Form E3 "Application for Air Permit to Construct/Operate - Emission Source Compliance Method" - North Carolina

What Is Form E3?

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 E3 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 E3 "Application for Air Permit to Construct/Operate - Emission Source Compliance Method" - North Carolina

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FORM E3
EMISSION SOURCE COMPLIANCE METHOD
E3
REVISED 09/22/16
NCDEQ/Division Of Air Quality - Application for Air Permit to Construct/Operate
Regulated Pollutant
Emission Source ID NO.
Applicable Regulation
Alternative Operating Scenario (AOS) NO:
ATTACH A SEPARATE PAGE TO EXPAND ON ANY OF THE BELOW COMMENTS
MONITORING REQUIREMENTS
Is Compliance Assurance Monitoring (CAM) 40 CFR Part 64 Applicable?
YES
NO
YES
NO
If yes, is CAM Plan Attached (if applicable, CAM plan must be attached)?
Describe Monitoring Device Type:
Describe Monitoring Location:
Other Monitoring Methods (Describe In Detail):
Describe the frequency and duration of monitoring and how the data will be recorded (i.e., every 15 minutes, 1 minute instantaneous
readings taken to produce an hourly average):
RECORDKEEPING REQUIREMENTS
Data (Parameter) being recorded:
Frequency of recordkeeping (How often is data recorded?):
REPORTING REQUIREMENTS
Generally describe what is being reported:
Frequency:
MONTHLY
QUARTERLY
EVERY 6 MONTHS
OTHER (DESCRIBE):
TESTING
Specify proposed reference test method:
Specify reference test method rule and citation:
Specify testing frequency:
NOTE - Proposed test method subject to approval and possible change during the test protocol process
Attach Additional Sheets As Necessary
FORM E3
EMISSION SOURCE COMPLIANCE METHOD
E3
REVISED 09/22/16
NCDEQ/Division Of Air Quality - Application for Air Permit to Construct/Operate
Regulated Pollutant
Emission Source ID NO.
Applicable Regulation
Alternative Operating Scenario (AOS) NO:
ATTACH A SEPARATE PAGE TO EXPAND ON ANY OF THE BELOW COMMENTS
MONITORING REQUIREMENTS
Is Compliance Assurance Monitoring (CAM) 40 CFR Part 64 Applicable?
YES
NO
YES
NO
If yes, is CAM Plan Attached (if applicable, CAM plan must be attached)?
Describe Monitoring Device Type:
Describe Monitoring Location:
Other Monitoring Methods (Describe In Detail):
Describe the frequency and duration of monitoring and how the data will be recorded (i.e., every 15 minutes, 1 minute instantaneous
readings taken to produce an hourly average):
RECORDKEEPING REQUIREMENTS
Data (Parameter) being recorded:
Frequency of recordkeeping (How often is data recorded?):
REPORTING REQUIREMENTS
Generally describe what is being reported:
Frequency:
MONTHLY
QUARTERLY
EVERY 6 MONTHS
OTHER (DESCRIBE):
TESTING
Specify proposed reference test method:
Specify reference test method rule and citation:
Specify testing frequency:
NOTE - Proposed test method subject to approval and possible change during the test protocol process
Attach Additional Sheets As Necessary