Download Permit Forms
All applications must be signed by a Responsible Official (RO) as defined under NAC 445B.156. The RO will receive all official correspondence for the facility. In addition to receiving correpsondence, the RO will be responsible for annual billing, annual reporting, and any enforcement actions.
Class I Sources
| Form Description | Revision Date | PDF | DOC | XLS |
| Class I Permit Application Form | 09/2024 | PDF | DOC | - |
| Class I Permit Application Completeness Checklist | 03/2019 | PDF | - | - |
| Guidance Document for Class I Application Form | 07/2021 | PDF | - | - |
| Nevada PSD Triggered 107(d) Planning Areas | 04/2009 | PDF | - | - |
Class II Sources
Class II Operating Permit
| Form Description | Revision Date | PDF | DOC | XLS |
| Class II Operating Permit - Application and Appendices | 09/2024 | PDF | DOC | - |
| Class II Operating Permit Application - Completeness Checklist | 09/2017 | PDF | - | - |
| Class II Operating Permit Application - Guidance | 07/2021 | PDF | - | - |
| Class II Operating Permit Application - Applicability Determination | 05/2023 | PDF | DOC | - |
General Permits & Change of Location (COLA)
| Form Description | Revision Date | PDF | DOC | XLS |
| Class II General Operating Permit for Temporary Sources Application | 05/2023 | PDF | DOC | - |
| COLA - Change of Location Request | 05/2024 | PDF | DOC | - |
| COLA - Change of Location Approval Start Form | 06/2022 | PDF | DOC | - |
| COLA - Change of Location Approval Completion Form | 06/2022 | PDF | DOC | - |
| COLA - Guidance Document | 05/2022 | PDF | - | - |
| COLA - Frequently Asked Questions | 05/2023 | PDF | - | - |
| Form Description | Revision Date | PDF | DOC | XLS |
| Class II General Operating Permit for Nonmetallic Minerals Crushing and Screening Plants Application | 05/2023 | PDF | DOC | - |
| Class II General Operating Permit for Concrete Batch Plants Application | 05/2023 | PDF | DOC | - |
| Guidance for Class II General Operating Permit for Concrete Batch Plants Application and Nonmetallic Minerals Crushing and Screening Plants Application | 09/2022 | PDF | - | - |
Surface Area Disturbance (SAD)
| Form Description | Revision Date | PDF | DOC | XLS |
| SAD - Surface Area Disturbances Permit Application and Appendices | 05/2023 | PDF | DOC | - |
| SAD - Surface Area Disturbance Cancellation | 07/2023 | PDF | DOC | - |
Applications for All Sources
| Form Description | Revision Date | PDF | DOC | XLS |
| Class I and II Administrative Renewal of Existing AQOP | 09/2024 | PDF | DOC | - |
| Class I and II Notification of Authorized Change | 09/2024 | PDF | DOC | - |
| Administrative Renewal Checklist | 01/2020 | PDF | - | - |
| Administrative Amendment | 05/2023 | PDF | DOC | - |
| Responsible Official Identification/Designation/Change Request Form | 05/2023 | PDF | DOC | - |
| SLEIS Facility Editor Designation - Change Request Form | 02/2021 | PDF | DOC | - |
| Insignificant Activity Determination | 05/2023 | PDF | DOC | - |
| Confidentiality Request | 05/2023 | PDF | DOC | - |
| Stationary Source Change of Location | 05/2023 | PDF | DOC | - |
Resources for All Sources
| Form Description | Revision Date | PDF | DOC | XLS | Website |
| Frequently Asked Questions for New/Revision/Renewal/Administrative Renewal Applications | 02/2020 | PDF | - | - |
| Frequently Asked Questions for Stationary Internal Combustion Engines | 06/2024 | PDF | - | - |
| Guidance Document for Process Flow Diagrams | 09/2019 | PDF | - | - |
| Hazardous Air Pollutants (HAP) | 06/1999 | PDF | - | - |
| Guidance on Emission Factors for the Mining Industry | 05/2017 | PDF | - | - |
| Frequently Asked Questions for Emission Unit Replacements | 11/2023 | PDF | - | - |
| EPA Emission Factors (AP-42) | - | - | - | - | Website |
| Nevada Revised Statues (NRS) 445B | - | - | - | - | Website |
| Nevada Administrative Code (NAC) 445B | - | - | - | - | Website |
| Standard Industrial Codes (SIC) | - | - | - | - | Website |
| Source Classification Codes (SCCs) | - | - | - | - | Website |
| Testing Determination System for Baghouses Guidance Document | 02/2021 | PDF | - | - | |
Compliance and Enforcement
| Form Description | Revision Date | PDF | DOC | XLS |
| Class I Annual Compliance Certification Instructions | 04/2022 | PDF | - | - |
Class I Annual Compliance Certification Form
(download both DOC and XLS) | 06/2022 | PDF | DOC | XLS |
| Excess Emissions Form | 02/2023 | - | DOC | - |
| Deviation Form | 02/2023 | - | DOC | - |
| Retraction Form | 02/2023 | - | DOC | - |
| Schedule of Compliance Report | 06/2022 | - | DOC | - |
| Continuous Monitoring System Report | 06/2022 | - | DOC | - |
| Compliance Confidentiality Request Form | 02/2023 | - | DOC | - |
| Source Test Protocol | Revision Date | PDF | DOC | XLS |
| Website Testing Requirement Guidance | 08/2023 | PDF | - | - |
| Isokinetic Data Sampling Sheet 201A Template | 06/2022 | - | - | XLS |
| Moisture and Isokinetic Data Sampling Sheet Template | 06/2022 | - | - | XLS |
| RATA Raw Data Template | 06/2022 | - | - | XLS |
| Compliance Cover Sheets | Revision Date | PDF | DOC | XLS |
| Compliance Notification Cover Sheet | 06/2022 | - | DOC | - |
| Monitoring Report Cover Sheet | 06/2022 | - | DOC | - |
| IOCD Report Cover Sheet | 06/2022 | - | DOC | - |
| Source Testing and RATA Cover Sheet | 06/2022 | - | DOC | - |
| Compliance Inspector Map | Revision Date | PDF | DOC | XLS |
| Compliance Inspector Map | 09/2024 | PDF | - | - |
| Webinar Series | Revision Date | PDF | DOC | XLS |
| How to Read Air Quality Operating Permit Webinar | 07/2024 | PDF | DOC | - |
| Source Testing Webinar | 08/2024 | PDF | DOC | - |
| What to Expect During an Inspection Webinar | 08/2024 | PDF | DOC | - |
| Enforcement Monetary Penalty Information | 08/2024 | PDF | - | - |
| Enforcement Process Information | 08/2024 | PDF | DOC | - |
| Recordkeeping Template and Instructions | 09/2024 | PDF | DOC | XLS |
Modeling
| Form Description | Revision Date | PDF | DOC | XLS |
| Scheffe Model Documentation | - | PDF | - | - |
| Environmental Evaluation (Modeling) Checklist | - | PDF | DOC | - |
| General Air Dispersion Modeling Guidelines | 09/2008 | PDF | - | - |
| Presentation slides from the March, 2014 Public Workshop on Modeling Requirements for the new NAAQS standards | 03/2014 | PDF | - | - |
| Modeling Requirements for the New NAAQS Standards | 12/2014 | PDF | - | - |
| Presentation slides from the August 19, 2015 Public Workshop on Modeling Requirements for Intermittent Sources and the 1-hr NO2 standard | 08/2015 | PDF | - | - |
| Modeling Guidance for Intermittent Sources and the 1-hr NO2 Standard | 09/2015 | PDF | - | - |
| Policy for Significant Impact Levels (SILs) Analysis for Air Quality Impact Assessment | 09/2019 | PDF | - | - |
Monitoring
| Form Description | Revision Date | PDF | DOC | XLS |
| Air Quality Monitoring Guidelines | 11/2016 | PDF | - | - |
| Nevada Ambient Air Quality Monitoring Guidelines | 05/2008 | PDF | - | - |
