Forms and Applications

If you have a facility that has emissions exhausting to the ambient air then you need to be registered with the Southwest Clean Air Agency (SWCAA). If you are not registered then you need to submit a Permit Application and SEPA checklist to SWCAA. They are required for all existing unpermitted facilities, new installations, and modifications of existing process and emission control equipment. Other forms are useful to identify all equipment specifications and offer further information that aids in the timely review of your application. Only the Permit Application form needs to be submitted. The other forms identify the types of information that is generally necessary to complete a permit.


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Questions on SIC and NAICS codes? Visit the NAICS Association to determine which code describes your business.


PERMIT APPLICATION

FORM TITLE

PDF

MS WORD

Permit Application:  This form must be completed and submitted to SWCAA for review and approval prior to construction of a new source, modification of an existing stationary source or replacement or substantial alteration of control technology at an existing stationary source or portable source.

Permit Application

SEPA:  Must be completed and submitted to SWCAA with the Permit Application.

SEPA


The following additional forms should accompany the Permit Application and SEPA checklist for all pertinent facilities and/or equipment.

FORM TITLE

PDF

MS WORD

Acceptable Stack Configurations
Large Industrial Field Assembled Boiler Information

Boiler1

Small Boilers-Furnaces-Ovens Information

Boiler2

Fabric Filtration
Catalytic/Thermal Oxidizers

CTO

Combustion Engine Sources

Engine

Afterburner

Afterburner

Incinerator

Incinerator

Bioremediation Information

Bio

Cyclone Separators Information

Cyclone

Rock Crushers

Crusher

Asphalt Plants

Asphalt

Veneer Dryers

Veneer

Paint Coating Booths
Lumber Dry Kiln
Surface Coating Operations

Surface Coating


DRY CLEANERS

FORM TITLE

PDF

MS WORD

Dry Cleaning Machine Information

DCMachine

Dry Cleaners Self Audit

DCAudit

Routine Inspection Report for Dry Cleaners

DCInsp

Refrigerated Condenser Exit Temperature Log

DCTemp1

Weekly Ref. Cond. Monitoring Temperature Log

DCTemp2

Exit Duct Concentration of Perc. Log

DCPerc

Perc. Consumption Record

DCConsum

O&M Plan

DCO&M


GASOLINE DISPENSING

FORM TITLE

PDF

MS WORD

Stage I Gas Dispensing Application

Stage I

Stage II Gas Dispensing Application

Stage II

Pressure Decay Test CARB Test Procedure

Pressure Decay Test

Healy Return Line Tightness Test Report Form

Healy Return Line

Back Pressure Tests (Wet/Dry) CARB Test Procedure

Back Pressure Tests

Air to Liquid Ratio Test - Alternate Method VacuSmart Test

AirtoLiquidTest_Alt_VS

Air to Liquid Ratio Test - Alternate Method VacuCheck Test

AirtoLiquidTest_Alt_VC

Air to Liquid Ratio Test - CARB Test Procedure

AirtoLiquidTest-CARB

Testing Contractor Notification FAX Form
Testing Contractor FAX
Static Torque of Rotatable Stage I Adaptors TP-201.1B

Torque Test

Pressure Integrity of Drop Tube/Drain Valve Assembly TP-201.1C

Drop Tube/Drain Valve

Drop Tube Overfill Prevention TP-201.1D
Annual Vapor Certification Form

Vapor Certification


ASBESTOS APPLICATIONS

For more information on asbestos removal, please refer to SWCAA  476 , specifically SWCAA 
476-050.  If you have further questions contact Gerald Strawn at 360-574-3058, ext. 13, or Dave Joyner at 360-574-3058 ext. 24.


FORM TITLE

PDF

MS WORD

Notice of Intent to Remove or Encapsulate Asbestos: Required for larger jobs and general asbestos removal. The removal shall be performed by a Certified Asbestos Removal Contractor or home owner occupying the residence.

Intent

Notification of Demolition and Renovation:   Required for the demolition of all structures. (See also Fire Training Request form below.)

Demo

Application for Asbestos Containing Storage Facility:   Required for larger jobs and general asbestos removal. The removal shall be performed by a Certified Asbestos Removal Contractor or home owner occupying the residence.

Storage

Quarterly Report for Annual Asbestos Notification:  Applicable if the sum total of all the asbestos removals from each structure in a year is less than 80 ln. meters (260 ln. feet)

Quarterly

Annual Notice of Intent to Remove or Encapsulate Asbestos: Must be completed and submitted for projects where the sum total of all the asbestos removals from each vessel, structure, or installation in a calendar year is less than 80 ln. Meters (260 ln. Feet) on pipes or 15 sq. meters (160 sq. feet) on other facility components.  This is mainly used for annual maintenance activities.  Larger removals must be done by a Certified Asbestos Contractor that is required to submit a Notice of Intent to Remove or Encapsulate Asbestos.

Annual


OUTDOOR BURNING

FORM TITLE

PDF

MS WORD

Fire Training Permit for all fire training except as defined in RCW 52.12.150 (See also asbestos notifications above.)
Non-Urban Structure Burn Request as defined in RCW 52.12.150 (See also asbestos notifications above.)
Flow Chart for Fire Training Demolition
Residential Burn Permit For Cowlitz County (except Cowlitz 2 Fire and Rescue District): For use when burning piles of natural vegetation greater than four feet by four feet by three feet and less than ten feet by ten feet by six feet. Before downloading this permit, check with your local fire department or city hall for area specific permits.
Land Clearing Burn Permit Application

 

AGRICULTURAL BURNING

FORM TITLE

PDF

MS WORD

Agricultural Burn Permit Application
Agricultural Burn Permit Application for Orchard Tear-Out
Agricultural Spot Burn Permit Application
Baled Agricultural Residue Interim Spot Burn Permit

Bale Spot Burn

Agricultural Burn Permit Flow Chart

Not available

MISCELLANEOUS

FORM TITLE

PDF

MS WORD

Employment Application
Combustion Equipment Monitoring Data Sheet
Application for Emission Reduction Credit - Deposit
Application for Emission Reduction Credit - Withdrawl

HAZARDOUS & TOXIC AIR POLLUTANTS

FORM TITLE

PDF

MS WORD

Hazardous Air Pollutants (HAPs) categorize by CAS number
None
Hazardous Air Pollutants (HAPs) alphabetized
None
Toxic Air Pollutants (TAPs) categorize by CAS number
None
Toxic Air Pollutants (TAPs) alphabetized

None


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