AQ 13: Operating Permit Significant Modification

Use this form for revisions to an Operating Permit that include significant facility modifications, emissions increases, monitoring or reporting practice changes, and other revisions that are not administrative or minor in nature.

MassDEP Regional Contacts for Air Permits & Approvals

Online

MassDEP Regional Offices Find Your Region 
Central Region Permit Chief: Roseanna Stanley, 508-767-2845 roseanna.stanley@state.ma.us 
Northeast Region Acting Permit Chief: Ed Braczyk, 978-694-3289 edward.braczyk@state.ma.us 
Southeast Region Permit Chief: Tom Cushing, 508-946-2824 thomas.cushing@state.ma.us 
Western Region Permit Chief: Marc Simpson, 413-755-2115 marc.simpson@state.ma.us 

The Details

How to apply

See details below.

Next steps

  1. Review the Instructions

    Guidance on how to prepare your application, including a completeness checklist.

  2. Complete the Application Form

    You may fill out and save the Microsoft Word form on your computer. The PDF version has to be printed out and completed by hand.

  3. Obtain a MassDEP Transmittal Form & Number

    A unique Transmittal Number is needed for each application you submit to MassDEP.

    Note: There is no fee associated with this application, but a Transmittal Form is still required.

  4. Submit Your Application

    Mail two copies of Transmittal Form and application to:

    MassDEP Regional Office
    Attention: Air Quality Permit Section Chief

    Upon approval of your application, MassDEP will stamp one copy and return it to you for your records, so both you and the agency will have identical copies of the approval.

Contact

Online

MassDEP Regional Offices Find Your Region 
Central Region Permit Chief: Roseanna Stanley, 508-767-2845 roseanna.stanley@state.ma.us 
Northeast Region Acting Permit Chief: Ed Braczyk, 978-694-3289 edward.braczyk@state.ma.us 
Southeast Region Permit Chief: Tom Cushing, 508-946-2824 thomas.cushing@state.ma.us 
Western Region Permit Chief: Marc Simpson, 413-755-2115 marc.simpson@state.ma.us 

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