Copper Monitoring Report Form for Non-Transient Non-Community Water Systems - Form to submit analytical results non-transient non-community water systems. D-3162
Public Education on Lead in Drinking Water - Form for public water system to conduct a public education (PE) program on lead in drinking water. D-3997

Bridget Clarke - (803) 898-4239
Wendi Smith - (803) 898-2382
Rich Welch(803) 898-3546

Groundwater Monitoring

Form Name DHEC Form #
Monitoring Well Application - Use to request approval from DHEC to install groundwater monitoring wells at a site related to Wastewater or Agricultural permits D-3736
Groundwater Monitoring Report - Use to report groundwater monitoring data to DHEC if such data are required by a Wastewater or Agricultural permit D-2110

Dusty Leypoldt - (803) 898-4312

 

(Groundwater) Underground Injection Control

Form Name DHEC Form #

Underground Injection Control Permit Application - Permit application for the emplacment of fluids into the subsurface through a well.

D-2502
Guidance Document for Underground Injection Control Permit - Permit guide for Underground Injection Control ------

Courtney Milledge - (803) 898-5609

 

Groundwater Use and Capacity Use

Form Name DHEC Form # Apply Online
Groundwater Withdrawal Permit Application - Applicable for groundwater withdrawals exceeding 3 million gallons in any given month in a Designated Capacity Use Area D-2504 Apply Online
Notice Of Intent (New well construction) and Directions - Applicable for groundwater withdrawals exceeding 3 million gallons in any given month in the Coastal Plain Region outside of a Designated Capacity Use Area D-3724 Apply Online
Water Use Registration - Applicable for groundwater withdrawals exceeding 3 million gallons in any given month in the Piedmont Region D-3764 Apply Online
Capacity Use Program Permitting - Permitting guide for groundwater withdrawal in Designated Capacity Use Areas ------  

Leigh Anne Monroe - (803) 898-2415
Ashley Carothers - (803) 898-4220

 

Navigable Waters

Form Name DHEC Form # ePermitting
Permit Application for Construction in Navigable Waters (Individual, General Permits) - Application for construction of any structure in, over or under navigable waters of the state of South Carolina D-2065 Apply Online

Chuck Hightower - (803) 898-0369
Michele Culbreath - (803) 898-4224

 

Pesticides - NPDES

Form Name DHEC Form #
Notice of Intent (NOI): NPDES General Permit for Discharges from the Application of Pesticides (SCG160000) - For coverage to spray for mosquitoes, control aquatic weeds, manage rights-of-way, etc D-2732

Shawn Clarke - (803) 898-3544

 

Private Well

Form Name DHEC Form # ePermitting
Notice of Intent - Well location information submitted prior to installation of an individual residential well or irrigation well D-3647 Apply Online
Water Well Record Form - Well construction information submitted by well driller after well is completed D-1903 Apply Online

Greg Withycombe - (803) 898-3232

 

Recreational Waters

Form Name DHEC Form #
Swimming Pool Application to Construct a Recreational Water Facility - To build a public swimming pool, water park, etc. D-2501
Swimming Pool Final Inspection Checklist - Items needed prior to requesting an approval to place a pool into operation following construction. D-1931
Swimming Pool Change Order Request Form - Modifications to public pools that don�t require a construction permit. D-3627
Swimming Pool Facility Information Sheet - The purpose of this form is to allow the Department to maintain accurate information on facility billing addresses and site contact information including their Pool Operator of Record. D-3441
Swimming Pool Incident Report - This form serves as the required written record when notifying the Department of a serious incident involving a permitted aquatic facility. D-3785
Swimming Pool Inspection Report - This form is used by summer inspectors and recreational water mangers when inspecting commercial swimming pools (types A, B, C, D, E, F and G) in SC. Pool operators may use this as guidance. D-1928
Natural Recreational Facility Application for Initial Certification - Required for the initial permitting of a natural swimming area. Submitted in conjunction with the five initial water quality samples determining the fitness of the location of the proposed swimming beach. D-3821
Natural Recreational Facility Application for Annual Permit to Operate - This form is required annually and is used to update facility contact information and to notify the Department of the owner's intent to operate for the coming season. D-1926
Bacteriological Analysis Input Form - Submitted to the Department by the owner/operator of a natural swimming area, or their agent, and enumerates the Fecal Coliform sample results for the previous sample period. Required approximately every two weeks during the swimming season. D-3631

Luke Abel - (803) 898-4255

 

State Revolving Fund

Form Name DHEC Form #
Drinking Water Project Questionnaire - Used to submit a potential project for consideration of funding through the Drinking Water State Revolving Loan Fund (DWSRF) for eligible drinking water construction/activities. D-3463
Wastewater Project Questionnaire - Used to submit a potential project for consideration of funding through the Clean Water State Revolving Loan Fund (CWSRF) for eligible wastewater, stormwater or 319 nonpoint source construction/activities. D-3561
Draw Request Form - Used to request payment from the State Revolving Loan Fund. D-3585
Official Designation and Signature Form - Used to specify which project representatives are to represent the project sponsor in all matters pertaining to administration of the SRF loan. D-3586
Monthly Construction Inspection Report - Used to document the progress of an SRF project under construction. D-3587
Schedule for Construction - Schedule for Construction Used to document the expected schedule of milestones from project start to completion. D-3588
Project Construction Summary - Check sheet that assists sponsors in supplying the required information and documents to the SRF Section. D-3589
Certification Regarding Debarment, Suspension and Other Responsibility Matters - Used to certify that possible participants are not debarred, suspended or otherwise excluded from participation in Federal assistance programs. D-3590
Prime Contractor's Subagreement Certification - Used to certify whether or not a contractor plans to use subcontractors to perform work for any part of the project. D-3591
Certification by Proposed Prime or Subcontractor Regarding Equal Employment Opportunity - For any bidder or prospective contractor/subcontractor to certify whether they have participated and been compliant in any previous contract subject to the equal opportunity clause. D-3592
SRF - Certification Regarding Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 - Used to certify compliance with the Uniform Relocation Assistance And Real Property Act of 1970, regarding property acquisition. D-3594
Preaward Compliance Review Report for All Applicants Requesting Federal Financial Assistance - Used to document the compliance of recipients of Federal financial assistance from the EPA regarding various Federal statutes/requirements EPA 4700-4
MBE/WBE Utilization Under Federal Grants, Cooperative Agreements, and Interagency Agreements - Completed by recipients of Federal assistance regarding to report the accomplishment of minority/women business enterprises (MBE/WBE). EPA 5700-52A
Project Sponsor's "American Iron and Steel" Certification - Used to certify that the project is in compliance with American Iron and Steel requirements during project construction. D-0962
Bidder's "American Iron and Steel" Certification - Used to certify that all iron and steel products used in an SRF project are produced in the US, unless granted a waiver. D-2556

Lynne I. Lasalle - (803) 898-4395
Wayne Shealy - (803) 898-4302

 

Stormwater - NPDES

Form Name DHEC Form # ePermitting
Storm Water Notice of Intent - For Coverage Under the Storm Water NPDES General Permit for Discharges Associated with Industrial Activity Except Construction D-2611

Apply Online

The Notification Form for Sites Disturbing Less Than 1-Acre. This form is for use on projects located outside of the eight coastal counties (Beaufort, Berkeley, Charleston, Colleton, Dorchester, Georgetown, Horry, and Jasper) and that are NOT part of a larger common plan for development or sale. D-2628  
Storm Water Notice of Termination - For Terminating Coverage Under the Storm Water NPDES General Permit for Discharges Associated with Industrial Activity. D-2609 Apply Online
Storm Water Notice of Termination - For Terminating Coverage Under the Storm Water NPDES General Permit for Discharges Associated with Construction Activity. D-2610  
Notice of Intent (NOI) for Coverage(s) of Primary Permittees Under South Carolina NPDES General Permit for Stormwater Discharges From Construction Activities - Revision to DHEC Form 2617 for coverage under the new 2012 Stormwater NPDES General Permit D-2617  
Consolidated Permits Program - Application Form 1 - This is EPA's Application Form 1. It contains general information about the applicant and facility. This form must accompany the individual NPDES permit application - Form 2f. EPA 3510  
No Exposure Certification for Exclusions from NPDES Stormwater Permitting - This form is to be used if industrial materials or activities are not exposed to stormwater, this form may be used to request an exemption. D-2616 Apply Online
Erosion Prevention and Sediment Control Monthly Report - This form may be used to meet the monthly reporting requirements found in the NPDES Construction General Permit. D-1356  
Individual Lot Notice of Intent - For Coverage of Secondary Permittees Within Residential Subdivisions Under the new 2012 Stormwater NPDES General Permit D-0432  
Annual Blanket Notice of Intent - For Statewide Coverage of Utility Providers Within Common Developments Under the new 2012 Stormwater NPDES General Permit D-0433  

Isiah Glover - (803) 898-4005

Wastewater - Compliance

Form Name DHEC Form #
Sewer System Overflow or Pump Station Failure Report Form Form is to be used for reporting a sewer system overflow or pump station failure. D-3685
Satellite Sewer System Owner Notification Form - general permit coverage for operation of a sewer collection system where the final treatment for wastewater is by another entity D-2614

Adam Cannon - (803) 898-4160

 

Wastewater - Construction

Form Name DHEC Form # ePermitting ePermitting Form Type
General Construction Permit Application - The initial application for a public entity to be considered for general permit coverage. D-1794    
General Construction Permit NOI - The form used to notify DHEC of a proposed construction project, once a public entity has been approved for general permit coverage. D-1793    

Construction Permit Application - Water and/or Wastewater Facilities - For building water and sewer lines, treatment systems, wells, etc.

D-1970 Apply Online Wastewater - Construction Permit Application Wastewater Facilities
Industrial Wastewater Facility Closure Form D-1795 Apply Online Wastewater - Industrial - Preliminary Engineering Review (PER) and Other Request Form

Bridget Clarke - (803) 898-4239 (Lines)
Brenda Green(803) 898-4228 (Domestic/Municipal/Pretreatment)
Crystal Rippy(803) 898-3964 (Industrial Direct Dischargers)

 

Wastewater - ND Permits

Form Name DHEC Form # ePermitting ePermitting Form Type
No Discharge or ND Permit Application - The ND Permit Application is used as part of a Preliminary Engineering Report (PER) submittal for New, Expanding, and Renewals of Wastewater Treatment Plants with Land Disposal of Wastewater or Sludge. Sludge Supplement must accompany NPDES and ND Forms. ----    
Location Supplement for NPDES and ND Permit Applications - To confirm the location of the proposed discharge ---- Apply Online Wastewater Application ND
Sludge Disposal Supplement for NPDES and ND Permit Applications - To provide details about sludge management proposed from the applicable wastewater treatment system. ----    
Sludge Annual Agronomic Loading Rate Worksheet D-0874    
Notice of Intent (NOI) - Land Application (No Discharge) Associated with Nonmetallic Mineral Mining Facilities - ND General Permit #NDG730000 - General permit coverage for mining operations not involving metals (e.g. fill dirt mining) D-3239 Apply Online Wastewater - NPDES GENERAL Permit Group

Brenda Green - (803) 898-4228 (Domestic)
Crystal Rippy - (803) 898-3964 (Industrial)
Bureau of Water - Phone: (803) 898-4300 Fax: (803) 898-3795.

 

Wastewater - NPDES

Wastewater - NPDES

Form Name DHEC Form # ePermitting ePermitting Form Type
Notice of Intent (NOI) - Discharges Associated with Hydroelectric Generating Facilities - NPDES General Permit #SCG360000 D-2239 Apply Online Wastewater - NPDES GENERAL Permit Group
Notice of Intent (NOI) - Potable Water Treatment Plants (SCG646000) - General permit coverage for discharges from water treatment systems D-1813 Apply Online Wastewater - NPDES GENERAL Permit Group
Notice of Intent (NOI) - NPDES General Permit for Bulk Petroleum Facility Discharges SCG340000 - General permit coverage for discharges associated with bulk petroleum facilities D-2624 Apply Online Wastewater - NPDES GENERAL Permit Group
Notice of Intent (NOI) - Discharges Associated with Nonmetallic Mineral Mining Facilities - NPDES General Permit #SCG730000 - General permit coverage for mining operations not involving metals (e.g., sand and gravel mining) D-3559 Apply Online Wastewater - NPDES GENERAL Permit Group
Notice of Intent (NOI) - Hydrostatic Test Water: Discharges From New and Used Oil and Gas Lines and Tanks - NPDES General Permit #SCG670000 - General permit coverage for testing for these lines and tanks D-3729 Apply Online Wastewater - NPDES GENERAL Permit Group
Notice of Intent (NOI) - Utility Water Discharges - NPDES General Permit #SCG250000 - General permit coverage for a variety of utility water discharges within a certain threshold D-3632 Apply Online Wastewater - NPDES GENERAL Permit Group
Notice of Intent (NOI) - Vehicle Wash Water: Discharges From Vehicle Wash Water Discharges - NPDES General Permit #SCG750000 D-3756 Apply Online Wastewater - NPDES GENERAL Permit Group

NPDES Application Form 1 - General Information - This is EPA's Application Form 1. It contains general information about the applicant and facility. This form must accompany the NPDES permit application

EPA 3510    

NPDES Application Form 2C - Wastewater Discharge Information - EPA Form 2C is used by existing industrial facilities when reapplying for an NPDES permit. Instructions are included. This form must be accompanied by EPA Form 1, the Location Supplement, and the Sludge Supplement.
Location Supplement for NPDES and ND Permit Applications
Sludge Disposal Supplement for NPDES and ND Permit Applications
Mixing Zone Supplement

EPA 3510-2C    

NPDES Application Form 2D - New Dischargers and New Sources: Application to Discharge Process Wastewater - EPA Form 2D is used by industrial facilities when applying for new discharges or new sources. Instructions are included. This form must be accompanied by EPA Form 1, the Antidegradation Supplement, the Location Supplement, and the Sludge Supplement.
Location Supplement for NPDES and ND Permit Applications
Sludge Disposal Supplement for NPDES and ND Permit Applications
Mixing Zone Supplement

EPA 3510-2D    

NPDES Application Form 2E - Facilities Which Do Not Discharge Process Wastewater - EPA Form 2E is used by facilities which do not discharge process wastewater. Instructions are included.This form must be accompanied by EPA Form 1, the Location Supplement, and the Sludge Supplement.
Location Supplement for NPDES and ND Permit Applications
Sludge Disposal Supplement for NPDES and ND Permit Applications
Mixing Zone Supplement

EPA 3510-2E Apply Online Wastewater Application NPDES
Antidegradation Supplement for NPDES Permit Applications - The Antidegradation Supplement must be filed when an NPDES application is for a new or expanding discharge (including new/increased loadings). D-3590    

NPDES Application Form 2A - New and Existing Publicly Owned Treatment Works - EPA Form 2A is used by municipal facilities when applying for new discharges or new sources. Instructions are included. This form must be accompanied by the Antidegradation Supplement, the Location Supplement, and EPA Form 2S.
Location Supplement for NPDES and ND Permit Applications
Sludge Disposal Supplement for NPDES and ND Permit Applications
Mixing Zone Supplement
Part D-Excel spreadsheet application data

EPA 3510-2A    

NPDES Application Form 2S - New and Existing Treatment Works Treating Domestic Sewage - EPA Form 2S is used by municipal facilities when applying for new discharges or new sources. Instructions are included. This form must be accompanied by the Form 2A and the Location Supplement.
Location Supplement for NPDES and ND Permit Applications

EPA 3510-2S    

Brenda Green - (803) 898-4228 (Domestic)
Crystal Rippy - (803) 898-3964 (Industrial)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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