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Air Quality Forms

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 Permit Application Forms

Form Title

State Form Number (.pdf)

General Instructions for Completion of Permit Applications .pdf
General Information Concerning Permitting Fee System .pdf
Permit Renewal/Registration Application SFN-60242
Air Contaminant Sources SFN-8516
Air Pollution Control Equipment SFN-8532
Asphalt Concrete Plants SFN-8526
Contaminated Soil Treatment Facilities SFN-52724
Flares SFN-59652
Fuel Burning Equipment for Indirect Heating SFN-8518
Glycol Dehydration Units SFN-58923
Grain, Feed, and Fertilizer Operations SFN-8524
Hazardous Air Pollutant (HAP) Sources SFN-8329
Incinerators/Crematories SFN-8522
Internal Combustion Engines and Turbines SFN-8891
Manufacturing or Processing Equipment SFN-8520
Natural Gas Processing Plants SFN-11408
Oil/Gas Production Facility Registration SFN-14334
Rock, Sand and Gravel Plants SFN-8530
Volatile Organic Compounds Storage Tank SFN-8535

 

   Annual Emission Inventory Report Forms

Form Title

State Form Number (.pdf)

Annual Production Report - Asphalt Plants SFN-11828
Annual Production Report - Rock, Sand & Gravel Plant SFN-51113
Annual Production Report - Synthetic Minor SFN-51444
Compressor/Industrial Engines SFN-11829
Fuel Burning Equipment Used for Indirect Heating SFN-8536
Fuel Supplier Certification for Distillate Oil (40 CFR 60, Subpart Dc) SFN-58172
Hazardous Air Pollutant SFN-19839
Incinerators or Flares SFN-11624
Incinerator and Flare Stack Sulfur Dioxide - Natural Gas Processing Plants SFN-50596
Manufacturing or Processing Equipment SFN-8537
Oil Seed Processing Equipment SFN-8539
Volatile Organic Compounds Storage Tank SFN-18682

 

     Title IV  Acid Rain

                                        Form Title                                      

   State Form Number   

     Format        

Retired Unit Exemption

SFN-53496

Department Memorandum, Title V Permit to Operate (pdf)

Title V Permit Renewal Application (Word)

Certificate of Representation

SFN-53497

SFN-53497 (pdf)

Title V Permit Renewal Application (Word)

New Unit Exemption

SFN-53498

SFN-53498 (pdf)

Title V Permit Renewal Application (Word)

Phase II NOx Averaging Plan

SFN-53499

SFN-53499 (pdf)

Title V Permit Renewal Application (Word)

Phase II NOx Compliance Plan

SFN-53500

SFN-53500 (pdf)

Title V Permit Renewal Application (Word)

Acid Rain Permit Application

SFN-53501

SFN-53501 (pdf)

Title V Permit Renewal Application (Word)

 

   Title V Application and Supporting Information

Form Title

State Form Number

Format

Department Memorandum, Title V Permit to Operate

 

Department Memorandum, Title V Permit to Operate (pdf)

Title V Permit Renewal Application

SFN-52824 

SFN-52824 (pdf)

Title V Permit Renewal Application (Word)

Title V Permit to Operate Application

 SFN-52858

SFN-52858 (pdf)

Title V Permit to Operate Application (Word)

Title V Permit to Operate Application Instructions

 

Title V Permit to Operate Instructions (pdf)

Title V Permit to Operate Instructions (Word)

Criteria Required for a Determination of a Complete
Title V Application

 

Criteria Required for a Determination of a Complete Title V Application (pdf)

Criteria Required for a Determination of a Complete Title V Application (Word)

List of Trivial Activities, Title V Permit Applications

 

List of Trivial Activities, Title V Permit Applications (pdf)

List of Trivial Activities, Title V Permit Applications (Word)

Compliance Assurance Monitoring (CAM) Guidance

 

Compliance Assurance Monitoring (CAM) Guidance (pdf)

Compliance Assurance Monitoring (CAM) Guidance (Word)

 

   Title V Reporting Forms

Form Title

State Form Number

Format

Title V Semi-annual Monitoring Report

 SFN-52737

SFN-52737 (pdf)

Title V Semi-annual Monitoring/Permit Deviation Report (Word)

Title V Annual Compliance Certification Report

 SFN-52738

SFN-52738 (pdf)

Title V Annual Compliance Certification Report (Word)

 

   Open Burning Forms     

Form Title

State Form Number

Format

Application for Approval to Burn Liquid Hydrocarbons

SFN-8506

SFN-8506 (pdf)

SFN8506 (Word)

Application for Open Burning Variance

SFN-8509

SFN-8509 (pdf)

SFN-8509 (Word)

Request for Prescribed Burn Approval   Request for Prescribed Burn Approval (pdf)
Request for Prescribed Burn Approval (Word)
Prescribed Burning Summary (residue loading factors)   Prescribed Burning Summary (residue loading factors) (pdf)
Prescribed Burning Summary (residue loading factors) (Word)

Notification of Demolition and Renovation

SFN-17987

SFN-17987 (pdf)

SFN-17987 (Word)

 

   Miscellaneous Forms

Form Title

State Form Number

Format

Application for Aerial Application for Pesticide Over a City 

SFN-14493

SFN-14493 (pdf)

SFN-14493 (Word)

Asphalt Plant Change of Statues Notice (AP-205)

SFN-8455

Asphalt Plant Change of Statues Notice (AP-205) (pdf)
Asphalt Plant Change of Statues Notice (AP-205) (Word)

Visible Emission Observation Form

SFN-8441

Visible Emission Observation Form (pdf)