Document ID: EPA-HQ-OAR-2013-0162-0004
Agency: epa
Document Type: Supporting & Related Material
Title: 
Posted Date: 2013-03-29T04:00Z

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        Forms for Part 71 Federal Operating Permits<!-- InstanceEndEditable --></h1>
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   <p>These forms are used to prepare  the initial part 71 permit application, and subsequently, to submit other  required information. Please check with the appropriate EPA Regional Office for  guidance on the proper forms and how to obtain them. The forms on this page may  be downloaded and printed but are not suitable for on-line data entry or  electronic submittal. Each form below contains detailed instructions; the  instruction manual contains general instructions that are relevant to all  forms.</p>
   <p><strong>Recent Changes to Part 71  Forms</strong>:</p>
   <ul>
     <li><ins datetime="2007-11-01"></ins>On June 25, 2012, we revised all forms to update the expiration date of the information collection requests(ICRs) for the forms.</li>
     <li>On June 10 , 2011, we revised the Fee Filing form and instructions to clarify certain location and contact information related to fee payment.</li>
     <li>On October 6, 2010, we revised all forms to update the expiration date of the information collection requests (ICRs) for the forms.</li>
     <li>On March 5, 2009, we revised the Fee Calculation Worksheet (FEE) to clarify the instructions, particularly with respect to reconciliation procedures.     </li>
     <li>On March 6, 2008, we revised the Fee Calculation Worksheet (FEE) to correct the method for calculating actual emissions.  This problem may have lead to incorrect fee calculation for a small number of large sources after October 11, 2007.</li>
     <li>On October 31, 2007, we revised the instructions for the Fee Filing form to update the addresses for fee payment (the lockbox account addresses).  The new addresses are effective immediately. </li>
     <li>On  October 2, 2007, we revised all forms to some extent.  Primarily, we simplified the instructions for  all forms, updated EPA contact information, updated the OMB approval expiration  date, and added official EPA form numbers. </li>
     <li>On  February 22, 2004, we revised the Annual Compliance Certification form and the Instruction Manual to reflect policy decisions concerning monitoring and the data  used for compliance certifications. </li>
    </ul>
   <p><strong>Forms</strong></p>
   <p>[Please note: all Microsoft Word (DOC)  files should be downloaded prior to viewing. PDF files require the Adobe  Acrobat Reader for reading or printing. For more information and how to obtain  the Acrobat Reader, see the <a href="http://www.epa.gov/epahome/pdf.html">EPA's  About Adobe Acrobat page</a>.] </p>
   <ul>
     <li>Instruction Manual for Part 71 Forms | <a href="pdfs/instructions.doc">DOC</a> <span class="fileinfo">(4pp, 67k)</span> | <a href="pdfs/instructions.pdf">PDF</a> <span class="fileinfo">(4pp, 29k)</span></li>
   </ul>
   
   <ul><li>Initial Application Forms
     <ul>
       <li>General Information and Summary (GIS) | <a href="pdfs/gis.doc">DOC</a> <span class="fileinfo">(6pp, 59k)</span> | <a href="pdfs/gis.pdf">PDF</a> <span class="fileinfo">(6pp, 30k)</span></li>
       <li>Emission Unit Description for Combustion Sources (EUD1) | <a href="pdfs/eud1.doc">DOC</a> <span class="fileinfo">(4pp, 45k)</span> | <a href="pdfs/eud1.pdf">PDF</a> <span class="fileinfo">(4pp, 25k)</span></li>
     <li>Emission Unit Description for VOC emitting Sources (EUD2) | <a href="pdfs/eud2.doc">DOC</a> <span class="fileinfo">(3pp, 48k)</span> | <a href="pdfs/eud2.pdf">PDF</a> <span class="fileinfo">(3pp, 24k)</span></li>
     <li>Emission Unit Description for Process Sources (EUD3) | <a href="pdfs/eud3.doc">DOC</a> <span class="fileinfo">(3pp, 37k)</span> | <a href="pdfs/eud3.pdf">PDF</a> <span class="fileinfo">(3pp, 23k)</span></li>
     <li>Insignificant Activities (IE) | <a href="pdfs/ie.doc">DOC</a> <span class="fileinfo">(2pp, 44k)</span> | <a href="pdfs/ie.pdf">PDF</a> <span class="fileinfo">(2pp, 27k)</span></li>
     <li>Emission Calculations (EMISS) | <a href="pdfs/emiss.doc">DOC</a> <span class="fileinfo">(3pp, 46k)</span> | <a href="pdfs/emiss.pdf">PDF</a> <span class="fileinfo">(3pp, 26k)</span></li>
     <li>Potential to Emit Summary (PTE) | <a href="pdfs/pte.doc">DOC</a> <span class="fileinfo">(2pp, 47k)</span> | <a href="pdfs/pte.pdf">PDF</a> <span class="fileinfo">(2pp, 23k)</span></li>
     <li>Fee Calculation Worksheet (FEE) | <a href="pdfs/fee.doc">DOC</a> <span class="fileinfo">(10pp, 158k)</span> | <a href="pdfs/fee.pdf">PDF</a> <span class="fileinfo">(10pp, 56k)</span></li>
     <li><ins datetime="2007-11-01"></ins>Fee Filing (FF) | <a href="pdfs/ff.doc">DOC</a> <span class="fileinfo">(2pp, 41k)</span> | <a href="pdfs/ff.pdf">PDF</a> <span class="fileinfo">(2pp, 25k)</span></li>
     <li>Initial Compliance Plan and Compliance Certification (I-COMP) | <a href="pdfs/i-comp.doc">DOC</a> <span class="fileinfo">(5pp, 64k)</span> | <a href="pdfs/i-comp.pdf">PDF</a> <span class="fileinfo">(5pp, 29k)</span></li>
     <li>Certification of Truth, Accuracy, and Completeness (CTAC) | <a href="pdfs/ctac.doc">DOC</a> <span class="fileinfo">(2pp, 34k)</span> | <a href="pdfs/ctac.pdf">PDF</a> <span class="fileinfo">(2pp, 21k)</span></li> 
     </ul>
     </li></ul>
     
   <ul><li>Forms Used After Permit Issuance
     <ul>
       <li>Prompt Deviation Report (PDR) | <a href="pdfs/pdr.doc">DOC</a> <span class="fileinfo">(4pp, 40k)</span> | <a href="pdfs/pdr.pdf">PDF</a> <span class="fileinfo">(4pp, 29k)</span></li>
     <li>6-Month Monitoring Report (SIXMON) | <a href="pdfs/sixmon.doc">DOC</a> <span class="fileinfo">(7pp, 57k)</span> | <a href="pdfs/sixmon.pdf">PDF</a> <span class="fileinfo">(7pp, 30k)</span></li>
     <li>Fee Calculation Worksheet (FEE) | <a href="pdfs/fee.doc">DOC</a> <span class="fileinfo">(10pp, 158k)</span> | <a href="pdfs/fee.pdf">PDF</a> <span class="fileinfo">(10pp, 56k)</span></li>
     <li><ins datetime="2007-11-01"></ins>Fee Filing (FF) | <a href="pdfs/ff.doc">DOC</a> <span class="fileinfo">(2pp, 41k)</span> | <a href="pdfs/ff.pdf">PDF</a> <span class="fileinfo">(2pp, 25k)</span></li>
     <li>Annual Compliance Certification (A-COMP) | <a href="pdfs/a-comp.doc">DOC</a> <span class="fileinfo">(7pp, 52k)</span> | <a href="pdfs/a-comp.pdf">PDF</a> <span class="fileinfo">(7pp, 29k)</span></li>
     <li>Certification of Truth, Accuracy, and Completeness (CTAC) | <a href="pdfs/ctac.doc">DOC</a> <span class="fileinfo">(2pp, 34k)</span> | <a href="pdfs/ctac.pdf">PDF</a> <span class="fileinfo">(2pp, 21k)</span></li>
     </ul>
     </li></ul>
     
   <hr />
   
   <p>For current information, or more details, contact Jeff Herring at (919) 
   541-3195 or by e-mail at <a href="mailto:herring.jeff@epamail.epa.gov">herring.jeff@epa.gov</a>.    </p><!-- InstanceEndEditable -->
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