Forms and Applications
For your convenience permit applications and general information documents are available for you to print out. For a list of current and upcoming fees, click here. To request a refund, click here for the form. If you have any questions about the information contained in these documents, please contact the Air Quality Management Division at (775) 784-7200.
Stationary Source Forms and Applications
All new and modifying existing sources shall submit an Application for Authority to Construct prior to construction of emissions units. An Applicability Determination Fee shall be included with the application. For payment with a credit card, the applicant will be contacted via email once the application has been received and the invoice is ready for payment.
Prior to issuance of the Authority to Construct, the facility will receive an invoice for the remaining application fees. The remaining application fees are dependent on the source type (i.e., minor or synthetic minor), and the applicability determination fee will be subtracted from the total application fee.
- Application for Authority to Construct - A supplemental emissions unit and/or control device worksheet must be submitted with the application for each emissions unit and/or control device. Supplemental worksheets and guidance documents are linked below.
- Fuel Burning Equipment Application - This application shall be used if the facility only contains fuel burning equipment used for comfort (ex., rooftop units, unit heaters, hot water heaters, etc.) and no individual unit exceeds an input rating of one million Btu per hour (1 mmBtu/hr). If the facility contains any other emissions units (ex., diesel engine generator), submit an Application for Authority to Construct instead. The Fuel Burning Equipment General Source Fee applies.
- Internal Combustion Engine (ICE) Application (For single ICE only) - This application shall only be used if a facility contains a single, standalone internal combustion engine and no other equipment or processes. If the facility contains any other emissions units (ex., natural gas fuel burning, multiple internal combustion engines, etc.), submit an Application for Authority to Construct instead. The Fuel Burning Equipment General Source Fee applies.
Supplemental Application Forms
- PTE/Emissions Inventory Spreadsheet
- MACT 6H Compliance Notification
- Facility Location Mapping Instructions
- Process Flow Diagram Example
- Fuel Burning Equipment Inventory
Control Device Worksheets
- Baghouse Worksheet
- Cyclone Worksheet
- Emission Control Device Worksheet
- Flare Worksheet
- Scrubber Worksheet
Emission Unit Worksheets
- Asphalt Plant Worksheet
- Boiler Worksheet
- Concrete Plant Worksheet
- Cooling Tower Worksheet
- Drilling / Blasting Worksheet
- Gasoline Dispensing Facility (GDF) Worksheet
- Internal Combustion Engine (ICE) Worksheet
- PERC Dry Cleaners Worksheet
- Petroleum Dry Cleaners Worksheet
- Petroleum Storage Tank Worksheet
- Printing Worksheet
- Surface Coating Worksheet
- Woodworking Worksheet
Administrative/Miscellaneous
- Application for Change of Ownership
- Change of Contact Information
- Declaration of Responsible Official
- Request to Close Permit to Operate
- Facility Start of Construction Notification
- Facility Startup Notification
- 12-Month Rolling Sums Calculation Guidance
- Confidentiality Request Form
Mineral Processing (Non-Metallic) Crushers and Screens - Portable and Stationary
The following tools should be used to apply for a Permit to Operate for Non-Metallic Mineral Processing (Crushing/Screening) - Stationary or Portable/Rented/Temporary:
- Application for Mineral Processing
- PTE/Emissions Inventory Spreadsheet
- Example Mineral Processing Flow Diagram
- Mapping Instructions
- Move Notification for Portable Equipment
Title V
- Title V General Permit Application - Contact the AQMD if you think you need this application.
- Application for Authority to Construct/Modify and/or Permit to Operate for Part 70 Subject Sources
Asbestos Program
- Application for Acknowledgement of Asbestos Assessment (AAA)
- Asbestos NESHAP Notification of Renovation
- Notification of Demolition
- Notification Revision Summary Form
- AHERA Certified Building Inspectors
- Local Licensed Asbestos Removal Contractors
Dust Control Program
- Dust Control Permit Application
- Dust Control Permit Modification
- Completion of Project
- Dust Log Template
- Dust Control Permit Sign Requirements
Wood Burning Device Program
- Notice of Exemption Form
- Certificate of Compliance Transfer
- Verification of Wood Burning Device Removal
- Wood Burning Device Inspection Form
- Wood Burning Device Exemption Form
- List of Certified Wood Burning Device Inspectors
- Sole Source of Heat Declaration
- Dealer's Affidavit of Sales Form
Prescribed Burn
Air Pollution Control Hearing Board
Last modified on 10/03/2024
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