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Oregon Department of Environmental Quality

Air Quality

Title V Operating Permit Program

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Reporting forms

Annual Compliance Reporting Forms
The R1000 Series provides the necessary forms for each owner/operator of a facility operating under an Oregon Title V Operating Permit to report the compliance status of their facility with all permit conditions. Annual emission reporting and semi-annual compliance reporting is included. The forms are also used to report compliance with applicable regulations that became effective after the permit was issued, but are not included in the permit yet.
 
Annual Fee Reporting Forms
The F1100 series provides Title V Operating Permit holders the forms needed to report emissions of regulated air pollutants subject to fees. Title V sources are required to pay emission fees for annual emissions, in addition to an annual base fee and user fees. Title V source owners/operators must report annual emissions of these air pollutants for fee assessment: particulates, oxides of nitrogen (NOx), sulfur dioxide (SO2) and volatile organic compounds (VOC). Owners and operators report emissions for only the pollutants for which their permit establishes emission limits.

Please refer to your permit for instructions on where to send your reporting forms.

Annual Greenhouse Gas Reporting Protocols

Oregon greenhouse gas reporting rules require the owner or operator of any facility holding a Title V Operating Permit with direct emissions of 2,500 metric tons or more of carbon dioxide equivalent (mtCO2e) during a year to report greenhouse gas emissions to DEQ. Click here for information about the types of facilities required to report, reporting deadlines and the protocols and forms each facility must use to calculate and report its emissions.

Form Description Forms (PDF fillable) Instructions (PDF)
Annual report R1001 Series R1000 Instructions
Annual emissions R1001-B
Annual VOC emissions R1001-C PDF
R1001-C XLS
Semi-annual compliance certification R1002
Permit deviation summary R1003
Construction completion notice R1004
Emission statement R1005
Excess emissions immediate  notification R1006
Excess emissions report R1007
Overview of emission fee reporting and the F1100 form series   F1100 Series Instructions
Regulated pollutant summary
 
F1101 F1101 Instructions
Assessable emission summary
 
F1102 F1102 Instructions
Actual emissions by verified emission factor
F1103 PDF
Worksheet 1
Worksheet 2
Worksheet 2 DOC
F1103 Instructions
VOC emissions by material balance
F1104 F1104 Instructions
Sulfur dioxide emissions by material balance
F1105 F1105 Instructions
Continuous monitoring data F1106 F1106 Instructions
[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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