Stationary Source Permitting Forms


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Applications & Forms9 documents

  • Major Source Permit Application (Revised 9/13/2022)
    document seq 0.00
    Application for operating permit for Part 70 (Title V) sources
  • Title V ATC application
    document seq 0.00
    Application for Authority to Construct permit for Part 70 sources
  • Minor Source Permit application (Revised 1/31/2020)
    document seq 0.10
  • Transfer of Ownership / Change of Name (SS-PER-020-00)  (Revised 6/21/22)
    document seq 2.00
  • Portable Source Permit Move Notice (SS-PER-016-01)  (Revised 11/28/2022)
    document seq 3.00
  • NESHAP HHHHHH Petition for Exemption Example
    document seq 4.00
  • Declaration of Responsible Official (Revised 08-31-22)
    document seq 6.00
  • Nonroad Engine Declaration
    document seq 8.00
  • Prior Notification Form (Revised 02-26-19)
    document seq 9.00

Emission Unit/Control Device Worksheets & Tools27 documents

Application Tools3 documents

  • Gasoline Dispensing Operations Permitting Tool
    document seq 0.00
  • Mineral Processing Permitting Tool
    document seq 0.00
  • Engines Tool
    document seq 0.00

Control Device Application Worksheets5 documents

  • Control Devices
    document seq 0.00
  • Cyclone
    document seq 0.00
  • Flare
    document seq 0.00
  • Fabric Filter/Baghouse
    document seq 0.00
  • Scrubber
    document seq 0.00

Emission Unit Application Worksheets19 documents

  • Asphalt Plants
    document seq 0.00
  • Boiler
    document seq 0.00
  • Cannabis
    document seq 0.00
  • Cooling Tower
    document seq 0.00
  • Concrete Plant (revised 9-29-22)
    document seq 0.00
  • Drilling and Blasting
    document seq 0.00
  • Dry Cleaning Operation-PERC
    document seq 0.00
  • Dry Cleaning Operation-Petroleum
    document seq 0.00
  • Dryers
    document seq 0.00
  • Internal Combustion Engine
    document seq 0.00
  • Landscape & Rock Operation
    document seq 0.00
  • Petroleum Storage Tanks
    document seq 0.00
  • Printing Form – A
    document seq 0.00
  • Printing Form – B
    document seq 0.00
  • Soil & Groundwater Remediation
    document seq 0.00
  • Stone Processing Operation
    document seq 0.00
  • Surface Coating Operation – A
    document seq 0.00
  • Surface Coating Operation – B
    document seq 0.00
  • Woodworking
    document seq 0.00

General Permit Information & Applications3 documents

  • General Permit Information
    document seq 0.00
  • Gasoline Dispensing Operations
    document seq 0.00
  • Soil & Groundwater Remediation
    document seq 0.00