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Application Forms


NCUAQMD Public Records Request Form

Grant Application Forms

Grant application forms are available from each individual grant program's page. Please visit the Grants & Incentives page for more information.

Air Quality Burn Permit & Smoke Management Application Forms

NCUAQMD Standard Air Quality Burn Permit ApplicationStandard Air Qulaity Burn Permit Fee WaiverNCUAQMD Non-Standard Air Qualiy Burn Permit ApplicationNon-Standard Air Quality Burn Permit Fee Waiver Request Form : Rx Fire GrantNCUAQMD No Burn Day ApplicationNCUAQMD SMP Application Package (rev 9-23).pdf

Asbestos Notification Forms


Stationary Source Permit Application Forms

In order to apply for a District operating permit or make changes to existing equipment under permit, the District form 1300 (Application for Stationary Source Permit) as listed below must be submitted along with the current application fee of $92.50 [=1/2 the District X-Factor, where the current District X-Factor is $185] per Rule 400(B)(1). Additional forms may also be required depending on the type of equipment or proposed air pollution control device.

1300 Authority To Construct 1300 B Emissions, Fuel and Process Materials1301 Internal Combustion Engine1302 External Combustion1303 PM Control Equipment1304 VOC Control Equipment1305 Scrubber1306 Fuel Dispensing & Storage1307 Vapor Extraction1308 Auto Coating1309 Aggregate Plant1310 Hot Mix Asphalt Plant1312 Gasoline Bulk Storage Facility1313 Title V1398 Emissions Reduction Credits1399 ATC to PTO Conversions

Compliance Forms

Title V Compliance Certification ReportTitle V Compliance Forms

 Hearing Board Application

NCUAQMD Application for Variance