Blank Utah 15C Form

The Utah 15C form is a Portable General Permit Application used by the Utah Division of Air Quality. This form is essential for companies seeking approval to construct and operate portable equipment, ensuring compliance with environmental regulations. Completing this application is a critical step in the New Source Review process, as an Approval Order must be secured before any equipment can be utilized.

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The Utah 15C form is an essential document for companies seeking to operate portable equipment in compliance with state environmental regulations. This form, issued by the Utah Division of Air Quality, serves as a Portable General Permit Application, requiring detailed information about the company and its operations. Applicants must provide their company name, contact details, and specifics about the equipment they wish to operate. The form also requires identification of any existing Approval Orders, which must be secured before construction can begin. Companies must indicate whether they are applying for new equipment, modifications, or operating existing equipment without a permit. Additionally, the form asks for information on the type of operation, the number of employees, and any past modifications to the equipment. A signature from an authorized company representative is necessary to certify the accuracy of the information provided. By completing this form, companies take a critical step toward ensuring their operations align with environmental standards, thereby promoting public health and safety.

File Information

Fact Name	Details
Form Purpose	The Utah 15C form is used for applying for a Portable General Permit for new sources of air pollution.
Governing Law	This form is governed by the Utah Air Quality Act and associated regulations.
Application Requirement	An Approval Order must be approved before operating any equipment associated with the application.
Contact Information	For questions, contact the New Source Review Section at (801) 536-4000.
Owner Information	Applicants must provide the name and contact information of the equipment owner.
Approval Orders	Applicants must identify any current Approval Orders relevant to the equipment.
Modification Requests	If applicable, the form requires details about previous permits and modification dates.
Employee Count	Applicants must indicate if their company employs more than 100 individuals.
Types of Operations	The form allows applicants to specify the type of operation, such as asphalt or concrete batch plants.
Certification Requirement	A signature certifying the truthfulness and completeness of the information is required.

Documents used along the form

The Utah 15C form is a crucial document for companies seeking to obtain a portable general permit for their operations. Alongside this form, there are several other documents that are often required or recommended during the application process. Each of these documents serves a specific purpose and helps ensure compliance with environmental regulations. Below is a list of commonly used forms and documents related to the Utah 15C form.

Approval Order (AO): This document is essential as it grants permission to construct and operate equipment. It outlines the specific conditions and limitations under which the equipment must operate to comply with environmental standards.
General Permit Application Instructions: These instructions provide detailed guidance on how to complete the Utah 15C form. They help applicants understand the information required and the proper format for submission.
Environmental Impact Assessment (EIA): Depending on the scope of the project, an EIA may be necessary. This assessment evaluates the potential environmental effects of the proposed operation and suggests measures to mitigate any adverse impacts.
Articles of Incorporation: This document is pivotal for establishing a corporation in Ohio and includes critical information about the company such as its name, purpose, and structure. For detailed guidance, you can refer to Ohio PDF Forms.
Equipment List (Appendix A): This attachment includes a comprehensive list of all portable equipment owned or operated by the company. It categorizes the equipment based on compliance standards, ensuring that all relevant details are provided for review.
Standard Industrial Classification (SIC) Code: This code identifies the primary business activity of the company. It is important for regulatory purposes and helps determine applicable environmental regulations.
Modification Request Form: If a company seeks to modify existing equipment or operations, this form is necessary. It outlines the changes being requested and provides the necessary details for the review process.

Each of these documents plays a vital role in the application process for a portable general permit in Utah. Ensuring that all forms are accurately completed and submitted can help facilitate a smoother review process and compliance with state regulations.

Common mistakes

Filling out the Utah 15C form can be a straightforward process, but there are common mistakes that applicants often make. One frequent error is failing to provide complete contact information for both the company and the individual responsible for environmental issues. Incomplete or incorrect phone numbers and email addresses can lead to delays in communication and processing. Ensuring that all contact details are accurate and clearly legible is essential for efficient handling of the application.

Another common mistake involves neglecting to list any existing Approval Orders. Applicants sometimes overlook this requirement, which can result in complications during the review process. Each Approval Order is crucial for establishing compliance history and understanding the operational context of the equipment. Therefore, it is important to double-check that all relevant Approval Orders are included and accurately documented.

Many individuals also struggle with the section regarding the type of operation. Misclassifying the operation type—such as selecting the wrong category for aggregate processing, asphalt, or concrete batch plants—can lead to significant misunderstandings. This section is critical for determining the regulatory framework that applies to the equipment, so selecting the correct operation type is vital.

In addition, applicants often fail to provide a clear start date for new equipment or modifications. This date is important for tracking compliance and ensuring that all necessary permits are in place before operations commence. Leaving this field blank or providing an ambiguous date can create confusion and potentially result in enforcement actions.

Moreover, another mistake is not specifying whether equipment has been modified, moved, or had its capacity increased since November 29, 1969. This information is crucial for understanding the historical context of the equipment's operation. If the answer is "yes," applicants must be prepared to specify what changes were made, as this can impact the permit requirements.

Finally, failing to sign the application is a simple yet critical oversight. The signature certifies that the information provided is accurate and complete. Without a signature, the application cannot be processed, which can lead to unnecessary delays. Taking the time to review the entire form for completeness, accuracy, and proper signatures can save applicants from potential setbacks.

Document Preview Example

Utah Division of Air Quality

New Source Review Section

Form 15c

Portable General Permit Application

Date __________________________

Company ______________________

Site/Source_____________________

An Approval Order to construct must be approved before any equipment can be operated. Please refer to the Approval Order application instructions for specific details required to complete the application. Please print or type all information requested. All information requested herein must be completed and submitted before an engineering review can be completed. Please contact the New Source Review Section of the Division of Air Quality with any questions at (801) 536- 4000. Written inquiries may be addressed to: Division of Air Quality, New Source Review Section, P.O. Box 144820, Salt Lake City, Utah 84114-4820.

General Owner And Facility Information

1.	Company name and address:			2. Company contact for environmental issues:
	Phone No.:	(	)	Phone No.: (	)
	FAX No.:	(	)	FAX No.: (	)
				E-mail address:
3.	Owners name and address:
	Phone no.:	(	)
	FAX no.:	(	)

E-mail address:

4.	Identify any current Approval Order(s):
	AO#_________________Date______________				AO#_________________Date______________
	AO#_________________Date______________				AO#_________________Date______________
	AO#_________________Date______________				AO#_________________Date______________

5.	If request for modification, previous permit # and date:				DAQE-AN__________________	DATE: ____/____/____

6.	Type of operation:		Aggregate Processing Plants		Asphalt Plants		Concrete Batch Plants
7.	Total company employees greater			8. Standard Industrial Classification Code
	than 100?			[ ] [ ] [	] [ ]
	Yes	No

9.	Application for:
	New equipment				Modification
	Existing equipment operating without permit

10. For new equipment or modification, enter estimated start date:

11. For change of permittee, enter date				12. For existing equipment in operation without prior permit, enter initial operation
	of occurrence:			date:
13. Has equipment been modified, moved or the capacity increased since November 29, 1969:							Yes	No
	If yes: Specify what equipment:

					1

14.Equipment list (Table 1 and 2 Attach as Appendix A)

15.I hereby certify that the information and data submitted in and with this application is completely true, accurate and complete, based on reasonable inquiry and to the best of my knowledge and belief.

Signature:

16.

________________________

Name (Typed or printed)

Title:

17.Telephone Number: ( )

18. Date:

General Permit Application

Form 15c

Instructions

1.Identify the name, address, phone number, and fax number of the legal entity that operates the equipment.

2.Identify the person who is to be contacted regarding this application; also include the phone number and fax number of this person.

3.If you are not the owner of the equipment under this application, enter the name, address, phone number, and fax number of the owner.

4.List any valid Approval Orders (AO) which are for equipment at this site.

5.Indicate previous AO number (if any) and date for AO modification.

6.State the type of operation.

7.Indicate if the total number of people employed by your company is over 100 people.

8.Using the provided list of business codes (page 8), enter the code which best describes your business activity at this facility.

9.Check all applicable boxes

Existing Equipment Operating Without permit - equipment which has been in operation without a prior permit issued by the state.

Modification - existing equipment which is physically altered by the removal, addition, or non-identical replacement of parts.

10.Enter the start date new equipment or modification.

11.For cases in this category, enter the future date when the change is anticipated.

12.For this category of equipment, enter the date when this equipment was first operated.

13.This is for equipment that was operated before November 29, 1969. Indicate whether equipment has been moved, modified or increased capacity since that date. Specify what equipment this includes.

14.Attach as Table 1 and 2 to the application a list of all portable equipment (NSPS/MACT - Table 1 and Non-NSPS - Table 2) that is owned or operated by the company. Forms are available from DAQ for these two tables.

15.Signature of authorized company agent.

16.Name of signing party.

17.Telephone number of signing party.

18.Date of application.

Additional information may be required for some projects. If so, the reviewing engineer will contact the individual listed in question number 2.

f:\aq\engineer\generic\Forms 2010\Form15c Portable Generic Permit Application.doc Revised 12/20/10

Similar forms

Environmental Impact Assessment (EIA): Similar to the Utah 15C form, an EIA evaluates the potential environmental effects of a proposed project. Both documents require detailed information about the operation and its impact on the environment, ensuring compliance with regulations.
Permit Application for Air Emissions: This document is used to obtain permission for air emissions from a facility. Like the Utah 15C form, it requires information about the equipment and operations, as well as the applicant's contact details.
Construction Permit Application: This application is needed before construction can begin on certain projects. It shares similarities with the Utah 15C form in that both require approval before any equipment can be operated, ensuring adherence to local regulations.
Quitclaim Deed Form: To ensure a smooth transfer of property ownership, consult our informative Quitclaim Deed guide for essential insights and requirements.
Stormwater Discharge Permit Application: This document is necessary for facilities that discharge stormwater. Both the Stormwater application and the Utah 15C form require detailed operational information and compliance with environmental standards.
Hazardous Waste Generator Notification: Facilities generating hazardous waste must notify the state. This document, like the Utah 15C form, involves providing detailed company and operational information, ensuring that all regulatory requirements are met.

Key takeaways

When filling out the Utah 15C form, keep these key takeaways in mind:

Complete All Sections: Ensure every section of the form is filled out completely. Incomplete forms can delay processing.
Contact Information: Provide accurate contact details for both the company and the individual responsible for environmental issues.
Approval Orders: List any existing Approval Orders related to your equipment. This is crucial for your application.
Type of Operation: Clearly state the type of operation, such as aggregate processing or asphalt plants.
Employee Count: Indicate if your company has more than 100 employees, as this can impact your application.
Application Purpose: Specify whether you are applying for new equipment, modifications, or for existing equipment operating without a permit.
Estimated Dates: Include estimated start dates for new equipment or modifications, as well as the date of initial operation for existing equipment.
Equipment Modifications: If applicable, note any modifications made to equipment since November 29, 1969.
Signature Required: An authorized company agent must sign the form. This confirms that all information is accurate.
Additional Information: Be prepared to provide more information if requested by the reviewing engineer after submission.

Following these guidelines will help streamline the application process and ensure compliance with Utah's air quality regulations.