Pinal County, AZ · Pinal County
Major Source Emission Form
Major-source applicants use this form to report facility emission points, regulated air pollutants, and potential emissions to Pinal County.
At a glance
- Issued by
- City of Pinal County · Pinal County, Pinal County, Arizona
- Notarization
- Not required: file this form without a notary.
- Official source
- pinal.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form collects emission source, pollutant, discharge, and facility location information for a major-source application. It asks applicants to identify each emission point and report potential emissions and stack or nonpoint-source details; the instructions say providing necessary information helps expedite application review and permit issuance. A facility plot plan is required at minimum, and UTM coordinates are required for major sources.
Who needs it
Applicants applying for a major-source air quality permit use this form to report facility emission sources and potential emissions.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
No notary is required; the instructions call for a facility plot plan, but do not describe it as sworn or notarized, and the form has a date field.
How to submit this form
- 1
Download The Form
Download the Major Source Emission Form for a major-source application.
- 2
Complete The Emissions Details
Identify each emission point and provide regulated air pollutant, potential emission, discharge, and location information.
- 3
Gather The Plot Plan
Include a facility plot plan as required by the instructions; provide UTM coordinates for a major source.
- 4
Submit To The County
Submit the form to the county department named on it; check the county website for current contact details.
Frequently asked questions
- What does the Major Source Emission Form report?
- It records emission points, regulated air pollutants, potential emission rates, discharge parameters, and facility location details for a major-source application.
- Do I need a notary for the Major Source Emission Form?
- No. The form is not notarized. Its instructions call for a facility plot plan but do not say the plan must be sworn or notarized.
- How do I submit the Major Source Emission Form?
- Submit it to the county department named on the form; check the county website for current contact details.
- What attachment does the form require?
- The instructions require a facility plot plan at minimum. UTM coordinates are required if the source is a major source or refined modeling is needed.