Stationary Source Permitting Forms

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Applications5 documents

  • Title V Application
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  • Authority to Construct: Major Source
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  • Minor Source Permit application (Revised 1/31/2020)
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  • Transfer of Ownership / Change of Name (SS-PER-020-00)  (Revised 1/22/20)
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  • Portable Source Permit Move Notice (SS-PER-016-01)  (Revised 7/19/19)
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Emission Unit & Control Device Worksheets26 documents

  • Asphalt Plant (SS-PER-011-01)  (Revised 9/14/18)
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  • Boiler (SS-PER-007-01)  (Revised 9/14/18)
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  • Concrete Plant (SS-PER-011-03)  (Revised 9/14/18)
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  • Control Device (SS-PER-008-05)  (New 9/14/18)
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  • Cooling Tower (SS-PER-013-02) (Revised 9/14/18)
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  • Cyclone (SS-PER-008-03)  (New 9/14/18)
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  • Drilling and Blasting (SS-PER-008-03) (New 5/15/19)
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  • Dry Cleaning Operation-PERC (SS-PER-009-01) (Revised 9/14/18)
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  • Dry Cleaning Operation-Petroleum (SS-PER-009-02)  (Revised 9/14/18)
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  • Dryers (SS-PER-007-07) (New 5/15/19)
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  • Fabric Filter / Baghouse (SS-PER-008-01)  (New 9/14/18)
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  • Flare (SS-PER-008-04)  (New 9/14/18)
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  • Gasoline Dispensing Operation Permitting Tool (New 8/8/19)
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  • Internal Combustion Engine
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  • Landscape & Rock Operation (SS-PER-011-02)  (Revised 9/14/18)
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  • Marijuana Processing (SS-PER-012-02)  (New 9/14/18)
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  • Mineral Processing Permitting Tool  (New)
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  • Petroleum Storage Tanks (SS-PER-014-02)  (Revised 9/17/18)
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  • Printing Form - A (SS-PER-015-01A)  (New 9/17/18)
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  • Printing Form - B (SS-PER-015-01B)  (New 9/17/18)
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  • Scrubber (SS-PER-008-06)  (New 9/14/18)
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  • Soil & Ground Water Remediation (SS-PER-012-04)  (Revised 9/14/18)
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  • Stone Processing Operation (SS-PER-013-03)  (Revised 9/17/18)
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  • Surface Coating Operation - A (SS-PER-015-02A)  (Revised 9/17/18)
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  • Surface Coating Operation - B (SS-PER-015-02B)  (New 9/17/18)
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  • Woodworking (SS-PER-013-04)  (New 9/17/18)
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Forms3 documents

  • Prior Notification Form (Revised 2/26/19)
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  • Declaration of Responsible Official (Revised 7/31/19)
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  • Nonroad Engine Declaration (New 3/15/19)
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Recordkeeping Forms (Samples)3 documents

  • Daily Inspection Record GDO Assist System (Revised 10/11/19)
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  • Daily Inspection Record GDO Balance System (Revised 10/11/19)
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  • Daily Inspection Record GDO Phase I Only (Revised 10/11/19)
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Additional Forms3 documents

  • NESHAP HHHHHH Initial Notification Example
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  • NESHAP HHHHHH Petition for Exemption Example
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  • NSPS/NESHAP Stationary Source Notification Form Letter
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