
Air Quality, Land & Waste Management, Ocean & Coastal Resource Management,
Underground
Storage Tanks, Water.
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Topical Listing of Forms
- Agricultural Facility Permit Application Forms
- Air Quality Permit Application Forms
- Dams - Application to Construct or Alter a Dam
- Drinking Water
- Dry Cleaning Forms
- Groundwater Use Permit Applications
- Hazardous Waste Forms
- Infectious Waste Registration Forms
- Mining Forms
- No Discharge
- NPDES Wastewater
- Navigable Waters, Application for Permit to
Construct in
- Ocean and Coastal Resource Management - Permit
Application Package
- Radioactive Waste Forms
- Recreational Waters
- Residential Well Program Forms
- Solid Waste Application and Registration Forms
- State Revolving Fund
- Storm Water - Application and Reporting Forms
- Swimming
Pools/Natural Swimming Areas
- Tier 2
Reporting for Hazardous Chemicals Storage
Emergency Planning & Community Right-to-know Act (SARA Title III) Reporting in South Carolina - Underground Injection Control Permit Application
- Underground Storage Tank Permit Applications and
Related Forms
- Wastewater Facility Construction, ND, and NPDES
Permit Applications
- Waste
Assessment Forms
| 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. |
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| Emergency Planning & Community Right to Know Act (EPCRA) | |||
| Form Name (pdf format) | Form | Date | Size |
| Tier II |
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 |
| 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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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.
|
|||
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
|
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| Standards
Applicable to Transporters of Hazardous Waste
|
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|
---
|
---
|
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| Hazardous Waste Transporter Permit Application
|
---
|
06/2001
|
643K
|
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| Waste Minimization Report
|
3446
|
12/2007
|
232K
|
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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.
|
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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. |
|||
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.
|
|||
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 | |||

