Paper applications for Title V sources will no longer be accepted after January 1, 2024. All submissions should be submitted through ePermitting. This includes permit applications, reports, source testing etc.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Expedited Review Request Form - Air Quality Construction Permits - Request for submittal of construction applications into the Expedited Review Program PSD - Modifications Expedited Fee Memo | D-2212 | Apply Online |
| Construction Permit Application - For sources requesting to install new or modify existing equipment. | D-2566 | Apply Online |
| Emission Point Information Form - Provides Source Dispersion Parameters for any new sources or any revised sources. | D-2573 | Apply Online |
For more information about construction permits, please visit the Air Quality Construction Permits page.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Registration Permit Application Form for Temporary Crushing and Screening Operations | D-3976 | Apply Online |
| Registration Permit Request for Auto Body Refinishing Shops | D-2089 | Apply Online |
| Registration Permit Application for Cotton Ginning Operations | D-2344 | Apply Online |
| Registration Permit Application for Crematory Operations | D-0131 | Apply Online |
| Registration Permit Application for Fuel Combustion Operations | D-2958 | Apply Online |
| Registration Permit Application for Gasoline Dispensing Operations | D-4265 | Apply Online |
| Registration Permit Application for Wood Working Operations (Flowchart) | D-0872 | Apply Online |
For more detailed information about the registration permits visit the Air Quality General and Registration Permits webpage.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| General Permit Application for Asphalt Plants - Used to request coverage under any of the General Asphalt Permits. | D-4111 | Apply Online |
| General Permit Application for Concrete Plants - Used to request coverage under any of the General Concrete Permits. | D-2068 | Apply Online |
| Relocation Application for Concrete Plants - Used to request relocation of concrete plant | D-2639 | Apply Online |
For more detailed information about the general permits visit the Air Quality General and Registration Permits websites.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Start of Construction Notification - Identifies all of the equipment and control devices, as listed in the original construction permit, for which construction has started. | D-2572 | Apply Online |
| Facility Information Update - For use by all facilities to update general facility information and to transfer operating or construction permits to a new owner (Physical Address, Facility Name, Contact Information, etc.). | D-2959 | Apply Online |
| Air Permit Cancellation - For use by existing permitted sources to request cancellation of all air permits due to facility closure. | D-2374 | Apply Online |
| Low NOX Burner Assembly Replacement Notification- For notifying the Bureau of Air Quality (BAQ) that the facility is replacing an existing burner assembly per SC Regulation 61-62.5, Standard 5.2. | D-2935 | Apply Online |
| Facility Relocation Application - For use by existing permitted sources to request permission for relocation of the permitted source. | D-0662 | Apply Online |
| Operating Ranges - For use by existing permitted sources to submit required operating permit ranges in accordance with issued permits. | D-0304 | Apply Online |
For more detailed information about these forms contact Permit Writer on Call at (803) 898-4123.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Operating Permit Request - Used to request Operating Permit, to modify an existing operating permit, to notify BAQ of initial start-up of equipment, and to certify that construction was performed per an issued construction permit. This form can be used by a Title V facility to request an operating permit under SC Regulation 61-62.1 prior to a Title V permit being issued. | D-2574 | Apply Online |
| State Operating and Conditional Major Permit Renewal Application- For use by facilities requesting renewal of their State or Conditional Major Operating Permit. | D-2955 | Apply Online |
Paper applications for Title V sources will no longer be accepted after January 1, 2024. All submissions should be submitted through ePermitting. This includes permit applications, reports, source testing etc.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Air Permitting - Title V | --- | Apply Online |
| Air Permitting - Title V Renewal | --- | Apply Online |
| The South Carolina approved Insignificant Activities List can be found here. | --- | --- |
Paper applications for Title V sources will no longer be accepted after January 1, 2024. All submissions should be submitted through ePermitting. This includes permit applications, reports, source testing etc.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Air Permitting - Title V Modification | --- | Apply Online |
| Air Permitting - Title V 502(b)(10) Modification (Form can be found as an as needed schedule.) | --- | Apply Online |
For more information about operating permits please visit the Air Quality Operating Permits webpage.
Paper applications for Title V sources will no longer be accepted after January 1, 2024. All submissions should be submitted through ePermitting. This includes permit applications, reports, source testing etc.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Air - TMS - TV Annual Compliance Certification - required annual certification from Title V permitted facilities to list deviations from the terms or conditions in their Title V permits. | --- | Apply Online |
For more information or questions about our forms, please visit the Compliance Reporting webpage or contact Brittany Staples at (803) 898-3891.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Demolition License Application - for the notification of regulated demolition projects. | D-3428 | Apply Online |
| Asbestos Abatement Project License Application - for the notification of regulated asbestos abatement projects. | D-3430 | Apply Online |
| Abatement Project Quarterly Report - for the quarterly reporting of small-scale abatement projects by facilities holding a Group License (i.e., Industrial Manufacturing & Electrical Generating Facilities). | D-3575 | Apply Online |
| Waste Shipment Record - for the documentation of asbestos-waste transport and disposal. Please submit this as a schedule on your existing removal permit | ------ | Submit Online |
For more detailed information about Asbestos Forms, visit the Asbestos Resources page or contact Jennifer Boryk at (803) 898-2634.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Notification of Non-Friable Asbestos Abatement Project - for obtaining disposal authorization to transport nonregulated asbestos-containing materials to a DHEC approved landfill. | D-3654 | Apply Online |
| Notification of Residential Non-Friable Asbestos Abatement Project - for obtaining disposal authorization to transport nonregulated asbestos-containing materials removed from a nonregulated residence to a DHEC approved landfill. | D-3653 | Apply Online |
| Temporary Asbestos Storage Containment Area License Application - for obtaining authorization to temporarily store waste from Small and Minor projects at a specified location by Non-industrial Facilities and Asbestos Abatement Contractors. | D-3423 | Apply Online |
| Temporary Asbestos Storage License Application Directions - directions for completing the Temporary Asbestos Storage Containment Area License application. | ------ | ------ |
For more detailed information about Asbestos Forms, visit the Asbestos Resources page or contact Jennifer Boryk at (803) 898-2634.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Asbestos Abatement License Application - for obtaining personnel and contractor licensing for disciplines described here. | D-2925 | Apply Online |
| Application Form for Asbestos Group License - for obtaining Industrial Group Licenses or Non-industrial Facility Operations & Maintenance (O & M) Licenses. | D-3422 | Apply Online |
For more detailed information about Asbestos Forms, visit the Asbestos Resources page or contact Jennifer Boryk at (803) 898-2634.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Application for Asbestos Training Course Approval (pdf) - for seeking DHEC approval to conduct asbestos training in South Carolina. | D-3895 | Apply Online |
| Application for Asbestos Instructor Approval (pdf) - for any individual seeking approval as an instructor for any asbestos course discipline regulated by DHEC. | D-3894 | Apply Online |
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Emission Inventory Point Source Data Report - DHEC has developed and now requires Emissions Inventories to be performed and submitted using SLEIS. Use of this form to report an Emissions Inventory is only allowed at the request of or with the written permission of the Emissions Inventory Section of DHEC's Bureau of Air Quality. | D-1904 | Apply Online |
For more detailed information about performing an emission inventory or HAP Emission Summary, visit the Emissions Inventory webpage or contact Chad Wilbanks at (803) 898-4106.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Emissions Statement Reporting Form - Section 182(a)(3)(B) of the Clean Air Act requires South Carolina's State Implementation Plan (SIP) to contain a requirement for all owners or operators of stationary sources located in a nonattainment area that emit either NOX or VOC to submit a statement of actual emissions annually. | D-1216 | Apply Online |
For more detailed information about Emissions Statement Reporting Form, please visit the Reporting Requirements for Ground-level Ozone Nonattainment Areas webpage or contact Chad Wilbanks at (803) 898-4106.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Ongoing Compliance Report, Subpart N - 40 CFR Part 63, Subpart N: National Emission Standards for Chromium Emissions from Hard and Decorative Chromium Electroplating and Chromium Anodizing Tanks | D-2909 | Apply Online |
The following forms were created to assist facilities with reporting required by construction or operating permits. Use of these forms is not mandatory. These forms are intended for guidance purposes only and may not be applicable to all facilities. Some forms require manipulation so that spreadsheets represent materials used at your facility.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Deviation/Incident Log | D-2228 | Apply Online |
| Deviation/Incident Reporting Form (Instructions) | D-2227 | Apply Online |
| VOC Emissions Calculation Worksheet (Instructions) | D-2226 | Apply Online |
| VOC Emissions Reporting Form (Instructions) | D-2225 | Apply Online |
| Visual Inspection Log | D-2224 | Apply Online |
| Visual Inspection Log for Abnormal Emissions | D-2223 | Apply Online |
| Visual Inspection Reporting Form | D-2222 | Apply Online |
| Parameter Log | D-0924 | Apply Online |
| Operation & Maintenance Log | D-0925 | Apply Online |
For more information or questions about our forms, please visit the Compliance Reporting webpage or contact Brittany Staples at (803) 898-3891.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Site-Specific Test Plan Outline - Prior to conducting a source test subject to Regulation 61-62.1 Section IV, the owner or operator are required to submit a site-specific test plan detailing all source testing methods to be used at a permitted facility. | ------ | Apply Online |
For more information about source evaluation, contact Michael Verzwyvelt at (803) 898-1789.
| Form Name | DHEC Form # |
|---|---|
| Application for Retail Food Establishment Permit - Apply to operate retail food establishment | D-1769 |
| File a Food Safety Complaint - Use this online form to file a food safety complaint about a South Carolina Food Service | D-1218 |
| Permit Amendment - Apply to operate retail food establishment | D-1716 |
| Event Authorization Application - Apply to operate retail food establishment | D-1717 |
Bureau of Environmental Health Services, Division of Food Protection - Phone: (803) 896-0640 Fax: (803) 896-0645.
| Form Name | DHEC Form # |
|---|---|
| Application for Permit to Construct an Individual Sewage Treatment and Disposal System | Apply Online |
| Application for License to Construct or Clean Onsite Wastewater Systems and Self-Contained Toilets | D-1777 |
Bureau of Environmental Health Services, Onsite Wastewater Management Division - Phone: (803) 896-0640 Fax: (803) 896-0645.
| Form Name | DHEC Form # |
|---|---|
| Application for Laboratory Certification- Use this form to apply for DHEC laboratory certification | D-2802 |
| Instructions for Completing Laboratory Certification Application- Instructions for Form D-2802 | D-2802i |
| Chlorite Analysis form (pdf) - This form is designed for laboratories performing chlorite and/or chlorine dioxide analyses. | ---- |
| Colilert-18® Fecal Coliform QC Form (pdf) - This is an example form for performing media quality control checks with pure cultures for fecal coliform analyses. | ---- |
| Colilert® QC Form (pdf) - This is an example form for performing media quality control checks with pure cultures for total coliform/E. coli analyses. | ---- |
| Colilert Quanti-Tray® Total Coliform/E. coli MPN Form (pdf) - This form is designed for laboratories performing total coliform/E. coli MPN analyses using the Quanti-Tray®. | ---- |
| Colilert-18 Quanti-Tray® Fecal Coliform MPN Form (pdf) - This form is designed for laboratories performing fecal coliform MPN analyses using the Quanti-Tray®. | ---- |
| Enterococci Medium Quality Control Record (08/05) (pdf) - This is an example record that the laboratory may use to record the quality control checks performed on the medium. | ---- |
| Enterolert© Sample Analysis Form (10/06) (pdf) - This is a form that laboratories may use when recording enterolert© results. | ---- |
| Initial Demonstration of Capability (IDOC) form (pdf) - This form is designed for laboratories performing organic analyses. The form includes all required information to make the necessary review possible. Please ensure that when applying for certification, the IDOC studies submitted include all of the information included on this form. | ---- |
| Method Detection Limit (MDL) form (pdf) - This form is designed for laboratories performing organic analyses. The form includes all required information to make the necessary review possible. Please ensure that when applying for certification, the MDL studies submitted include all of the information included on this form. | ---- |
| Spore Ampule Sterilization Confirmation (pdf) - This is an example form for performing spore ampule sterilization checks on the autoclave. | ---- |
Bureau of Environmental Health Services, Office of Laboratory Certification - Phone: (803) 896-0970 Fax: (803) 896-0850.
| Form Name | DHEC Form # |
|---|---|
| All Healthcare Facility Forms | ------ |
For additional information, contact: Division Director Gwendolyn Thompson - (803) 545-4370
| Form Name | DHEC Form # |
|---|---|
| Monitoring Well Approval - Apply for a well location and parameters to be monitored. | D-3736 |
For more information or questions about Groundwater Monitoring Wells, please contact Robert Cole at (803)-898-0802
| Form Name | DHEC Form # |
|---|---|
| Drycleaner Eligibility Application - Drycleaner Eligibility Application | D-3469 |
| Drycleaner Notice of Property Transfer or Name Change - Drycleaner Notice of Property Transfer or Name Change | D-2057 |
| Drycleaner Containment Structure Certification Form - Drycleaner Containment Structure Certification Form | D-3879 |
For more information or questions about our Drycleaning Forms, please contact Robert Hodges at (803)-898-0919.
| Form Name | DHEC Form # |
|---|---|
| Covered Electronic Devices Manufacturer Registration (D-2425) | D-2425 |
| Form Name | DHEC Form # |
|---|---|
| Hazardous Waste Transporter Permit Application - Hazardous Waste Transporter Permit Application | ------ |
| Notification of Regulated Waste Activity Form - The Notification and Reporting Form is used by companies that are required under the South Carolina Hazardous Waste Management Regulations to notify the South Carolina Department of Health and Environmental Control (SCDHEC) that they are involved in hazardous waste activities. SCDHEC is responsible for assigning the Environmental Protection Agency Identification Number (EPA ID #). | EPA 8700-12 |
| Quarterly Hazardous Waste Report Codes - Form Codes, Management Method Codes, Source Codes, and Waste Minimization Codes | ------ |
| Quarterly Hazardous Waste Report - Generation and On-Site Treatment, Storage, Disposal and Recovery - "Generation and On-Site T,S,D,R" - This form is used to report the amount IN POUNDS of hazardous waste generated during a quarter. Any waste generated on-site and then treated, stored, (accumulated), disposed of (on-site) or recovered should be reported on this form. The treatment, disposal and recovery activities mentioned here may require either currently having Interim Status or obtaining a Hazardous Waste Permit from S.C. DHEC. Large Quantity Generators are allowed to store (accumulate) hazardous waste under 90 days without a permit. The EPA ID # and name of all initial transporters who hauled hazardous waste for you during this quarter. | D-1962 |
| Quarterly Hazardous Waste Report - Waste Shipped Off-Site for Treatment, Storage, Disposal and Recovery (Instructions) - "Waste Shipped Off-Site for T,S,D,R" - This form is a log of manifested hazardous waste shipments transported off-site for a quarter. | D-1963 |
| Quarterly Hazardous Waste Report - Off-Site Facility Report (Instructions) - "Off-Site Facility Report" - This form is to be completed only by those companies who accept hazardous waste that was generated by other companies for the purpose of treatment, storage, disposal and/or recovery. The treatment, storage, disposal and recovery activities mentioned here require either currently having Interim Status or obtaining a Hazardous Waste Permit from S.C. DHEC. | D-1964 |
| Hazardous Waste Index (Instructions) - "Hazardous Waste Index" - This form is used to create an index of all the hazardous waste streams a company generates. When a new waste stream is generated, this form is to be completed and submitted with the rest of the quarterly report forms. Please do not repeat old waste stream information. This form is never required to be completed by those companies who submit an Annual Declaration. | D-1965 |
For more information or questions about Regulated Waste Activity, Hazardous Waste Transporters, and Hazardous Waste Reporting Forms, please contact Jessica Price at (803) 898-0461.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Checklist for Infectious Waste Management Plan Review - Checklist for Infectious Waste Management Plan Review | ------ | Apply Online |
| Infectious Waste Generator Registration - Infectious Waste Generator Registration | D-1999 | Apply Online |
| Infectious Waste Transporter Registration - Infectious Waste Transporter Registration | D-3408 | Apply Online |
| Infectious Waste Transporter Certificate of Insurance - Infectious Waste Transporter Certificate of Insurance | D-3407 | Apply Online |
| Infectious Waste Manifest - The Program recommends that the Infectious Waste Manifest be printed as a four page carbonless form. It is also recommended that the four pages be printed on different color paper. | D-2116 | Apply Online |
For more information or questions about Infectious Waste Reporting Forms, please contact Kim Clyburn at (803) 898-0239.
| Form Name | DHEC Form # |
|---|---|
| MR-200: Application for an Exploration Certificate ($300.00 fee) - Application for an Exploration Certificate ($300.00 fee) | D-3100 |
| MR-300: Reclamation Plan for Exploration - Reclamation Plan for Exploration | D-3101 |
| MR-400GP1: Notice of Intent for Coverage Under a General Mine Operating Permit (with instructions) ($600 fee) - Click here if site is located in Beaufort, Berkeley, Charleston, Colleton, Dorchester, Georgetown, Horry, or Jasper counties. Click here for GP1 Permit/Reclamation Plan. A NPDES permit is required for all mine sites. | D-3114 |
| MR-400: Application for a Mine Operating Permit ($600 fee ) - Click here if site is located in Beaufort, Berkeley, Charleston, Colleton, Dorchester, Georgetown, Horry, or Jasper counties. Click here for Information to Mine in Water Bodies | D-3102 |
| MR-500: Reclamation Plan for an Individual Mine Operating Permit - Reclamation Plan for an Individual Mine Operating Permit | D-3103 |
| MR-600: Land Entry Agreement for Land Owned by Mine Operator - Land Entry Agreement for Land Owned by Mine Operator | D-3104 |
| MR-700: Land Entry Agreement for Land Leased by Mine Operator - Land Entry Agreement for Land Leased by Mine Operator | D-3105 |
| MR-800: Reclamation Bond Form to Post a Surety Bond - Reclamation Bond Form to Post a Surety Bond | D-3106 |
| MR-900: Reclamation Bond Form to Post a Bond Other than a Surety Bond - Reclamation Bond Form to Post a Bond Other than a Surety Bond | D-3107 |
| MR-1000: Assignment - Assignment of Reclamation Bind | D-3108 |
| MR-1050: Irrevocable Letter of Credit - Irrevocable Letter of Credit | D-3109 |
| MR-1100 : Annual Reclamation Report to be submitted with $375.00 annual fee - Mining Annual Operating Fee per mine | D-3110 |
| MR-1300: Application for Modifying a Mine Operating Permit and/or Reclamation Plan - Application for Modifying a Mine Operating Permit and/or Reclamation Plan | D-3111 |
| MR-1400: Mine Operating Permit Transfer Agreement ($600 fee) - Mine Operating Permit Transfer Agreement | D-3112 |
For more information or questions about Mining Forms, please contact Wendy Hamilton at (803) 898-1368.
| Form Name | DHEC Form # |
|---|---|
| Application for Radioactive Waste Transport Permit - Application for Radioactive Waste Transport Permit | D-0800 |
| Radioactive Waste Shipment Prior Notification and Manifest Form - Radioactive Waste Shipment Prior Notification and Manifest Form | D-0802 |
| Radioactive Waste Shipment Certification - Radioactive Waste Shipment Certification | D-0803 |
For more information or questions about Radioactive Waste Forms, please contact Kim Clyburn at (803) 898-0239.
For more information or questions about Waste Tires, Lead Acid Battery, or Used Oil Forms, please contact Jessica Price at (803) 898-0461
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Application for Permit to Construct a Solid Waste Management System - Application for Permit to Construct a Solid Waste Management System | D-1932 | Apply Online |
| Application for Registration or Permit to Land Apply - Application for Registration or Permit to Land Apply | D-3568 | Apply Online |
| Application of Registration for Structural Fill - Application of Registration for Structural Fill | D-3570 | |
| Application of Registration of Construction & Demolition Debris Recycling Facility - Application of Registration for Construction & Demolition Debris Recycling Facility | D-3328 | Apply Online |
| Application for Permit to Construct a Solid Waste Tire Facility - Application for Permit to Construct a Solid Waste Tire Facility | D-3571 | Apply Online |
| Local Government Full Cost Disclosure Report | D-1409 | |
| Registration for Wood Chipping, Shredding and/or Composting - Registration for Wood Chipping, Shredding and/or Composting | D-1988 | Apply Online |
| Notice of Intent to Operate a Land-Clearing Debris and Yard Trash Landfill - Notice of Intent to Operate a Land-Clearing Debris and Yard Trash Landfill | D-3569 | Apply Online |
For more information or questions about Solid Waste Permitting, please contact Justin Koon at (803) 898-1339
For more information or questions about our UST Assessment and Correction Action Forms please call (803) 898-2544
| Form Name | DHEC Form # |
|---|---|
| Alternate Fuel Installation Application - Alternate Fuel Installation Application | D-3885 |
| Application for Permit to Operate Field Constructed Systems | D-3179 |
| Application for Permit to Install Airport Hydrant Systems | D-3180 |
| Application for Permit to Install Field Constructed Systems | D-3181 |
| Application for Permit to Operate Airport Hydrant Systems | D-3178 |
| Assessment Guidelines for Permanent Closure and Change in Service - Assessment Guidelines for Permanent Closure and Change in Service | D-3182 |
| Certificate of Financial Responsibility - Certificate of Financial Responsibility | D-3472 |
| Change of Service Form - This form can be used to comply with UST Control Regulations R61.92, Section 280.71(a) | D-4377 |
| Class A/B Operator Log - Class A/B Operator Log | D-2213 |
| Containment Sump Integrity Testing | D-3183 |
| Financial Responsibility Mechanisms Information Sheet - Financial Responsibility Mechanisms Information Sheet | ------ |
| Letter of Consent to Release Inspection Documents | D-4031 |
| List of Insurance Agencies - List of Insurance Agencies | ------ |
| Monthly Dispenser Inspection Log | D-4381 |
| Monthly Electronic Link Leak Detector (ELD) Inspection Log | D-4380 |
| Monthly Statistical Inventory Reconciliation (SIR) Report - Monthly Statistical Inventory Reconciliation (SIR) Report | D-3574 |
| Notification of USTs No Longer in Operation - Notification of USTs No Longer in Operation | D-3856 |
| Notification of USTs Currently in Operation - Notification of USTs Currently in Operation | D-1917 |
| Overfill Prevention Equipment Operability Check | D-3187 |
| Owner/Operator Information Form | D-4075 |
| Rectifier Log - Rectifier Log | D-0648 |
| Release Detection Equipment Testing | D-3188 |
| Site Check Fact Sheet - Site Check Fact Sheet | ------ |
| Spill Bucket Integrity Testing - Spill Bucket Integrity Testing | D-2562 |
| State of South Carolina Galvanic (Sacrificial Anode) Cathodic Protection System Evaluation - State of South Carolina Galvanic (Sacrificial Anode) Cathodic Protection System Evaluation | D-2550 |
| State of South Carolina Impressed Current Cathodic Protection System Evaluation - State of South Carolina Impressed Current Cathodic Protection System Evaluation | D-2551 |
| Tank and Sludge Disposal Form - Tank and Sludge Disposal Form | D-2233 |
| Underground Storage Tank - Application for Permit to Install - Underground Storage Tank - Application for Permit to Install | D-2101 |
| Underground Storage Tank - Application for Permit to Operate - Underground Storage Tank - Application for Permit to Operate | D-1959 |
| Underground Storage Tank Transfer of Ownership - Underground Storage Tank Transfer of Ownership | D-3871 |
| Walkthrough Inspection Checklist | D-3184 |
| Walkthrough Inspection Checklist/Operator Log | D-3185 |
| 24-Hour Release Report - 24-Hour Release Report | D-3177 |
| Line Tightness Testing | D-3315 |
| Automatic Line Leak Detector Function Check | D-3316 |
| Sump Sensor Function Check | D-3318 |
| Tank Tightness Testing | D-3317 |
For more information or questions about our UST Regulatory Compliance Forms, please call (803) 898-0589.
| Form Name | DHEC Form # |
|---|---|
| An Overview of Waste Assessment | ------ |
| Generator's Knowledge Certification Statement Template - Generator's Knowledge Certification | ------ |
| Inorganic Parameters for Waste Determinations - Use for Hazardous Waste Determinations and All Landfill Characterizations | D-3657 |
| Volatile Organic Parameters for Waste Determinations - Use for Hazardous Waste Determinations and All Landfill Characterizations | D-3658 |
| Semi-Volatile Organic Parameters for Waste Determinations - Use for Hazardous Waste Determinations and All Landfill Characterizations | D-3659 |
| Additional Inorganic Parameters for Waste Determinations - Use for Class 2 Landfill Characterizations and other waste determinations as necessary | D-3660 |
| Additional Volatile Organic Parameters for Waste Determinations - Use for Class 2 Landfill Characterizations and other waste determinations as necessary | D-3661 |
| Additional Semi-Volatile Organic Parameters for Waste Determinations - Use for Class 2 Landfill Characterizations and other waste determinations as necessary | D-3662 |
| Petroleum and Associated Parameters for Waste Determinations - Use for Hazardous Waste Determinations and Landfill Characterizations as necessary | D-3667 |
| Land Application - Microsoft Excel needed to open spreadsheets | D-3734 |
| TCLP Variable Detection Levels Memo (rev. 6/9/2017) - TCLP Variable Detection Levels Memo | ------ |
For more information or questions about Waste Assessment Forms, please contact Jeff Schrag at (803) 898-4326.
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Critical Area Permit Application - to seek authorization to utilize or alter the critical areas (coastal tidelands, coastal waters, beaches, beach/dune systems) of the SC Coastal Zone. Common activities include docks, bulkheads, and additions to existing structures such as boatlifts, floating docks and pier heads. | D- 3898 | Apply Online |
| Critical Area Line Setting Request - to request DHEC staff to establish the line delineating the Critical Area along a property. | D-3902 | Apply Online |
| Construction Placard Request Form - to obtain a placard to post at the construction site to document the authorized work to be performed. | D-3911 | Apply Online |
| Request to Amend a Critical Area Permit - to seek authorization for an amendment or modification to an existing permit. Common amendments include increase of square footage of a dock or addition such as floating docks or boat lifts. | D-3897 | Apply Online |
| Request to Extend a Critical Area Permit - to seek authorization to extend an active permit (prior to its expiration date) in order to complete work in progress. Expired permits cannot be extended. | D-3901 | Apply Online |
| Permit Assignment/Transfer Form - to seek authorization to transfer an active permit to a new site owner. | D-3900 | Apply Online |
| General Permit Application - to seek authorization under a listed OCRM General Permit. General permits authorize specific activities which are minor or have minimal impacts. | D-3903 | Apply Online |
| Beachfront Notification Form - to notify DHEC and seek authorization for activities within SC’s beachfront jurisdiction including but not limited to construction, reconstruction or repair of habitable structures and/or pools. | D-3896 | Apply Online |
| Request for Maintenance and Repair Authorization - to notify and seek authorization of maintenance or repair work on a structure that is previously permitted, grand-fathered or exempted, and is still generally intact and functional in its present condition. | D-3899 | Apply Online |
Policy Group Checklists for Coastal Zone Consistency
The following Policy Checklists were created to assist in identifying coastal management policies that are applicable to proposed projects or activities within the SC Coastal Zone. More than one Policy Checklist may apply. All applicable Policy Checklists must be submitted with the State Coastal Zone Consistency Request Form
General Coastal Zone Consistency (GCZC) Certification Form - to request a coastal zone consistency certification for specific activities which propose minimal impact.
Please see the listing of the individual GCZCs for complete details.
| Form Name | DHEC Form # |
|---|---|
| Burial Site Request - Daily & Mass Burial Site Request Form | D-2622 |
| Burial Site Guidance - Guidance document for dead animal & disposal site approval | |
| Request for a Preliminary Site Inspection - Preliminary Site Inspection Form | D-2623 |
| Notice of Intent to Construct an Agricultural Facility - Notice of Intent Form for the New Agricultural Facilities | D-3579 |
| Agricultural Animal Facilities (Other than Swine) - Standard Application Form for New or Expanding Agricultural Animal Facilities Other than Swine | D-3580 |
| New or Expanding Small Swine Facilities (500,000 lbs or less) - Standard Application Form for New or Expanding Small Swine Facilities (500,000 lbs or less) | D-3577 |
| New or Expanding Large Swine Facilities (500,001 lbs or more) - Standard Application Form for New or Expanding Large Swine Facilities (500,001 lbs or more) | D-3578 |
| Stacking Shed and/or Composter - Standard Application Form for Stacking Shed and/or Composter | D-2512 |
| Agricultural Manure Brokers - Standard Application Form for Agricultural Manure Brokers | D-2514 |
| Agricultural Manure Applicators - Standard Application Form for Agricultural Manure Applicators | D-2510 |
| Modifications (for existing facilities) - Standard Application Form for Agricultural Facilities Modifications (for existing facilities) | D-2511 |
| Agricultural Permit Transfer of Ownership or Operation - Standard Application Form for Agricultural Permit Transfer of Ownership or Operation | D-2513 |
| Integrator Registration Form - Request for Integrator Registration Form | D-2516 |
| Manure Balance Sheet - Manure Balance Sheet for Manure Brokers | ------ |
| Manure Transfer Agreement - Manure Transfer Agreement Form | D-4153 |
| Form Name | DHEC Form # |
|---|---|
| Application to Construct or Alter a Dam - Application to Construct or Alter a Dam | Application to Construct or Alter a Dam |
| Surveillance, Emergency Notification, and Action Plan for S.C. Regulated Dams - Surveillance, Emergency Notification, and Action Plan for S.C. Regulated Dams | D-2606 |
| Notification Form for Ownership Change of South Carolina Regulated Dams | D-2605 |
Construction Permit Application - Drinking Water and/or Wastewater Facilities - This form must be completed as part of an application package submitted for DHEC approval of water and/or wastewater systems construction plans.
| Form Name | DHEC Form # |
|---|---|
| Monitoring Well Application - Use to request approval from DHEC to install groundwater monitoring wells at a site related to Wastewater or Agricultural permits | D-3736 |
| Groundwater Monitoring Report - Use to report groundwater monitoring data to DHEC if such data are required by a Wastewater or Agricultural permit | D-2110 |
Underground Injection Control Permit Application - Permit application for the emplacment of fluids into the subsurface through a well.
| Form Name | DHEC Form # | Apply Online |
|---|---|---|
| Groundwater Withdrawal Permit Application - Applicable for groundwater withdrawals exceeding 3 million gallons in any given month in a Designated Capacity Use Area | D-2504 | Apply Online |
| Notice Of Intent (New well construction) and Directions - Applicable for groundwater withdrawals exceeding 3 million gallons in any given month in the Coastal Plain Region outside of a Designated Capacity Use Area | D-3724 | Apply Online |
| Water Use Registration - Applicable for groundwater withdrawals exceeding 3 million gallons in any given month in the Piedmont Region | D-3764 | Apply Online |
| Capacity Use Program Permitting - Permitting guide for groundwater withdrawal in Designated Capacity Use Areas | ------ |
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Permit Application for Construction in Navigable Waters (Individual, General Permits) - Application for construction of any structure in, over or under navigable waters of the state of South Carolina | D-2065 | Apply Online |
| Form Name | DHEC Form # |
|---|---|
| Notice of Intent (NOI): NPDES General Permit for Discharges from the Application of Pesticides (SCG160000) - For coverage to spray for mosquitoes, control aquatic weeds, manage rights-of-way, etc | D-2732 |
| Form Name | DHEC Form # | ePermitting |
|---|---|---|
| Notice of Intent - Well location information submitted prior to installation of an individual residential well or irrigation well | D-3647 | Apply Online |
| Water Well Record Form - Well construction information submitted by well driller after well is completed | D-1903 | Apply Online |
| Form Name | DHEC Form # |
|---|---|
| Swimming Pool Application to Construct a Recreational Water Facility - To build a public swimming pool, water park, etc. | D-2501 |
| Swimming Pool Final Inspection Checklist - Items needed prior to requesting an approval to place a pool into operation following construction. | D-1931 |
| Swimming Pool Change Order Request Form - Modifications to public pools that don�t require a construction permit. | D-3627 |
| Swimming Pool Facility Information Sheet - The purpose of this form is to allow the Department to maintain accurate information on facility billing addresses and site contact information including their Pool Operator of Record. | D-3441 |
| Swimming Pool Incident Report - This form serves as the required written record when notifying the Department of a serious incident involving a permitted aquatic facility. | D-3785 |
| Swimming Pool Inspection Report - This form is used by summer inspectors and recreational water mangers when inspecting commercial swimming pools (types A, B, C, D, E, F and G) in SC. Pool operators may use this as guidance. | D-1928 |
| Natural Recreational Facility Application for Initial Certification - Required for the initial permitting of a natural swimming area. Submitted in conjunction with the five initial water quality samples determining the fitness of the location of the proposed swimming beach. | D-3821 |
| Natural Recreational Facility Application for Annual Permit to Operate - This form is required annually and is used to update facility contact information and to notify the Department of the owner's intent to operate for the coming season. | D-1926 |
| Bacteriological Analysis Input Form - Submitted to the Department by the owner/operator of a natural swimming area, or their agent, and enumerates the Fecal Coliform sample results for the previous sample period. Required approximately every two weeks during the swimming season. | D-3631 |
| Form Name | DHEC Form # |
|---|---|
| Drinking Water Project Questionnaire - Used to submit a potential project for consideration of funding through the Drinking Water State Revolving Loan Fund (DWSRF) for eligible drinking water construction/activities. | D-3463 |
| Wastewater Project Questionnaire - Used to submit a potential project for consideration of funding through the Clean Water State Revolving Loan Fund (CWSRF) for eligible wastewater, stormwater or 319 nonpoint source construction/activities. | D-3561 |
| Draw Request Form - Used to request payment from the State Revolving Loan Fund. | D-3585 |
| Official Designation and Signature Form - Used to specify which project representatives are to represent the project sponsor in all matters pertaining to administration of the SRF loan. | D-3586 |
| Monthly Construction Inspection Report - Used to document the progress of an SRF project under construction. | D-3587 |
| Schedule for Construction - Schedule for Construction Used to document the expected schedule of milestones from project start to completion. | D-3588 |
| Project Construction Summary - Check sheet that assists sponsors in supplying the required information and documents to the SRF Section. | D-3589 |
| Certification Regarding Debarment, Suspension and Other Responsibility Matters - Used to certify that possible participants are not debarred, suspended or otherwise excluded from participation in Federal assistance programs. | D-3590 |
| Prime Contractor's Subagreement Certification - Used to certify whether or not a contractor plans to use subcontractors to perform work for any part of the project. | D-3591 |
| Certification by Proposed Prime or Subcontractor Regarding Equal Employment Opportunity - For any bidder or prospective contractor/subcontractor to certify whether they have participated and been compliant in any previous contract subject to the equal opportunity clause. | D-3592 |
| SRF - Certification Regarding Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 - Used to certify compliance with the Uniform Relocation Assistance And Real Property Act of 1970, regarding property acquisition. | D-3594 |
| Preaward Compliance Review Report for All Applicants Requesting Federal Financial Assistance - Used to document the compliance of recipients of Federal financial assistance from the EPA regarding various Federal statutes/requirements | EPA 4700-4 |
| MBE/WBE Utilization Under Federal Grants, Cooperative Agreements, and Interagency Agreements - Completed by recipients of Federal assistance regarding to report the accomplishment of minority/women business enterprises (MBE/WBE). | EPA 5700-52A |
| Project Sponsor's "American Iron and Steel" Certification - Used to certify that the project is in compliance with American Iron and Steel requirements during project construction. | D-0962 |
| Bidder's "American Iron and Steel" Certification - Used to certify that all iron and steel products used in an SRF project are produced in the US, unless granted a waiver. | D-2556 |