Air permit compliance forms

Submitting routine compliance reports

Beginning 4th quarter, 2023, all routine reports and stack test submittals must be sent electronically. Hard copy submittals will no longer be managed or reviewed by agency staff. Email signed and scanned PDF copies to AQRoutineReport.PCA@state.mn.us

Include the submission date and a brief description as part of the routine report document title:

• Example: 1.28.23 DRF1, DRF2, CR-04
• Example: 1.28.23, Pt 60 MM Compliance Report
• Example: 1.28.23, DRF-1, EQUI1 NOx RATA

Email message body should include:

• Name of regulated party
• Name of facility contact
• Agency Interest ID number (if known)
• Permit number
• List of reports submitted
• County where facility is located

 Recordkeeping, submittal, and reporting forms

• AQRF: Air quality reporting form checklist for routine submittals (aq-f6-aqrf)
• CS-01: Compliance schedule progress report (aq-f6-cs01)
• CS-02: Construction and startup notification (aq-f6-cs02)
• DRF-1: Excess emissions reporting form (aq-f6-drf1)
• DRF-2: Deviations identified by periodic monitoring systems or through recordkeeping (aq-f6-drf2)
• Routine air report instructions letter (aq-f6-15)
• CR-04: Annual compliance certification report (aq-f6-cr04)
• CAP-CR-04: Annual compliance certification report for capped permits (aq-f6-capcr04)
• WS-01: Worksheet for determination of increases at major sources (aq-f6-ws01)
• CAP-WS-01: Pre-change analysis for capped permits (aq-f6-capws01)
• PRF-1 - Semi-annual reporting form for plant-wide applicability limits (aq-f6-prf01)
• MGCR-04: Part 70 Manufacturing General Permit - Annual compliance certification report (aq-f4-mgcr04)
• NM-CR: Annual compliance certification for the Non-Metallic Mineral Processing General Permit (aq-f4-nmcr)
• NM-DRF: Deviations reporting form for the Non-Metallic Mineral Processing General Permit (aq-f4-nmdrf)
• CR-05: Permitted control equipment replacement notification (aq-f6-cr05)

  (5/2/2016)
• CR-06: Registration and Capped Permits notification (aq-f6-cr06)

Capped emission permit

• Sample compliance plan
• CAP-CR-04: Annual compliance certification report for capped permits (aq-f6-capcr04)
• CAP-WS-01: Pre-change analysis for capped permits (aq-f6-capws01)

Part 70 general permit

• MGCR-04: Part 70 Manufacturing General Permit - Annual compliance certification report (aq-f4-mgcr04)

NESHAP forms

Drycleaners

• Compliance calendar: Dry cleaners (p-sbap5-04)
• DC-08: Drycleaner - Notification of compliance status form (aq-f5-dc08)

Halogenated solvent cleaners

• TF-01: Halogenated Solvent Cleaning Equipment - Initial Statement of Compliance Report - Alternative Standard/Overall Emission Limit
• TF-02: Halogenated Solvent Cleaning Equipment - Initial Statement of Compliance Report - Control Combustion or Idling Emission Limit Standards
• TF-03: Halogenated Solvent Cleaning Equipment - Compliance Report for Batch Cold Cleaning
• TF-04: Halogenated Solvent Cleaning Equipment - Initial Notification Report for New Machines
• TF-05: Halogenated Solvent Cleaning Equipment - Initial Notification Report for Existing Machines
• TF-06: Halogenated Solvent Cleaning Equipment - Initial Notification for Batch Cold Cleaning Machines
• TF-07: Annual report for halogenated solvent cleaning (aq-f5-tf07)
• TF-08: Exceedance Report for Halogenated Solvent Cleaning Equipment
• TF-09: Compliance Method Change Report - Control Combination or Idling Emission Limit

Chrome electroplating

• NF-01: Notification Form for Existing Chromium Electroplating and Anodizing Tanks
• NF-02: Chromium Electroplating and Anodizing Tanks - Notification of Performance Test
• NF-03: Notification of Construction or Reconstruction of Chromium Electroplating or Anodizing Tanks
• NF-04: Chromium Electroplating and Anodizing Tanks - Notification of Compliance Status
• NF-05: Ongoing Compliance Status Report - Chromium Electroplating and Anodizing Tanks

Miscellaneous

• 4W-01: Initial Notification Report - Reinforced Plastic Composites Production (NESHAP Subpart WWWW)
• 6Q-01: Initial Notification Report/Notification of Compliance Status - Wood Preserving Area Source (NESHAP Subpart QQQQQQ)
• 6H-01: Initial Notification and Compliance Forms - Paint Stripping and Misc. Surface Coating Operations (NESHAP Subpart HHHHHH)
• 6H-02: Petition Checklist - Paint Stripping and Misc. Surface Coating Operations (NESHAP Subpart HHHHHH)
• 4P-01: Initial Notification Report - Surface Coating of Plastic Parts and Products (NESHAP Subpart PPPP)
• 4Z-01: Initial Notification Report - Reciprocating Internal Combustion Engines (NESHAP Subpart ZZZZ)

Mercury

• HG-01 Mercury releases to ambient air (aq-f11-hg01)

New source performance standards

• NSPS-A: Subpart A checklist (aq-f9-nspsa)
• NSPS-DC: Standards of Performance for Small Industrial-Commercial-Institutional Steam Generating Units (e-CFR)
• NSPS-DD: Checklist for NSPS Subpart DD, Standards of Performance for Grain Elevators
• NSPS-EE: Checklist for NSPS Subpart EE, Standards of Performance for Surface Coating of Metal Furniture
• NSPS-GG: Checklist for NSPS Subpart GG, Standards of Performance for Stationary Gas Turbines
• NSPS-I: Checklist for NSPS Subpart I, Standards of Performance for Hot Mix Asphalt Facilities
• NSPS-JJJ: Checklist for NSPS Subpart JJJ. Standards of Performance for Petroleum Dry Cleaners
• NSPS-K: Checklist for NSPS Subpart K, Standards of Performance for Storage Vessels for Petroleum Liquids for Which Construction, Reconstruction, or Modification Commenced After June 11, 1973, and Prior to May 19, 1978
• NSPS-KA: Checklist for NSPS Subpart Ka, Standards of Performance for Storage Vessels for Petroleum Liquids for Which Construction, Reconstruction, or Modification Commenced After May 18, 1978, and Prior to July 23,1984
• NSPS-KB: Standards of Performance for Volatile Organic Liquid Storage Vessels (Including Petroleum Liquid Storage Vessels) for Which Construction, Reconstruction, or Modification Commenced After July 23, 1984 (e-CFR)
• NSPS-OOO: Standards of Performance for Nonmetallic Mineral Processing Plants (e-CFR)
• NSPS-SS: Checklist for NSPS Subpart SS, Standards of Performance for Industrial Surface Coating of Large Appliances
• NSPS-TTT: Checklist for NSPS Subpart TTT, Standards of Performance for Industrial Surface Coating of Plastic Parts for Business Machines
• NSPS-XX: Checklist for NSPS Subpart XX, Standards of Performance for Bulk Gasoline Terminals

Waste combustor certificates

• WC-01 - Waste combustors needing permits (aq-f7-wc01)
• WC-04 - Initial and renewal certification application for types I/II/III/A/C & large hospital waste combustors
• WC-06 - Certification application for a Class IV metal recovery combustor (wc-06)
• WC-07 - Application for municipal waste combustor examiners (aq-f7-wc07)