Pat Quinn, Governor
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Pat Quinn, Governor |
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Air FormsClean Air Act Permit Program (CAAPP)
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| 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: 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).
| 197-FEE 197-Instructions |
Fee Determination for Construction Permit Application (Revised 05/05/05) |
| 199-CAAPP | Construction Permit Application for CAAPP & FESOP Sources (Revised 09/2007) |
Procedural Forms |
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| Form Number | Description |
|---|---|
| APC-100 |
Air pollution episode action plan |
| 161-CAAPP | Standard Conditions for Clean Air Act Permit Program (CAAPP) Permits (Revised 11/16/94) |
| 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 (Revised 1/08/2009)  |
| 200-CAAPP Instructions | Instructions for CAAPP Permit (Pending) |
| 202-CAAPP | General Instructions for CAAPP Applications (Revised 10/11/00) |
| 209-CAAPP | Request for CAAPP Forms (Revised 10/18/01) |
| 215-CAAPP 215-Instructions |
Hazardous Air Pollutant Emission Summary (Revised 01/08/2009) |
| 215A-CAAPP | Emission Unit which does not emit a hazardous air pollutant (Revised 1/08/2009) |
| 215A-CAAPP Instructions | Instructions for CAAPP Form 215A (Revised 1/08/2009) |
| 271-CAAPP 271-Instructions |
Application for Modification to a CAAPP Permit (Revised 09/08/2009) Instructions for CAAPP Form 271 (Pending) |
| 272-CAAPP 272-Instructions |
Request for Ownership Change for CAAPP Permit |
| 273-CAAPP 273-Instructions |
Request for Administrative Permit Amendment for CAAPP Permit (Revised 10/18/01) |
| 280-CAAPP | Request for non-applicability exception or exclusion of regulatory requirements
(Revised 1/08/09) |
| 280-CAAPP Instructions | Instructions for CAAPP Form 280 (Pending) |
| 281-CAAPP | Request for periodic monitoring
(Revised 1/08/2009) |
| 281-CAAPP Instructions | Instructions for CAAPP Form 281 (Pending) |
| 282-CAAPP | Streamline applicable requirements
(Revised 1/08/2009) |
| 282-CAAPP Instructions | Instructions for CAAPP Form 282 (Pending) |
| 283-CAAPP | Request for a Title I Incorporation into the CAAPP: T1, T1 Revised(T1R), T1 New(T1N)
(Revised 1/08/2009) |
| 283-CAAPP Instructions | Instructions for CAAPP Form 283 (Pending) |
| 285-CAAPP | Withdrawl of permit or permit application
(Revised 1/08/2009) |
| 285-CAAPP Instructions | Instructions for CAAPP Form 285 (Pending) |
| 286-CAAPP | Single source determination
(Revised 1/08/2009) |
| 286-CAAPP Instructions | Instructions for CAAPP Form 286 (Pending) |
| 287-CAAPP | Incorporate by Reference
(Revised 1/08/2009) |
| 287-CAAPP Instructions | Instructions for CAAPP Form 287 (Pending) |
| 292-CAAPP 292-Instructions |
Fee Determination for CAAPP Permit |
| 297-CAAPP 297-Instructions |
Listing of Insignificant Activities (Revised 11/16/94) |
| 299-CAAPP | Listing of Significant Activities
(Revised 1/08/2009) |
| 299-CAAPP Instructions | Instructions for CAAPP Form 299 (Pending) |
| 464-CAAPP | Compliance Assurance Monitoring (CAM) Plan (Revised 05/05/05) |
| 500-CAAPP | Delegation of Authority for Responsible Official to a Representative (Revised 11/16/94) |
| 505-CAAPP | Supplement to CAAPP Application (Revised 11/16/94) |
Emission Unit Forms |
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| Form Number | Description |
| 203-CAAPP 203-Instructions |
Request to Operate with Excess Emissions during Startup of Equipment (Revised 11/16/94) |
| 204-CAAPP 204-Instructions |
Request to Continue to Operate during Malfunction or Breakdown (Revised 11/16/94) |
| 220-CAAPP 220-Instructions |
Process Emission Unit (Revised 11/16/94) |
| 232-CAAPP 232-Instructions |
Storage Tank (Revised 11/16/94) |
| 234-CAAPP 234-Instructions |
Hot Mix Asphalt Plant (Revised 11/16/94) |
| 235-CAAPP 235-Instructions |
Aggregate Crushing Plant (Revised 11/16/94) |
| 236-CAAPP 236-Instructions |
Grain Handling and Grain Drying (Revised 11/16/94) |
| 236A-CAAPP
236A-Instructions |
Grain Handling and Grain Drying Emission Calculation Sheet (Revised 11/16/94) |
| 237-CAAPP 237-Instructions |
Perchlorethylene Dry Cleaning (Revised 11/16/94) |
| 240-CAAPP 240-Instructions |
Fuel Combustion Emission Unit (Revised 11/16/94) |
| 250-CAAPP 250-Instructions |
Incinerator (Revised 11/16/94) |
| 270-CAAPP 270-Instructions |
Stationary Internal Combustion Engine or Turbine (Revised 11/16/94) |
| 301-CAAPP 301-Instructions |
Coating Operation (Revised 11/16/94) |
| 302-CAAPP 302-Instructions |
Printing and Publishing (Revised 11/16/94) |
| 336-CAAPP 336-Instructions |
Electroplating Tank (Revised 11/16/94) |
| 358-CAAPP 358-Instructions |
Solvent Cleaning - Open Top Vapor Degreaser (Revised 11/16/94) |
| 366-CAAPP 366-Instructions |
Solvent Cleaning - Conveyorized Degreaser (Revised 11/16/94) |
| 367-CAAPP 367-Instructions |
Solvent Cleaning - Cold Cleaning (Revised 11/16/94) |
| 391-CAAPP 391-Instructions |
Fugitive Emissions (Revised 11/16/94) |
Air Pollution Control Equipment Forms |
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| Form Number | Description |
| 260-CAAPP 260-Instructions |
Air Pollution Control Equipment (Revised 11/16/94) |
| 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 |
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| 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 |
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| Form Number | Description |
| 293-CAAPP 293-Instructions |
Compliance Plan/Schedule of Compliance for CAAPP Permit (Revised 11/16/94) |
| 294-CAAPP 294-Instructions |
Compliance Plan/Schedule of Compliance - Addendum for Noncompliant Emission Units (Revised 11/16/94) |
| 295-CAAPP 295-Instructions |
Certified Progress Report (Revised 11/16/94) |
| 296-CAAPP 296-Instructions |
Compliance Certification (Revised 11/16/94) |
| 400-CAAPP 400-Instructions |
Compliance and General Reporting Form (Revised 11/16/94) |
| 401-CAAPP 401-Instructions |
Annual Compliance Certification (Revised 03/18/03) |
| 405-CAAPP 405-Instructions |
Excess Emissions, Monitoring Equipment Downtime, and Misc. Reporting Form (Revised 11/16/94) |
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