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When navigating the complexities of environmental regulations in Louisiana, understanding the Deq 7106 R01 form, also known as the Notification of Change Form (NOC-1), is essential for businesses and facility operators. This form is primarily used to communicate significant changes regarding company names, facility names, ownership, and operational responsibilities. Whether you are transferring a permit, changing the name of your company, or altering the operator of a facility, the NOC-1 form serves as a critical tool for ensuring compliance with state regulations. It requires detailed information, including the agency interest number, existing permit details, and the specifics of the changes being made. The form also addresses responsibilities for any existing violations, ensuring that all parties involved are aware of their obligations. Importantly, submitting the NOC-1 form does not automatically guarantee approval; the Louisiana Department of Environmental Quality will review the request and notify the applicant of the outcome. With clear instructions provided within the form, businesses can effectively manage transitions while adhering to legal requirements, thus maintaining their commitment to environmental stewardship.

Document Example

LOUISIANA

NOTIFICATION OF CHANGE FORM (NOC-1)

FOR

COMPANY NAME CHANGES, FACILITY NAME CHANGES, PERMIT TRANSFERS,

OWNERSHIP CHANGES, AND/OR OPERATOR CHANGES (FOR ALL MEDIA)

Instructions and requirements for NOC-1 Form are located on Page 5.

NOTIFICATION OF:

 

Permit Transfer

Date of Transfer

Ownership Change

Date of Change

Operator Change

Date of Change

Company Name Change

Date of Change

Facility Name Change

Date of Change

SITE INFORMATION

Agency Interest (AI) #

Facility Name

Location (use 911 address if applicable)

City

Parish

PERMIT INFORMATION Please list all permit numbers regarding this facility (attach another page if necessary).

Air

 

Solid Waste

 

Water

 

Hazardous Waste

 

Biosolids

 

 

 

 

Are all permits for this AI # being transferred?

Yes

No

(If No, attach explanation)

FOR COMPANY NAME CHANGE

New Company Name

Previous Company Name

Contact Name

Contact Phone

Email

Mailing Address

City

StateZip

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FOR FACILITY NAME CHANGE

Previous Facility Name

New Facility Name

FOR PERMIT TRANSFERS, OWNERSHIP CHANGES, OR OPERATOR CHANGES

PREVIOUS INFORMATION

Previous Name

Previous Contact Name

Previous Contact Phone

Previous Email

Previous Mailing Address

City

 

State

Zip

NEW INFORMATION

New Name

New Contact Name

New Contact Phone

New Email

New Mailing Address

City

State

Zip

RESPONSIBILITY FOR EXISTING VIOLATIONS

Identify the party who will be responsible for all violations existing prior to the transfer including any potential fines for such past violations and for all outstanding fees and assessed penalties existing prior to the transfer of the permit:

Name

 

 

Address

 

 

City

State

Zip

Signature of Previous Permit Holder

 

Date

Printed/Typed Name and Title

 

 

 

Signature of New Permit Holder

 

Date

Printed/Typed Name and Title

 

 

 

 

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ADDENDUM TO PERMIT APPLICATIONS per LAC 33:I.1701

1.Does the company or owner have federal or state environmental permits identical to, or of a similar nature to, the permit for which you are applying in Louisiana or other states? (This requirement applies to all individuals, partnerships, corporations, or other entities who own a controlling interest of 50% or more in your company, or who participate in the environmental management of the facility for an entity applying for the permit or an ownership interest in the permit.) Yes No

If yes, list permits and other states below or attach another page if more space is needed.

2. Do you owe any outstanding fees or final penalties to the Department?

Yes

No

If yes, explain below or attach another page if more space is needed.

3. Is your company a corporation or limited liability company?

Yes

No

If yes, attach a copy of your company’s Certificate of Registration and/or Certificate of Good Standing from the Louisiana Secretary of State.

PERMIT LIABILTY TRANSFER AGREEMENT

Previous Business Entity Known As

 

 

 

 

 

Previous Facility Name

 

 

 

 

 

Previous Mailing Address

 

 

 

 

 

City

 

State

Zip

Presently covered under permit(s):

 

 

 

 

 

 

Relinquishes and transfers liability, responsibility, and coverage for the permit(s) to:

 

 

New Business Entity Known As

 

 

 

 

 

New Facility Name

 

 

 

 

 

New Mailing Address

 

 

 

 

 

City

 

 

State

 

Zip

 

Who accepts all responsibility, coverage, and liability pertaining to permit(s) listed above upon effective transfer occurring on:

Effective date of transfer

FINANCIAL ASSURANCE per LAC 33:I.1909.C

For Biosolids, Hazardous Waste, Solid Waste, and Water permits (regulated by the Public Service Commission) proof of financial assurance must be provided to LDEQ.

Does the Louisiana Public Service Commission regulate this facility?

Yes

No

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CERTIFICATION

I, the undersigned certify, under provisions in Louisiana and United States law which provide criminal penalties for false statements, that to the best of my knowledge and belief formed after reasonable inquiry, the information submitted, including all attachments thereto are true, accurate and complete.

New Permit Liability Holder/Company Name

 

 

 

 

 

 

 

 

 

New Billing Address

 

 

 

 

 

 

 

 

 

City

 

State

 

 

 

Zip

 

 

Signature of New Responsible Official

 

 

 

Date

 

Printed/Typed Name and Title

 

 

 

 

 

 

 

 

 

Previous Permit Liability Holder/Company Name

 

 

 

 

 

 

 

 

 

Previous Billing Address

 

 

 

 

 

 

 

 

 

City

 

State

 

 

 

Zip

 

 

Signature of Previous Responsible Official

 

 

 

Date

 

Printed/Typed Name and Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: If information and signatures are not obtainable from the previous owner, then the new owner must apply

for a new permit. The previous owner has the option to request termination of the existing permit.

NOTE: Instructions and requirements for NOC-1 Form are located on Page 5.

NOTE: Please see new fee amounts on Page 5.

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INSTRUCTIONS AND REQUIREMENTS FOR NOC-1 FORM

FOR COMPANY NAME CHANGES, FACILITY NAME CHANGES, PERMIT TRANSFERS, OWNERSHIP CHANGES,

AND/OR OPERATOR CHANGES (FOR ALL MEDIA)

The NOC-1 form is to be submitted when a permit is transferred, a company’s name changes, a facility’s operator changes, or a facility’s name changes in accordance with LAC 33:I. Chapter 19. Submission of this form shall in no way constitute approval of the change request. The office will notify the requestor in writing of the decision regarding the change request. All

information must be provided. Do not leave any sections blank. Use N/A if not applicable.

1.Prior to or no later than 45 days after a change has occurred, submit one completed and signed original NOC-1 Form and one copy for each facility (Agency Interest No.). List all permits under the agency interest number for all media. Note the different sections for permit transfers and/or company name changes or facility name changes. The “effective date of transfer” is the specific date of transfer of the permit responsibility, coverage, and liability between the previous and new permittee.

2.Submit Proof of Registration with the LA Secretary of State. If your company is a corporation or a limited liability company, attach a copy of your company’s Certificate of Registration and/or Certificate of Good Standing from the Louisiana Secretary of State. All documents must use the company name as it is specified with the Louisiana Secretary of State. To ensure that the proper name is on your form, please check the LA Secretary of State’s Corporation Database at: https://coraweb.sos.la.gov/CommercialSearch/CommercialSearch.aspx.

3.Submit payment. All payments made by check, draft, or money order shall be payable to LA Department of Environmental Quality. For electronic funds transfer (EFT), contact the LDEQ Office of Management and Finance. For online payments, see http://business.deq.louisiana.gov/. Submit fees as follows:

Air Permits

company name change, transfer,

per permit

$

500

 

 

ownership or operator change

 

 

 

 

Hazardous

company or facility name change, transfer,

per permit

none

ownership or operator change

 

 

 

 

Waste

 

 

 

 

 

 

 

 

 

 

 

 

Permits

Note: This form does not substitute for the HW-1 form.

 

 

 

 

 

 

 

 

 

company or facility name change

per permit

none

 

 

 

 

 

 

 

transfer, ownership or operator change:

 

 

 

 

Solid

 

 

 

 

 

 

Type I, IA, II, IIA

per permit

$ 1,650

 

Waste

 

Permits

 

 

 

 

 

 

Type III, Beneficial Use

per permit

$

413

 

 

 

 

 

 

 

 

 

 

 

Waste Tire Processors

per permit

$

125

 

 

 

 

 

 

company or facility name change

per permit

none

 

 

 

 

 

 

 

transfer, ownership or operator change:

 

 

 

 

 

 

 

 

 

 

 

Water

general permit (LAG)

per permit

none

 

 

 

 

 

 

Permits

individual

per permit

10% of the calculated annual fee but not less

 

than $ 380, excluding oyster fee

 

 

 

 

 

LAJ Biosolids

per permit

none

 

 

 

 

 

Note: Stormwater permits beginning with LAR04, LAR05 and LAR10 are not transferrable.

 

 

 

 

 

 

 

If you would like assistance with Notification of Changes, please contact the Permit Application Administrative Review Group at 225-219-3292.

Completed package should be sent to:

 

Permits Application Administrative Review Group

 

Public Participation and Permit Support Division

 

Office of Environmental Services

 

LA Department of Environmental Quality

 

Post Office Box 4313

 

Baton Rouge, LA 70821-4313

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Dos and Don'ts

When filling out the Deq 7106 R01 form, keep these important points in mind:

  • Do: Provide all required information. Ensure no sections are left blank.
  • Do: Use "N/A" for sections that do not apply to your situation.
  • Do: Submit the form within 45 days after a change has occurred.
  • Do: Attach proof of registration with the Louisiana Secretary of State if applicable.
  • Do: Include payment for any applicable fees when submitting the form.
  • Don't: Leave any sections incomplete; this could delay your application.
  • Don't: Forget to check the Louisiana Secretary of State’s Corporation Database for the correct company name.
  • Don't: Submit the form without signatures from both the previous and new permit holders.
  • Don't: Assume that submission equals approval; you will receive written notification of the decision.
  • Don't: Use this form as a substitute for other required forms, such as the HW-1 form.

Detailed Instructions for Filling Out Deq 7106 R01

Filling out the DEQ 7106 R01 form requires careful attention to detail. This form is essential for notifying the Louisiana Department of Environmental Quality about changes such as company name changes, facility name changes, permit transfers, ownership changes, or operator changes. Below are the steps to ensure you complete the form accurately.

  1. Obtain the DEQ 7106 R01 form from the Louisiana Department of Environmental Quality website or your local office.
  2. Identify the type of notification you are submitting: Permit Transfer, Ownership Change, Operator Change, Company Name Change, or Facility Name Change.
  3. Fill in the Site Information section, including the Agency Interest (AI) number, facility name, location, city, and parish.
  4. In the Permit Information section, list all permit numbers related to the facility. Indicate if all permits are being transferred. If not, attach an explanation.
  5. Complete the Company Name Change section if applicable. Provide the new and previous company names, contact information, and mailing address.
  6. If you are changing the facility name, fill out the Facility Name Change section with the previous and new facility names.
  7. For permit transfers, ownership changes, or operator changes, fill in the Previous Information section with the previous name, contact details, and mailing address.
  8. Complete the New Information section with the new name, contact details, and mailing address.
  9. Identify who will be responsible for any existing violations prior to the transfer. Fill in their name and address, and obtain their signature.
  10. Complete the Addendum to Permit Applications section, answering questions about federal or state environmental permits, outstanding fees, and company structure.
  11. Fill out the Permit Liability Transfer Agreement section, indicating the previous and new business entities and the effective date of transfer.
  12. Provide proof of financial assurance if applicable, particularly for biosolids, hazardous waste, solid waste, and water permits.
  13. Sign the certification section, ensuring all information is true and complete. Include the printed name and title of the responsible officials from both the previous and new permit holders.
  14. Attach any required documents, such as proof of registration with the LA Secretary of State, if applicable.
  15. Submit the completed form along with payment to the appropriate department address.

After submitting the form, you will receive a notification from the Louisiana Department of Environmental Quality regarding the decision on your request. Make sure to keep a copy of everything for your records.

Documents used along the form

The DEQ 7106 R01 form, also known as the Louisiana Notification of Change Form, is essential for various changes related to environmental permits. When submitting this form, additional documents may also be required to ensure compliance with state regulations. Below is a list of other forms and documents often used in conjunction with the DEQ 7106 R01 form.

  • Permit Transfer Agreement: This document outlines the terms under which a permit is transferred from one entity to another, detailing the responsibilities of both parties regarding compliance and liabilities.
  • Certificate of Registration: A document issued by the Louisiana Secretary of State confirming that a business is registered and in good standing. This is necessary for corporations and limited liability companies.
  • Financial Assurance Documentation: Proof that a facility has the necessary financial resources to cover potential environmental liabilities, required for certain types of permits.
  • Environmental Impact Assessment: A report evaluating the potential environmental effects of a proposed project or change, often required for significant modifications to existing permits.
  • Notification of Violation Form: A form used to report any existing violations that may affect the transfer of a permit, ensuring that all parties are aware of outstanding issues.
  • Change of Ownership Form: A specific document that formally notifies the relevant authorities of a change in ownership of a facility, separate from the NOC-1 form.
  • Operator Change Notification: A form that must be submitted when there is a change in the operator of a facility, detailing the new operator’s qualifications and responsibilities.
  • Texas Bill of Sale Form: This essential document officially records the transfer of ownership of personal property in Texas. For more information on the template, visit Fast PDF Templates.
  • Compliance History Report: A summary of a facility's past compliance with environmental regulations, which may be required to assess the suitability of a new operator or owner.
  • Public Notice: A document that informs the public about changes to a facility's operations or ownership, often required as part of the permit transfer process.
  • Application for New Permit: If the previous owner does not provide necessary information, a new owner may need to submit a new permit application instead of transferring an existing permit.

Each of these documents plays a crucial role in the process of managing environmental permits and ensuring compliance with state regulations. Properly completing and submitting these forms can help facilitate a smooth transition during ownership or operational changes.

Your Questions, Answered

What is the purpose of the Deq 7106 R01 form?

The Deq 7106 R01 form, also known as the Notification of Change Form (NOC-1), is used to notify the Louisiana Department of Environmental Quality (LDEQ) about changes related to permits. These changes may include company name changes, facility name changes, permit transfers, ownership changes, or operator changes for facilities across all media types. The form ensures that the LDEQ has up-to-date information regarding the responsible parties for environmental permits.

How should I submit the Deq 7106 R01 form?

The completed Deq 7106 R01 form must be submitted no later than 45 days after the change has occurred. It is essential to provide one signed original and one copy for each facility associated with the Agency Interest number. All sections of the form must be filled out completely; if a section is not applicable, indicate this by writing "N/A." Additionally, proof of registration with the Louisiana Secretary of State should be included, along with payment for any applicable fees.

What information is required on the Deq 7106 R01 form?

The form requires detailed information about the facility and the changes being made. Key sections include:

  • Site information, such as the facility name, location, and Agency Interest number.
  • Permit information, including all relevant permit numbers.
  • Details about the previous and new company or facility names.
  • Contact information for both the previous and new permit holders.
  • Identification of responsibility for existing violations prior to the transfer.

Completing these sections accurately is crucial for processing the change request.

What are the fees associated with submitting the Deq 7106 R01 form?

Fees vary depending on the type of permit and the nature of the change. For example:

  • Air permits have a fee of $500 for company name changes or transfers.
  • Solid Waste permits may incur fees ranging from $125 to $1,650, depending on the type.
  • Water permits may have different fee structures, including a minimum of $380 for individual permits.

It is important to refer to the instructions on Page 5 of the form for the most current fee amounts and payment methods.

What happens if the information and signatures from the previous owner are not available?

If the new owner cannot obtain the required information and signatures from the previous permit holder, they must apply for a new permit. The previous owner may also request the termination of the existing permit. This ensures that all parties are aware of their responsibilities and that the LDEQ has accurate records of permit holders.

Common mistakes

Filling out the Deq 7106 R01 form can be a straightforward process, but many individuals make common mistakes that can lead to delays or complications. One frequent error is leaving sections blank. Every part of the form must be completed. If a section does not apply, it is essential to indicate this by writing "N/A." Failing to do so may result in the form being returned for correction.

Another common mistake involves incorrect or inconsistent naming. The company name and facility name should match exactly with the records held by the Louisiana Secretary of State. It is advisable to verify the correct name using the state’s Corporation Database before submitting the form. Discrepancies can lead to confusion and may hinder the processing of the application.

People often overlook the requirement for signatures. Both the previous and new permit holders must sign the form. Missing signatures can cause significant delays in processing. Ensure that all parties involved are aware of their responsibilities and are available to sign the document.

Additionally, many applicants fail to provide all necessary attachments. If your company is a corporation or limited liability company, include the Certificate of Registration and/or Certificate of Good Standing. Omitting these documents can result in the form being deemed incomplete, which may lead to rejection.

Lastly, misunderstandings about the payment process can lead to issues. Each type of change has specific fees associated with it. Ensure that the correct amount is submitted along with the form. Checks should be made payable to the LA Department of Environmental Quality. Not adhering to the payment guidelines can delay the processing of your application.

Misconceptions

The DEQ 7106 R01 form, also known as the Notification of Change Form, is essential for various changes related to environmental permits in Louisiana. However, several misconceptions exist about this form. Here are eight common misunderstandings, along with explanations to clarify them.

  • It is only for company name changes. The DEQ 7106 R01 form is used for multiple purposes, including facility name changes, permit transfers, ownership changes, and operator changes, not just for changing a company name.
  • Submitting the form guarantees approval. Many believe that submitting the form automatically approves the requested changes. In reality, the submission does not constitute approval. The office will notify the requestor in writing regarding the decision.
  • All sections of the form can be left blank if not applicable. It is a common misconception that you can leave sections blank. All information must be provided. If a section does not apply, use "N/A" to indicate that.
  • Changes can be reported at any time. Some think they can submit the form whenever they like. However, the form must be submitted prior to or no later than 45 days after a change has occurred.
  • Only the new owner is responsible for violations. There is a belief that only the new permit holder is accountable for existing violations. The form requires identification of the party responsible for any violations that occurred before the transfer, including potential fines.
  • Proof of registration is not necessary if the company is registered. Even if a company is already registered, a copy of the Certificate of Registration or Certificate of Good Standing from the Louisiana Secretary of State must be attached if the company is a corporation or limited liability company.
  • Fees are the same for all types of changes. Many assume that the fees for submitting the form are uniform. Fees vary based on the type of change being made, such as company name changes or permit transfers, so it is important to check the specific fee schedule.
  • Stormwater permits can be transferred using this form. Some believe that stormwater permits are included in the transfer process. However, stormwater permits beginning with LAR04, LAR05, and LAR10 are not transferable using the DEQ 7106 R01 form.

Understanding these misconceptions can help ensure that the process of submitting the DEQ 7106 R01 form goes smoothly and that all necessary steps are taken correctly.

Document Attributes

Fact Name Description
Purpose of the Form The DEQ 7106 R01 form is used for notifying changes such as company name changes, facility name changes, permit transfers, ownership changes, and operator changes.
Governing Law This form is governed by Louisiana Administrative Code (LAC) 33:I, Chapter 19.
Submission Timeline It must be submitted no later than 45 days after a change has occurred to ensure compliance.
Required Attachments When submitting the form, include proof of registration with the Louisiana Secretary of State and any applicable fees.
Permit Transfer Responsibility The form identifies who is responsible for existing violations prior to the transfer, including any fines or outstanding fees.
Payment Information Payments for processing the form vary based on the type of permit and must be made payable to the Louisiana Department of Environmental Quality.