Permit
applications are
in Interactive Word and Adobe Acrobat PDF
formats. If
you do not have Word 97 or later, please print out forms
available in PDF. Click
Here to read the Permit Application FAQs.
GENERAL APPLICATION |
App116(Rev.
9/05) |
General:
Permit/Registration Application Form |
PDF |
CHECKLISTS |
116 |
General Permit Application Checklist |
PDF |
FS13 |
Checklist
for all Fee Schedule 13 Supplemental Applications |
PDF |
FS27 |
Checklist
for all Fee Schedule 27 Supplemental Applications |
PDF |
FS28 |
Checklist
for all Fee Schedule 28 Supplemental Applications |
PDF |
FS34 |
Checklist
for all Fee Schedule 34 Supplemental Applications |
PDF |
SUPPLEMENTAL
APPLICATIONS |
COE |
Certificate
of Exemption (COE) |
PDF |
TOX |
Rule
1200 Toxics Evaluation |
PDF |
1410-A(Rev.
9/04) |
Title
V Administrative Amendment |
PDF |
1410-B (Rev.
7/02) |
Title
V Permit Modification |
PDF |
1401-J1(Rev.
2/03) |
Title
V Reporting Form - Monitoring & Recordkeeping Summary Report & Compliance Certification |
PDF |
1401-J2(Rev.
3/03) |
Title
V Reporting Form - Deviation Report |
PDF |
SUPPLEMENTAL
APPLICATIONS |
11A |
Tire
Buffers |
PDF |
12H |
Smoke
House |
PDF |
13A-D,F-H |
/Heaters
- - - - - - BACT
Table |
PDF |
13I |
/Heaters
Natural Gas 5 to 50 MM BTU/HR <220,000 therms |
PDF |
14A-C |
Non-Municipal
Incinerators |
PDF |
15A,C |
Burn-Out
Ovens and Brake Debonders |
PDF |
18C-E |
Metal
Melting Devices |
PDF |
19A |
Oil
Quenching and Salt Baths |
PDF |
20A-C |
Turbine
Test Cells/Turbine Test Stands |
PDF |
20D-H |
Gas
Turbine |
PDF |
21A |
Waste
Disposal and Reclamation Units |
PDF |
22A-E |
Feed
and Grain Mills and Kelp Processing Plants |
PDF |
23A-D |
Bulk
Terminal Grain & Dry Chemical Transfer & Storage
- - BACT
Table |
PDF |
24A,C |
Dry
Chemical Mixing |
PDF |
25A,
B, E |
Gasoline
Bulk Storage Facility |
PDF |
25H |
Facilities
Dispensing Gasoline to Transport Vehicles |
PDF |
| 26A,F |
EVR Phase II OTC |
PDF |
26C |
VOC Dispensing Facilities Exempt from Phase II VR Requirements |
PDF |
26A,E,F |
VOC Dispensing Facilities |
PDF |
SUPPLEMENTAL
APPLICATIONS
|
27A-C,T |
Marine Coating Operation - - - - - - BACT
Table |
PDF |
27D,E |
General Surface Coating Application Stations - - - - BACT
Table |
PDF |
27F,G |
Fiberglass,
Plastic or Foam Product Application Station - - - - BACT
Table |
PDF |
27I |
Materials
Containing Organic Solvents (Application Station
w/Control Equip.) |
PDF |
27J,K,P-a |
Aerospace Coating Application Station |
PDF |
27J,K,P-m |
Metal Parts Coating Operations - - - - - BACT
Table |
PDF |
27L,M,Q |
Wood Parts/Products Application Station - - - - - BACT
Table |
PDF |
27N |
Graphic Arts Operation - - - - - - BACT
Table |
PDF |
27R,S |
Automotive Application Station - - - - - - BACT
Table |
PDF |
27U,V,W |
Adhesive Material Application Operations- - - - - BACT
Table |
PDF |
| 28A |
Vapor Degreaser w/ an Air Vapor
Interfacial Area > 5 ft2 |
PDF |
| 28B |
Cold Solvent Degreaser w/ a Liquid Surface Area > 5 ft2 |
PDF |
| 28D |
Stripping
Tanks |
PDF |
| 28H |
Vapor Degreasers w/ an Air
Vapor Interfacial Area ≤ 5 ft2 (SPR-R67.6.2) |
PDF |
| 28F,I,K,L |
Cold
Solvent Degreaser with a Liquid Surface Area ≤ 5 ft2 & Remote Reservoir Cleaners (SPR-R67.6.1) |
PDF |
28J |
Metal
Inspection Tanks |
PDF |
29A |
Automated
Soldering Equipment |
PDF |
31A,C |
Perchloroethylene Dry
Cleaning Facilities |
PDF |
31
B |
Petroleum Dry
Cleaning Facility |
PDF |
32A |
Copper
Etching |
PDF |
32B,C |
Acid
Chemical Milling and Hot Dip Galvanizing |
PDF |
34A-J |
Internal Combustion Engines - - - - - - BACT
Table |
PDF |
35 |
Bulk
Flour, Powdered Sugar & Dry Chemical Storage |
PDF |
36A |
Machining,
Grinding, Sanding Equipment/Booths |
PDF |
37A |
Plasma,
Arc, Wire/Gas Metal Deposition Equipment |
PDF |
38A-D |
Paint,
Adhesive, Stain, Ink, Solder Paste & Dielectric
Paste Mfg. |
PDF |
40A |
Asphalt
Pavement Heaters |
PDF |
42A-D |
Electronic
Component Manufacturing |
PDF |
43 |
Ceramic
Slip Casting |
PDF |
44A,B |
Evaporators,
Dryers & Stills |
PDF |
46A |
Filtration
Membrane Manufacturing |
PDF |
47A,B |
Organic
Gas Sterilizing |
PDF |
48A,B |
Landfill
Gas Control Systems |
PDF |
49A |
Non-Operational
Status Equipment |
PDF |
50 |
Coffee
Roasters- - - - - - BACT
Table |
PDF |
SUPPLEMENTAL
APPLICATIONS |
52B |
Instructions
for Soil Remediation Application Supplemental
Information Forms |
PDF |
52B-A |
Soil
Remediation - Process |
PDF |
52B-B |
Soil
Remediation - Post Excavation Process |
PDF |
52B-C |
Soil
Remediation - In-Situ Process |
PDF |
52B-D |
Soil
Remediation - Adsorbers |
PDF |
52B-E |
Soil
Remediation - Catalytic Oxidizer/Catalytic Converter |
PDF |
52B-F |
Soil
Remediation - Thermal Oxidizer/Internal Combustion Engine |
PDF |
54A |
Pharmaceutical
Manufacturing- - - - - - BACT
Table |
|
55A,B,C |
Decorative/Hard
Chrome Plating & Chromic Acid Anodizing Equipment |
PDF |
56C |
Composting
Operations with Screen Unit(s) |
PDF |
59C |
Portable
Asbestos Mastic Removal Application Station |
PDF |
|