Permit Application Forms

How to view or obtain permit application forms

The permit application forms below are available on-line in PDF format (PDF version 1.4 or 1.5). Some are also available in Microsoft Word 97-2003 (Word) format and/or WordPerfect 6-10 (WP) format. These and other application forms are also available from the District in paper form. (See contact information.)

If a document does not download correctly when you click on it, try this:

  1. Right-click on the link, choose "Save Target As..." or "Save Link As..." (or similar option, depending on your web browser),
  2. Save the document somewhere convenient, and
  3. Open it from the appropriate program (e.g., Adobe Reader).

Note that some documents may appear differently on different computers depending on the fonts installed and other settings.


General Construction and Operating Permits

These are the new permit application forms (starting September 2011) to apply for a permit to construct, reconstruct, install, modify or operate a process or air pollution control device. These new permit application forms supercede Form 201 and the AP-xx08 forms which APCD no longer accepts. Carefully read the instructions below before starting to fill out forms. If you are new to air permitting, see Permits for a description of APCD's permitting process including how to get started.

For quicker processing, please submit reports and applications for emissions-based permits to airpermits @ louisvilleky.gov. Any submissions e-mailed will need to also be submitted either as hardcopy, faxed, or on physical electronic media (CD, floppy, flash drive).

Description PDF Microsoft Word Revision Date
General
Instructions Instructions (PDF) Instructions (Word) August 2011
Administrative Information 100A (PDF) 100A (Word) September 2011
Emission Unit Definition 100B (PDF) 100B (Word) January 2012
Processes
Generic Process 200A (PDF) 200A (Word) August 2011
Abrasive Blasting 200B (PDF) 200B (Word) August 2011
Grain Elevator 200C (PDF) 200C (Word) August 2011
Silo 200D (PDF) 200D (Word) August 2011
Combustion Source 200E (PDF) 200E (Word) August 2011
Crematory 200F (PDF) 200F (Word) August 2011
Printing Operation 200G (PDF) 200G (Word) August 2011
Coating Operation 200H (PDF) 200H (Word) August 2011
Engine or Generator 200J (PDF) 200J (Word) August 2011
Used Oil Heater 200K (PDF) 200K (Word) August 2011
Asphalt Plant 200L (PDF) 200L (Word) August 2011
Dry Cleaning 200M (PDF) 200M (Word) August 2011
VOC Storage Tank 200N (PDF) 200N (Word) August 2011
Parts Washer 200P (PDF) 200P (Word) August 2011
Cooling Tower 200R (PDF) 200R (Word) October 2011
Control Devices
Generic Control Equipment 300A (PDF) 300A (Word) August 2011
Baghouse 300B (PDF) 300B (Word) August 2011
Cyclone 300C (PDF) 300C (Word) August 2011
Settling Chamber 300D (PDF) 300D (Word) August 2011
Electrostatic Precipitator 300E (PDF) 300E (Word) August 2011
Chemical Scrubber 300F (PDF) 300F (Word) August 2011
Reducing Systems 300G (PDF) 300G (Word) August 2011
Condenser 300H (PDF) 300H (Word) August 2011
Vapor-Liquid Separator 300J (PDF) 300J (Word) August 2011
Adsorber 300K (PDF) 300K (Word) August 2011
Thermal Oxidizer 300L (PDF) 300L (Word) August 2011
Flare 300M (PDF) 300M (Word) August 2011
Venturi Scrubber 300N (PDF) 300N (Word) August 2011
Major Source Operating Permits – Title V and FEDOOP
Emission Data 100C (PDF) 100C (Word) August 2011
Stack Data 100D (PDF) 100D (Word) August 2011
Potential to Emit 100E (PDF) 100E (Word) August 2011
Plantwide Emission Summary 100F (PDF) 100F (Word) August 2011
Alternative Operating 100G (PDF) 100G (Word) August 2011
Applicable Requirements 100H (PDF) 100H (Word) August 2011
Compliance Monitoring 100J (PDF) 100J (Word) August 2011
Compliance Status 100K (PDF) 100K (Word) August 2011
Compliance Schedule 100L (PDF) 100L (Word) August 2011
Risk Management Plan 100M (PDF) 100M (Word) August 2011
Episode Action Plans 100N (PDF) 100N (Word) August 2011
Insignificant Activities 100P (PDF) 100P (Word) September 2011
Production Rate 150B (PDF) 150B (Word) August 2011
Certified Progress Report 900B (PDF) 900B (Word) August 2011
Emission Reduction Credit 900C (PDF) 900C (Word) August 2011

See also:


Asbestos Permits

Description PDF Microsoft Word or WordPerfect
Asbestos demolition and renovation notification form Form 272 (PDF) Form 272 (Word)
Blanket Permit monthly reporting form Form 272E (PDF) Form 272E (WP)
Demolition/renovation notification submittal verification form Form 272G (PDF) Form 272G (WP)

Gasoline Dispensing (Stage I / Stage II) Permits

Description PDF Microsoft Word
Application to change the owner or operator of a facility or update information for renewal Form APG-A (PDF) Form APG-A (Word)
Application for permit to modify or construct a facility Form APG-C (PDF) Form APG-C (Word)

Open Burning Permits

Description PDF Microsoft Word
Recreational fire Rec. Fire App. (PDF) Rec. Fire App. (Word)
Agricultural burn Ag. Burn App. (PDF) Ag. Burn App. (WP)
Fire training fire Training Fire App. (PDF) Training Fire App (Word)
Fire training blanket  Training Blanket App. (PDF) Training Blanket App. (Word)

Useful Documents for Preparing Permit Applications