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Construction & Minor Permit Applications

Select a tab below to view application forms:

Note: Except for the Project Information form (below), there are no defined application forms for construction permits. Please see Article 3 of 18 AAC 50 for the current regulatory citations and application requirements. Please send permit application on a CD, in addition to one printed copy to:

  • Title I Program Permit Intake Clerk
  • Alaska Department of Environmental Conservation, Air‐Permits Program
  • 555 Cordova Street, Anchorage, Alaska 99501
Construction Permit Form Name PDF WORD
Project Information Form (Revised 01/13/2014) PDF DOCX

The Department prefers applicants use the current revised forms (below). If you have any questions about the revised forms please contact Aaron Simpson or phone: 907-465-5123. Please send current revised forms to:

  • Title I Program Permit Intake Clerk
  • Alaska Department of Environmental Conservation, Air‐Permits Program
  • 555 Cordova Street, Anchorage, Alaska 99501
Minor Permit Application Form Name (Current) WORD
Minor Permit Stationary Source Identification Form (Revised 12/15/2016) DOCX
Minor Permit Summary for New Source Form (Revised 12/15/2016) DOCX
Minor Permit Emission Unit Information Form (Revised 12/15/2016) DOCX
Minor Permit Emission Summary for Modification Form (Revised 12/15/2016) DOCX
Minor Permit Supplementary for Special Equipment Form (Revised 12/15/2016) DOCX

Below are older revised minor permit forms. The Department will accept these minor permit application forms but prefers applicants use the most current revised forms. Please Note the mailing address is invalid on the older revised forms. Please send older revised forms to:

  • Title I Program Permit Intake Clerk
  • Alaska Department of Environmental Conservation, Air‐Permits Program
  • 555 Cordova Street, Anchorage, Alaska 99501
Minor Permit Application Form Name (Older) PDF WORD
Minor Permit Application Forms (adopted by reference 8/30/2004) PDF  
Stationary Source Identification Form (Revised 07/16/2012) PDF DOC
Emissions Summary Form For New Stationary Source (Revised 01/04/2013) PDF DOC
Emissions Summary Form ‐ Modification of an Existing Stationary Source (Revised 01/04/2013) PDF DOC
Minor Permit Application Emission Unit Information Form (Revised 01/04/2006) PDF DOC

Should you apply for a new avoidance limit or for a revision to an old one? How to Decide (PDF)

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