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.

Tab/Accordion Items

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	SFRWWIS 06-16 SFRWWISO&M 08-13 SFRLRW 11-13	SFRWWIS-R 02-21	SFRWWIS-CO 03-21
Wastewater Irrigation System	WWIS 06-16	WWIS-R 02-21	NDPONC 06-16
High-Rate Infiltration System	HRIS 06-16	HRIS-R 02-21	NDPONC 06-16
Closed-Loop Recycle System	CLRS 06-16	CLRS-R 02-21	NDPONC 06-16
Other Wastewater System	ONDWWS 06-16	ONDWWS-R 02-21	NDPONC 06-16

Reclaimed Water Bulk Distribution	RWPI 06-16 RWBD 06-16	RWS-R 02-21	NDPONC 06-16
Reclaimed Water Conjunctive Utilization	RWPI 06-16 RWCU 06-16	RWS-R 02-21	NDPONC 06-16
Reclaimed Water Generation	RWPI 06-16 RWG 06-16	RWS-R 02-21	NDPONC 06-16
Reclaimed Water Dedicated (Non-Conjunctive) Utilization	RWPI 06-16 RWNC 06-16	RWS-R 02-21	NDPONC 06-16
Reclaimed Water Distribution Lines	RWPI 06-16 RWDL 06-16	RWS-R 02-21	NDPONC 06-16
Reclaimed Water Local Program Approval	RWPI 06-16 RWLPA 06-16	RWS-R 02-21	NDPONC 06-16
Reclaimed Water Wetlands Augmentation	RWPI 06-16 RWWA 06-16	RWS-R 02-21	NDPONC 06-16

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

3 - For questions about which portions of the application form(s) are required for modifications, please contact Nathaniel Thornburg.

Documents	Form	Download
Checklist for Boat Washing Operations with Closed-Loop Recycle System	N/A	PDF
Coastal Area Map - 15A NCAC 02H .0403	N/A	JPG
Developer Operational Agreement	DEV 01-20	PDF
General Permit to Discharge Reclaimed Water from Conjunctive Use Reclaimed Water Systems	NCG580000	PDF
Homeowner's Association Operational Agreement	HOA 01-20	PDF
Operator Designation Form	WPCSOCC	PDF
Setback Waiver Form - Class B Residuals	NDRMPW-LAS 11-18	PDF
Setback Waiver Form - Residual Treatment/Storage/Disposal	NDRMPW-ST 11-18	PDF
Setback Waiver Form - Wastewater & Reclaimed Water	NDWSW 02-19	PDF
Signature Delegation Authority Letter	NDSDAL 01-20	DOC
Watershed Classification Attachment	WSCA 08-13	PDF

Non-Discharge Branch