FORMS: Applications, Registration, Reporting, Etc

 

Bureau of Air Quality

Air Permitting - Construction Application

For sources requesting to install new or modify existing equipment. Forms D-2566, D-2567, D-2569, D-2570, D-2573 and any information required by these forms or instructions should be included in order for a construction permit application to be complete.

Form Name DHEC Form #
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
Facility Information - Identifies the facility's legal name, physical address, primary products or services, and establishes the air permit point of contact, as well as the Owner or Operator for the facility. D-2566
Equipment / Processes - Identifies the equipment and processes along with associated control devices that will be added, removed or modified at the facility, including the size and type along with the make and model, and any associated emission points. (Form D-2568 has been combined with form D-2567) D-2567
Emissions - Provides before and after emissions and a "Summary of Projected Change in Facility Wide Potential Emissions" calculated at maximum design capacity. D-2569
Regulatory Review - Provides a complete regulatory review of all applicable and non-applicable state and federal regulations. D-2570
Emission Point Information Form - Provides Source Dispersion Parameters for any new sources or any revised sources. D-2573
Application Revision Request - Identifies the Construction Permit Application Forms that have been amended are being resubmitted for review of the proposed revision to the original construction permit. D-2571

For more information about construction permits and for who to contact with questions, please visit the Air Quality Construction Permits Website.

 

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

Form Name DHEC Form #
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
Facility Information Update - For use by all facilities to update general facility information (Physical Address, Facility Name, Contact Information, etc.). D-2959
Transfer of Ownership / Operation - For use by all facilities to transfer ownership of air quality permits. D-2954
Air Permit Cancellation - For use by existing permitted sources to request cancellation of all air permits due to facility closure. D-2374
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
Facility Relocation Application - For use by existing permitted sources to request permission for relocation of the permitted source. D-0662
Exempt Source Log - Used to identify activities/sources that the BAQ has exempted from construction permitting requirements. D-0721
On-site Implementation Log - Used to document all activities allowed under the permit flexibility condition found in your BAQ operating permit. D-0722
Operating Ranges - For use by existing permitted sources to submit required operating permit ranges in accordance with issued permits. D-0304
Quarry On-Site Implementation Log - Used by quarry operations to document all activities allowed under the permit flexibility condition found in the BAQ quarry general operating permits. D-3229
OOO Notification/Operating Permit Request - Used by quarry operations to submit notifications for like replacement of equipment as required by 40 CFR 60 Subpart. D-3230

For more detailed information about these forms contact Phyllis Copeland at (803) 898-0415.

 

Air Permitting - Operating Permit Applications

Form Name DHEC Form #
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 operSating permit under SC Regulation 61-62.1 prior to a Title V permit being issued. D-2574
State Operating and Conditional Major Permit Renewal Application- For use by facilities requesting renewal of their State or Conditional Major Operating Permit. D-2955

Title V Application (New and Renewal)

Form Name DHEC Form #
Facility Information - General information needed to identify the applicant. D-2937
Emission Unit, Equipment and Processes - For use in relating all of the equipment at the facility with the appropriate emission units, control equipment, and process information. D-2940
Facility Wide Raw Materials and Products - For use in listing all the information on the raw materials, products, and production at the facility. D-2942
Facility Wide Emissions - For use in listing all facility wide total emissions information. D-2943
Insignificant Activity Equipment - For use in listing all the information on the insignificant activity equipment at the facility. The South Carolina approved Insignificant Activities List can be found here or contact BAQ. D-2944
Regulatory Information - For use in identifying and listing all limitations and requirements of federal and state applicable regulations and construction permits associated with each emission unit. D-2946
Permit Shield - For use in requesting a permit shield per S.C. Regulation 61-62.70. D-2948
2013 Revisions to Title V Application Forms: Questions and Answers (pdf) - This document was designed to answer questions brought up by the permit engineering staff, industry, and consultants concerning the Title V application forms. ------

Title V Modification

Form Name DHEC Form #
Minor Permit Modification - For use when modifying a Title V Operating Permit via a Minor Modification. D-2949
502(b)(10) Permit Change - For use when requesting a 502(b)(10) change in accordance with Federal and State Regulations. D-2950
Designated Responsible Official (RO) - For use by Title V sources to add additional designated RO(s), to remove an RO, or for changes to any current RO(s). D-2951
Administrative Permit Amendment - For use when modifying a Title V Operating Permit via an Administrative Amendment. (i.e. correction of typographical errors, more frequent monitoring, record keeping, or reporting requirements, and revisions to state only requirements or standards). D-2938
Significant Modifications ------

For more information about construction permits and for who to contact with questions, please visit the Air Quality Operating Permits Website.

Title V Annual Compliance Certification (TVACC)

Form Name DHEC Form #
Title V Annual Compliance Certification (Instructions) - required annual certification from Title V permitted facilities to list deviations from the terms or conditions in their Title V permits. D-3650

For more information or questions about our forms, please visit the Compliance Reporting website or contact Dawn Jordan at (803) 898-4075.

 

Air Permitting - Registration and General Permit Applications

Form Name DHEC Form #
Registration Permit Application Form for Temporary Crushing and Screening Operations D-3976
Registration Permit Request for Auto Body Refinishing Shops - Used to request coverage under a Registration Permit for auto body shops. D-2089
Registration Permit Application for Cotton Ginning Operations - Used to request coverage under a Registration Permit for cotton ginning operations. D-2344
Registration Permit Application for Crematory Operations - Used to request coverage under a Registration Permit for crematory operations. D-0131
Registration Permit Application for Fuel Combustion Operations - Used to request coverage under a Registration Permit for fuel combustion operations. D-2958
Registration Permit Application for Sawmill Operations - Used to request coverage under a Registration Permit for Sawmill Operations. D-2648
Registration Permit Application for Wood Working Operations (Flowchart) Used to request coverage under a Registration Permit for wood working operations. D-0872
General Permitting for Concrete Plants - Used to request coverage under any of the General Concrete Permits. D-2068
Relocation Application for Concrete Plants Used to request relocation of concrete plant D-2639

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

 

Asbestos - Demolition and Renovation Application Forms

Form Name DHEC Form #
Demolition License Application - for the notification of regulated demolition projects. D-3428
Asbestos Abatement Project License Application - for the notification of regulated asbestos abatement projects. D-3430
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
Waste Shipment Record - for the documentation of asbestos-waste transport and disposal. D-3688

For more detailed information about Asbestos Forms, visit the Asbestos Contacts and Forms website or contact Marc McKenna at (803) 898-4270.

 

Asbestos - Disposal Authorization Forms

Form Name DHEC Form #
Notification of Non-Friable Asbestos Abatement Project - for obtaining disposal authorization to transport nonregulated asbestos-containing materials to a DHEC approved landfill. D-3654
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
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
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 Contacts and Forms website or contact Marc McKenna at (803) 898-4270.

 

Asbestos - Abatement License Forms

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

For more detailed information about Asbestos Forms, visit the Asbestos Contacts and Forms website or contact Marc McKenna at (803) 898-4270.

 

Asbestos - Training

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

 

Emissions Inventory

Form Name DHEC Form #
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
Electronic Signature Agreement - This form must be submitted to allow access for data entry in DHEC's electronic inventory system, SLEIS. All persons who are to enter data into the system must be noted on the form. It must be signed by the responsible official at the facility and mailed to the Manager of the Emissions Inventory Section. D-1040

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

 

Ground-level Ozone Nonattainment Areas: Reporting Requirements

Form Name DHEC Form #
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

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

 

Maximum Achievable Control Technology (MACT)

Form Name DHEC Form #
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

 

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

For more information or questions about our forms, please visit the Compliance Reporting website or contact Dawn Jordan at (803) 898-4075.

 

SC Clean Air Interstate Rule (CAIR) Programs / NOX SIP Call

Form Name DHEC Form #
CAIR Permit Application - identifies the facility, name the facility's authorized CAIR account representatives, list the facility's affected emission units, and identify the SC CAIR programs the affected emissions units are subject to. D-2069
CAIR Permit Application Instructions - Instructions for filling out a CAIR Permit Application D-2069 Instructions

For more information please visit our CAIR website or contact Sheila Watts at (803) 898-1161.

 

Source Evaluation/Stack Testing

Form Name DHEC Form #
Site-Specific Test Plan/Final Report Checklist - 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. ------

For more information about source evaluation, contact Michael Shroup at (803) 898-4051.

 

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, 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 D-1740
Application for License to Construct or Clean Onsite Wastewater Systems and Self-Contained Toilets D-1777

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

 

Health care Facilities Licensing

Health care Facilities Licensing

Form Name DHEC Form #
All Health care 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 #
Well Monitoring Application - 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)-898-0919

 

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 Dry Cleaning 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 ------
Introduction to the South Carolina Notifications of Regulated Waste Activity Form - Introduction and basic generators information for the Notification of Regulated Waste Activity ------
Notification of Regulated Waste Activity Form (Instructions) - The Notification and Reporting Form is used by companies that are required under the South Carolina Hazardous Waste Management Regulations, 6I-79.262.13, 263.13, 264.5 and 265.5 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 #). D-2701
Introduction to Hazardous Waste Reports - Introduction and basic generators information for the Notification and the Hazardous Waste Reports ------
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 (Instructions) - "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
RCRA Part A Permit Application - Instructions and Forms - RCRA Part A Permit Application - Instructions and Forms EPA 8700-23
Waste Minimization Report - Waste Minimization Report - Large Quantity Generators are Required to Submit D-3446

For more information or questions about Regulated Waste Activity, Hazardous Waste Transporters, and Hazardous Waste Reporting Forms, please contact Lillian McFadden at (803) 898-0486.

 

Infectious Waste

Form Name DHEC Form # e-Permissions
Checklist for Infectious Waste Management Plan Review - Checklist for Infectious Waste Management Plan Review ------ -
Infectious Waste Generator Registration - Infectious Waste Generator Registration D-1999 Infectious Waste Generator Registration
Infectious Waste Transporter Registration - Infectious Waste Transporter Registration D-3408 Infectious Waste Transporter Registration
Infectious Waste Transporter Certificate of Insurance - Infectious Waste Transporter Certificate of Insurance D-3407 -
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 -

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 #
Annual Report SW Mgt WT Collection, Processing & Disposal Facilities D-2718

South Carolina Solid Waste Transfer Stations Annual Report (07/2014)

Instructions

D-1350

Class -1 Landfill Annual Report Form

Instructions

D-1342

Class -2 Landfill Annual Report Form

Instructions

D-1321

Class-3 Landfill Annual Report Form

Instructions

D-3122

Composting / Wood Chipping Facility Annual Report Form

Instructions

D-1343
Lead Acid Battery Facilities Registration Form - Lead Acid Battery Facilities Registration Form D-2733

SW Incineration and Pyrolysis Annual Report Form

Instructions

D-1272

SW Processing Facility Annual Report Form

Instructions

D-1331

SW Used Oil Transporters - Transfer Station Annual Report Form

Instructions

D-1317
Used Oil Collection Center and Aggregation Point - Used Oil Collection Center and Aggregation Point ------
Used Oil Transporter Registration Instructions - Used Oil Transporter Registration Instructions ------
Used Oil Transporter and Transfer Facility Registration - Used Oil Transporter and Transfer Facility Registration D-2716
Used Oil Transporter Certificate of Insurance - Used Oil Transporter Certificate of Insurance D-2717
Waste Tire Hauler Annual Report Form - S.C. Waste Tire Hauler Annual Report Form ------
Waste Tire Hauler Registration - WTP D-2735
Waste Tire Hauler Manifest - WTP 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 Marty Lindler at (803) 898-0456

 

Solid Waste Permitting

Form Name DHEC Form #
Application for Permit to Construct a Solid Waste Management System - Application for Permit to Construct a Solid Waste Management System D-1932
Application for Registration or Permit to Land Apply - Application for Registration or Permit to Land Apply D-3568
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
Application for Permit to Construct a Solid Waste Tire Facility - Application for Permit to Construct a Solid Waste Tire Facility D-3571
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
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

For more information or questions about Solid Waste Permitting, please contact Joan Litton at (803) 898-1337

 

Underground Storage Tanks - Assessment and Corrective Action Section

Form Name DHEC Form #
Analytical Methodology - Analytical Methodology ------
Appendix A - Standard Field Cleaning (Decontamination) Procedures - Appendix A - Standard Field Cleaning (Decontamination) Procedures ------
Assessment Component Cost Agreement 6/15/17 D-2795
Assessment Component Invoice and Instructions 6/15/17 D-0728A
Certified Contractors ------
Active Correction Action (ACA) pre - 8/1/2012 ------
Active Correction Action (ACA) Invoice Free Product Only D-0426
Dissolve Clean-Up (CA) Invoice - Dissolve Clean-Up (CA) Invoice D-3728
Field Data Sheet - Gauging D-0424
Field Data Sheet - Sampling D-2540
Free Product Dissolve Clean-UP (CA) Invoice - Free Product Dissolve Clean-UP (CA) Invoice D-3868
Initial Groundwater Assessment Invoice - Initial Ground Water Assessment Invoice D-3666
Owner/Operator Contractor Selection Form D-3244
Quality Assurance Program Plan - Quality Assurance Program Plan ------
Contractor's Addendum, Quality Assurance Program Plan - Contractor's Addendum, Quality Assurance Program Plan ------
Request for Review - Request for Review D-3668
Site Rehabilitation Contractor Certification Application - Site Rehabilitation Contractor Certification Application D-3499
Site-Specific Work Plan D-0653
Slug Test - Slug Test D-3531
SUPERB Allowable costs June 15, 2017 ------
Tier I Assessment Invoice - Tier I Assessment Invoice D-3665
Well Development Data Verfication Form Underground Storage Tank Management Division D-2099
Well Installation or Boring Invoice 8/16/16 D-0725A

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
Class A/B Operator Log - Class A/B Operator Log D-2213
Financial Responsibility Mechanisms Information Sheet - Financial Responsibility Mechanisms Information Sheet ------
List of Insurance Agencies - List of Insurance Agencies ------
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
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
Containment Sump Integrity Testing Form - Containment Sump Integrity Testing Form D-3183
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 #
Frequently Asked Questions - DHEC 3660, 3661, 3662, 3657, 3658, 3659 ------
Generator's Knowledge Certification - Generator's Knowledge Certification ------
RCRA & SW - TCLP Metals - Microsoft Excel needed to open spreadsheets D-3657
Industrial RCRA - TCLP Volatiles - Microsoft Excel needed to open spreadsheets D-3658
Industrial RCRA & SW - TCLP Semi-Volatiles - Microsoft Excel needed to open spreadsheets D-3659
Industrial Inorganic TCLP/R.61-58.5 - Microsoft Excel needed to open spreadsheets D-3660
Industrial Volatile TCLP/R.61-58.5 - Microsoft Excel needed to open spreadsheets D-3661
Industrial Semi-Volatile TCLP/R.61-58.5 - Microsoft Excel needed to open spreadsheets D-3662
Industrial RCRA - TCLP Metals - Microsoft Excel needed to open spreadsheets D-3667
Analyte Batch Report and Concentrations - Microsoft Excel needed to open spreadsheets D-3732
Cross Reference Report for QA and Analyte - Microsoft Excel needed to open spreadsheets D-3733
Land Application - Microsoft Excel needed to open spreadsheets D-3734
Simple Random Sampling Method for Hazardous Waste - Microsoft Excel needed to open spreadsheets D-3782
Instructions for Simple Random Sampling Method for Hazardous Waste D-3782
Stratified Random Sampling Method - Microsoft Excel needed to open spreadsheets D-3783
Instructions for Statistical Analyses for Random Simple and Stratified Sampling - Instructions for Statistical Analyses for Random Simple and Stratified Sampling D-3782, 3783
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 Steve Burdick at (803) 898-1317.

 

Ocean and Coastal Resource Management

Critical Area/Wetlands Permitting - Forms

Form Name DHEC Form #
Beachfront Notification Form D-3896

Coastal Zone Consistency - Policy Group Checklists

D-0479 - D-0492
Construction Placard Request Form D-3911
Critical Area Line Setting Request D-3902
Critical Area Permit Application D- 3898
General Coastal Zone Consistency Request Form D-0352
General Permit Application D-3903
Request to Amend a Critical Area Permit D-3897
Request for Maintenance and Repair Authorization D-3899
Permit Assignment/Transfer Form D-3900
Request to Extend a Critical Area Permit D-3901
State Coastal Zone Consistency Request Form D-0478

Bureau of Water

Agricultural Facilities

Form Name DHEC Form #
Burial Site Request - Daily & Mass Burial Site Request Form D-2622
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 ------

Chuck Williams, Section Manager - (803) 898-3112

 

Dams

Form Name DHEC Form #
Application to Construct or Alter a Dam - Application to Construct or Alter a Dam D-2602
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 #
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

Rich Welch - (803) 898-3546 (Plants/Treatment)
Bridget Clarke - (803) 898-4239 (Lines)

 

Groundwater Monitoring

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

Chris Wargo - (803) 898-2893

 

(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 ------

Bruce Crawford - (803) 898-4177

 

Groundwater Use and Capacity Use

Form Name DHEC Form #
Groundwater Withdrawal Permit Application - Applicable for groundwater withdrawals exceeding 3 million gallons in any given month in a Designated Capacity Use Area D-2504
Groundwater Withdrawal Renewal Permit Application - Applicable for groundwater withdrawals exceeding 3 million gallons in any given month in a Designated Capacity Use Area D-3581
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
Water Use Registration - Applicable for groundwater withdrawals exceeding 3 million gallons in any given month in the Piedmont Region D-3764
Capacity Use Program Permitting - Permitting guide for groundwater withdrawal in Designated Capacity Use Areas ------

Alex Butler - (803) 898-3575
Amira Berezowska - (803) 898-3575

 

Navigable Waters

Form Name DHEC Form #
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

Chuck Hightower - (803) 898-0369
Heather Preston - (803) 898-3105

 

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

Alex Butler - (803) 898-3575
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 for Direct Equipment/Material Purchases - Used to certify that all iron and steel products used in an SRF project are produced in the US, unless granted a waiver. 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
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-2558

Lynne I. Lasalle - (803) 898-4395
Charles Gorman - (803) 898-3993

 

Stormwater - NPDES

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

Dale Stoudemire - (803) 898-4209

 

Wastewater - Construction

Form Name DHEC Form #
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
Industrial Wastewater Facility Closure Form D-1795

Bridget Clarke - (803) 898-4239 (Lines)
Kyle Maurer - (803) 898-4228 (Facilities)

 

Wastewater - ND Permits

Form Name DHEC Form #
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 ----
Sludge Disposal Supplement for NPDES and ND Permit Applications - To provide details about sludge management proposed from the applicable wastewater treatment system. ----
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

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

 

Wastewater - NPDES

Form Name DHEC Form #
Notice of Intent (NOI) - Discharges Associated with Hydroelectric Generating Facilities - NPDES General Permit #SCG360000 D-2239
Notice of Intent (NOI) - Potable Water Treatment Plants (SCG646000) - General permit coverage for discharges from water treatment systems D-1813
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
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
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
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
Notice of Intent (NOI) - Vehicle Wash Water: Discharges From Vehicle Wash Water Discharges - NPDES General Permit #SCG750000 D-3756
Consolidated Permits Program - 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
Consolidated Permits Program - 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
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
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
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
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
Sludge Loading Worksheet D-0874
EPA Form 2S - 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

Kyle Maurer - (803) 898-4228 (Domestic)
Crystal Rippy - (803) 898-3964 (Industrial)

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