Form List: Air Contaminant Discharge Permit Forms

Application for Air Contaminant Discharge Permit
This "long" form is used for first time application, for modification of an existing Air Contaminant Discharge Permit (ACDP) and for renewal of an existing ACDP.

The two following documents may be useful in completing the "long" application

• Instructions for Permit Application Form
• List of Hazardous Air Pollutants Under 112(b)

Application for Administrative Amendment to Air Contaminant Discharge Permit
The "short" two-page form is used to report the following changes:

• facility or company name,
• facility or company address (street or mailing),
• ownership/parent company (name or address),
• facility contact person, and
• person authorized to receive permits and invoices.

Construction Application
This form is used by persons who are proposing to construct a new industry or expand an existing industrian process.

The following may be useful in completing the review application:

• Pre-Construction Review / Informational Guideline for Industrial Facilities

Land Use Compatibility Statement (LUCS)
Contact List for LUCS
This form is used to determine that LRAPA permits are consistent with the local government comprehensive plan. A completed LUCS is required for:

• every new (first-time application),
• any currently-permitted facility that has not yet been asked for one, and,
• whenever there is any physical change or change of operation of and air pollution source that results in a net significant emission rate increase (as defined in Section 12-001 or Section 38-005(12) of LRAPA's rules.

Note: Portable air pollution sources and soil remediation projects are not required to submit a LUCS.

This is a reporting form for reporting relocation of a portable plant. Reporting relocation of a portable plant to Lane Regional Air Protection Agency (LRAPA) is a requirement of a LRAPA permit to operate in Lane County, Oregon. Please note that relocation reporting to Oregon Department of Environmental Quality does not fulfill the requirements of your LRAPA permit for operation in Lane County.