Fillable One Stop Shop, 501 N. 44th Street, Suite (Maricopa County Telecommunications)

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One Stop Shop, 501 N. 44th Street, Suite (Maricopa County Telecommunications)

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Maricopa County Air Quality Department
3800 North Central Ave, Suite 1400, Phoenix, AZ 85012
Phone: 602.506.6010 Fax: 602.372.0587
AQPermits@maricopa.gov
GENERAL PERMIT - RENEWAL APPLICATION
Revised 18Jan19
RENEWAL APPLICATION FOR THE AUTHORITY TO OPERATE UNDER A GENERAL AIR QUALITY PERMIT
Application Submittal
● Applications can be mailed or submitted in person at either of the following locations:
○
Maricopa County Air Quality Department, 3800 N. Central Ave., Suite 1400, Phoenix, AZ 85012
○
One Stop Shop, 501 N. 44th Street, Suite 200, Phoenix, AZ 85008.
●
Applications can also be submitted online by following these steps:
○
Complete this application electronically and save to your computer.
○
Go to: AQPermits@maricopa.gov
○
Attach your application and email it.
Important: Please note that email will be our primary means for routine communication with you, unless you do not have
an email account. Please be sure that your email address is entered correctly.
Use this form to apply for a renewal of GENERAL air quality permit for an entire facility. Do not use it to apply for a new permit,
amend prior applications, add additional pieces of equipment to an existing permitted facility, or transfer a current air quality permit
from one person to another. Separate application packages are available for these purposes.
Complete the application by typing or printing legibly. The submitted application and documents become the property of the Maricopa
County Air Quality Department (hereafter referred to as the Department) and will not be returned. All submitted documents will be
available to the public unless a notice of confidentiality has been submitted by the applicant in accordance with Arizona Revised Statutes
(ARS) §49-487 and accepted by the Department in accordance with Maricopa County Air Pollution Control Regulations, Rules 100 and
200. If confidentiality is claimed pursuant to ARS §49-487, a fully completed application with confidential information clearly identified
along with a separate copy of the application for public review without the confidential information and a written justification for the
confidentiality claimed must be submitted. For a permit renewal application, an application fee is not required. An annual administrative
fee will be charged per Rule 280, §302.2. For questions regarding billing, call (602) 372- 1071.
Maricopa County Air Pollution Control Rules and Regulations are available at the address listed above. To obtain a copy, contact the
Department for information and costs, or download them from the Adopted Rules page.
Complete items 1-15. If necessary, attach additional sheets to the application to provide all required information. Submit the application
by completing the attached original forms. All applicants must complete items 1 through 15 or the application will be deemed
incomplete.
If there has been (or will be) a physical change in or a change in the method of operation since the last issued permit that would
disqualify a facility from renewing the General Permit, please contact the department at 602-506-6010.
Notice of Regulatory Reform
In accordance with A.R.S. §11-1604:
A. A county shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically authorized by statute,
rule, ordinance or delegation agreement. A general grant of authority does not constitute a basis for imposing a licensing requirement or condition unless
the authority specifically authorizes the requirement or condition.
B. Unless specifically authorized, a county shall avoid duplication of other laws that do not enhance regulatory clarity and shall avoid dual permitting to
the maximum extent practicable.
C. This section does not prohibit county flexibility to issue licenses or adopt ordinances or codes.
D. A county shall not request or initiate discussions with a person about waiving that person's rights.
E. This section may be enforced in a private civil action and relief may be awarded against a county. The court may award reasonable attorney fees,
damages and all fees associated with the license application to a party that prevails in an action against a county for a violation of this section.
F. A county employee may not intentionally or knowingly violate this section. A violation of this section is cause for disciplinary action or dismissal
pursuant to the county's adopted personnel policy.
G. This section does not abrogate the immunity provided by section 12-820.01 or 12-820.02.
Maricopa County Air Quality Department
3800 North Central Ave, Suite 1400, Phoenix, AZ 85012
Phone: 602.506.6010 Fax: 602.372.0587
AQPermits@maricopa.gov
GENERAL PERMIT - RENEWAL APPLICATION
Revised 18Jan19
RENEWAL APPLICATION FOR THE AUTHORITY TO OPERATE UNDER A GENERAL AIR QUALITY PERMIT
(As required by A.R.S. §49-480 and Maricopa County Air Pollution Control Regulations, Rule 200)
ALL APPLICANTS MUST COMPLETE THE ENTIRE APPLICATION
1. Existing Permit Number: Permit Expiration Date:
2. General Permit Type
Asphalt Kettle
Crematory
Dry Cleaner
Fuel Burning
Gas Station
Graphic Arts
Stationary Dust-Generating Sources
Stationary Emergency IC Engines
Surface Coating Operations
Vehicle & Mobile Equipment Refinishing
Wastewater Treatment Plant
Woodworking
If you answered Yes to any
of Questions 3 - 6, please
contact the department for
assistance in determining the
applicability of the general
permit.
3. Will there be any changes to the operating scenario(s) from those defined in the
existing permit?
Yes No
4. Will there be any new, modified, or reconstructed stationary sources or air
pollution control equipment from those defined in the existing permit?
Yes No
5. Are there any emissions present that have not been correctly identified and
defined in the existing permit?
Yes No
6. Will there be any changes that trigger any other new applicable requirements?
Yes No
7. Has the ownership of this facility changed since the permit was last issued or
transferred?
Yes No
If Yes to Question 7, submit a
Permit Transfer Application
8. Business Name (as filed with the
Arizona Corporation Commission):
9. Address of Site:
City: State: Zip Code:
10. Contact at Site:
Name:
Phone: Alt Phone:
Email:
11. Name and
Address of
Ownership or
Legal Entity:
Name:
Address:
City: State: Zip Code:
12. Ownership
Contact:
Name:
Phone: Fax:
Email:
13. Send all
correspondence
to:
Name:
Address:
City: State: Zip Code:
Attn:
NOTE: PERMIT WILL BE SENT TO EMAIL ADDRESS PROVIDED IN ITEM 14 BELOW.
14. The authorized contact person regarding this application is:
Name: Phone:
Title: Company:
Email:
15. I certify that I am familiar with the operations and equipment represented on this application, and the statements and information
provided herein are true, accurate, and complete based on information and belief formed after reasonable inquiry.
Type or print name and title of responsible official:
Signature of owner or
responsible official:
Date:
For Office Use Only
Date Received: Log Number:
Arizona
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One Stop Shop, 501 N. 44th Street, Suite (Maricopa County Telecommunications)

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Completed 6 August 2020

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