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 Oregon Department of Environmental Quality

Air Quality

Title V Operating Permit Program

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Complete list of Title V forms 

Form number Type Category Description
AP101 Application General information Administrative information
AP101R Application General information Certification form for supplemental information
AP102 Application General information Facility description
AP103 Application General information Operating scenario description
AP104 Application General information Early reductions-Unit summary
AP105 Application General information Early reductions- Reductions demonstration
AP106 Application General information Renewal application
DV201 Application Device/process description Miscellaneous device/process
DV202 Application Device/process description Boilers
DV203 Application Device/process description Lumber dry kilns
DV204 Application Device/process description Cement/lime kilns and calciners
DV205 Application Device/process description Melt furnace system
DV206 Application Device/process description Kraft recovery furnace
DV207 Application Device/process description Internal combustion devices
DV208 Application Device/process description Hardboard/particleboard/plywood press
DV209 Application Device/process description Material dryer
DV210 Application Device/process description Veneer dryer
DV211 Application Device/process description Incinerator
DV212 Application Device/process description VOC storage tank
CD301 Application Control device description Electrostatic precipitator (ESP)
CD302 Application Control device description Wet scrubber
CD303 Application Control device description Baghouse
CD304 Application Control device description Fume incinerator
CD305 Application Control device description Inertial separator (multiclone/high efficiency cyclone)
CD306 Application Control device description Other pollution control devices
AR401 Application Applicable requirements Applicable requirements checklist
AR401S Application Applicable requirements State/federal differences
AR402 Application Applicable requirements Non-applicable requirements
AR403 Application Applicable requirements Facility-wide applicable requirements
AR404 Application Applicable requirements ACDP condition change request
EU501 Application Emissions unit summary Emissions unit summary sheet
EU502 Application Emissions unit summary Painting or coating operation EU summary
EU503 Application Emissions unit summary Printing operation EU summary
EU504 Application Emissions unit summary Facility-wide VOC material balance EU summary
EU505 Application Emissions unit summary Storage pile fugitive EU summary
EU506 Application Emissions unit summary Materials handling fugitive EU summary
EU507 Application Emissions unit summary Unpaved roads/particulate fugitive EU summary
EU508 Application Emissions unit summary Paved industrial roads EU summary
ED601 Application Emissions data Categorically insignificant activities
ED602 Application Emissions data Aggregate insignificant emissions
ED603 Application Emissions data Baseline emissions rate
ED604 Application Emissions data Netting basis
ED605 Application Emissions data PM2.5 PSEL and Netting Basis
ED605A Application Emissions data Requested annual plant site emission limits
ED605S Application Emissions data Short Term Emission Detail
ED606 Application Emissions data Hazardous Air Pollutants
ED607 Application Emissions data Toxic substance usage
ED608 Application Emissions data Stratospheric ozone-depleting substances
CP701 Application Monitoring/testing Continuous monitoring systems
CP702 Application Monitoring/testing Stack testing
CP703 Application Monitoring/testing Operation and maintenance monitoring
CP704 Application Monitoring/testing Periodic visible emissions monitoring
CP705 Application Monitoring/testing Maintenance activities
CP706 Application Monitoring/testing Fuel sampling and analysis
CP707 Application Monitoring/testing Material balance
CP708 Application Monitoring/testing Pollution prevention
CP709 Application Monitoring/testing Compliance assurance monitoring (CAM)
CP710 Application Monitoring/testing Recordkeeping
CP711 Application Monitoring/testing Plant site emissions limit monitoring
MF801 Application Miscellaneous Completeness determination checklist
MD901 Modification Construction approval Notice of (construction/modification) approval application
MD902 Modification Notice Off-permit change notification
MD903 Modification Notice 502(b)(10) change notification
MD904 Modification Administrative amendment Administrative permit amendment application
MD905 Modification Modification Minor permit modification application
MD906 Modification Modification Significant permit modification application
R1001 Reporting Annual report Annual report
R1002 Reporting Semi-annual certification Semi-annual compliance certification
R1003 Reporting Semi-annual certification Permit deviation summary
R1004 Reporting Notice Construction completion notice
R1005 Reporting Emission statement Emission statement
F1101 Reporting Assessable emissions Regulated pollutant summary
F1102 Reporting Assessable emissions Assessable emission summary
F1103 Reporting Assessable emissions Actual emissions by verified emission factor
F1104 Reporting Assessable emissions VOC emissions by material balance
F1105 Reporting Assessable emissions Sulfur dioxide emissions by material balance
F1106 Reporting Assessable emissions Continuous monitoring data
Reporting Assessable emissions Verified emission factor worksheet 1
Reporting Assessable emissions Verified emission factor worksheet 2
[print version]

For questions about air quality regulations or permits, see our Contacts page.

For more information about Air Quality call 503-229-5359 or email.

Oregon Department of Environmental Quality
Headquarters: 811 SW Sixth Ave., Portland, OR 97204-1390
Phone: 503-229-5696 or toll free in Oregon 1-800-452-4011
Oregon Telecommunications Relay Service: 1-800-735-2900  FAX: 503-229-6124

The Oregon Department of Environmental Quality is a regulatory agency authorized to protect Oregon's environment by
the State of Oregon and the Environmental Protection Agency.

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