Application Forms
Effective October 10, 2023, the Section 18 Session Law 2-23-137 establishes a wastewater design flow rate of 75 gallons per day per bedroom (GPD/BR) for wastewater systems serving two or more dwelling units. This Session Law overrides the 120 GPD/BR requirement in 15A NCAC 02T .0114(b) for all Wastewater Irrigation System (02T .0500), High-Rate Infiltration System (02T .0700), Other Non-Discharge Wastewater System (02T .0800), and Reclaimed Water Dedicated Utilization and Conjunctive Utilization System (15A NCAC 02U) permits issued on or after November 1, 2023.
Use the tabs below to view the application forms and miscellaneous documents.
Electronic Applications are now being accepted!
Notice: The 15A NCAC 02T and 02U Rules have changed. The application forms may reference the old rule citation. For questions regarding the application forms, please contact Nathaniel Thornburg.
Permit Type |
New / Modification3 Application |
Renewal Application |
Ownership / Name Change |
Single-Family Residence System |
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Wastewater Irrigation System |
WWIS-R 02-21 | NDPONC 06-16 | |
High-Rate Infiltration System |
NDPONC 06-16 | ||
Closed-Loop Recycle System |
NDPONC 06-16 | ||
Other Wastewater System |
ONDWWS-R 02-21 | NDPONC 06-16 | |
Reclaimed Water Bulk Distribution |
RWS-R 02-21 | NDPONC 06-16 | |
Reclaimed Water Conjunctive Utilization |
RWS-R 02-21 | NDPONC 06-16 | |
Reclaimed Water Generation |
RWS-R 02-21 | NDPONC 06-16 | |
Reclaimed Water Dedicated (Non-Conjunctive) Utilization |
RWS-R 02-21 | NDPONC 06-16 | |
Reclaimed Water Distribution Lines |
RWS-R 02-21 | NDPONC 06-16 | |
Reclaimed Water Local Program Approval |
RWS-R 02-21 | NDPONC 06-16 | |
Reclaimed Water Wetlands Augmentation |
RWS-R 02-21 | NDPONC 06-16 | |
Residuals Class A Distribution 1, 2 |
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Residuals Land Application Program 1, 2 |
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Residuals Surface Disposal 1, 2 |
1 - The County Manager Notification (Form: CMN) has been updated in accordance with Session Law 2013-340, which is intended to provide the county board an opportunity to comment on proposed residuals land application sites within their county. Accordingly, the form title has been changed to County Board Notification (Form: CBN). The updated form is required prior to the permitting of proposed new fields, and can be found as part of the Form: RLAP (under section V. Land Application Site Certification). Please note that this notification is not required for fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100.
2 - The web location of our Critical Watershed Map has been changed to a permanent location at: Water Supply Watersheds.
3 - For questions about which portions of the application form(s) are required for modifications, please contact Nathaniel Thornburg.
Documents |
Form |
Download |
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Checklist for Boat Washing Operations with Closed-Loop Recycle System |
N/A | ||
Coastal Area Map - 15A NCAC 02H .0403 |
N/A |
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Developer Operational Agreement |
DEV 01-20 |
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General Permit to Discharge Reclaimed Water from Conjunctive Use Reclaimed Water Systems |
NCG580000 | ||
Homeowner's Association Operational Agreement |
HOA 01-20 |
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Operator Designation Form |
WPCSOCC | ||
Setback Waiver Form - Class B Residuals |
NDRMPW-LAS 11-18 | ||
Setback Waiver Form - Residual Treatment/Storage/Disposal |
NDRMPW-ST 11-18 |
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Setback Waiver Form - Wastewater & Reclaimed Water | NDWSW 02-19 | ||
Signature Delegation Authority Letter |
NDSDAL 01-20 |
DOC | |
Watershed Classification Attachment |
WSCA 08-13 |