The following forms are used to apply for a Permit to Construct or a Permit to Operate from the Air and Radiation Administration (ARA). Please refer to the General Instructions or call us at 410-537-3225 for information.
The permit to construct and permit to operate forms are available for download in Adobe Acrobat's (.pdf) format. To view the documents, you will have to download and install the Adobe Acrobat Reader. Zipped files (.zip) are compressed files which may be uncompressed to extract a file or several files using archiving utilities such as the Power Archiver and WinZip software.
After downloading the necessary form(s), complete the form(s) as required. Complete an application checklist and submit one copy along with the appropriate application forms. Make 3 photocopies of the completed form(s), giving a total of 4 completed forms. Make sure that all forms are signed and dated individually. Submit 3 completed copies of the form to the Maryland Department of the Environment, while retaining one copy for your records. Please call us at (410) 537-3225 for any assistance.
Please Note: Effective May 4, 2016: New Form 5T replaces old Form 5A, and Form 5EP replaces Form 5B.
Also note the new checklist which is now included with Forms 5, 10, 11, 41, 42 and 44.
The form to be used will depend on the nature of the equipment to be constructed. Form 5 is used for all equipment required to obtain a Permit to Construct other than air pollution control devices, incinerators, and fuel burning equipment (burners). Forms 5T and 5EP are used as supplements to Forms 5 and 10 for sources subject to the toxic air pollutant requirements. Form 6 is used for air pollution control equipment. Form 10 is used for incinerators and Form 11 for fuel burning equipment (boilers). Brief instructions for completing these forms are presented below. More detailed instructions and further guidance for all application forms are available from ARA. Please call us at (410) 537-3225 if you have any questions.
Form 41 Application for Portable Crushing and Screening Equipment for Temporary Sites
This is the general application form for all equipment capable of creating air pollution and which is not an air pollution control device, an incinerator, or a boiler. For sources subject to COMAR 26.11.15, Toxic Air Pollutants, a Form 5T and 5EP must accompany the Form 5. A Form 6 is required for any control device associated with the equipment described in Form 5.
This form is used to summarize the demonstration for meeting the T-BACT (26.11.15.05) and Ambient Impact (26.11.15.06) Requirements for sources subject to COMAR 26.11.15 Toxic Air Pollutants.
This form is used to summarize the estimated emissions discharged from each stack or other emission point subject to COMAR 26.11.15, Toxic Air Pollutants. A Form 5EP must be filled out for each stack or emission point of the source or installation requesting the permit that has emissions of TAPs. If emissions generated from two or more pieces of equipment are discharged from one stack, you will need to fill out one Form 5EP and identify on the required process flow diagram that the number of pieces of equipment contribute to that emission point.
Use this application form for any type of device that is used to reduce the concentration of air pollutants in the gas stream being discharged to the atmosphere. The information requested on Form 6 relates to the control device only. Usually a Form 6 is submitted with another application such as Form 5, 10, or 11. Form 6 is used to specifically describe the air pollution control device, whereas the other forms are used for the equipment that is creating the air pollution. In some cases, where a new control device is being added to existing equipment, a Form 6 may need to be submitted independently. The information needed on the Form 6 is indicated on the form itself. For Item 15, which requests a flow diagram, a general diagram submitted with Form 5, 10, or 11 will be adequate, as long as all control devices and discharge points to the atmosphere are clearly indicated.
Use this form for municipal waste, industrial waste, special medical waste, or sewage sludge incinerators. Since incinerators are subject to the toxic air pollutant requirements, Forms 5T and 5EP must be submitted with each Form 10. If the incinerator also has an air pollution control device, a Form 6 must be used.
Use this application form for fuel burning equipment (boilers). The information requested on the form should be provided. If there is a separate control device, a Form 6 should also be completed. Forms 5T and 5EP are not required.
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