Forms and Applications
*IMPORTANT NOTICE*
The Air Quality Management Division is hosting a series of workshops to provide further understanding of revisions to the District Board of Health Regulations Governing Air Quality Management, CHAPTER 030 - Source Permitting and Operation. Workshops will be held both in-person and virtually - Register for upcoming workshops or view recordings of previous workshops.
Tap the icon above to schedule an appointment
Stationary Source Permit to Construct / Permit to Operate
Applications and Guidance Documents
Stationary Source Emissions Calculation Spreadsheets
The AQMD has developed emissions calculation spreadsheets for common emission sources to calculate the potential-to-emit (PTE) and actual estimated emissions to determine permit applicability and compliance with permit emissions limits. You may request the following emissions calculation spreadsheets by email to AQMDPermitting@nnph.org.
| Internal Combustion Engine (ICE) Emissions Calculation Spreadsheet (upon request) |
Concrete Batch Plant Emissions Calculation Spreadsheet (upon request) |
Fuel Burning Equipment Emissions Calculation Spreadsheet (upon request) |
Surface Coating Emissions Calculation Spreadsheet (upon request) |
Stationary Source Emissions Unit and Control Device Worksheets
These forms shall be submitted as supplemental documents to an Application for Permit to Construct / Permit to Operate.
Stationary Source Administrative Applications and Forms
Visit the Source Permitting page for more information.
The Permitting Program can be contacted at 775-784-7200 or AQMDPermitting@nnph.org.
Non-Metallic Mineral Processing (Portable and Stationary)
Application and Forms
Visit the Source Permitting page for more information.
The Permitting Program can be contacted at 775-784-7200 or AQMDPermitting@nnph.org.
| Mineral Processing Application for Permit to Construct |
Mineral Processing Application for Permit to Operate |
PTE/Emissions Inventory Spreadsheet |
| Example Mineral Processing Flow Diagram |
Mapping Instructions |
Asbestos Program Applications and Forms
Visit the Asbestos Program page for more information.
The Asbestos Program can be contacted at 775-784-7200 or AQMDAsbestos@nnph.org.
Dust Control Program Applications and Forms
Visit the Dust Control Program page for more information.
The Dust Control Program can be contacted at 775-784-7200 or AQMDDust@nnph.org.
| Dust Control Permit Application |
Dust Control Permit Modification |
Completion of Project |
Dust Log Template |
Dust Control Permit Sign Requirements |
Wood-Burning Device Program Applications and Forms
Visit the Wood-Burning Device Program page for more information.
The Wood-Burning Device Program can be contacted at 775-784-7200 or AQMD-WBD@nnph.org.
| Wood-Burning Device Inspection Form |
Wood-Burning Device Exemption Form |
Wood-Burning Device Removal Verification Form |
| Certificate of Compliance Transfer |
Dealer's Affidavit of Sales Form |
Notice of Exemption Form |
| Sole Source of Heat Declaration |
List of Certified Wood-Burning Device Inspectors |
Wood-Burning Device Inspector Certification Course Registration |
Prescribed Burn Program
Visit the Smoke Management Program page for more information.
The Smoke Management Program can be contacted at 775-784-7200 or KeepItClean@nnph.org.
| Prescribed Burn Application | 24-Hour Notification of Prescribed Burn |
Air Pollution Control Hearing Board
Visit the Air Pollution Control Hearing Board page for more information.
| Request a Petition to the Air Pollution Control Hearing Board |
Request a Variance to the Air Pollution Control Hearing Board |
APCHB Member Application |
Last modified on 01/22/2026
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