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To assist you in finding the appropriate permit application forms, we
have separated
all of the permit application forms into groups. The groups are logical, similar program type groupings.
Each group contains all the forms in that group individually. In addition, each group contains a .zip file
which contains all the individual forms in that category. All forms are available individually or in the master zip file as .pdf
or .xls files.
NOTE: To DOWNLOAD AND OPEN these Acrobat pdf forms you MUST use Adobe
Acrobat or Adobe Acrobat Reader 5.0 or later (see link below).
If you wish to
save the completed form on your local storage media you MUST use the full
version of Adobe Acrobat 7.0 or later.
However, if the Acrobat AutoComplete feature is turned on, any data
that you type into a form field will be available the next time you use the
form. THIS DATA IS ONLY AVAILABLE ON YOUR LOCAL PC; IS IT NOT "SAVED"
with the form.
Many of the forms have been updated.
Please use the current forms below for your submittals.
Forms are grouped in the following packages:
- Basic Forms
Must accompany ALL permit applications
(These forms are also included in the Title V package)
Basic Forms:
Most of these forms must accompany ALL permit applications. In addition to Form 400-A,
applicants may also be required to submit completed equipment-specific supplemental
forms (Forms 400-E-xx) with the
appropriate fee when applying for a Permit to Construct or Permit to Operate.
All basic forms: Basic
Package (zip 973 kb)
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Administrative Forms:
All Administrative forms:
Administrative Package (zip 464
kb)
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RECLAIM Forms:
All current RECLAIM forms are included in this package:
RECLAIM Package (zip 422
kb)
RECLAIM
Monitoring, Recordkeeping & Reporting Forms
-
Form CERE Corrections to Electronically Reported Emissions
(doc 38 kb)
-
Form NOx/SOx-1 Monitoring, Reporting, and Recordkeeping (MRR)
Form
(doc 16 kb)
-
Form NOx/SOx–2 Recordkeeping Form for Major and Large Sources
(doc 13 kb)
-
Form NOx/SOx–3 Recordkeeping Form for Process Units or Rule 219
Exempt Units With Fuel Meters
(doc 49 kb)
-
Form NOx/SOx–4 Recordkeeping Form for Process Units or Rule 219
Exempt Units With Timers
(doc 19 kb)
-
Form NOx/SOx–5 Recordkeeping Form for Non-Fuel Based Sources
and Units
(doc 15 kb)
-
Form QCE-1 Corrections to Monthly Reported Emissions (Major and
Large Sources) and Quarterly Reported Emissions (Process Units and
Equipment Exempt Under Rule 219)
(doc 17 kb)
-
Form QCER-1 RECLAIM Quarterly Certification of Emissions Report
(doc 42 kb)
RECLAIM Trading Forms:
·
Form 2007-1 RECLAIM Trading Account and Representative Registration Form
(doc 77.5 kb)
Attachment A Designation of Agent for Service of Process and Consent to
California Jurisdiction
- to be used in conjunction with Form 2007-1
for entities
not domiciled within the State of California and who are
not RECLAIM
Facility Permit holders.
Note:
Attachment A includes requirement for a certification, contract or other
documentation provided by the designated Agent for Service of Process. Such
documentation shall include:
A. The agent is
licensed Agent for Service of Process in the State of California,
B. The appointing entity (i.e. RTC trader), the start and end date of the
appointment,
If the
appointment is LESS THAN 4 years from the date of receipt, then:
C. Statement that
the appointing entity has requested appointment of 4 or more years, and
D. Maximum term of appointment/contract that the Agent for Service of
Process would accept (e.g. annual, bi-annual).
·
Form 2007-2 RECLAIM Trading Credits (RTCs) Transaction Registration
Form (doc 920 kb).
Instructions and Examples for Form 2007-2 are included on page 2 of the
form.
·
Form 2007-3 RECLAIM Trading Credits (RTCs) Owner Identification (doc 111
kb)
·
Form 2007-4A RECLAIM Report of Contingent Right to Purchase RTCs (doc
157kb)
·
Form 2007-4B RECLAIM Report of Forward Contract (doc 157 kb)
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Supplemental Application Forms (400-E-XX):
In addition to the Basic Forms,
applicants may also be required to submit completed equipment-specific
supplemental forms with the
appropriate fee when applying for a Permit to Construct or Permit to Operate.
Forms 400-E-xx request specific data relating to the facility and its equipment,
process, operating conditions, and emissions. Please note that these forms are prepared for general equipment types. Other
information, such as air quality modeling and risk assessment, may be required in special
cases.
Form 400-E-GI (pdf 71 kb) must be submitted if
no other Form 400-E-xx applies to your specific equipment or process.
All Supplemental Application Forms:
Supplemental Package (zip 7.3
Mb)
* These
forms are our new 'intelligent' forms. That is, they will perform
basic emissions calculations as you enter data, and will print out these
calculations and also print basic permit conditions that you might expect on
a permit for this equipment. NOTE:
Your actual permit conditions may differ,
these are only a sample of standard
permit conditions.
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Supplemental Application Forms (400-E-XX) for Agricultural Operations
All Agricultural Supplemental Forms:
AG Supplemental Package
(zip 287 kb)
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Title V Forms: To determine which Title V forms are necessary for your individual situation
please refer to this Title V Application Matrix
(pdf 24.4 kb).
All Title V application forms package:
Title V Package
(zip 3.05 Mb)
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