Download Permit Forms

Class I Sources

Form DescriptionRevision DatePDFDOCXLS
Class I Permit Application Form02/2021PDFDOC-
Class I Permit Application Completeness Checklist  03/2019PDF--
Guidance Document for Class I Application Form07/2021PDF--
Nevada PSD Triggered 107(d) Planning Areas04/2009PDF--
Class 1 Notification of Authorized Change05/2023PDFDOC-

Class II Sources

Class II Operating Permit

Form DescriptionRevision DatePDFDOCXLS
Class II Operating Permit - Application and Appendices02/2021PDFDOC-
Class II Operating Permit Application - Completeness Checklist09/2017PDF--
Class II Operating Permit Application - Guidance07/2021PDF--
Class II Operating Permit Application - Applicability Determination05/2023PDFDOC-

General Permits & Change of Location (COLA)

Form DescriptionRevision DatePDFDOCXLS
Class II General Operating Permit for Temporary Sources Application05/2023PDFDOC-
COLA - Change of Location Request01/2024PDF DOC-
COLA - Change of Location Approval Start Form06/2022PDFDOC-
COLA - Change of Location Approval Completion Form06/2022PDFDOC-
COLA - Guidance Document05/2022PDF--
COLA - Frequently Asked Questions05/2023PDF--
Form DescriptionRevision DatePDFDOCXLS
Class II General Operating Permit for Nonmetallic Minerals Crushing and Screening Plants Application05/2023PDFDOC-
Class II General Operating Permit for Concrete Batch Plants Application05/2023PDFDOC-
Guidance for Class II General Operating Permit for Concrete Batch Plants Application and Nonmetallic Minerals Crushing and Screening Plants Application09/2022PDF--

Surface Area Disturbance (SAD)

Form DescriptionRevision DatePDFDOCXLS
SAD - Surface Area Disturbances Permit Application and Appendices05/2023PDFDOC-
SAD - Surface Area Disturbance Cancellation07/2023PDFDOC-

Applications for All Sources

Form DescriptionRevision DatePDFDOCXLS
Class I and II Administrative Renewal of Existing AQOP01/2020PDFDOC-
Administrative Renewal Checklist01/2020PDF--
Administrative Amendment05/2023PDFDOC-
Responsible Official Identification/Designation/Change Request Form05/2023PDFDOC-
SLEIS Facility Editor Designation - Change Request Form02/2021PDFDOC-
Insignificant Activity Determination05/2023PDFDOC-
Confidentiality Request05/2023PDFDOC-
Stationary Source Change of Location05/2023PDFDOC-

Resources for All Sources

Form DescriptionRevision DatePDFDOCXLSWebsite
Frequently Asked Questions for New/Revision/Renewal/Administrative Renewal Applications02/2020PDF--
Frequently Asked Questions for Stationary Internal Combustion Engines09/2022PDF--
Guidance Document for Process Flow Diagrams09/2019PDF--
Hazardous Air Pollutants (HAP)06/1999PDF--
Guidance on Emission Factors for the Mining Industry05/2017PDF--
Frequently Asked Questions for Emission Unit Replacements11/2023PDF--
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 Document02/2021PDF-- 

Compliance and Enforcement

Form DescriptionRevision DatePDFDOCXLS
Class I Annual Compliance Certification Instructions04/2022PDF--
Class I Annual Compliance Certification Form
(download both DOC and XLS)
06/2022PDFDOCXLS
Excess Emissions Form02/2023-DOC-
Deviation Form02/2023-DOC-
Retraction Form02/2023-DOC-
Schedule of Compliance Report06/2022-DOC-
Continuous Monitoring System Report06/2022-DOC-
Compliance Confidentiality Request Form02/2023-DOC-
Source Test ProtocolRevision DatePDFDOCXLS
Website Testing Requirement Guidance08/2023PDF--
Isokinetic Data Sampling Sheet 201A Template          06/2022--XLS
Moisture and Isokinetic Data Sampling Sheet Template06/2022--XLS
RATA Raw Data Template06/2022--XLS
Compliance Cover SheetsRevision DatePDFDOCXLS
Compliance Notification Cover Sheet06/2022-DOC-
Monitoring Report Cover Sheet06/2022-DOC-
IOCD Report Cover Sheet06/2022-DOC-
Source Testing and RATA Cover Sheet06/2022-DOC-
Compliance Inspector MapRevision DatePDFDOCXLS
Compliance Inspector Map11/2023PDF--

 

Modeling

Form DescriptionRevision DatePDFDOCXLS
Scheffe Model Documentation-PDF--
Environmental Evaluation (Modeling) Checklist-PDFDOC-
General Air Dispersion Modeling Guidelines09/2008PDF--
Presentation slides from the March, 2014 Public Workshop on Modeling Requirements for the new NAAQS standards03/2014PDF--
Modeling Requirements for the New NAAQS Standards12/2014PDF--
Presentation slides from the August 19, 2015 Public Workshop on Modeling Requirements for Intermittent Sources and the 1-hr NO2 standard08/2015PDF--
Modeling Guidance for Intermittent Sources and the 1-hr NO2 Standard09/2015PDF--
Policy for Significant Impact Levels (SILs) Analysis for Air Quality Impact Assessment09/2019PDF--

Monitoring

Form DescriptionRevision DatePDFDOCXLS
Air Quality Monitoring Guidelines11/2016PDF--
Nevada Ambient Air Quality Monitoring Guidelines05/2008PDF--

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