Air Quality Bureau P.O. Box 200901 Helena MT 59620-0901 (406) 444-3490 AIR QUALITY PERMIT APPLICATION FOR STATIONARY SOURCES Montana Department of Environmental Quality Air Quality Bureau Permitting Services Section Supervisor Phone: (406) 444-3490 FAX (406) 444-1499 Email: Three complete copies of this application, any associated fees, and the affidavit of publication of the attached public notice must be delivered to the address above. The application may be submitted electronically to the email address provided above; however, the application will not be considered complete until the appropriate permit application fee, affidavit of publication, and certification of truth, accuracy, and completeness are submitted to the Department. Any checks, affidavits, and certifications submitted separately from the application should be clearly identified. The applicant is encouraged to contact the Department with any questions related to this application form. Note: This application form should not be used for portable sources or oil and gas registrations. Permit application forms for portable sources and oil and gas registrations are available on the Department’s website. Applications for Acid Rain permits must be made on nationally standardized forms available from the Environmental Protection Agency as well as through the Department’s application for a Title V Operating Permit. §1.0 General Facility Information and Site Description FACILITY NAME AND ADDRESS (As registered with the Montana Secretary of State) §1.1 Company Name Facility Name Mailing Address Physical Address (if different from mailing address) Address Address City State Zip City Zip
Air Quality Bureau P.O. Box 200901 Helena MT 59620-0901 (406) 444-3490 AIR QUALITY PERMIT APPLICATION FOR STATIONARY SOURCES Montana Department of Environmental Quality Air Quality Bureau Permitting Services Section Supervisor Phone: (406) 444-3490 FAX (406) 444-1499 Email: Three complete copies of this application, any associated fees, and the affidavit of publication of the attached public notice must be delivered to the address above. The application may be submitted electronically to the email address provided above; however, the application will not be considered complete until the appropriate permit application fee, affidavit of publication, and certification of truth, accuracy, and completeness are submitted to the Department. Any checks, affidavits, and certifications submitted separately from the application should be clearly identified. The applicant is encouraged to contact the Department with any questions related to this application form. Note: This application form should not be used for portable sources or oil and gas registrations. Permit application forms for portable sources and oil and gas registrations are available on the Department’s website. Applications for Acid Rain permits must be made on nationally standardized forms available from the Environmental Protection Agency as well as through the Department’s application for a Title V Operating Permit. §1.0 General Facility Information and Site Description §1.1 FACILITY NAME AND ADDRESS (As registered with the Montana Secretary of State) Company Name Facility Name Mailing Address Physical Address (if different from mailing address) Address City State Zip Address City Zip
StationaryApp.docx