DEEP: Air Emissions Permits and General Permits

Air Emissions Permits

License Revocation Request Form
 
To request a revocation of a New Source Review Permit, Title V Permit, Title IV Permit, GPLPE Approval of Registration or a Registration issued under the former RCSA section 22a-174-2.

Name Form Instructions Last Revised Required Common Forms and Other Information
License Revocation Request
{Link to License Revocation Request Form} {Link to License Revocation Request Form}
6 Pgs
7 Pgs
Application:  12/13/13; Instructions: 03/13/12
Required Common Forms
Written Authorization Form
 
 
New Source Review (NSR) Stationary Sources of Air Pollution Permit Application
 
Permit Type and Related Information
Application
Forms
Instructions Last Revised Required Common Forms
and Other Related Forms
Application Review Meeting Preliminary Information Form
2 Pgs
1/30/13 N/A
Minor Modification Application for an Existing New Source Review Permit
{Link to Minor Modification Application for an Existing New Source Review Permit}
6 Pgs
5 Pgs
07/06/16 N/A
Revision Application for an Existing New Source Review Permit
{Link to a Revision Application for an Existing New Source Review Permit}
5 Pgs
4 Pgs
10/24/13 N/A
Permit Application for Stationary Sources of Air Pollution - New Source Review (NSR)
(DEEP-NSR-APP-200)
 
 
Note: Depending on your proposed activity, you will need to use the main NSR form listed here and you will need to download one or more of the supporting documents listed below.
{Link to Permit Application for New Source Review Stationary Sources of Air Pollution}
10 Pgs
18 Pgs
05/11/15
Required Common Forms
Certification of Notice Form
Environmental Justice Public Participation Guidelines
Attachment A - Executive Summary
(DEEP-NSR-APP-222)
{Link to Executive Summary Form}
2 Pgs
incorporated in main instructions (DEEP-NSR-INST-200)
03/29/13
N/A
Attachment B - Applicant Background Information
(DEEP-APP-008)
DEEP form; Refer to the main instructions (DEEP-NSR-INST-200)
N/A
Attachment C - Site Plan
No DEEP form; Refer to the main instructions (DEEP-NSR-INST-200)
N/A
Attachment D -  USGS  Map Attach a topographic map showing the site. Refer to the main instructions (DEEP-NSR-INST-200)
 
N/A
Attachment E - Supplemental NSR Forms
Forms 201 through 209- Attach the appropriate form based on the type of operation or equipment.
Manufacturing or Processing Operations
(DEEP-NSR-APP-201)
{Link to Supplemental Form for Manufacturing or Processing Operations}
3 Pgs
3 Pgs
03/29/13
N/A
Fuel Burning Equipment
(DEEP-NSR-APP-202)
03/29/13
N/A
Incinerators or Landfill Flares
(DEEP-NSR-APP-203)
03/29/13
N/A
Volatile Liquid Storage
(DEEP-NSR-APP-204)
03/29/13
N/A
Surface Coating or Printing Operations
(DEEP-NSR-APP-205)
01/13/14
N/A
Metal Plating or Surface Treatment Operations
(DEEP-NSR-APP-206)
{Link to Supplemental Form for Metal Plating or Surface Treatment Operations}
3 Pgs
03/29/13
N/A
Metal Cleaning Degreasers
(DEEP-NSR-APP-207)
03/29/13
N/A
Concrete, Asphalt Concrete, Mineral Processing or Other Similar Equipment
(DEEP-NSR-APP-208)
03/18/14
N/A
Site Remediation Equipment
(DEEP-NSR-APP-209)
03/29/13
N/A
Air Pollution Control Equipment
(DEEP-NSR-APP-210)
03/29/13
N/A
Stack Parameters
(DEEP-NSR-APP-211)
 
{Link to Supplemental Form for Ambient Impact Analysis}
1 Pg
2 Pgs
09/08/14
N/A
Unit Emissions 
(DEEP-NSR-APP-212)
{Link to Supplemental Form for Unit Emissions}
2 Pgs
3 Pgs
Application: 04/25/13;
Instructions: 07/10/14
 

(Please "SAVE" then open these files - Be sure to enable macros before use)
Attachment F - Premises Information Form
(DEEP-NSR-APP-217)
04/25/13
N/A
Attachment G - Analysis of Best Available Control Technology 
(DEEP-NSR-APP-214a)

(DEEP-NSR-INST-214)
03/29/13
N/A
 
Note:  Depending on your BACT analysis determined by completing Attachment G, you will need to complete one or more of the following BACT forms listed below. Refer to the BACT Determination instructions (DEEP-NSR-INST-214)
Attachment G1 - Background Search - Existing BACT Determination
(DEEP-NSR-APP-214b)
Refer to the BACT Determination instructions (DEEP-NSR-INST-214)
03/29/13
N/A
Attachment G2 - Cost/Economic Impact Analysis
(DEEP-NSR-APP-214c)
Refer to the BACT Determination instructions (DEEP-NSR-INST-214)
03/29/13
N/A
Attachment G3 - Summary of Best Available Control Technology Review
(DEEP-NSR-APP-214d)
Refer to the BACT Determination instructions (DEEP-NSR-INST-214)
11/05/13
N/A
Attachment H - Major Modification Determination Form
(DEEP-NSR-APP-213)
07/05/16
N/A
Attachment I - Prevention of Significant Deterioration (PSD) of Air Quality
(DEEP-NSR-APP-216)
12/17/14
N/A
Attachment J - Non-Attainment Review Form (DEEP-NSR-APP-215)
11/20/14
N/A
Attachment K - Operation and Maintenance Plan
No DEEP Form;  Refer to the main instructions (DEEP-NSR-INST-200)
N/A
Attachment L - Ambient Impact Analysis Form (DEEP-NSR-APP-218)
Application: 04/09/15; Instructions: 09/23/14
Related Guidance
 
 
(DEEP-APP-002)
DEEP form; Refer to the main instructions (DEEP-NSR-INST-200)
N/A
Attachment N - Marked Up Revised/Modified Permit
No DEEP form; Refer to the main instructions (DEEP-NSR-INST-200)
N/A
Attachment O -   Coastal Consistency Review Form (DEEP-APP-004)
DEEP form; Refer to the main instructions (DEEP-NSR-INST-200)
N/A
Attachment P -  Copy of the completed Request for NDDB State Listed Species Review Form (DEEP-APP-007) and the NDDB response
DEEP form; Refer to the main instructions (DEEP-NSR-INST-200)
N/A
Attachment Q - Conservation or Preservation Restriction
No DEEP form; Refer to the main instructions (DEEP-NSR-INST-200)
N/A
No DEEP form; Refer to the main instructions (DEEP-NSR-INST-200)
N/A

General Permits

Name General Permit Forms Instructions Last Revised Required Common Forms and Other Information
27 Pgs
Issued 11/09/15
11 Pgs

21 Pgs
Registration form: 11/09/15; instructions:  05/04/16
Required Common Forms
Written Authorization Form
Related Forms
Reporting Forms

Permit-by-Rule Notification Forms

To notify the DEEP that you elect coverage under a permit-by-rule regulation.

Name Forms Instructions Last Revised Required Common Forms and Other Information
Notification of Coverage under RCSA section 22a-174-3d - Combined Heat and Power Systems (CHP) Systems
(DEEP-AIR-CHP-001)
Notification Form available on the Air Compliance Assurance Forms Webpage
 

Title V and Title IV Permit Applications
Permit Type and Related Information Application
Forms
Instructions Last Revised Required Common Forms
and Other Related Forms
Revision Application for a  Title V or Title IV Permit
(DEEP-TV-APP-100R)

 
05/08/13
Minor Modification Application for an Existing  Title V Permit
(DEEP-TV-APP-100MM)

 
05/08/13
Non-Minor Application for an Existing Title V Permit
(DEEP-TV-APP-100NMM)

 
10/02/13
New Title V Permit or Renewal of an Existing Title V Permit Application
(DEEP-TV-APP-100)
 
Note: You will need to use the main form listed here and you will need to download the supporting documents listed below. Review the main instructions for a summary of which supporting documents and attachments must be submitted.
Application: 03/09/15; Instructions: 01/29/14
Supporting Documentation (Attachments A, C, D, D2, E, G) for the Title V Permit Application
Title V - Attachment A: Executive Summary
(DEEP-TV-APP-105)
1 Pg
instructions within main instruction  01/29/14
 N/A
Title V - Attachment C: Operating Scenario General Information
(DEEP-TV-APP-101)
2 Pgs
instructions within main instruction  01/29/14
 N/A
Title V - Attachment D: Emissions Unit Information Within Operating Scenarios
(DEEP-TV-APP-102)
2 Pgs
instructions within main instruction  01/29/14
 N/A
Title V - Attachment D2: Generally Applicable Requirements
(DEEP-TV-APP-102B)
1 Pg
instructions within main instruction  01/03/13
 N/A
Title V - Attachment E: Total Regulated Air Pollutants Emitted Within Operating Scenarios
(DEEP-TV-APP-103)
{Link to Attachment E of Title V Permit Application}
2 Pgs
instructions within main instruction  01/03/13
 N/A
Title V - Attachment G: Title V Compliance Plan
(DEEP-TV-APP-104)
{Link to Attachment G of Title V Permit Application}
3 Pgs
instructions within main instruction  01/03/13
 N/A
Title IV Acid Rain Permit Application
Title IV Acid Rain
 
Note:  see Revision Application for a  Title V or Title IV Permit
(DEEP-TV-APP-100R) above.
01/05/10

 Clean Air Interstate Rule (CAIR)

Permit Type and Related Information Application
Forms
Instructions Last Revised Required Common Forms
and Other Related Forms
Clean Air Interstate Rule (CAIR)
05/07/12 N/A

Radiation 

The future of Diagnostic and Therapeutic X-Ray Registration (DTX) and Radioactive Material and Industrial X-Ray (RMI) Registration is here! The Radiation Division is proud to announce their new on-line system to submit your DTX or RMI registration. To submit one of the following registrations, please refer to the Radiation web page for details.
Permit Type and Related Information
Diagnostic and Therapeutic X-Ray Devices (Medical X-Ray) Registration
 
 
Temporary Use Notification (for a registered vendor of diagnostic and therapeutic x-ray rdevices  planning to make a site visit within Connecticut)
 
 
 
Temporary Use Notification (for an out of state registrant of radioactive and industrial x-ray devices planning to make a site visit within Connecticut)
 

Air Compliance, Monitoring and Reporting  |  Air Permitting

Permits and Licenses