CAAPP Forms
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- CAAPP Sources are not to use State Permit Forms.
- A separate page contains the forms and instructions for the Emissions Reduction Market System (ERMS).
- A separate page contains the forms and instructions for the Clean Air Set-Aside Allowance (CASA).
- For assistance with the completion and submittal of CAAPP forms, please contact the Bureau of Air Permit Section at 217-782-2113.
Guidance Documents
- Guidance on revising a CAAPP Permit
- Guidance on renewing a CAAPP Permit
- General Instructions for CAAPP Applications (202-CAAPP)
List of All CAAPP Forms
For administrative review purposes, the following forms are required with all CAAPP Permit Applications:
- Application for CAAPP Permit (200-CAAPP)
- Compliance Certification (296-CAAPP)
- Compliance Plan/Schedule of Compliance for CAAPP Permit (293-CAAPP)
- Single source determination (286-CAAPP)
- Compliance Assurance Monitoring (CAM) Plan (464-CAAPP)
- Fee Determination for CAAPP Permit (292-CAAPP)
- Incorporate by Reference (287-CAAPP) - (if required in 200-CAAPP)
For technical review purposes, the following forms are required as necessary (such as 220-CAAPP, 260-CAAPP, 232-CAAPP):
Construction Permit Forms for CAAPP Sources
The following forms are required with all Construction Permit Applications:
Also the following forms are required as necessary (such as 220-CAAPP, 260-CAAPP, 232-CAAPP):
Procedural Forms
- APC-100 Air pollution episode action plan
- APC-162a Guidelines for the completion of air pollution episode action plans
- 199-CAAPP Construction Permit Application for CAAPP Sources
- 200-CAAPP Application for CAAPP Permit
- 202-CAAPP General Instructions for CAAPP Applications
- 209-CAAPP Request for CAAPP Forms
- 215-CAAPP Hazardous Air Pollutant Emission Summary
- 215A-CAAPP Emission Unit which does not emit a hazardous air pollutant
- 271-CAAPP Application for Modification to a CAAPP Permit
- 272-CAAPP Request for Ownership Change for CAAPP Permit
- 273-CAAPP Request for Administrative Permit Amendment for CAAPP Permit
- 280-CAAPP Request for non-applicability exception or exclusion of regulatory requirements
- 281-CAAPP Request for periodic monitoring (Revised 1/08/2009)
- 282-CAAPP Streamline applicable requirements (Revised 1/08/2009)
- 283-CAAPP Request for a Title I Incorporation into the CAAPP: T1, T1 Revised(T1R), T1 New(T1N)
- 285-CAAPP Withdrawal of permit or permit application
- 286-CAAPP Single source determination
- 287-CAAPP Incorporate by Reference
- 292-CAAPP Fee Determination for CAAPP Permit
- 297-CAAPP Listing of Insignificant Activities
- 299-CAAPP Listing of Significant Activities
- 464-CAAPP Compliance Assurance Monitoring (CAM) Plan
- 500-CAAPP Delegation of Authority for Responsible Official to a Representative
- 505-CAAPP Supplement to CAAPP Application
Emission Unit Forms
- 203-CAAPP Request to Operate with Excess Emissions during Startup of Equipment
- 204-CAAPP Request to Continue to Operate during Malfunction or Breakdown
- 220-CAAPP Process Emission Unit
- 232-CAAPP Storage Tank
- 234-CAAPP Hot Mix Asphalt Plant
- 235-CAAPP Aggregate Crushing Plant
- 236-CAAPP Grain Handling and Grain Drying
- 236A-CAAPP Grain Handling and Grain Drying Emission Calculation Sheet
- 237-CAAPP Perchlorethylene Dry Cleaning
- 240-CAAPP Fuel Combustion Emission Unit
- 250-CAAPP Incinerator
- 270-CAAPP Stationary Internal Combustion Engine or Turbine
- 301-CAAPP Coating Operation
- 302-CAAPP Printing and Publishing
- 336-CAAPP Electroplating Tank
- 358-CAAPP Solvent Cleaning - Open Top Vapor Degreaser
- 366-CAAPP Solvent Cleaning - Conveyorized Degreaser
- 367-CAAPP Solvent Cleaning - Cold Cleaning
- 391-CAAPP Fugitive Emissions
Air Pollution Control Equipment Forms
- 260-CAAPP Air Pollution Control Equipment
- 260-Instructions
- 260A-CAAPP Air Pollution Control Equipment - Adsorber
- 260B-CAAPP Air Pollution Control Equipment - Afterburner
- 260C-CAAPP Air Pollution Control Equipment - Filter
- 260D-CAAPP Air Pollution Control Equipment - Cyclone
- 260E-CAAPP Air Pollution Control Equipment - Condenser
- 260F-CAAPP Air Pollution Control Equipment - Electrostatic Precipitator
- 260G-CAAPP Air Pollution Control Equipment - Packed Scrubber
- 260H-CAAPP Air Pollution Control Equipment - Scrubber
- 260I-CAAPP Air Pollution Control Equipment - NOx Control
- 260J-CAAPP Air Pollution Control Equipment - Flare
- 260K-CAAPP Air Pollution Control Equipment - Other
NOx Trading and Clean Air Interstate Rule (CAIR) Forms
- 640-CAAPP Request for Authorization for NOx Averaging For Electrical Generating Units (EGU)
- 650-CAAPP Application for Budget Permit for Non-Electrical Generating Units (Non-EGU)
- 660-CAAPP Application For Budget Permit For Electrical Generating Units (EGU)
- 670-CAAPP Application For CAIR Permit For Electrical Generating Units (EGU)
Compliance Forms
- 293-CAAPP Compliance Plan/Schedule of Compliance for CAAPP Permit
- 294-CAAPP Compliance Plan/Schedule of Compliance - Addendum for Noncompliant Emission Units
- 295-CAAPP Certified Progress Report
- 296-CAAPP Compliance Certification
- 400-CAAPP Compliance and General Reporting Form
- 401-CAAPP Annual Compliance Certification
- 405-CAAPP Excess Emissions, Monitoring Equipment Downtime, and Misc. Reporting Form
- 450-CAAPP Mercury Monitoring Reporting Form