Administrative Change Request Forms

Generally, Administrative Change Request forms are used to notify the MPCA of changes in facility name, ownership, contact person, location and termination. Specific changes that can be made depend on the type of permit or license — see specific form for details. Fees may apply. Find the type of permit or license for your facility from the list below.

Hazardous Waste

• Hazardous Waste Generator License
  • Notification of Regulated Waste Activity — this form replaces U.S. EPA Form 8700-12 and U.S. EPA Form 8700-13A/B for Minnesota sites.
    
    • Use this form if you are a:
      • Minimal Quantity Generator
      • Very Small Quantity Generator (VSQG)
      • Small Quantity Generator (SQG)
      • Large Quantity Generator (LQG)
      • Notification of Regulated Waste Activity Form (PDF Version) (w-hw7-09)
• Hazardous Waste Treatment, Storage, and Disposal (TSD) Permit
  • RCRA Hazardous Waste Part A Permit Application

Tanks

• Aboveground Storage Tank 

• AST Notification of Installation or Change in Status (PDF Version) (t-a1-20) (9/12)

• Underground Storage Tank

• UST Notification of Installation or Change in Status (PDF Version) (t-u5-04)

Water Quality

• National Pollutant Discharge Elimination System (NPDES) and State Disposal System (SDS)
  • Permit Change Request Form (PDF Version) (wq-wwprm7-01)
  • Used for all NPDES and State Disposal System (SDS) permit transfers or permittee name changes, except for the water permits listed below.
• Industrial Stormwater
  • Industrial Stormwater Administrative Change Form (PDF Version) (wq-strm3-60)

• Construction Stormwater
  • Notice of Termination/Permit Modification Form (PDF Version) (wq-strm2-60)
• Feedlots
  • Animal feedlots and manure storage areas (this is for non-NPDES/SDS sites)
    • Change of Ownership Form - for animal feedlots and manure storage areas (PDF Version) (wq-f3-26)
  • NPDES/SDS Permit
    • Permit Transfer/Name Change Form for Feedlots (PDF Version) (wq-f3-27)
    • Request for Feedlot Permit Termination Form (PDF Version) (wq-f3-44)
• Construction Sand and Gravel, and Hot Mix Asphalt (MNG49)
  • Permit Change Request Form (PDF Version) (wq-wwprm7-01)

Air Quality

• Registration Permit
• RP-05 Registration Permit Administrative Changes (PDF Version) (aq-f3-rp05) (revised 2/22/11)
• Submittal Cover Page (PDF Version) (aq-f1-scp01) (revised 11/1/12)
• General Permit (Non-Metallic Mineral Processing & Part 70 Manufacturing)
  • Air Emission General Permit Administrative Changes (PDF Version) (aq-f4-gp01)  (2/29/12)
  • Submittal Cover Page (PDF Version) (aq-f1-scp01) (revised 12/16/11)
• Capped Permit
  • Administrative Changes for Capped Permits (PDF Version) (aq-f10-capadm)  (2/29/12)
  • Submittal Cover Page (PDF Version) (aq-f1-scp01) (revised 12/16/11)

• Part 70, Title V, PSD/NSR Permit, State Permit, Individual Permit:
  A series of forms are required (start with CH-02)
  • SCP-01: Submittal Cover Page (PDF Version) (aq-f1-scp01) (revised 12/16/11)
  • CH-02: Action Type Determination (PDF Version) (aq-f2-ch02) (revised 5/23/11)
  • CH-17: Individual Permit Administrative Changes (PDF Version) (aq-f2-ch17)
  • CH-01: Change Description (PDF Version) (aq-f2-ch01) (3/22/12)
  • CH-14: Complete Application Checklist (PDF Version) (aq-f2-ch14)

• Miscellaneous AQ Forms
  • Request to Void an Air Emission Permit (PDF Version) (aq-f7-vr01) (revised 10/22/10)
  • Relocation Notification Form (PDF Version) (aq-f7-re01) (revised 12/16/09)