LPA/CPA: Administrative Amendment to Previous Plan Approval (AQ 34)

Use this form to report a change in facility ownership, business or facility name, mailing address, telephone number, or primary facility contact.

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

Submit your completed plan application to the appropriate MassDEP Regional Office for review.

Find Your Region

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. Mail Your Application to MassDEP

    Submit your completed and signed application to:

    MassDEP Regional Office
    Attention: Solid Waste Management

    Please note: There is no fee associated with this application.

  4. MassDEP Completes its Review

    Within 30 days of receiving your application, MassDEP will either:

    • Approve your your Plan Approval Amendment and return a stamped copy to you (so both you and the agency have identical versions).
    • Notify you in writing that your application cannot be approved, and explain why.

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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