
Ion of this form is required by the department for any air pollution control permit application filed pursuant to ss. 285.61, 285.62 or 285.66, Wis. Stats. The department will not consider or act upon an application unless this form is submitted and complete. Any personal information collected will be used for administrative purposes only and may be provided to requesters to the extent required by Wisconsin's Public Records Law ss. 19.31-19.39, Wis. Stats. . Facility Information 1. Facility Na.
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How to fill out the WI DNR 4530-100 online
Filling out the WI DNR 4530-100 form is an essential step for those applying for air pollution control permits in Wisconsin. This guide will provide clear and supportive instructions to help users navigate the online process with ease.
Follow the steps to complete the air pollution control permit application.
- Click the ‘Get Form’ button to access the WI DNR 4530-100 and open it in your preferred online editor.
- Provide the facility name in the designated field (Item 1). This should be the legal name of the facility applying for the permit.
- Enter the Standard Industrial Classification (SIC) and North American Industry Classification System (NAICS) codes in Item 2. These codes identify the primary business activity.
- Fill in the Facility ID Number (FID) in Item 3, which is necessary for existing facilities and will be assigned to new facilities by the department.
- In Item 4, input the street address where the pollution sources are located.
- Complete the municipality details in Item 5, ticking whether it's a city, town, or village.
- Identify the county in which your facility operates or will operate in Item 6.
- Provide a brief description of the primary operating activity in Item 7, such as ‘lead-acid battery manufacturer’.
- Indicate if the facility is in a nonattainment area for air quality standards in Item 8 by selecting 'Yes' or 'No.' If 'Yes,' list the specific pollutants in Item 9.
- Fill out the applicant information section starting from Item 10. Include details about the Responsible Official, such as their name, title, email, phone number, and mailing address (Items 10 to 13).
- If applicable, provide details for the parent corporation or owner in Items 14 and 15.
- Identify the Permit Contact Person who will provide additional information if needed (Items 16 to 19).
- For Item 20, indicate any construction permit actions you are applying for and ensure to check the applicable fees listed.
- For operation permits, select the appropriate action in Item 21 and provide necessary details on the type of operation permit requested in Section B.
- In Item 22, indicate if additional information is attached and ensure two copies of the completed form are prepared for submission.
- Finally, review the statements in Item 23, sign, date, and submit the original signed form to the department, along with any required fee.
Start completing your WI DNR 4530-100 form online today for a smooth application process.
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Email ONE ELECTRONIC COPY* to DNRAMAirPermit@Wisconsin.gov. AND ... Madison WI 53707-7921...
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