Form E4 "Application for Air Permit to Construct/Operate - Emission Source Compliance Schedule" - North Carolina

What Is Form E4?

This is a legal form that was released by the North Carolina Department of Environmental Quality - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 22, 2016;
  • The latest edition provided by the North Carolina Department of Environmental Quality;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form E4 by clicking the link below or browse more documents and templates provided by the North Carolina Department of Environmental Quality.

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Download Form E4 "Application for Air Permit to Construct/Operate - Emission Source Compliance Schedule" - North Carolina

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FORM E4
EMISSION SOURCE COMPLIANCE SCHEDULE
E4
REVISED 09/22/16
NCDEQ/Division of Air Quality - Application for Air Permit to Construct/Operate
COMPLIANCE STATUS WITH RESPECT TO ALL APPLICABLE REQUIREMENTS
Will each emission source at your facility be in compliance with all applicable requirements at the time of permit issuance and continue to comply with
these requirements?
If NO, complete A through F below for each requirement for which
NO
YES
compliance is not achieved.
Will your facility be in compliance with all applicable requirements taking effect during the term of the permit and meet
such requirements on a timely basis?
If NO, complete A through F below for each requirement for which
NO
YES
compliance is not achieved.
If this application is for a modification of existing emissions source(s), is each emission source currently in compliance with all applicable
requirements?
If NO, complete A through F below for each requirement for which
NO
YES
compliance is not achieved.
A. Emission Source Description (Include ID NO.)
B. Identify applicable requirement for which compliance is not achieved:
C. Narrative description of how compliance will be achieved with this applicable requirements:
D. Detailed Schedule of Compliance:
Step(s)
Date Expected
E. Frequency for submittal of progress reports (6 month minimum):
F. Starting date of submittal of progress reports:
Attach Additional Sheets As Necessary
FORM E4
EMISSION SOURCE COMPLIANCE SCHEDULE
E4
REVISED 09/22/16
NCDEQ/Division of Air Quality - Application for Air Permit to Construct/Operate
COMPLIANCE STATUS WITH RESPECT TO ALL APPLICABLE REQUIREMENTS
Will each emission source at your facility be in compliance with all applicable requirements at the time of permit issuance and continue to comply with
these requirements?
If NO, complete A through F below for each requirement for which
NO
YES
compliance is not achieved.
Will your facility be in compliance with all applicable requirements taking effect during the term of the permit and meet
such requirements on a timely basis?
If NO, complete A through F below for each requirement for which
NO
YES
compliance is not achieved.
If this application is for a modification of existing emissions source(s), is each emission source currently in compliance with all applicable
requirements?
If NO, complete A through F below for each requirement for which
NO
YES
compliance is not achieved.
A. Emission Source Description (Include ID NO.)
B. Identify applicable requirement for which compliance is not achieved:
C. Narrative description of how compliance will be achieved with this applicable requirements:
D. Detailed Schedule of Compliance:
Step(s)
Date Expected
E. Frequency for submittal of progress reports (6 month minimum):
F. Starting date of submittal of progress reports:
Attach Additional Sheets As Necessary