Permitting Forms (Air Quality)

• Dust Control Plan, Tax Exemption, and Variance Request
• New Source Review
• Title V Operating Permits
• Process-Specific Forms
• Small Source Exemption

A variety of documents are available to assist you in submitting information to the Division. The forms may be viewed as a PDF file or downloaded as a compressed (zip) Word Document.

• Pre-NOI Forms (452 KB)
  How to Prepare for a Pre-NOI Meeting. Starter Forms to Fill out for an Application (NOI).

Small Source Exemption

• Registration: Small Source Exemption Registration Form (57 KB)
• Instructions: Instructions for completing the small source exemption registration form (36 KB)
• Attachment C: List of Hazardous Air Pollutants (35 KB)
• Attachment D: Wood Finisher Worksheet (21 KB)
• Attachment E: Printer Worksheet (26 KB)
• Attachment F: Auto Body Refinisher Worksheet (17 KB)
• Fact Sheet: How to Calculate Hazardous Air Pollutant Emissions (108 KB)

New Source Review

• Form 1: Notice of Intent Application (122 KB)
• Form 2: Company Information (127 KB)
• Form 3: Process Information (82 KB)
• Form 4: Project Information (85 KB)
• Form 5: Emissions Information (224 KB)
• Name Change: Permit Name Change (34 KB)

Process-Specific Forms

• Form 2: Processing Information (94 KB)
• Form 3: Afterburner (103 KB)
• Form 4: Flare (45 KB)
• Form 5: Adsorption Unit (83 KB)
• Form 6: Cyclone (101 KB)
• Form 7: Condenser (35 KB)
• Form 8: Electrostatic Precipitator (91 KB)
• Form 9: Scrubber / Wet Collector (89 KB)
• Form 10: Fabric Filter (Bag House) (88 KB)
• Form 11: Internal Combustion Engine (134 KB)
• Form 12: Incinerator (111 KB)
• Form 13: Spray Booth (79 KB)
• Form 14: Concrete Batch Plant (95 KB)
• Form 15: Rock Crushing and Screening (29 KB)
• Form 15a: Notice of Temporary Relocation of Portable Equipment
• Form 15b: Equipment Registration Form for Generic Portable Equipment (42 KB)
• Form 15c: General Permit Application for Portable Equipment (42 KB)
• Form 16: Soil/Groundwater Hydrocarbon Remediation (111 KB)
• Form 17: Diesel Powered Standby Generator (30 KB)
• Form 17a: Natural Gas Powered Standby Generator (30 KB)
• Form 18: Portable Hot Mix Drum Asphalt Plant (70 KB)
• Form 19: Fuel Burning Equipment (Boilers, Heater, Steam Generators) (91 KB)
• Form 20: Organic Liquid Storage Tank (79 KB)
• Form 21: Solvent Metal Cleaning (Degreaser) (87 KB)
• Form 22: Combustion Turbine (88 KB)
• Form 23: Rotary Kiln (100 KB)

Title V Operating Permits

• Operating Permit Application Form: Title V Operating Permit (54 KB) (zip) (46 KB)
• OP Application Instructions: Instructions and support information for the OP application form (23 KB) (zip) (116 KB)
• OP Application Checklist: Completeness Checklist for the OP Application Form (102 KB) (zip) (4 KB)
• Sample Permit Deviation Report: Sample form for reporting deviations from permit conditions (6 KB) (zip) (4 KB)
• Sample Monitoring Report: Sample form for the six-month monitoring report (9 KB) (zip) (4 KB)
• Sample Compliance Certification: Sample form with list of permit conditions that need certification in each annual report (48 KB) (zip) (5 KB)
• OP Renewal Cross-Referencing Info: Information on what may or may not be cross-referenced in an operating permit renewal application (10 KB)
• Landfill Capacity: Landfill design capacity form (3 KB) (zip) (2 KB)
• Landfill Emissions: Landfill NMOC emission rate report (4 KB) (zip) (30 KB)

Dust Control Plan, Tax Exemption, and Variance Request

• Dust Control Plan Form
• Dust Control Plan Instructions (271 KB)
• Sales Tax Exemption Guideline (245 KB)
• Sales Tax Exemption Application Form (104 KB) (doc) (30 KB)