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May 22, 2023

FORMS: Applications, Registration, Reporting, Etc

Please visit the Permitting Contacts page.

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

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

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

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

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

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

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

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

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

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.

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.

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.

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

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

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

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

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

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

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

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

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.

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

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

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

Class -1 Landfill Annual Report Form

Class -2 Landfill Annual Report Form

Class-3 Landfill Annual Report Form

Composting / Mulch Production Facility Annual Report Form

SW Incineration and Pyrolysis Annual Report Form

SW Processing Facility Annual Report Form

Used Oil Transporters - Transfer Station Annual Report Form

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

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

Site Rehabilitation Contractor Certification Application

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

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

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

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

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.

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

John McCain - (803) 898-8178

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.

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

Dusty Leypoldt - (803) 898-4312

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

Courtney Milledge - (803) 898-5609

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

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

Shawn Clarke - (803) 898-3544

Greg Withycombe - (803) 898-3232

Luke Abel - (803) 898-4255

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

Apply Online

Isiah Glover - (803) 898-4005

Adam Cannon - (803) 898-4160

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

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

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

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

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

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

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

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

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

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

.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.Compliance Reporting websiteCovered Electronic Devices Manufacturer Registration (D-2425)"Generation and On-Site T,S,D,R"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."Waste Shipped Off-Site for T,S,D,R""Off-Site Facility Report"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.This form is never required to be completed by those companies who submit an Annual Declaration.NPDESCritical Area Permit ApplicationCritical Area Line Setting RequestConstruction Placard Request FormRequest to Amend a Critical Area PermitRequest to Extend a Critical Area PermitPermit Assignment/Transfer FormGeneral Permit ApplicationBeachfront Notification FormRequest for Maintenance and Repair Authorization Except Construction
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