Consolidated Air Application

This form should be used for all air permitting actions, including both construction and operation. This form has the sections of the application as separate Word or Excel documents. All applicable and/or required sections should be completed and submitted with each air permitting action.  If you have questions, comments, or suggestions regarding the form, please contact Philip Morris at 601-961-5561 or pmorris@mdeq.ms.gov.

Revisions

July 6, 2018 (effective immediately)

Form 5, Instructions

  • Clarified Item 2.A.4 to indicate that the option to designate a Duly Authorized Representative to sign an application is limited to Corporations, consistent with 11 Miss. Admin. Code Pt. 2, R. 6.1.A(26).

Form 5, Section A – Facility Information

  • Added a fillable blank to Item 1.G.2 to specify coordinate system.
  • Added Item 12 to require applications to include proof of registration with the Mississippi Secretary of State and/or a Certificate of Good Standing.

12. MS Secretary of State Registration/Certificate of Good Standing

No permit will be issued to a company that is not authorized to conduct business in Mississippi. If the company applying for the permit is a corporation, limited liability company, a partnership or a business trust, the application package should include proof of registration with the Mississippi Secretary of State and/or a copy of the company’s Certificate of Good Standing. The name listed on the permit will include the company name as it is registered with the Mississippi Secretary of State.

It should be noted that for an application submitted in accordance with 11 Miss. Admin. Code Pt. 2, R. 2.8.B. to renew a State Permit to Operate or in accordance with 11 Miss. Admin. Code Pt. 2, R. 6.2.A(1)(c). to renew a Title V Permit to be considered timely and complete, the applicant shall be registered and in good standing with the Mississippi Secretary of State to conduct business in Mississippi.

Form 5, Section N – Applicable Requirements and Status (Future Requirements)

  • Remove last sentence in Future Requirements instructions requesting indication of compliance status.
  • Revise footnote to state applicant is certifying to comply with Future Requirements in a timely manner.
Air Application Form 5 Instruction
Table of Contents
Section A Facility Information
Section B Facility-wide Emissions Information
Section C External Combustion Sources
Section D Internal Combustion Engines
Section E Manufacturing Process
Section F Coating Solvent Usage or Degreasing
Section G Printing Operations
Section H Tank Summary
Section I Incinerators
Section J Solid Waste Disposal
Section K Asphalt Plants
Section L1 Baghouse or Fabric Filters
Section L2 Cyclones
Section L3 Adsorption
Section L4 Oxidation Systems (including flares)
Section L5 Scrubbers
Section L6 Electrostatic Precipitators
Section L7 Other Control Devices
Section M1 Compliance Assurance Monitoring
Section M2 Continuous Emissions Monitoring System
Section M3 Portable Monitoring System
Section M4 Predictive or Parametric Monitoring
Section M5 Maintenance Monitoring
Section M6 Stack Testing
Section M7 Fuel Sampling and Analysis
Section M8 Recordkeeping
Section M9 Other Monitoring Approach
Section M10 Request for No Monitoring or Reduced Monitoring
Section N Applicable Requirements and Status
Appendix A Insignificant Activities
Appendix B Synthetic Minor Addendum
Appendix C Air Quality Analysis Checklist