State of Nevada
Division of Environmental Protection
  Bureau of Air Pollution Control
  901 So. Stewart St., Suite 4001 • Carson City, NV 89701
Phone: (775) 687-9349 • FAX: (775) 687-6396
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Download Permit Forms

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  2. Set your mouse cursor over the Word icon or PDF icon to determine file size.
  3. Files with the .doc extension are Microsoft Word files.
  4. Files with the .pdf extension are Adobe Acrobat files.
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CLASS I FACILITIES

Form Description Form # Revision Date File Format
PDF DOC
Class I-B Operating Permit Application for New Stationary Sources, Significant Revisions, or Renewals (Includes all sections and appendices) Class1_BApp 12/03
Class I-B Operating Permit Application for Minor Revisions. (Includes all sections and appendices) Class1_BMinorApp 12/03
Class I Permit to Construct OPTCFinalApp4_03 12/03
Nevada PSD Triggered 107(d) Planning Areas - 4/21/2009 n/a
Class 1-A Operating Permit Application for Non-Major Stationary Sources subject to 40 CFR 63 Subpart EEEEEEE, the NESHAP for Gold Mine Ore Processing and Production Area Sources New Permits or Significant Revisions (includes all sections and appendices) Class 1A_Appln 12/2001


CLASS II FACILITIES

Form Description Form # Revision Date File Format
PDF DOC
Class II Operating Permit
Class II Operating Permit - Application and Appendices ClassII_July_2016 July_2016
Class II Operating Permit Application - Completeness Checklist ClassII_July_2016 July_2016 n/a
Class II Operating Permit Application - Guidance ClassII_July_2016 July_2016 n/a
General Permit & Change of Location (COLA)
Class II General Operating Permit Application - 10/7/14
COLA - Change of Location Application - 08/29/13
COLA - Change of Location Application Start Form - 10/11/02
COLA - Change of Location Application Completion Form - 10/11/02
Surface Area Disturbance (SAD)
SAD - Surface Area Disturbances Permit Application Class II SAD 12-07-2016 12/07/16
Surface Area Disturbance (SAD) Cancellation Form
SAD - Surface Area Disturbance Cancellation - 05/07


ALL FACILITIES

Form Description Form # Revision Date File Format
PDF DOC
Approved Insignificant Activities
InsigList 01/06
List of Trivial Activities - 06/98
Hazardous Air Pollutants (HAP)s - 06/99
Permit Administrative Amendment (for all permit types) AdminAmend_10-2016 10/18/16
Supplemental Information for Reciprocating Internal Combustion Engines (RICE) and Generators Supp Info_Generators.xls 12/2011 Excel Spreadsheet


COMPLIANCE

Form Description Form # Revision Date File Format
PDF DOC
Class 1 Annual Compliance Certification Instructions - 02/25/03
Class 1 Annual Compliance Certification Form - 02/25/03 Download
both:

Excess Emissions Form - 04/09 n/a


MODELING and MONITORING

Form Description Form # Revision Date File Format
PDF DOC
Scheffe Model Documentation - -
Environmental Evaluation (Modeling)Checklist - -
Air Quality Monitoring Guidelines - 05/2008 N/A