Stationary Source Permitting

Notice: Forms on this page will be downloaded.


Title V Application

Authority to Construct: Major Source

Minor Source Permit application (Revised 1/31/2020) 

    Permit Application Advisory

Transfer of Ownership / Change of Name (SS-PER-020-00)  (Revised 1/22/20)

Portable Source Permit Move Notice (SS-PER-016-01)  (Revised 7/19/19)

Emission Unit & Control Device Worksheets

Asphalt Plant (SS-PER-011-01)  (Revised 9/14/18)

Boiler (SS-PER-007-01)  (Revised 9/14/18)

Concrete Plant (SS-PER-011-03)  (Revised 9/14/18)

Control Device (SS-PER-008-05)  (New 9/14/18)

Cooling Tower (SS-PER-013-02) (Revised 9/14/18) 

Cyclone (SS-PER-008-03)  (New 9/14/18)

Drilling and Blasting (SS-PER-008-03) (New 5/15/19)

Dry Cleaning Operation-PERC (SS-PER-009-01) (Revised 9/14/18)  

Dry Cleaning Operation-Petroleum (SS-PER-009-02)  (Revised 9/14/18) 

Dryers (SS-PER-007-07) (New 5/15/19)

Fabric Filter / Baghouse (SS-PER-008-01)  (New 9/14/18)

Flare (SS-PER-008-04)  (New 9/14/18)

Gasoline Dispensing Operation Permitting Tool (New 8/8/19)

Internal Combustion Engine  

Landscape & Rock Operation (SS-PER-011-02)  (Revised 9/14/18)  

Marijuana Processing (SS-PER-012-02)  (New 9/14/18)

Mineral Processing Permitting Tool  (New)

Petroleum Storage Tanks (SS-PER-014-02)  (Revised 9/17/18) 

Printing Form - A (SS-PER-015-01A)  (New 9/17/18)

Printing Form - B (SS-PER-015-01B)  (New 9/17/18)

Scrubber (SS-PER-008-06)  (New 9/14/18)

Soil & Ground Water Remediation (SS-PER-012-04)  (Revised 9/14/18)   

Stone Processing Operation (SS-PER-013-03)  (Revised 9/17/18)   

Surface Coating Operation - A (SS-PER-015-02A)   (Revised 9/17/18)

Surface Coating Operation - B (SS-PER-015-02B)  (New 9/17/18)

Woodworking (SS-PER-013-04)  (New 9/17/18)

Prior Notification Form (Revised 2/26/19)

Declaration of Responsible Official (Revised 7/31/19)

Nonroad Engine Declaration (New 3/15/19)

Recordkeeping Forms (Samples)

Daily Inspection Record GDO Assist System (Revised 10/11/19)
Daily Inspection Record GDO Balance System (Revised 10/11/19)
Daily Inspection Record GDO Phase I Only (Revised 10/11/19)

Additional Forms

NESHAP HHHHHH Initial Notification Example  

NESHAP HHHHHH Petition for Exemption Example  

NSPS/NESHAP Stationary Source Notification Form Letter

Last modified at 1/29/2020 15:43 by System Account