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Air Emissions Permits

New Source Review   |  General Permits  |  Permit-by-Rule Notification Forms 
Title V  |  Title IV   |  CAIR
 l  Radiation  l License Transfer

 

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.

 
License Revocation Request
Application
Word, PDF

06/05/17

 

 
06/05/17

 

Written Authorization Form
N/A
Minor Modification Application for an Existing New Source Review Permit
Application
Word, PDF

06/05/17

 

 06/05/17

No Required Forms N/A
Revision Application for an Existing New Source Review Permit
(DEEP-NSR-APP-200R)
Application
Word, PDF
10/03/18
10/03/18
No Required Forms 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.
Application
Word, PDF

10/31/18

10/31/18

 

Attachment A - Executive Summary
(DEEP-NSR-APP-222)
Application
WordPDF

03/29/13 
incorporated in main instructions (DEEP-NSR-INST-200)
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)
Application
Word, PDF
03/29/13
Instructions 
03/29/13
N/A
Fuel Burning Equipment
(DEEP-NSR-APP-202)
Application
WordPDF

03/29/13
Instructions
03/29/13
 
N/A
Incinerators or Landfill Flares
(DEEP-NSR-APP-203)
 Application
WordPDF
10/31/18
Instructions
 10/31/18
N/A
Crematory Units
(DEEP-NSR-APP-203A)
 Application
WordPDF
10/31/18
Instructions
10/31/18
 
Volatile Liquid Storage
(DEEP-NSR-APP-204)
 Application
Word,PDF
03/29/13 
Instructions
03/29/13 
N/A
Surface Coating or Printing Operations
(DEEP-NSR-APP-205)
 Application
WordPDF
01/13/14
 Instructions
01/13/14 
N/A
Metal Plating or Surface Treatment Operations
(DEEP-NSR-APP-206)
  Application
WordPDF
03/29/13 
 Instructions
03/29/13
 
N/A
Metal Cleaning Degreasers
(DEEP-NSR-APP-207)
  Application
WordPDF
03/29/13 
 Instructions
03/29/13
N/A
Concrete, Asphalt Concrete, Mineral Processing or Other Similar Equipment
(DEEP-NSR-APP-208)
   Application
WordPDF
03/18/14
 Instructions
03/18/14
N/A
Site Remediation Equipment
(DEEP-NSR-APP-209)
  Application
WordPDF
03/29/13 
 Instructions
03/29/13
 
N/A
Air Pollution Control Equipment
(DEEP-NSR-APP-210)
  Application
WordPDF
03/29/13 
 
Instructions
03/29/13
 
N/A
Stack Parameters
(DEEP-NSR-APP-211)
   Application
09/08/14 
 Instructions
 09/08/14
N/A
Unit Emissions 
(DEEP-NSR-APP-212)
Application
WordPDF
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)
Application
WordPDF
04/25/13 
Instructions
 04/25/13
 
N/A
Attachment G - Analysis of Best Available Control Technology 
(DEEP-NSR-APP-214a)
  Application
WordPDF
03/29/13 
 
Instructions
03/29/13
(DEEP-NSR-INST-214)
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)
 Application
WordPDF
03/29/13 
Instructions
03/29/13
(DEEP-NSR-INST-214)
 
N/A
Attachment G2 - Cost/Economic Impact Analysis
(DEEP-NSR-APP-214c)
 Application
WordPDF
03/29/13 
Instructions
03/29/13
(DEEP-NSR-INST-214)
 
N/A
Attachment G3 - Summary of Best Available Control Technology Review
(DEEP-NSR-APP-214d)
 Application
WordPDF
11/05/13 
 
Instructions
03/29/13
(DEEP-NSR-INST-214)
  N/A
Attachment H - Major Modification Determination Form
(DEEP-NSR-APP-213)
  Application
WordPDF
07/05/16 

    Instructions

07/05/16

N/A
Attachment I - Prevention of Significant Deterioration (PSD) of Air Quality
(DEEP-NSR-APP-216)
  Application
WordPDF
12/17/14 
 

Instructions

12/17/14

N/A
Attachment J - Non-Attainment Review Form (DEEP-NSR-APP-215)
  Application
WordPDF
11/20/14 
 

Instructions

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
WordPDF
03/06/18 

Instructions

03/06/18

 
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
Attachment R -  Copy of the Written Environmental Justice Public Participation Plan Approval Letter
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
 
Issued 11/09/15
 
 
Registration form: 11/09/15; instructions:  05/04/16
Written Authorization Form

 

 

Permit-by-Rule Notification Forms 

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

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)
 
 
 
06/05/17
Required Common Forms
Related Forms
Minor Modification Application for an Existing  Title V Permit
(DEEP-TV-APP-100MM)
 
 
06/07/17
Required Common Forms
Related Forms
Non-Minor Application for an Existing Title V Permit
(DEEP-TV-APP-100NMM)
 
 
 
06/05/17
Required Common Forms
Related Forms
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.
 
 
 
02/04/19
 
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)
  instructions within main instruction 01/29/14
N/A
Title V - Attachment C: Operating Scenario General Information
(DEEP-TV-APP-101)
instructions within main instruction  01/29/14
N/A
Title V - Attachment D: Emissions Unit Information Within Operating Scenarios
(DEEP-TV-APP-102)
instructions within main instruction 01/29/14
N/A
Title V - Attachment D2: Generally Applicable Requirements
(DEEP-TV-APP-102B)
  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)
instructions within main instruction 01/03/13
N/A
Title V - Attachment G: Title V Compliance Plan
(DEEP-TV-APP-104)
instructions within main instruction 01/03/13
N/A
Title IV Acid Rain Permit Application
Title IV Acid Rain
(DEEP-TIV-APP-100)

Note:  Use the Title IV Application Transmittal Form (DEEP-TIV-APP-100) to submit an application for a new, or initial, Title IV permit. Attach a completed EPA Phase II Acid Rain Permit Application to the completed Title IV Application Transmittal Form (DEEP-TIV-APP-100).

If you are applying for a renewal or a revision to an existing Title IV permit, please use the appropriate Renewal Application Form (DEEP–TV-APP-100) or Revision Application Form (DEEP-TV-APP-100R). 

Title IV Application Transmittal Form
Title IV Application Transmittal Form Instructions
06/10/19
Required Common Forms

 

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 License