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Forms
Permitting information

Transmittal form & number
for permit applications


Fees & payments

Grant & financial assistance applications 

Master list of forms
Air & Climate: Forms
Air Plan Approvals

BWP AQ 01, 02, 03 - Plan Approvals (July 2009)

Filing options: MS Word Form 2.2 MB | PDF Form 1.2 MB
Instructions MS Word 250 KB | PDF - included with form above

BWP AQ 01, 02, 03 - Supplemental Forms for Plan Approvals (September 2001)

Filing options: MS Word Form 1.7 MB | PDF Form 1.1 MB
Instructions: MS Word 93 KB | PDF - included with form above

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Air & Climate: Forms
Asbestos, Construction & Demolition

BWP AQ 04 - Asbestos Removal Notification (form ANF-001) (June 2004)

Filing options: eDEP Online | MS Word Form 433 KB | PDF Form 131 KB
Instructions: eDEP | MS Word 265 KB | PDF - included with form above

BWP AQ 05 - Application for Asbestos Blanket - Form and Guidance (February 2003)

Filing options: MS Word Form 143 KB | PDF Form 35 KB
Instructions: MS Word 25 KB | PDF - included with form above

BWP AQ 06 Construction/Demolition Notification (June 2004)

Filing options: eDEP Online | MS Word Form 156 KB | PDF Form 120 KB
Instructions: eDEP | MS Word 163 KB | PDF - included with form above

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Air & Climate: Forms
Carbon Dioxide (CO2) Budget Trading Program Offsets (RGGI)

Note: Instructions for submitting completed forms through the CO2 Allowance Tracking System (COATS) of the Regional Greenhouse Gas Initiative are included in each document.

Landfill Methane Capture & Destruction - Consistency Application (June 2009)

Form: MS Word 285 KB | PDF 125 KB
Instructions: MS Word 130 KB | PDF 56 KB 

Landfill Methane Capture & Destruction - Monitoring & Verification Report (June 2009)

Form: MS Word 300 KB | PDF 138 KB
Instructions: MS Word 101 KB | PDF 41 KB 

Reduction in Emissions of Sulfur Hexafluoride (SF6) - Consistency Application (June 2009)

Form: MS Word 307 KB | PDF 129 KB
Instructions: MS Word 135 KB | PDF 73 KB 

Reduction in Emissions of Sulfur Hexafluoride (SF6) - Monitoring & Verification Report (June 2009)

Form: MS Word 287 KB | PDF 135 KB
Instructions: MS Word 73 KB | PDF 38 KB 

Sequestration of Carbon Due to Afforestation - Consistency Application (June 2009)

Form: MS Word 330 KB | PDF 134 KB
Instructions: MS Word 235 KB | PDF 79 KB 

Sequestration of Carbon Due to Afforestation - Monitoring & Verification Report (June 2009)

Form: MS Word 290 KB | PDF 123 KB
Instructions: MS Word 125 KB | PDF 54 KB 

Avoided Methane Emissions from Agricultural Manure Management Operations - Consistency Application (June 2009)

Form: MS Word 287 KB | PDF 129 KB
Instructions: MS Word 544 KB | PDF 267 KB 

Avoided Methane Emissions from Agricultural Manure Management Operations - Monitoring & Verification Report (June 2009)

Form: MS Word 367 KB | PDF 145 KB
Instructions: MS Word 116 KB | PDF 54 KB 

Reduction or Avoidance of CO2 Emissions Due to End-Use Energy Efficiency in the Building Sector - Consistency Application (June 2009)

Form: MS Word 479 KB | PDF 137 KB
Instructions: MS Word 268 KB | PDF 184 KB 

Reduction or Avoidance of CO2 Emissions Due to End-Use Energy Efficiency in the Building Sector  - Monitoring & Verification Report (June 2009)

Form: MS Word 297 KB | PDF 124 KB
Instructions: MS Word 149 KB | PDF 85 KB 

Offset Verifier Application for Accreditation (July 2009)

Form: MS Word 128 KB | PDF 53 KB

Accredited Offset Verifier Pre-Engagement Disclosure Submittal (July 2009)

Form: MS Word 64 KB | PDF 39 KB

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Air & Climate: Forms
Emission Control Plans

BWP AQ 08 - Emission Control Plans (March 2002)

Filing options: MSWord Form 697 KB | PDF Form 121 KB
Instructions: MS Word 298 KB | PDF - included with form above

BWP AQ 22 - Municipal Waste Combustor - Emission Control Plan (ECP) (March 2002)

Filing options: MS Word 652 KB | PDF Form 112 KB
Instructions: MS Word Form 265 KB | PDF - included with form above

BWP AQ 25 - Emission Standards for Power Plants - Emission Control Plan ECP (November 2001)

Filing options: MS Word Form 153 KB | PDF Form 78 KB
Instructions: MS Word 248 KB | PDF - included with form above

BWP AQ 29 - Clean Air Interstate Rule (CAIR) Permit (July 2007)

Filing options: MS Word Form 186 KB | PDF Form 172 KB
Instructions: MS Word 250 KB | PDF - included with form above

BWP AQ 30 - CO2 Budget Emission Control Plan

See the Emissions Trading section of this web page.

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Air & Climate: Forms
Emissions Trading

Carbon Dioxide (CO2) Emission Banking, Trading & Averaging Program Home Page

Web page

BWP AQ 18 - Creation of Emission Reduction Credits (ERC) (March 2008)

Filing options: MS Word Form 215 KB | PDF Form 579 KB
Instructions: MS Word 189 KB | PDF - included with form above

BWP AQ 26 - Public Benefit Set Aside NOx Allowance (May 2009)

Filing options: MS Word Form 284 KB | PDF Form 223 KB
Instructions: MS Word 160 KB | PDF - included with form above

Application for Award of Early Reduction CO2 Allowances (Regional Greenhouse Gas Initiative, April 2009)

Filing Options: MS Word Form 207 KB | PDF Form 75 KB

Greenhouse Gas (GHG) Credit Account Application/Revision (October 2006)

Filing options: MS Word Form 151 KB | PDF Form 27 KB

Greenhouse Gas (GHG) Credit Transfer Application (June 2008)

Filing options: MS Word Form 74 KB | PDF Form 22 KB

BWP AQ 27 - Application of Certification of Greenhouse Gas (GHG) Credits (October 2006)

Filing options: MS Word Form 368 KB | PDF Form 185 KB
Instructions: MS Word 102 KB | PDF - included with form above

BWP AQ 28 - Application of Verification of Greenhouse Gas (GHG) Credits (October 2006)

Filing options: MS Word Form 371 KB | PDF Form 183 KB
Instructions: MS Word 102 KB | PDF - included with form above

Related: Certification of Transfer of Carbon Credits (July 2008)
MS Word 131 KB | PDF 30 KB

BWP AQ 30 - CO2 Budget Emission Control Plan (June 2008)

Filing options: MS Word Form 255 KB | PDF Form 149 KB
Instructions: MS Word 278 KB | PDF - included with form above

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Air & Climate: Forms
Engines & Turbines

Environmental Results Program

Compliance certification is required for new emergency and non-emergency engines and turbines.
Web page

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Air & Climate: Forms
Facility-Wide Emission Restrictions, Caps & Reporting

BWP AQ 09 - Permit Restrictions (Restricted Emissions Status or RES) (May 2002)

Filing options: MS Word Form 439 KB | PDF Form 270 KB
Instructions: MS Word 343 KB | PDF - included with form above

Emissions Notification Form: 50% or 25% Facility Emissions Cap (May 2008)

Filing options: MS Word Form 130 KB | PDF Form 142 KB
Instructions: MS Word 159 KB | PDF - included with form above

Workbook for Annual Emissions Reporting & On-Site Record Keeping (March 2009)

Owners/operators of facilities with restricted emissions status (including facilities with 25% or 50% emissions cap status) are required to keep on-site records documenting emissions. The interactive Microsoft Excel Workbook below can be used for that purpose, and can also be submitted to MassDEP to fulfill annual reporting requirements. Facilities with 25% or 50% emissions caps are not required to submit annual reports unless specifically directed to do so. The Excel Workbook is designed to be completed electronically, and will automatically calculate 12-month rolling totals as monthly emissions values are entered.

Instructions
Web page

Workbook for 2009
MS Excel 353 KB

Workbook for 2008
MS Excel 353 KB

Workbook for 2007
MS Excel 358 KB

Workbook for 2006
MS Excel 356 KB

Workbook for 2005
MS Excel 356 KB

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Air & Climate: Forms
Mandatory Greenhouse Gas Emissions Reporting

As required by the Global Warming Solutions Act, the Department of Environmental Protection (MassDEP) has promulgated a mandatory greenhouse gas emission reporting regulation (310 CMR 7.71).  Facilities subject to mandatory reporting were required ro register with MassDEP by April 15, 2009.

Greenhouse Gas Emissions Reporting Program Information

Web page

Greenhouse Gas Emissions Registration (February 2009)

Filing options: MS Word Form 151 KB | PDF Form 64 KB
Instructions: MS Word 114 KB | PDF - included with form above

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Air & Climate: Forms
Operating Permits

BWP AQ 10 - Operating Permit Minor Modification (March 2005)

Filing options: MS Word Form 395 KB | PDF Form 146 KB
Instructions: MS Word 302 KB | PDF - included with form above

BWP AQ 11 - Operating Permit Administrative Amendment (January 2003)

Filing options: MS Word Form 135 KB | PDF Form 100 KB
Instructions: MS Word 215 KB | PDF - included with form above

BWP AQ 12 - Operating Permit Renewal (January 2003)

Filing options: MS Word Form 227 KB | PDF Form 140 KB
Instructions: MS Word 302 KB | PDF - included with form above

BWP AQ 13 - Operating Permit Significant Modification (January 2003)

Filing options: MS Word Form 196 KB | PDF Form 167 KB
Instructions: MS Word 308 KB | PDF - included with form above

BWP AQ 14, 15, 16, 17 - Group A, B, C, Operating Permits (November 2005)

Filing options: MS Word Form 753 KB | PDF Form 523 KB
Instructions: MS Word 929 KB | PDF - included with form above

BWP AQ Operating Permit Supplemental Information/Documentation (January 2003)

Supplemental Application Information:
MS Word 218 KB | PDF 37 KB

Application Activity Cover Sheet:
MS Word 124 KB | PDF 63 KB

BWP AQ Operating Permit Reporting Kit (January 2003)

Instructions:
MS Word 316 KB | PDF 135 KB

Operating Permit Deviation Report:
MS Word 167 KB | PDF 64 KB

Cross Reference Form:
MS Word 153 KB | PDF 52 KB

Compliance Report:
MS Word 309 KB | PDF 62 KB

Semi-Annual Compliance Monitoring Summary & Certification:
MS Word 263 KB | PDF 88 KB

Annual Compliance Certification & Report:
MS Word 428 KB | PDF 96 KB

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Air & Climate: Forms
Rideshare Annual Reporting Package

Complying with 310 CMR 7.16: Massachusetts Rideshare Regulation (November 2009)

MS Word 112 KB | PDF 60 KB

Base Report (November 2009)

Filing options: MS Word 290 KB | PDF 168 KB

Update Report - Short Form (November 2009)

NOTE: This form should be filed in odd-numbered Reporting Years (2009, 2011, etc.)
Filing options: MS Word 237 KB | PDF 155 KB

Update Report - Long Form (November 2009)

NOTE: This form should be filed in even-numbered Reporting Years (2008, 2010, etc.)
Filing options: MS Word 314 KB | PDF 172 KB

Guidance on Collecting Commute Data for Rideshare Reporting (November 2009)

Outlines the three methods that can be used to meet Massachusetts Rideshare Program requirements.
MS Word 189 KB | PDF 87 KB

Summary Commute Data Forms (November 2009)

Filing options: MS Word 224 KB | PDF 172 KB

Employee Commute Survey Form (November 2009)

Filing options: MS Word 80 KB | PDF 16 KB

Student Commute Survey Form (November 2009)

Filing options: MS Word 79 KB | PDF 16 KB

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Air & Climate: Forms
Source Registration/Emissions Statement

Now Available: eDEP Online

eDEP online filing of Source Registrations now replaces both the existing AP forms for new sources and the side-by-side computer printouts used in previous years for annual and triennial emissions reporting.

See the Source Registration page for more information or to access your forms.

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Air & Climate: Forms
Stage II Vapor Recovery

Stage II Vapor Recovery Program Information

Web page

Certification & Notifcation Forms

Web page

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