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Title V Forms

Greenhouse Gases

On July 1, 2011 the Federal Environmental Protection Agency established major source thresholds for Greenhouse Gas (GHG) emissions and Title V permitting requirements for major sources of GHGs. Subsequently, on June 23, 2014 the U.S. Supreme Court ruled that GHG emissions cannot be considered in determining if a stationary source is a major stationary source for purposes of Title V permit requirements (and Prevention of Significant Deterioration permitting requirements). Therefore, as of June 23, 2014 facilities that are major sources solely due GHG emissions are no longer required to obtain or maintain a Title V permit.

Initial and Renewal

Adobe Acrobat PDF Microsoft Word Document  Title V Application Checklist
Adobe Acrobat PDF Microsoft Word Document  Title V Permit Application Form  TVFORM-main
Adobe Acrobat PDF Microsoft Word Document  Title V Actual Emissions Report  TVFORM-001
Adobe Acrobat PDF Microsoft Word Document  Title V Potential Emissions Report  TVFORM-002
Adobe Acrobat PDF Microsoft Word Document  Title V Insignificant Activities  TVFORM-003
Adobe Acrobat PDF Microsoft Word Document  Title V Compliance Plan  TVFORM-004
Adobe Acrobat PDF Microsoft Word Document  Title V Compliance Certification  TVFORM-005
Adobe Acrobat PDF    MACT Hammer Part I application  

Modification

Adobe Acrobat PDF Microsoft Word Document Title V Modification Application  TVFORM-008
Adobe Acrobat PDF Microsoft Word Document Title V Compliance Certifications for Modifications  TVFORM-009
Adobe Acrobat PDF   Responsible Official Change Form  TVFORM-010

Compliance Reports

Adobe Acrobat PDF   Title V Compliance Assistance Bulletin  
Adobe Acrobat PDF Microsoft Word Document Annual Compliance Certification  TVFORM-006
Adobe Acrobat PDF Microsoft Word Document Report of Required Monitoring  TVFORM-007
Adobe Acrobat PDF Microsoft Word Document Breakdown / Title V Deviation Reporting Form  
Adobe Acrobat PDF   Certification of Truth and Accuracy  

Templates

Template ID Type Status
UM-0-3 Facility-wide Umbrella Finalized