If you are seeing this message, you are likely using an older browser to view this site. This website's content is fully accessible to all browsers, however the web site will look much better and your experience will be much more enjoyable if you upgrade your browser to a more current version. Please visit this web site to upgrade your browser.

DEQ.utah.gov - Utah Department of Environmental Quality

Division of Air Quality

Forms Available for Download

A variety of documents are available to assist you in submitting information to the Division. The forms may be viewed as an Adobe Acrobat (.pdf) file or downloaded as a Word (or occasionally as WordPerfect 6.x) file compressed with WinZip. (Links to these utilities can be found below.)

If you click on a PDF link and get a blank browser window, try clicking the Reload button on your browser.

Small Source Exemption
Registration Small source exemption registration form PDF ZIP
Instructions Instructions for completing the small source exemption registration form PDF ZIP
Attachment C List of hazardous air pollutants PDF ZIP
Attachment D Wood finisher worksheet PDF ZIP
Attachment E Printer worksheet PDF ZIP
Attachment F Auto body Refinisher Worksheet PDF ZIP
Fact sheet How to Calculate Hazardous Air Pollutant Emissions PDF ZIP

New Source Review
NOI Guide How to prepare a notice of intent (NSR application) PDF ZIP
AO Boilerplate Conditions WordPerfect file used to construct an Approval Order PDF ZIP
Landfill capacity Landfill design capacity form PDF ZIP
Landfill emissions Landfill NMOC emission rate report PDF ZIP
Form 1 General Information PDF ZIP
Form 1a Standard Industrial Classification Codes PDF ZIP
Form 1b BACT Instructions PDF ZIP
Form 1c Permit name change PDF ZIP
Form 1d Emissions information PDF ZIP
Form 2 Process Information PDF ZIP

Process-specific forms
Form 3 Afterburner PDF ZIP
Form 4 Flare PDF ZIP
Form 5 Adsorption Unit PDF ZIP
Form 6 Cyclone PDF ZIP
Form 7 Condenser PDF ZIP
Form 8 Electrostatic Precipitator PDF ZIP
Form 9 Scrubber / Wet Collector PDF ZIP
Form 10 Fabric Filter (baghouse) PDF ZIP
Form 11 Internal Combustion Engine PDF ZIP
Form 12 Incinerator PDF ZIP
Form 13 Spray Booth PDF ZIP
Form 14 Concrete Batch Plant PDF ZIP
Form 15 Rock Crushing and Screening PDF ZIP
Form 15a Notice of Temporary Relocation of Portable Equipment PDF ZIP
Form 15b Equipment Registration Form for Generic Portable Equipment PDF ZIP
Form 15c General Permit Application for Portable Equipment PDF ZIP
Form 16 Soil/Groundwater Hydrocarbon Remediation PDF ZIP
Form 17 Diesel Powered Standby Generator PDF ZIP
Form 17a Natural Gas Powered Standby Generator PDF ZIP
Form 18 Portable Hot Mix Drum Asphalt Plant PDF ZIP
Form 19 Fuel Burning Equipment (Boilers, Heater, Steam Generators) PDF ZIP
Form 20 Organic Liquid Storage Tank PDF ZIP
Form 21 Solvent Metal Cleaning (Degreaser) PDF ZIP
Form 22 Combustion Turbine PDF ZIP
Form 23 Rotary Kiln PDF ZIP

 

Operating Permits
Operating Permit application form Application for a Title V operating permit PDF ZIP
OP application instructions Instructions and support information for the OP application form PDF ZIP
OP application checklist Completeness checklist for the OP application form PDF ZIP
Sample permit deviation report Sample form for reporting deviations from permit conditions PDF ZIP
Sample monitoring report Sample form for the six-month monitoring report PDF ZIP
Sample compliance certification Sample form with list of permit conditions that need certification in each annual report PDF ZIP
OP renewal cross-referencing info Information on what may or may not be cross-referenced in an operating permit renewal application. PDF  

 

Dust Control Plan, Tax Exemption, Variance Request
Dust Control Plan - Form PDF ZIP
Dust Control Plan - Instructions PDF ZIP
Sales tax exemption guideline PDF --
Sales tax exemption application form PDF ZIP
Variance Request - Request special variance from rules or permits PDF ZIP

 

Utilities

* Note: Some of the files on this page require the Adobe Acrobat Reader or WinZip.
All PDF files open in a new window.

Get reader
Download Acrobat reader
WinZip Now
Download zip software

 

You are here: Air Quality Home >