Air Quality Forms and Applications

For your convenience permit applications and general information documents are available for you to print out. These documents are in PDF format and require you to have Adobe Acrobat Reader on your PC. If you need the reader, you can download it for free. If you have any questions about the information contained in these documents, please contact the Air Quality Management Division at (775) 784-7200.

Instructions for Filling Out Air Quality Permit Applications

ACA Online Payment Instructions

Inventory Examples:

• Equipment
• Fuel Burning
• Material

Applications for Stationary Source Permits

General Air Quality Stationary Source Permit to Operate
-Includes any new or major modification to an existing permit

Fuel Burning Equipment Air Quality Stationary Source Permit to Operate

Gasoline Dispensing Facility Air Quality Stationary Source Permit to Operate

Internal Combustion Engine Air Quality Stationary Source Permit to Operate

Sources Subject to Part 70

Minor Modification to an Existing Air Quality Permit to Operate

Movement Notification of Portable/Rented Equipment of an Existing Permit to Operate

Other Forms and Applications

Asbestos

• Acknowledgment of Asbestos Assessment
  • ACA Acknowledgement Submittal Instructions
• EPA (NESHAP) Notification of Demolition and Removal

Dust

• Application for Dust Control Permit
• Administrative Modification
• Dust Control Log
• Completion of Project

Wood Stoves

• Notice of Exemption Form
• Notice of Exemption Corrective Action Form
• Certificate of Compliance Transfer
• List of Certified Wood Stove Inspectors
• Sole Source of Heat Declaration

Prescribed Fires

• Prescribed Fire Application

Air Pollution Control Hearing Board

• Application to Request a Petition to the Air Pollution Control Hearing Board
• Application to Request a Variance to the Air Pollution Control Hearing Board

Last modified on 04/20/2018