Application Forms
Electronic Application Upload
**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.
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 | ||
| Deemed Permitted Checklist for Closed-Loop Recycle Boat Washing Facilities | N/A | ||
| Non-Discharge Permit Ownership/Name Change | NDPONC 06-16 | DOC | |
| Non-Discharge System Renewal | NDSR 09-18 | 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 09-18 | 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 09-18 | DOC | |
Reclaimed Water Systems - 15A NCAC 02U
| Application Name | Form | Download | |
|---|---|---|---|
| Reclaimed Water Project Information | RWPI 06-16 | DOC | |
|
RWBD 06-16 | DOC | |
|
RWCU 06-16 | DOC | |
|
RWDL 06-16 | DOC | |
|
RWG 06-16 | DOC | |
|
RWLPA 06-16 | DOC | |
|
RWNC 06-16 | DOC | |
|
RWWA 06-16 | DOC | |
| General Permit to Discharge Reclaimed Water from Conjunctive Use Reclaimed Water Systems | NCG580000 | ||
| Non-Discharge Permit Ownership/Name Change | NDPONC 06-16 | DOC | |
| Non-Discharge System Renewal | NDSR 09-18 | DOC | |
Residuals Management - 15A NCAC 02T .1100
- 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.
- 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 | ||
| Single-Family Residence Loading Rate Workbook | SFRLRW 11-13 | XLS | |
| Non-Discharge Permit Ownership/Name Change | NDPONC 06-16 | DOC | |
| Non-Discharge System Renewal | SFRWWIS-R 09-18 | 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 09-18 | DOC | |
Miscellaneous Documents
| Documents | Form | Download | |
|---|---|---|---|
| Coastal Area Map - 15A NCAC 02H .0403 | N/A | JPG | |
| Developer Operational Agreement | DEV 11-17 | ||
| Homeowner's Association Operational Agreement | HOA 11-17 | ||
| Non-Discharge Signature Delegation Authority Letter | NDSDAL 11-17 | DOC | |
|
Non-Discharge Wastewater System Waiver
|
NDWSW 03-17 | ||
| Watershed Classification Attachment | WSCA 08-13 | ||
| Operator Designation Form | WPCSOCC | ||
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