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.

Permit termination

A permit termination may be needed if the facility has closed or no longer performs the permitted activities. A notice of termination request must be submitted to the MPCA using the e-Services portal, unless a paper form is provided below.

• Guidance: Notification of permit termination e-Service (p-gen1-18)
• Getting started with MPCA e-Services (p-gen1-17)

Hazardous waste

Hazardous Waste Generator License. MPCA e-Services replaces U.S. EPA Form 8700-12 and U.S. EPA Form 8700-13A/B for Minnesota sites.

• MPCA e-Services: Notification of Regulated Waste Activity

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.

Construction Stormwater

• Subdivision registration form (wq-strm2-60a)
• Transfer form (wq-strm2-60b)
• Permit modification form (wq-strm2-60c)

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 6/5/20)

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 6/5/20)

Capped Permit

• CAP-ADM: Administrative Changes for Capped Permits (revised 7/5/12)
• SCP-01: Submittal cover page (aq-f1-scp01) (revised 6/5/20)

Part 70 and State Individual Permits

Individual permit holders must use e-Services for administrative amendments.

• 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

Miscellaneous AQ Forms

• RE-01: Relocation Notification Form (revised 12/16/09)

Exempt source notification forms

• Auto body refinishing facility exempt source notification form (aq4-15)
• Coating facility exempt source notification form (aq4-16)
• Woodworking facility exempt source notification form (aq4-17)