Application Forms

Electronic applications are now being accepted

NOTICE: The 02T and 02U Rules have changed. The application forms are in the process of being re-done. Until then, please note that all applications submitted after September 1, 2018 must meet the newly revised rules. Links to the rules: 15A NCAC 02T & 15A NCAC 02U.

Application Forms

Permit Type	New / Major Modification Application	Renewal Application	Ownership / Name Change
Single-Family Residence System	SFRWWIS 06-16 SFRWWISO&M 08-13 SFRLRW 11-13	SFRWWIS-R 09-18	NDPONC 06-16
Wastewater Irrigation System	WWIS 06-16	NDSR 09-19	NDPONC 06-16
High-Rate Infiltration System	HRIS 06-16	NDSR 09-19	NDPONC 06-16
Closed-Loop Recycle System	CLRS 06-16	NDSR 09-19	NDPONC 06-16
Other Wastewater System	ONDWWS 06-16	NDSR 09-19	NDPONC 06-16

Reclaimed Water Bulk Distribution	RWPI 06-16 RWBD 06-16	NDSR 09-19	NDPONC 06-16
Reclaimed Water Conjunctive Utilization	RWPI 06-16 RWCU 06-16	NDSR 09-19	NDPONC 06-16
Reclaimed Water Generation	RWPI 06-16 RWG 06-16	NDSR 09-19	NDPONC 06-16
Reclaimed Water Dedicated (Non-Conjunctive) Utilization	RWPI 06-16 RWNC 06-16	NDSR 09-19	NDPONC 06-16
Reclaimed Water Distribution Lines	RWPI 06-16 RWDL 06-16	NDSR 09-19	NDPONC 06-16
Reclaimed Water Local Program Approval	RWPI 06-16 RWLPA 06-16	NDSR 09-19	NDPONC 06-16
Reclaimed Water Wetlands Augmentation	RWPI 06-16 RWWA 06-16	NDSR 09-19	NDPONC 06-16

Residuals Class A Distribution ^{1, 2}	DCAR 06-16	DCAR 06-16
Residuals Land Application Program ^{1, 2}	RLAP 06-16 LOA 06-16	RLAP 06-16 LOA 06-16
Residuals Surface Disposal ^{1, 2}	SDR 06-16	SDR 06-16

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.

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
Signature Delegation Authority Letter	NDSDAL 11-17	DOC
Setback Waiver Form - Wastewater & Reclaimed Water	NDWSW 02-19	PDF
Setback Waiver Form - Class B Residuals	NDRMPW-LAS 11-18	PDF
Setback Waiver Form - Residual Treatment/Storage/Disposal	NDRMPW-ST 11-18	PDF
Watershed Classification Attachment	WSCA 08-13	PDF
Operator Designation Form	WPCSOCC	PDF
General Permit to Discharge Reclaimed Water from Conjunctive Use Reclaimed Water Systems	NCG580000	PDF