Applications and forms to install equipment that emits air pollution

The Department of Public Health issues permits and licenses for the installation of equipment that emits or controls air pollution.

Small business assistance is available from the Environmental Assistance Program (EMAP) at (877) ASK-EMAP.  To determine the cost of permits to operate equipment that emits or controls air pollution, use the Air Management Services fee schedule.

Name Description Released Format
Air Management Compliance Review Form pdf Use this form to list plan approvals or operating permits issued under the Air Pollution Control Act. December 12, 2018
Air Management Monitoring Report Form pdf Use this form to list air pollution sources, deviations of permit requirements, and malfunctions of processes, air pollution control equipment, or monitoring equipment. December 12, 2018
Air Pollution Construction Permit Applications Received Report pdf Permit applications received 4/1/18-4/30/18. November 8, 2018
Guide to Air Pollution and Asbestos Abatement Permits and Licenses pdf This guide describes the permitting process and the different types of permits and licenses required for air pollution control and asbestos abatement. November 8, 2018
Instructions for Plan Approval to Construct, Modify, or Reactivate an Air Contamination Source pdf These instructions include types of review required and definitions of terms. November 8, 2018
Permit Application for Plan Approval to Construct, Modify or Reactivate an Air Contamination Source pdf This permit is applicable for plan approval to construct, modify or reactivate an air contamination source. November 8, 2018
Permit Application for Air Cleaning Device for Minor Emission Source pdf This permit is applicable to installation of an air cleaning device for a minor emission source. March 20, 2019
Permit Application for Boiler, Warm Air Furnace, and Hot Water Heater pdf This permit is issued for units rated less than 10 MMBTU/hr and burning #2 fuel oil or lighter and combustion units rated at 2.5 MMBTU/hr or less burning #3 fuel oil or heavier. March 20, 2019
Permit Application for Dry Cleaning pdf This permit is issued for the construction and temporary operation of the equipment listed in the application until Air Management Services performs a conformance check and issues an air pollution license. March 20, 2019
Dust Control Permit Application Form pdf This permit includes new notification, permitting, and work practice requirements for the control of dust during construction and demolition activities. March 8, 2019
Dust Control Alternative Method Request Form pdf Use this form to request an alternative dust control method during construction or demolition. November 8, 2018
Permit Application for Fumigation Processes pdf This permit is issued for the construction and temporary operation of equipment listed in the application until Air Management Services performs a conformance check and issues an air pollution license or operating permit. March 20, 2019
Permit Application for a Gasoline Dispensing Facility pdf This permit is issued for the construction and temporary operation of equipment listed in the application until Air Management Services performs a conformance check and issues an air pollution license or operating permit. March 20, 2019
Permit Application for Internal Combustion Engine pdf This permit is issued for the construction and temporary operation of the equipment listed in the application until Air Management Services performs conformance test and issues the air pollution license. March 20, 2019
Permit Application for Mechanical Ventilation Systems pdf This permit is issued for the construction and temporary operation of the equipment listed in the application until Air Management Services performs conformance test and issues an air pollution license. March 20, 2019
Permit Application to Process Equipment or Minor Emission Source pdf This permit is applicable to the installation of process equipment for a minor emission source. March 21, 2019
Permit Application for Portable Nonmetallic Mineral Processing Plants pdf This permit is applicable to any portable nonmetallic mineral processing plant proposing to operate under the general plan approval and/or operating permit. November 8, 2018
Permit Application for Small Natural Gas & No. 2 Oil Fired Combustion Unit pdf This permit is applicable to combustion units less than 50 MM BTU per hour but greater than or equal to 10 MMBTU/hr and can combust natural gas or No. 2 oil. November 8, 2018
Permit Application for Volatile Organic Liquid Storage Tank pdf This permit is applicable to stationary storage tanks with a rated capacity of 2000 gallons or greater which store volatile organic liquids with a storage vapor pressure of 11.1 psia or less. November 8, 2018
Environmental Justice Brochure pdf Environmental justice is defined as the fair treatment and meaningful involvement of all people with respect to the development, implementation, and enforcement of environmental laws, regulations, and policies. November 8, 2018

Top