Air Pollution Permit Application

• Application: Fillable Form 

No Burn Day Authorization

• No Burn Day Authorization PDF 
• NBD: Fillable Form 
• Please Read Policy and Procedure for Issuing Authorizations to Burn on a No-Burn Day first or call the district. 

Smoke Management Plan

• SMP: Fillable Form 

Please visit our Open Outdoor Burning page read all the info therein.

Carl Moyer Application

• Used by applicants wishing to participate in the Carl Moyer program. 

DMV Surcharge Program Fund (AB 2766): Please refer to the AB 2766 DMV Funds page for forms and to see if we are accepting proposals.

Greater Portola Woodstove Change-Out Program: Please refer to the Portola Woodstove Change Out page for program status and forms. 

Authority to Construct: For retail gasoline dispensing facility construction or modification

• VR Authorit to Construct 
• VRAC Fillable Form 

Soil Vapor Extraction Form: For soil contamination clean up projects

• SVE Fillable Form 

Internal Combustion Engine: Typically used for stationary or portable non-mobile engines running machinery or standby generators. When submitting this form you will also need to fill out a Permit Application Form and follow the instructions on the Instructions for the Permit Application Form. (See Stationary Sources below)

• ICE Supp Form Short Version 
• ICE Supp Fillable Form 

Emergency Generator Reference: A quick and simple PDF that summarizes generator rules.

• Northern Sierra Generator Handout 

Asbestos Dust Mitigation Plan Template: Visit the California Air Resources Board web site to view the text of the Asbestos Air Toxic Control Measure.

• Asbestos Dust Mitigation Plan Template 

Asphalt Batch Plants

• Asphalt Batch Plant AC-PTO Requirements 

Sand & Gravel Crushing / Screening Plants

• Sand & Gravel Plants 

Soil Aeration / Remediation / Vapor Extraction Permit Application

• SVE Permit Application 

Collins Pine Renewal: For information on this permit and renewal application, visit this page.

Permit Application Form: To obtain the correct filing fee be sure to also download the Instructions PDF. Some supplemental forms may be required.

• Permit Application Form 
• PTO App Fillable 

Instructions for the Permit Application Form

• Instructions for the Permit Application Form FY 23-24 

Upset / Breakdown Form for Stationary Sources

• Upset Break Down Report 
• Upset Break Down Fillable Form 

Variance Application for a Regular Variance

• Variance Application Regular 
• Variance Application Regular Fillable 

Variance Application for a Short-term, Emergency or Interim Variance

• Variance Application Emergency Short Term Interim 
• Variance Application Emergency Short Term Interim Fillable 

Vendor Data Record

• Vendor Data Record 

Fire Department Violation Worksheet

• Fire Dept Violation Worksheet 9-29-22 
• Fire Dept Violation Worksheet 9-29-22 Fillable Form 

Dust Plan Approval Application 

• Dust Plan Approval Application 7-19-23 Draft 
• Dust Plan Approval Application 7-19-23 Fillable Draft 

Records Request Form

• Public Records Request Form Policy