Air Emissions Permit Evaluation Checklist Form
Use this checklist to evaluate air emissions permit applications. Please complete all relevant fields for a thorough assessment.
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Permit Application Number
*
Applicant or Facility Name
*
Are all required documents submitted?
*
Yes
No
Not Applicable
Emission sources identified and described?
*
Yes
No
Not Applicable
Emission calculations provided and verified?
*
Yes
No
Not Applicable
Control technology meets regulatory requirements?
*
Yes
No
Not Applicable
Are monitoring and reporting plans adequate?
*
Yes
No
Not Applicable
Overall Status
*
Approved
Needs Revision
Rejected
Additional Comments or Notes
Submit Evaluation
Should be Empty: