Homepage Blank Utah 15C Form
Article Structure

The Utah 15C form, associated with the Utah Division of Air Quality, is a critical document that outlines the essential steps and information required for applying for a Portable General Permit. Entities seeking permission to construct and operate new or modified equipment that potentially affects air quality must navigate this form's various sections with precision. It is structured to gather comprehensive details about the company, its operations, and the specific equipment in question, aiming to ensure compliance with air quality standards. From identifying the company and its contact information to detailing the type of operation and the nature of equipment, every section is designed to provide the New Source Review Section with the information needed to execute a thorough engineering review. Applicants are urged to disclose details about any existing Approval Orders, modifications to existing permits, and specifics about the type of equipment to be covered under the new or altered permit. Additionally, the form requires a certification by the company's authorized agent, attesting to the truthfulness and accuracy of the information provided. As this form serves as a crucial step in obtaining the necessary approvals for equipment that could impact air quality, it underscores the importance of transparency and diligent reporting in the permit application process.

Form Preview Example

Utah Division of Air Quality

New Source Review Section

Form 15c

Portable General Permit Application

Date __________________________

Company ______________________

Site/Source_____________________

An Approval Order to construct must be approved before any equipment can be operated. Please refer to the Approval Order application instructions for specific details required to complete the application. Please print or type all information requested. All information requested herein must be completed and submitted before an engineering review can be completed. Please contact the New Source Review Section of the Division of Air Quality with any questions at (801) 536- 4000. Written inquiries may be addressed to: Division of Air Quality, New Source Review Section, P.O. Box 144820, Salt Lake City, Utah 84114-4820.

General Owner And Facility Information

1.

Company name and address:

2. Company contact for environmental issues:

 

Phone No.:

(

)

Phone No.: (

)

 

FAX No.:

(

)

FAX No.: (

)

 

 

 

 

E-mail address:

 

3.

Owners name and address:

 

 

 

Phone no.:

(

)

 

 

 

FAX no.:

(

)

 

 

E-mail address:

 

4.

Identify any current Approval Order(s):

 

 

 

 

 

 

 

 

AO#_________________Date______________

AO#_________________Date______________

 

 

 

 

AO#_________________Date______________

AO#_________________Date______________

 

 

 

 

AO#_________________Date______________

AO#_________________Date______________

 

 

 

 

 

 

 

 

 

 

5.

If request for modification, previous permit # and date:

DAQE-AN__________________

DATE: ____/____/____

 

 

 

 

 

 

 

 

 

 

 

6.

Type of operation:

Aggregate Processing Plants

Asphalt Plants

 

Concrete Batch Plants

 

 

7.

Total company employees greater

 

8. Standard Industrial Classification Code

 

 

 

 

 

 

than 100?

 

 

 

[ ] [ ] [

] [ ]

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Application for:

 

 

 

 

 

 

 

 

 

 

 

New equipment

 

 

 

Modification

 

 

 

 

 

 

Existing equipment operating without permit

 

 

 

 

 

 

 

 

 

 

 

 

 

10. For new equipment or modification, enter estimated start date:

 

 

 

 

 

 

 

 

 

 

11. For change of permittee, enter date

 

12. For existing equipment in operation without prior permit, enter initial operation

 

 

 

of occurrence:

 

 

 

date:

 

 

 

 

 

 

13. Has equipment been modified, moved or the capacity increased since November 29, 1969:

Yes

No

 

 

 

If yes: Specify what equipment:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

14.Equipment list (Table 1 and 2 Attach as Appendix A)

15.I hereby certify that the information and data submitted in and with this application is completely true, accurate and complete, based on reasonable inquiry and to the best of my knowledge and belief.

Signature:

16.

________________________

Name (Typed or printed)

Title:

17.Telephone Number: ( )

18. Date:

General Permit Application

Form 15c

Instructions

1.Identify the name, address, phone number, and fax number of the legal entity that operates the equipment.

2.Identify the person who is to be contacted regarding this application; also include the phone number and fax number of this person.

3.If you are not the owner of the equipment under this application, enter the name, address, phone number, and fax number of the owner.

4.List any valid Approval Orders (AO) which are for equipment at this site.

5.Indicate previous AO number (if any) and date for AO modification.

6.State the type of operation.

7.Indicate if the total number of people employed by your company is over 100 people.

8.Using the provided list of business codes (page 8), enter the code which best describes your business activity at this facility.

9.Check all applicable boxes

Existing Equipment Operating Without permit - equipment which has been in operation without a prior permit issued by the state.

Modification - existing equipment which is physically altered by the removal, addition, or non-identical replacement of parts.

10.Enter the start date new equipment or modification.

11.For cases in this category, enter the future date when the change is anticipated.

12.For this category of equipment, enter the date when this equipment was first operated.

13.This is for equipment that was operated before November 29, 1969. Indicate whether equipment has been moved, modified or increased capacity since that date. Specify what equipment this includes.

14.Attach as Table 1 and 2 to the application a list of all portable equipment (NSPS/MACT - Table 1 and Non-NSPS - Table 2) that is owned or operated by the company. Forms are available from DAQ for these two tables.

15.Signature of authorized company agent.

16.Name of signing party.

17.Telephone number of signing party.

18.Date of application.

Additional information may be required for some projects. If so, the reviewing engineer will contact the individual listed in question number 2.

f:\aq\engineer\generic\Forms 2010\Form15c Portable Generic Permit Application.doc Revised 12/20/10

2

Form Breakdown

Fact Number Detail
1 The Utah Form 15C is designed for Portable General Permit Applications under the jurisdiction of the Division of Air Quality.
2 Before operating any equipment, an Approval Order must be approved by the New Source Review Section of the Division of Air Quality.
3 Applicants are required to print or type all requested information on the form and submit it for an engineering review to be completed.
4 Contact information for queries related to the application is provided, including a phone number and a postal address in Salt Lake City, Utah.
5 The form covers general owner and facility information, including current Approval Orders and details about modification requests.
6 Types of operations targeted by this permit application include Aggregate Processing Plants, Asphalt Plants, and Concrete Batch Plants.
7 The application must be signed by an authorized agent of the company, certifying that the information provided is accurate and complete.

Detailed Steps for Writing Utah 15C

Filling out Utah's Form 15c for a Portable General Permit Application requires attention to detail and a thorough understanding of your operation. This form is a critical component in the process to ensure your equipment complies with the State's air quality regulations. Below is a guide to assist you through each required section of the form. Remember, providing accurate and comprehensive information expedites the review process and facilitates a smoother approval path for your operation.

  1. Enter the application date at the top of the form.
  2. Under General Owner and Facility Information, write the company name and address.
  3. Provide the contact information for the individual responsible for environmental issues, including phone and fax numbers, and email address.
  4. List the owner's name and address, along with their contact information.
  5. Identify any current Approval Order(s) by number and date. If applicable, list all that apply.
  6. If you are applying for a modification, include the previous permit number and date.
  7. Select the type of operation from the provided options (e.g., Aggregate Processing Plants, Asphalt Plants, Concrete Batch Plants).
  8. Indicate whether your company employs over 100 people.
  9. Enter the Standard Industrial Classification Code that best describes your business activity at the facility.
  10. Check the appropriate box to indicate if the application is for new equipment, a modification, or existing equipment operating without a permit.
  11. For new equipment or modifications, enter the estimated start date.
  12. If applicable, for a change of permittee, enter the date of occurrence.
  13. For existing equipment in operation without a prior permit, enter the initial operation date.
  14. Indicate if the equipment has been modified, moved, or if its capacity increased since November 29, 1969. If yes, specify what equipment.
  15. Attach Table 1 and Table 2 as Appendix A, listing all portable equipment covered by the permit.
  16. Sign the application to certify that the information provided is true, accurate, and complete. Include the name (typed or printed), title, and telephone number of the authorized company agent making the certification.
  17. Add the date of application.

Once you have completed and reviewed the form for accuracy, submit it to the Division of Air Quality as directed on the form. The processing of your application includes a detailed review by state engineers. If additional information or clarification is needed, the contact person listed in Section 2 will be reached out to. The approval of this application is essential for ensuring your operation meets Utah's air quality standards, thereby contributing to a healthier environment for all.

Common Questions

  1. What is the purpose of the Utah 15C form?

    The Utah 15C form is designed for companies to apply for a Portable General Permit for new or existing equipment that releases air pollutants. This includes when equipment is being modified, operated without a previous permit, or there is a change in the permittee. The form is crucial for ensuring that the equipment meets the state's air quality standards and regulations.

  2. Who is required to submit the Utah 15C form?

    Any company that operates equipment capable of emitting pollutants into the air in Utah, such as aggregate processing plants, asphalt plants, and concrete batch plants, must submit the Utah 15C form. This submission is necessary whether the equipment is new, existing without a prior permit, or being modified.

  3. What information is required to complete the form?

    The form requires detailed information including the company name and address, contact information for environmental issues, the owner's details, any current Approval Orders, and details about the equipment or operations. Additionally, the company must disclose if the total number of employees exceeds 100 and include the Standard Industrial Classification Code that best describes the business activity.

  4. Where should inquiries or completed forms be addressed?

    Completed forms or any inquiries should be directed to the Division of Air Quality, New Source Review Section, either through the provided phone number, (801) 536-4000, or by mail at P.O. Box 144820, Salt Lake City, Utah 84114-4820.

  5. How does one certify the application?

    The application is certified by the signature of an authorized company agent, indicating that all information and data submitted are true, accurate, and complete to the best of their knowledge and based on reasonable inquiry.

  6. What happens after submitting the form?

    After submitting the form, the New Source Review Section of the Division of Air Quality conducts an engineering review of the submitted information. If additional information is needed for the review process, the reviewing engineer will contact the individual listed in the application form.

  7. Is there a fee associated with the Utah 15C form application?

    The provided documentation does not specify a fee for the application. However, applicants are encouraged to contact the Division of Air Each for any possible fees related to the permit application process.

  8. What is the significance of providing accurate and complete information on the form?

    Providing accurate and complete information is crucial for several reasons. It ensures a smooth review process, helps in assessing the compliance of the equipment or operation with Utah's air quality standards, and avoids potential legal or regulatory issues for the company. Inaccurate or incomplete information can lead to delays, additional scrutiny, or denial of the application.

Common mistakes

When filling out the Utah 15C form, which is essential for applying for a Portable General Permit Application for the Division of Air Quality's New Source Review Section, there are common mistakes that can seriously impact the processing and approval of your application. Avoiding these errors can streamline the approval process, ensuring your operations comply with regulatory standards more swiftly.

Here are six common errors:

  1. Providing incomplete or incorrect company and facility information. It's crucial to ensure that all information requested in the General Owner And Facility Information section is accurate and complete. This includes the company name, address, and contact information for environmental issues.
  2. Failure to list valid Approval Orders (AO) or inaccurately listing previous permit details for modifications. The form requires that any current Approval Orders or previous permits (if requesting a modification) be correctly documented. This involves correctly referencing AO numbers and dates.
  3. Incorrectly identifying the type of operation or not specifying if the equipment has been modified or moved. The application asks for detailed information about the type of operation and any modifications to the equipment. It’s essential to provide specific details to avoid delays in the review process.
  4. Omitting the Standard Industrial Classification Code or erroneously entering company size information. The form needs accurate business activity classification and the number of employees to process the application accurately.
  5. Not correctly indicating if the equipment has been in operation without a prior permit, including the initial operation date. This oversight can lead to significant compliance issues and penalties.
  6. Failure to sign the application or provide accurate contact information of the authorized company agent. The signature certifies that the information provided is true and complete, which is a critical step in the application process.

Additionally, it’s worth noting some procedural steps that are often overlooked:

  • Ensuring that all attachments, including Table 1 and 2 for equipment lists, are included with the application.
  • Double-checking that all dates and timelines mentioned in the application are accurate and realistic.
  • Regularly communicating with the New Source Review Section for any clarifications or updates on the application status.

By paying attention to these details and avoiding the common mistakes listed above, companies can ensure a smoother process in obtaining the necessary permits for their operations. Accurate and thorough completion of the Utah 15C form is a crucial step in demonstrating compliance with air quality regulations and contributing to a cleaner and healthier environment.

Documents used along the form

When applying for the Utah 15C form, which is the Portable General Permit Application for the New Source Review Section of the Division of Air Quality, it's often necessary to accompany this form with other documents and forms. These supplementary documents help provide a comprehensive overview of the applicant's operations, ensuring the Division of Air Quality has all the necessary information to process the application efficiently.

  • Approval Order Application: This form is required for the initial approval to construct or modify equipment. It contains detailed information about the project, including technical specifications and anticipated environmental impacts.
  • Notice of Intent (NOI): Used for construction projects, the NOI informs the Division of planned activities that may affect air quality, outlining measures to minimize emissions.
  • Equipment List: Detailed inventory of all equipment associated with the site. This includes make, model, serial number, and any relevant operational data that impacts air quality.
  • Emissions Inventory: A comprehensive report detailing all sources of emissions within the facility. This must include types of pollutants, quantities, and the methods used for their calculation or measurement.
  • Air Quality Impact Analysis: For certain projects, a detailed analysis predicting how proposed emissions will affect local air quality could be necessary, often requiring modeling to demonstrate compliance with regulatory standards.
  • Compliance Assurance Monitoring (CAM) Plan: This document outlines how ongoing compliance with emission limits will be demonstrated, including monitoring, recordkeeping, and reporting requirements specified by state or federal regulation.
  • Site Plan and Vicinity Map: These provide a visual representation of the facility’s location, including nearby sensitive receptors (schools, hospitals, residential areas) and any significant geographical or environmental features.
  • Public Notice Documentation: For projects with significant impact, proof of public notification and outreach efforts may be required. This includes details of public meetings, comments received, and the applicant’s responses to those comments.
  • These documents contribute to a clearer understanding of the proposed project and its potential impacts on air quality. By compiling a complete and accurate application package, companies can streamline the review process, aiding regulators in making informed decisions that ensure both environmental protection and operational efficiency.

Similar forms

The Utah 15C form for Portable General Permit Applications is akin to the Notice of Intent (NOI) form used for the National Pollutant Discharge Elimination System (NPDES) permits. Both forms are integral for compliance with environmental regulations, requiring detailed business and operation information. They serve as preliminary steps for regulatory approval, emphasizing the need for accurate, comprehensive information about the facility, its operations, and the nature of discharges or emissions. These documents also require disclosures about any previous permits or modifications, underlining the ongoing relationship between regulatory bodies and entities subject to environmental oversight.

Similarly, the Air Emission Reporting Requirements (AERR) form shares commonalities with the Utah 15C form. Both are geared towards capturing specific information about pollutants released into the atmosphere, ensuring businesses comply with air quality standards. AERR forms, like the Utah 15C, necessitate detailed listings of emission sources, types of equipment, and operational capacity. These documents are critical for state environmental agencies to monitor and manage air quality, aligning with broader public health and environmental protection objectives.

The Toxic Release Inventory (TRI) Form R mirrors the intent behind the Utah 15C form in its demand for detailed operational and emissions data from facilities. While the TRI Form R is focused specifically on tracking the management of certain toxic chemicals, both forms require entities to disclose extensive information about their operations, including the identification of equipment and any modifications thereto. This information aids in assessing compliance with environmental regulations and helps inform public and environmental health policies.

The Hazardous Waste Permit Application is another document displaying similarities with the Utah 15C form. Both applications require detailed descriptions of the processes and equipment involved in either emitting pollutants or managing hazardous waste. These documents are essential for environmental regulatory agencies to evaluate the potential environmental impact of a facility's operations, ensuring that harmful substances are managed in a manner that protects the environment and public health.

The Stormwater Discharges Associated with Industrial Activity Permit Application (often known as an NPDES Stormwater Permit Application) shares objectives with the Utah 15C form. Each of these applications seeks to regulate and minimize environmental impacts by requiring specific operational information, including the nature and scale of activities likely to affect air or water quality. While focusing on different media—air for the 15C and water for the stormwater permit—both ensure regulatory agencies have sufficient information to protect environmental and public health through oversight of industrial activities.

Dos and Don'ts

Filling out the Utah 15C form, a Portable General Permit Application, requires careful attention to detail and accuracy. Below are the things you should and shouldn't do when completing this form:

  • Do ensure all the information provided is current and accurate. Mistakes can lead to unnecessary delays.
  • Do contact the Division of Air Quality for any clarifications needed. It's better to ask questions than to submit incorrect information.
  • Do use the correct business codes from the provided list in the form's instructions when identifying your business activity.
  • Do list all the current Approval Orders (AO), if applicable, to demonstrate compliance history.
  • Do sign the application form as the authorized company agent to attest to the truthfulness and accuracy of the information.
  • Don't leave any section incomplete, unless it explicitly does not apply to your operation. Incompleteness can lead to the rejection of the application.
  • Don't guess on start dates for new equipment or modifications. Use the best available information to avoid inaccuracies.
  • Don't forget to include list of equipment in Appendix A as required, including both NSPS/MACT and Non-NSPS equipment.
  • Don't operate any equipment before receiving an Approval Order. Doing so could result in fines and penalties.
  • Don't provide false or misleading information. The signature section confirms your accountability for the application's truthfulness.

Misconceptions

Many people have misconceptions about the Utah 15C form, a crucial document for businesses that need to comply with air quality regulations. Understanding these misunderstandings can help ensure that businesses accurately and efficiently navigate the permitting process. Here are ten common misconceptions:

  1. The Utah 15C form is only for new businesses. This form is not solely for new businesses but is also required for existing businesses that are applying for new equipment, modifying existing equipment, or have been operating equipment without the necessary permit.

  2. Filling out the form guarantees approval. Completing the form is the first step in the application process. Approval is contingent upon a thorough review, ensuring all provided information meets the Utah Division of Air Quality's regulations and standards.

  3. Any company employee can sign the Utah 15C form. The form must be signed by an authorized agent of the company, typically someone with executive or managerial authority, who can certify the accuracy of the information provided.

  4. The form is only required for large businesses. The size of your business does not exempt you from filling out the form. Whether a small or large business, if you're operating equipment that impacts air quality, you must submit the form.

  5. Once approved, no further action is needed. An Approval Order is not indefinite; it may require renewals or additional documentation if your operation changes or equipment is modified in ways that could affect air quality.

  6. The form is complicated and requires hired help to complete. While the form requires detailed information, businesses can complete it without the need for hired consultants. The instructions provided are designed to help applicants through the process, and staff at the Division of Air Quality are available to answer questions.

  7. Email and phone contact information are optional. Providing up-to-date contact information, including email and phone numbers, is crucial. This allows the Division of Air Quality to contact you if they need further information or to notify you about your application status.

  8. You can operate equipment while waiting for approval. Operating any equipment that requires approval before receiving it is in violation of the Utah Division of Air Quality regulations. You must wait until your application is approved.

  9. There's no need to list existing Approval Orders. If your equipment is covered under existing Approval Orders, indicating this on the form is essential. It helps the reviewers understand your current compliance status and how the new application fits with existing permits.

  10. The form only applies to specific industries. The Utah 15C form covers a range of operations that could impact air quality, including aggregate processing plants, asphalt plants, and concrete batch plants among others. It is critical to assess your business's operations against the criteria set by the Division of Air on whether you need to submit this form.

Removing these misconceptions can streamline the process of complying with air quality regulations, helping businesses to avoid delays and ensure their operations remain environmentally responsible.

Key takeaways

Filling out and using the Utah 15C form, which is essential for obtaining a portable general permit application from the Division of Air Quality, requires careful attention to detail and compliance with specific guidelines. Here are key takeaways to ensure completeness and accuracy:

  • All sections of the form must be fully completed with accurate, true, and complete information. Inaccurate information can lead to delays or denial of the application.
  • Contact information for both the company and the environmental issues contact person is necessary. Providing comprehensive contact details facilitates efficient communication.
  • If the applicant is not the equipment's owner, the form requires details of the actual owner, ensuring legal clarity and responsibility.
  • A list of any current Approval Orders (AO) related to the equipment at the site must be disclosed. This information is crucial for verifying compliance with existing regulations.
  • In cases where the application is for a modification of existing equipment, the form requests details on previous permits, highlighting the need for updated permits in the event of operational changes.
  • The type of operation should be clearly identified, as this will determine the specific requirements and conditions of the permit.
  • The applicant must indicate whether the company employs over 100 people, which could affect the scope of the environmental impact assessment.
  • Selecting the correct Standard Industrial Classification Code is vital for categorizing the business accurately under regulatory standards.
  • For new equipment, modifications, or changes in permittee, specific dates are required. These details help the regulating agency understand the timeline and urgency of the application.

By carefully addressing each requirement and providing detailed, accurate information, applicants can streamline the permit process with the Utah Division of Air Quality, ensuring compliance and minimizing potential operational delays.

Please rate Blank Utah 15C Form Form
4.68
Excellent
163 Votes