Application Forms

General

NCUAQMD Public Records Request Form Fee Schedule for Duplication of District Records

Grant Application Forms

Grant application forms are available from each individual grant program's page. Please visit the Grants & Incentives page for more information.

Air Quality Burn Permit & Smoke Management Application Forms

NCUAQMD Standard Air Quality Burn Permit Application Standard Air Qulaity Burn Permit Fee Waiver NCUAQMD Non-Standard Air Qualiy Burn Permit Application Non-Standard Air Quality Burn Permit Fee Waiver Request Form : Rx Fire Grant NCUAQMD No Burn Day Application NCUAQMD Smoke Management Plan Application Package

Asbestos Notification Forms

ASBESTOS NOTIFICATION & INSTRUCTIONS NOA Dust Mitigation Form NOA ATCM Notification Form

Stationary Source Permit Application Forms

In order to apply for a District operating permit or make changes to existing equipment under permit, the District form 1300 (Application for Stationary Source Permit) as listed below must be submitted along with the current application fee of $80.50 [=1/2 the District X-Factor, where the current District X-Factor is $161 per Rule 400(B)(1). Additional forms may also be required depending on the type of equipment or proposed air pollution control device.

1300 Authority To Construct 1300 B Emissions, Fuel and Process Materials 1301 Internal Combustion Engine 1302 External Combustion 1303 PM Control Equipment 1304 VOC Control Equipment 1305 Scrubber 1306 Fuel Dispensing & Storage 1307 Vapor Extraction 1308 Auto Coating 1309 Aggregate Plant 1310 Hot Mix Asphalt Plant 1312 Gasoline Bulk Storage Facility 1313 Title V 1398 Emissions Reduction Credits 1399 ATC to PTO Conversions

Compliance Forms

Title V Compliance Certification Report Title V Compliance Forms