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. 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/Very Small (VSQG)/Small (SQG)/Large Quantity Generator (LQG).

•  Notification of Regulated Waste Activity — apply online.

Hazardous Waste Treatment, Storage, and Disposal (TSD) Permit

• RCRA Hazardous Waste Part A Permit Application (EPA Form 8700-23)

Tanks

Notify the Minnesota Pollution Control Agency (MPCA) within 30 days after bringing a tank system into use or making a change in status or information. Applies to above-ground (AST) and underground storage tanks (UST).

• Aboveground Storage Tanks Program: Notification of Installation or Change in Status Form (Revised 2/17)
• Ten-day Advance Notice - Installation, Closure, Lining Inspection (t-u5-02)
• UST Notification form (t-u5-04a)
• UST Change in status form (t-u5-04b)

Ten-day advance notice is required for certain activities related to underground storage tanks: Installation or replacement of regulated USTs, piping, and *NEW* dispensers; permanent UST closure; change to storage of a nonregulated substance; and *NEW* inspection of an internal UST lining.

• Ten-day Advance Notice - Installation, Closure, Lining Inspection (t-u5-02)

Water quality

National Pollutant Discharge Elimination System (NPDES) and State Disposal System (SDS)

• Permit Change Request Form
• 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
• Industrial Stormwater Notice of Termination Form

Construction Stormwater

• Notice of Termination/Permit Modification Form

Feedlots

• Animal feedlots and manure storage areas
  • Facility ownership or name change for permitted feedlots (wq-f3-27)
  • Request for Feedlot Permit Termination Form (wq-f3-44)
• Construction Sand and Gravel, and Hot Mix Asphalt (MNG49)
  • Permit Change Request Form

Air quality

Registration Permit

• RP-05: Registration Permit Administrative Changes (revised 7/5/12)
• SCP-01: Submittal cover page (aq-f1-scp01) (revised 3/20/18)

General Permit (Non-Metallic Mineral Processing & Part 70 Manufacturing)

• GP-01: Air Emission General Permit Administrative Changes (revised 7/5/12)
• SCP-01: Submittal cover page (aq-f1-scp01) (revised 3/20/18)

Capped Permit

• CAP-ADM: Administrative Changes for Capped Permits (revised 7/5/12)
• SCP-01: Submittal cover page (aq-f1-scp01) (revised 3/20/18)

Part 70, Title V, PSD/NSR Permit, State Permit, Individual Permit:
Individual permit holders can electronically apply for an administrative amendment. To use this service, go to the MPCA's e-Services webpage. Starting May 1, 2018 individual permit holders must use e-Services for administrative amendments. After that date, paper applications submitted will be denied.

• e-Services Facility Access
• Preparing for an amendment for Change of Ownership/Facility Name/Owner or Operator Name Only
• e-Services help page: Administrative Amendment Changes

If using a paper application, a series of forms are required (start with CH-02)

• SCP-01: Submittal cover page (aq-f1-scp01) (revised 3/20/18)
• CH-02: Action Type Determination (revised 3/20/18)
• CH-01: Change Description (revised 4/14/16)
• CH-14: Complete Notification and Amendment Application Checklist (aq-f2-ch14) (revised 3/20/18)

Miscellaneous AQ Forms

• VR-01: Request to Void an Air Emission Permit(revised 10/22/10)
• RE-01: Relocation Notification Form(revised 12/16/09)