Application Forms

Closed-Loop Recycle Systems - 15A NCAC 02T .1000

Application Name Form Download
Closed-Loop Recycle Systems CLRS 06-16 DOC
Closed-Loop Recycle System Rescission Request CLRSRR 06-16 PDF
Deemed Permitted Checklist for Closed-Loop Recycle Boat Washing Facilities N/A PDF
Non-Discharge Permit Ownership/Name Change NDPONC 06-16 DOC
Non-Discharge System Renewal NDSR 06-16 DOC

High-Rate Infiltration Systems - 15A NCAC 02T .0700

Application Name Form Download
High Rate Infiltration Systems HRIS 06-16 DOC
Non-Discharge Permit Ownership/Name Change NDPONC 06-16 DOC
Non-Discharge System Renewal NDSR 06-16 DOC

Other Non-Discharge Wastewater Systems - 15A NCAC 02T .0800

Application Name Form Download
Other Non-Discharge Wastewater Systems ONDWWS 06-16 DOC
Non-Discharge Permit Ownership/Name Change NDPONC 06-16 DOC
Non-Discharge System Renewal NDSR 06-16 DOC

Reclaimed Water Systems - 15A NCAC 02U

Application Name Form Download
Reclaimed Water Project Information RWPI 06-16 DOC
  • Bulk Distribution
  RWBD 06-16 DOC
  • Conjunctive Utilization
 RWCU 06-16 DOC
  • Distribution Lines
 RWDL 06-16 DOC
  • Generation
 RWG 06-16 DOC
  • Local Program Approval
 RWLPA 06-16 DOC
  • Non-Conjunctive Utilization
 RWNC 06-16 DOC
  • Wetlands Augmentation
 RWWA 06-16 DOC
General Permit to Discharge Reclaimed Water from Conjunctive Use Reclaimed Water Systems NCG580000 PDF
Non-Discharge Permit Ownership/Name Change NDPONC 06-16 DOC
Non-Discharge System Renewal NDSR 06-16 DOC

Residuals Management - 15A NCAC 02T .1100

  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. If you have any questions regarding this matter, please contact Troy Doby at (919) 807-6336 or email troy.doby@ncdenr.gov. 
Application Name Form Download
Distribution of Class A Residuals DCAR 06-16 DOC
Landowner Agreement LOA 06-16 DOC
Residuals Land Application Program RLAP 06-16 DOC
Surface Disposal of Residuals SDR 06-16 DOC

Single-Family Residence Wastewater Irrigation Systems - 15A NCAC 02T .0600

Application Name Form Download
Single-Family Residence Wastewater Irrigation Systems SFRWWIS 06-16 DOC
Single-Family Residence Wastewater Irrigation Systems Operation & Maintenance Agreement SFRWWIS O&M 08-13 PDF
Single-Family Residence Loading Rate Workbook SFRLRW 11-13 XLS
Non-Discharge Permit Ownership/Name Change NDPONC 06-16 DOC
Non-Discharge System Renewal NDSR 06-16 DOC

Wastewater Irrigation Systems - 15A NCAC 02T .0500

Application Name Form Download
Wastewater Irrigation Systems WWIS 06-16 DOC
Non-Discharge Permit Ownership/Name Change NDPONC 06-16 DOC
Non-Discharge System Renewal NDSR 06-16 DOC

Miscellaneous Documents

Documents Form Download
Coastal Area Map - 15A NCAC 02H .0403 N/A JPG
Developer Operational Agreement DEV 11-17 PDF
Homeowner's Association Operational Agreement HOA 11-17 PDF
Non-Discharge Signature Delegation Authority Letter NDSDAL 11-17 DOC
Non-Discharge Wastewater System Waiver
 NDWSW 03-17 PDF
Watershed Classification Attachment WSCA 08-13 PDF
Operator Designation Form WPCSOCC PDF
 

 

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