Permitting and Application Banner

  Accessible by Topical Listing or by Bureau Area:
Air Quality, Land & Waste Management, Ocean & Coastal Resource Management,
Underground Storage Tanks, Water.

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Topical Listing of Forms


Bureau of Air Header
Asbestos
Form Name (pdf format) Form Date Size
Demolition License Application DHEC 07/2004 200K
Asbestos Abatement Project License Application DHEC 3430 07/2004 173K
Abatement Project Quarterly Report DHEC 3575 06/1998 354K
Waste Shipment Record DHEC 3688 09/2000 31K
Notification of Non-Friable Asbestos Abatement Project DHEC 3654 05/2004 35K
Notification of Residential Non-Friable Asbestos Abatement Project DHEC 3653 05/2004 34K
Abatement License Application DHEC 2925 07/2004 144K
Application for Group License DHEC 3422 08/1996 196K
Temporary Asbestos Storage Containment Area License Application DHEC 3423 04/2003 32K
For more detailed information about Asbestos Forms, visit the Asbestos Contacts and Forms web page
or contact Robin Mack at 803-898-4270.

 

Emergency Planning & Community Right to Know Act (EPCRA)
Form Name (pdf format) Form Date Size
Tier II Emergency Planning Federal Form 1995 612K


Emissions Inventory
Form Name (pdf format) Form Date Size
Point Source Data Report DHEC 1904 12/2007 292K
For more detailed information about performing an emissons inventory or HAP Emission Summary, visit the Emissions Inventory website or contact Lynn Barnes at 803-898-4298.


NOx SIP Call
Form Name (pdf format) Form Date Size
NOx Budget Permit Application DHEC 2929 06/2002 102K
NOx Budget Program New Source Allocations (Set-Aside) Application DHEC 2932 11/2004 126K
NOx Budget Early Reduction Credit Request For
Sources Utilizing NOx Averaging
DHEC 2933 10/2003 84K
NOx Budget Early Reduction Credit Request
For Sources Not Utilizing NOx Averaging
DHEC 2934 10/2003 97K


Maximum Achievable Control Technology (MACT)
Form Name (pdf format) Form Date Size
Annual Solvent Emission Report, Subpart T DHEC 2922 02/2002 343K
Exceedance Report, Subpart T DHEC 2921 02/2002 124K
Ongoing Compliance Report, Subpart N DHEC 2909 08/2007 182K


Permitting
Form Name (pdf format) Form Date Size
Applications
Expedited Review Program SOP - Air Quality Construction Permits - PDF DHEC 2212 06/2007 82K
Expedited Review Request Form - Air Quality Construction Permits - PDF DHEC 2212 06/2007 82K
Modeling - Air Dispersion Modeling Questionnaire - PDF DHEC 3555 12/1997 50K
Construction Application - Part I and applicable forms for each emission sources (PartIIA thru IIGa)
Part I - Instructions (PDF Format) DHEC 1924 06/2007 80K
Part I (PDF Format - Fillable) DHEC 1924 06/2007 714K
Part I (Word Format -Fillable) DHEC 1924 06/2007 431K
Part IIA - Fuel Burning Permit Application - Instructions (PDF Format) DHEC 1924a 06/2007 58K
Part IIA - Fuel Burning Permit Application (PDF Format - Fillable) DHEC 1924a 06/2007 728K
Part IIA - Fuel Burning Permit Application (Word Format - Fillable) DHEC 1924a 06/2007 414K
Part IIB - Process Permit Application - Instructions (PDF Format) DHEC 1924b 06/2007 54K
Part IIB - Process Permit Application (PDF Format - Fillable) DHEC 1924b 06/2007 676K
Part IIB - Process Permit Application (Word Format - Fillable) DHEC 1924b 06/2007 378K
Part IIC - Incinerator Permit Application (PDF Format) DHEC 1924c 07/1997 2M
Part IIC - Incinerator Permit Application (Word Format - Fillable) DHEC 1924c 07/1997 111K
Part IID - Asphalt Plant Permit Application (PDF Format) DHEC 1924d 07/1997 2M
Part IID - Asphalt Plant Permit Application (Word Format -Fillable) DHEC 1924d 07/1997 144K
Part IIE - Dry Cleaner Permit Application (PDF Format) DHEC 1924e 07/1997 2M
Part IIE - Dry Cleaner Permit Application (Word Format - Fillable) DHEC 1924e 07/1997 65K
Part IIF - Concrete Batch Plant Permit Application (PDF Format) DHEC 1924f 07/1997 59K
Part IIF - Concrete Batch Plant Permit Application (Word Format - Fillable) DHEC 1924f 07/1997 85K
Part IIG - Storage Vessel Permit Application (PDF Format) DHEC 3409 07/1997 2M
Part IIG - Storage Vessel Permit Application (Word Format - Fillable) DHEC 3409 07/1997 100K
Part IIGa - Supplemental Storage Vessel Permit Application (PDF Format) DHEC 3410 07/1997 2M
Part IIGa - Supplemental Storage Vessel Permit Application (Word Format - Fillable) DHEC 3410 07/1997 79K
Fees for New Sources
Permit Fees for New Sources DHEC 3628 01/1999 111K
Note: This is NOT for permit applications. The Department charges no fees for air permit applications, renewals, or revisions. Please read the following memorandum for an explanation of new source permit fees.
Air Permit Fees for New Sources -Memorandum --- --- ---
Explanation of new Source Permit Fees as they relate to Annual Permit Fees and Application Fees
General Conditional Major Operating Permits
Asphalt Plants (GCMP-03) (PDF Format) --- 02/2007 338K
Concrete Plants (GCMP-04) (PDF Format) --- 06/2006 169K
Fuel Combustion Operations (GCMP-02) (PDF Format) --- 04/2006 275K
Textile Greige Operations (GCMP-01) (Word Format) --- 04/2006 280K
General Permit Applications
Sample Permit (PDF Format) --- 12/2005 169K
Concrete Permit Instructions (PDF Format) --- 06/2006 266K
Concrete and/or Block Plants Application (Word Format - Fillable) --- 06/2006 220K
Fuel Burning Permit Instructions (PDF Format) --- 12/2005 76K
Fuel Burning (Word Format - Fillable) --- 12/2005 186K
Fuel Burning Calculation Worksheet (Excel Format) --- 12/2005 525K
Hot Mix Asphalt Plants Instructions (PDF Format) --- 04/2006 82K
Hot Mix Asphalt Plants (Word Format) --- 04/2006 223K
Textile Greige Operations Instructions (PDF Format) --- 12/2005 183K
Textile Greige Operations (Word Format - Fillable) --- 12/2005 208K
Low NOx Burner Replacement Notification
Instructions for Low NOx Burner Replacement Notification Form (PDF Format) --- 09/2004 80K
Low NOx Burner Replacement Notification Form (Word Format- Fillable) DHEC 2935 09/2004 97K
Title V Permit Applications
Title V Permit Application --- --- ---
Title V Modification Forms
Form A - Facility Profile (Word Format- Fillable) DHEC 2937 06/2008 133K
Form AA - Administrative Amendment Modification Form (Word Format- Fillable) DHEC 2938 05/2005 70K
Form MM - Minor Modification Form (Word Format- Fillable) DHEC 2949 06/2008 222K
Form OF - Operational Flexibility (Word Format- Fillable) DHEC 2950 10/2005 175K
Form OF - Operational Flexibility Intructions (Word Format- Fillable) --- 04/2007 80K
Form RO - Responsible Official (RO) Notification Form (Word Format- Fillable) DHEC 2951 05/2005 102K
Form RO - Responsible Official (RO) Notification Form Instructions (Word Format- Fillable) --- 05/2005 61K
Form SM - Significant Modification Form (Word Format- Fillable) DHEC 2936 05/2005 64K
Miscellaneous Forms
SC Department of Health & Environmental Control Insignificant Activities List (PDF) --- 04/2008 78K
Regulated Pollutant List (Word Format- Fillable) --- 04/2006 533K
Confidentiality Information (Word Format- Fillable) --- 04/2007 32K
Compliance Assurance Monitoring (CAM) Plan Form (Word Format- Fillable) --- 01/2006 128K
Monitoring Range Submittal Form and Instructions (Word Format- Fillable) --- 05/2005 125K
Monitoring Range Instructions (Word Format- Fillable) --- 05/2005 67K



Source Evaluation
Form Name (pdf format) Form Date Size
Site-Specific Test Plan/Final Report Checklist --- 1/1998 335K
For more information about source evaluation, contact Michael Shroup at 803-898-4051.


Technical Management
Form Name (pdf format) Form Date Size
Title V Annual Compliance Certification DHEC 3650 Rev. 06/03 102K
For more information or questions about our forms, please visit the Technical Management web site
or contact Dawn Jordan at 803-898-4075


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Bureau of Land and Waste Management Heading

Dry Cleaning

Form Name (pdf format)
Form
Date
Size
Instructions for Drycleaner Eligibility Application
DHEC 3469
04/2005
156K
Drycleaner Eligibility Application
DHEC 3469
04/2005
131K
Drycleaner Notice of Property Transfer or Name Change
DHEC 2057
08/2005
104K
Drycleaner Containment Structure Certification Form
DHEC 3879
05/2005
115K
Due Diligence Form
DHEC 3471
03/1997
125K
Field Inspection Form
DHEC 3470
03/1997
116K
Application for Certification of Environmental Contractor
DHEC 3464
02/1997
845K
For more information or questions about our Dry Cleaning Forms, please contact Lisa Appel at 803-896-4060.


Hazardous Waste

Form Name (pdf format)
Form
Date
Size
RCRA Part A Permit Application - Instructions and Forms
EPA 8700-23
03/2005
251K
Hazardous Waste Reporting Forms Workbook
3428
11/2001
22K
Standards Applicable to Transporters of Hazardous Waste
---
---
---
Hazardous Waste Transporter Permit Application
---
06/2001
643K
Waste Minimization Report
3446
12/2007
232K
For more information or questions about Hazardous Waste Reporting Forms, please contact Teresa Hayes at 803-896-4139 or Hazardous Waste Transporters, please contact Carroll Burley at 803-896-4141.


Infectious Waste

Form Name (pdf format)
Form
Date
Size
Infectious Waste Generator Registration
DHEC 1999
03/2001
2091K
Instructions for Generator Registration
DHEC 1999
03/2001
64K
Infectious Waste Transporter Registration
DHEC 3408
02/2001
210K
Infectious Waste Transporter Certificate of Insurance
DHEC 3407
04/1996
65K
Instructions for Transporter Registration
---
---
7K
Checklist for Infectious Waste Management Plan Review
---
---
105K
For more information or questions about our Infectious Waste Generator Forms, please contact Leslie Yasinsac at 803-896-4192
or Infectious Waste Transporter Forms, please contact
Margie Davis at 803-896-4193.


Mining

Form Name (pdf format)
Form
Date
Size
Application for an Exploration Certificate
Mining MR-200
DHEC 3100
08/1997
127K
Reclamation Plan for Exploration
Mining MR-300 DHEC 3101
08/1997
159K
Application for an Individual Mine Operating Permit
Mining MR-400
DHEC 3102
08/1997
255K
Reclamation Plan for an Individual Mine Operating Permit
Mining MR-500
DHEC 3103
01/1999
24K
Application for a General Mine Operating Permit
Mining MR-400GP1
DHEC 3114
10/2004
673K
Land Entry Agreement for Land Owned by Mine Operator
Mining MR-600
DHEC 3104
08/1997
26K
Land Entry Agreement for Land Leased by Mine Operator
Mining MR-700
DHEC 3105
08/1997
24K
Reclamation Bond Form to Post a Surety Bond
Mining MR-800
DHEC 3106
08/1997
23K
Reclamation Bond Form to Post a Bond Other than a Surety Bond
Mining MR-900
DHEC 3107
08/1997
23K
Assignment
Mining MR-1000
DHEC 3108
03/1994
24K
Irrevocable Letter of Credit
Mining MR-1050
DHEC 3109
08/1997
26K
Annual Reclamation Report
Mining MR-1100
DHEC 3110
06/2006
70K
Application for Modifying a Mine Operating Permit and/or Reclamation Plan
Mining MR-1300
DHEC 3111
08/1997
87K
Mine Operating Permit Transfer Agreement
Mining MR-1400
DHEC 3112
03/1994
46K
For more information or questions about our Mining Forms, please contact Wendy Hamilton at 803-896-4267.


Radioactive Waste

Form Name (pdf format)
Form
Date
Size
Radioactive Waste Shipment Prior Notification and Manifest Form
DHEC 0802
10/1984
162K
Radioactive Waste Shipment Certification
DHEC 0803
05/1980
52K
Application for Radioactive Waste Transport Permit
DHEC 0800
09/2003
314K
For more information or questions about our Radioactive Waste Forms,
please contact Arlene Wilkes at 803-896-4247 or
Kim Clyburn