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State of Nevada
Nevada Division of Environmental Protection
Bureau of Air Pollution Control
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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 12/03 441 KB file size 1,359 KB file size
Class I-B Operating Permit Application for Minor Revisions. (Includes all sections and appendices) Class1_BMinorApp 12/03 443 KB file size 1,352 KB file size
Class I Permit to Construct OPTCFinalApp4_03 12/03 383 KB file size 1,280 KB file size
Nevada PSD Triggered 107(d) Planning Areas - 3/30/06 450 KB file size n/a


CLASS II FACILITIES
Form Description Form # Revision Date File Format
PDF DOC
• Class II Operating Permit
Class II Operating Permit Application and Appendices ClassII_5-24-05 5/24/05 299 KB file size 1,122 KB file size
• General Permit & Change of Location (COLA)
Class II General Operating Permit Application ClassIIGen_3-07-07 3/07/07 75 KB file size 166 KB file size
COLA - Change of Location Application ClassII_COLA_7-05-07 7/05/07 116 KB file size 117 KB file size
COLA - Change of Location Application Start Form - 10/11/02 36 KB file size 73 KB file size
COLA - Change of Location Application Completion Form - 10/11/02 37 KB file size 66 KB file size
• Surface Area Disturbance (SAD)
SAD - Surface Area Disturbances Permit Application and Appendices SADFinal_3-07-07 03/07/07 141 KB file size 216 KB file size
SAD - Surface Area Disturbance Dust Control Plan Preparation Guidelines - 02/25/03 91 KB file size 93 KB file size
SAD - Surface Area Disturbance Fugitive Dust Control Plan - 02/25/03 52 KB file size 124 KB file size
SAD - New Surface Area Disturbance Fugitive Dust Control and Process Equipment Emission Control Plan - 10/19/04 56 KB file size 129 KB file size
SAD - Existing Surface Area Disturbance Fugitive Dust Control and Process Equipment Emission Control Plan - 10/19/04 55 KB file size 128 KB file size
• Surface Area Disturbance (SAD) for Pahrump & Special Areas
SAD - Surface Area Disturbance Dust Control Plan Preparation Guidelines for Pahrump and Special Areas (only) - 02/25/03 91 KB file size 99 KB file size
SAD - Surface Area Disturbance Fugitive Dust Control Plan for Pahrump and Special Areas (only) - 02/25/03 52 KB file size 122 KB file size
SAD - Surface Area Disturbance Fugitive Dust Control and Process Equipment Emission Control Plan for Pahrump and Special Areas (only) - 02/25/03 55 KB file size 129 KB file size
• Surface Area Disturbance (SAD) Cancellation Form
SAD - Surface Area Disturbance Cancellation - 05/07 61 KB file size 409 KB file size


CLASS III FACILITIES
Form Description Form # Revision Date File Format
PDF DOC
Class III Operating Permit Application and Appendices ClassIII_5-23-05 5/23/05 290 KB file size 1,110 KB file size
Support Information for Class III Source Inventory and Modeling Assessment NBAQCL3-01 5/02 131 KB file size 187 KB file size


All FACILITIES
Form Description Form # Revision Date File Format
PDF DOC
Approved Insignificant Activities
 InsigList 06/03 101 KB file size 82 KB file size
List of Trivial Activities - 06/98 36 KB file size 213 KB file size
Hazardous Air Pollutants (HAP)s - 06/99 262 KB file size 45 KB file size
Permit Administrative Amendment (for all permit types) AdminAmend_5-23-05 05/23/05 51 KB file size 344 KB file size


COMPLIANCE
Form Description Form # Revision Date File Format
PDF DOC
Class 1 Annual Compliance Certification Instructions - 02/25/03 52 KB file size 105 KB file size
Class 1 Annual Compliance Certification Form - 02/25/03 37 KB file size Download
both:
86 KB file size 22 KB file size
Excess Emissions Fax Form - 05/02 17 KB file size n/a


MODELING and MONITORING
Form Description Form # Revision Date File Format
PDF DOC
Scheffe Model Documentation - - 303 KB file size 1,006 KB file size
Environmental Evaluation (Modeling)Checklist - - 32 KB file size 236 KB file size
Air Quality Monitoring Guidelines Introduction - 10/06 14 KB file size 31 KB file size
Air Quality Monitoring Guidelines - 10/06 116 KB file size 109 KB file size
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Nevada Division of Environmental Protection
Bureau of Air Pollution Control
901 South Stewart St., Suite 4001
Carson City, NV 89701-5249
Phone: 775-687-9349 FAX: 775-687-6396
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