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MG3 and MG9 Facility Operating Report Forms

Below is a list of fillable PDF forms that are required for reporting and monitoring of MG3 permits. Please refer to your permit for details.

Please note the two different Form 9: Equipment Operated Report Form. The preferred and updated Equipment Operated Report Form has slight changes and is optional. The permittee can turn in either Form 9 with their operating report submission.

For additional information please contact Nilima Hullavarad at 907-451-2149 or nilima.hullavarad@alaska.gov

Date Title and Document Download Category Program Description
4/1/2023 Form 6: Smoke/No Smoke Log - Diesel Engines (PDF 158K) MG3 Smoke/No Smoke Log - Diesel Engines
7/17/2024 Optional Form 9: Equipment Operated Report Form (PDF 157K) MG3 Optional Form 9: Equipment Operated Report Form
4/1/2023 Appendix A: Assessable Emissions Calculation (PDF 220K) MG3 Assessable Emissions Calculation
4/1/2023 Form 2: Permit Deviations Reporting Form (PDF 123K) MG3 Permit Deviations Reporting Form
4/1/2023 Form 3: Emission Reporting and Emission Fee Estimate (PDF 195K) MG3 Emission Reporting and Emission Fee Estimate
4/1/2023 Appendix B: Fugitive Dust Control Plan (PDF 361K) MG3 Fugitive Dust Control Plan
4/1/2023 Form 1: Excess Emissions Reporting Form (PDF 200K) MG3 Excess Emissions Reporting Form
4/1/2023 Form 5: Visible Emissions Observations (PDF 593K) MG3 Visible Emissions Observations
4/1/2023 Form 4: Minor General Permit (MG3) Facility Operating Report Form (PDF 277K) MG3
4/1/2023 Form 7: Complaint Summary Form (PDF 122K) MG3 Complaint Summary Form
4/1/2023 Form 9: Equipment Operated Report Form (PDF 139K) MG3 Equipment Operated Report Form
4/1/2023 Form 8: Nonroad Engine Location Log (PDF 134K) MG3 Nonroad Engine Location Log
4/1/2023 Form 12: Asphalt Plant Daily Production Log - for Plants Using Baghouse (PDF 141K) MG3 Asphalt Plant Daily Production Log - for Plants Using Baghouse
4/1/2023 Form 11: Rental Equipment Notification (PDF 113K) MG3 Rental Equipment Notification
4/1/2023 Form 10: Stored Non-Operating Equipment Log (PDF 163K) MG3 Stored Non-Operating Equipment Log
11/15/2024 Form 4: Minor General Permit (MG9) Facility Operating Report Form (PDF 273K) MG9

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