
				Pat Quinn, Governor

Agency Links

Info Centers

To report
environmental
emergencies
only, call the
Illinois Emergency
Management Agency
800-782-7860
217-782-7860
(24 hrs/day)

Air Forms

Clean Air Act Permit Program (CAAPP)
Application Forms and Instructions

These forms and instructions are Adobe Acrobat PDF documents. You will need the free Acrobat Reader software, available from Adobe's web site, to view these documents.

(Note: CAAPP Sources ARE NOT to Use State Permit Forms.)

Note: A separate page contains the forms and instructions for the Emissions Reduction Market System (ERMS).

Note: 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

Construction Permit Forms for CAAPP Sources

197-FEE 197-Instructions	Fee Determination for Construction Permit Application
199-CAAPP	Construction Permit Application for CAAPP & FESOP Sources

List of All CAAPP Forms

Procedural Forms
Emission Unit Forms
Air Pollution Control Equipment Forms
NOx Trading and Clean Air Interstate Rule(CAIR) Forms
Compliance Forms

Form Number	Description
Procedural Forms
APC-100	Air pollution episode action plan
161-CAAPP	Standard Conditions for Clean Air Act Permit Program (CAAPP) Permits
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	Withdrawl of permit or permit application
286-CAAPP	Single source determination
287-CAAPP	Incorporate by Reference
292-CAAPP 292-Instructions	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
Form Number	Description
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
Form Number	Description
260-CAAPP	Air Pollution Control Equipment
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
Form Number	Description
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
Form Number	Description
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