Air Permit Forms
This page includes air permit application forms for source-specific, general and registration permits.
The DNR must receive an administratively complete permit application to proceed with reviewing the application and issuing a permit. Refer to the instructions and resources available on the How to Apply webpage to learn how to submit a complete application. The page has details specific to the different types of applications and instructions on where to submit the application, including how to submit and sign the forms electronically.
If unsure which permit to apply for, review information on the Air Permit Options webpage. Small businesses can also review the Air Permit Types for Small Businesses webpage.
NEW REGULATED POLLUTANT: 1-Bromopropane (1-BP) was added to the hazardous air pollutants listed under section 112(b) of the Clean Air Act, effective February 4, 2022. In addition to the air contaminants listed in Table 3 of s. NR 407.05, Wis. Adm. Code, sources must also provide emission calculations for 1-BP in any air permit application. NOTE: A source’s major source status and applicable requirements may have changed as a result of the addition of 1-BP. For more information, see 1bp-q-and-a-document-final.pdf (epa.gov).
Permit Forms and Application Checklists
Application Checklists
Permit And Exemption Application Checklists
These checklists contain all of the information that must be submitted when applying for an air pollution control permit or exemption, including links to application forms, helpful tips and submittal instructions. Use the download link to save a fillable PDF version to your computer.
| Publication Number | Description | Download PDF | Tutorials and Examples |
|---|---|---|---|
Source-specific operation permits/exemption: | |||
| AM-578 | Operation Permit Renewal Application Checklist | Download | |
| AM-597 | Operation Permit Exemption Application Checklist | Download | |
Source-specific construction permits/exemptions: | |||
| AM-598 | Operation Permit Revision Application Checklist | Download | |
| AM-592 | Construction Permit Revision Application Checklist | Download | |
| AM-593 | Construction Permit Exemption Application Checklist | Download | |
| AM-594 | PSD Major (NR 405) Construction Permit Application Checklist | Download | |
| AM-595 | Minor Source (NR 406) Construction Permit Application Checklist | Download | |
Registration Permit Application Checklist: | |||
| AM-555 | Registration permit application checklist | Download | |
Source-Specific Forms
Source-Specific Permit Application Forms
Use these forms to apply for a source-specific air pollution control permit. Each form includes instructions at the back. Wisconsin Air Pollution Control Permit Application - Form-by-Form Instructions (AM-565) includes expanded explanations and examples.
Notice: To ensure proper functionality, always download Air Management Program PDF forms to the computer before opening and entering information. To download, click the link in the “Download PDF” column or right-click on the document link, choose "Save link as," and save the file to a location on the computer. Open the downloaded file using Adobe Reader. For more information, visit the PDF help page.
| Form Number | Form Name | Download Word | Download PDF | Tutorials and Examples |
|---|---|---|---|---|
| 4530-100 | Facility Details and Permit Actions | Download | Download | |
| 4530-101 | Facility Plot Plan | Download | ||
| 4530-102 | Source and Site Descriptions | Download | ||
| 4530-102A | Source Description - Supplemental | Download | ||
| 4530-102B | Source Description - Supplemental | Download | ||
| 4530-103 | Stack Identification | Download | Download | |
| 4530-104 | Boiler or Furnace Operation | Download | Download | |
| 4530-104A | Stationary Reciprocating Internal Combustion Engine (RICE) | Download | ||
| 4530-105 | Storage Tanks | Download | Download | |
| 4530-106 | Incineration | Download | Download | |
| 4530-107 | Printing Operations | Download | Download | |
| 4530-108 | Painting and Coating | Download | Download | |
| 4530-109 | Miscellaneous Processes | Download | Download | |
| 4530-110 | Control Equipment Miscellaneous | Download | Download | |
| 4530-111 | Condensers | Download | Download | |
| 4530-112 | Adsorbers | Download | Download | |
| 4530-113 | Catalytic or Thermal Oxidation | Download | Download | |
| 4530-114 | Cyclone/Settling Chambers | Download | ||
| 4530-115 | Electrostatic Precipitator | Download | Download | |
| 4530-116 | Wet Collection Systems | Download | Download | |
| 4530-117 | Baghouse/Fabric Filters | Download | Download | |
| 4530-118 | Compliance Certification - Monitoring and Reporting Methods | Download | Download | |
| 4530-119 | Continuous Emission Monitoring | Download | ||
| 4530-120 | Period Emission Monitoring Using Portable Monitors | Download | ||
| 4530-121 | Monitor Control System Parameters or Process Operating Parameters | Download | ||
| 4530-122 | Monitoring Maintenance Procedures | Download | ||
| 4530-123 | Stack Testing | Download | ||
| 4530-124 | Fuel Sampling and Analysis | Download | ||
| 4530-125 | Recordkeeping | Download | ||
| AM-585 | OP RENEWAL – Emission Summary Form Index (Forms 4530-126 through 4530-129) | Download | Download | Tutorial [VIDEO 00:11:07] |
| 4530-126 | Emission Unit HAP Summary | Download | ||
| 4530-127 | Facility HAP Summary | Download | ||
| 4530-128 | Criteria Pollutant Emission Unit Summary | Download | ||
| 4530-129 | Facility Criteria Pollutant Emissions Summary | Download | ||
| AM-586 | OP RENEWAL – Applicable Requirements Form Index (Forms 4530-130 and 4530-132) | Download | Download | Tutorial [VIDEO 00:06:35] |
| 4530-130 | Current Emission Requirements and Status of Unit | Download | ||
| 4530-132 | Current Emissions Requirements and Status of Facility | Download | ||
| AM-587 | OP RENEWAL – Compliance Plan and Schedule Form Index (Forms 4530-131 and 4530-133) | Download | Download | Tutorial [VIDEO 00:04:07] |
| 4530-131 | Emission Unit Compliance Plan and Schedule | Download | ||
| 4530-133 | Facility Requirements Compliance Plan and Schedule | Download | ||
| 4530-135 | Supplemental Information | Download | ||
| 4530-186 | Generation and Banking of Emissions Reduction Credits (ERCs) | Download | Download | |
| 4530-187 | Transfer of Emissions Reduction Credits (ERCs) | Download | Download | |
| 4530-188 | Identification Of Emissions Offsets For A Nonattainment Area New Source Review (NNSR) Permit | Download |
General and Registration Permit Forms
General and Registration Permit Application Forms
These forms pertain to general and registration permits and permit exemptions.
Notice: To ensure proper functionality, always download Air Management Program PDF forms to the computer before opening and entering information. To download, click the link in the “Download PDF” column or right-click on the document link, choose "Save link as," and save the file to a location on the computer. Open the downloaded file using Adobe Reader. For more information, visit the PDF help page.
| Form Number | Form Name | Download PDF | Download Word | Resources |
|---|---|---|---|---|
| 4530-141 | Nonmetallic mineral processing plant (Crushers) General Operation Permits (GOP) | Download | ||
| 4530-156 | Type A Registration Construction and Operation Permit Application | Download | Guide | |
| 4530-156A | Registration Construction and Operating Permit Modeling Assessment Attachment | Download | ||
| 4530-163 | Hot Mix Asphalt Plant General Construction and Operation Permit (GCP/GOP) | Download | Download | |
| 4530-169 | General and Registration Permit Petition | Download | ||
| 4530-172 | Type C Registration Construction and Operation Permit for Printers Application | Document | Guide | |
| 4530-183 | Type B Registration Construction and Operation Permit Application | Download | Download | Guide |
| 4530-185 | Type G Registration Construction and Operation Permit Application | Download | Download | Guide |