Title V Guidance and Forms

As of March 16, 2020, The Division of Air Quality requests that All Permit Applications be submitted by email to DEPAirQualityPermitting@wv.gov.

Permit Applications should continue to use the appropriate forms and attachments. DAQ is only making changes to allow for electronic submittal (via email) of Permit Applications to facilitate faster submittal of Applications and adapting to telecommute and work from home situations. As we roll this process out, we reserve the right to make changes to improve the process for all involved. Please make sure to check this page for changes before submitting a Permit Application.

Please review the following tips and  instructions before an application is emailed:

·     Do NOT include Confidential Business Information (CBI). Please be aware submitted documents are publicly available once received by our office. All confidential information must be submitted in accordance with "Precautionary Notice - Claims of Confidentiality".  CBI must be mailed separately to: 

WVDEP – DAQ – Permitting
Attn: Title V Permitting Secretary

601 57th Street, SE

Charleston, WV 25304

·     The subject line for your email should be headed: [Company Name; Facility Location]

·     If possible, applications should be scanned as ONE PDF file and attached to the email. If all attachments to the email are larger than 25mB, then the email will not be received. Therefore, when scanning the application, please scan with a medium resolution or as a compact PDF. If the application is still larger than 25mB, then separate the application and send each section as a separate email and make a notation in the email subject line of the section number that is attached, i.e. [COMPANY NAME; FACILTY LOCATION] 1 of 2, [COMPANY NAME; FACILTY LOCATION] 2 of 2.

·     Please fill out the email cover letter and include it with the email. A copy of the email template can be found here.

If you have any questions, please contact Stephanie Mink at 304-926-0499 x41281 or Nicole Ernest at 304-926-0499 x41256.

Permit Application Forms


Below are links to Title V application forms. ALL initial and renewal Title V operating permit applications MUST BE submitted on these forms. 

 Initial/Renewal Permit Application Forms

Note: All forms in this table are now in a fillable PDF format 

General instructions 


   Insignificant activities checklist  
   Title V permit application checklist for administrative completeness


   Precautionary notice - Claims of Confidentiality


 Title V general application forms


   Plot plan guidelines


   Attachment D - Equipment table


 Attachment E - Emission unit form(s)


   Attachment F - Schedule of compliance form(s)


   Attachment G - Air pollution control device form(s)


   Attachment H - Compliance Assurance Monitoring (CAM) plan form(s)


   CAM plan checklist - used to help ensure approvability of submitted CAM plan




 Title V Revision Application Forms

Note:  All forms in this table are now in a fillable PDF format.

   Title V Operating Permit Revisions Guidance Producedures & Instructions  7/07

Title V Revision Application (for a Title V change only) 5/13
   For a combined application for both an NSR (45CSR13) permit
and a Title V Permit Revision, click here

Deferred Sources

Pursuant to the authority granted in West Virginia 45CSR§30-3.2 and 45CSR§30A-3.1, the DAQ is extending the deferral, which was set to expire December 15, 2000, of all nonmajor sources (except solid waste incineration units required to obtain a permit pursuant to §129(e) of the Clean Air Act) subject to West Virginia 45CSR30 (Title V Program) from the obligation to submit an operating permit application until the date specified in any rulemaking promulgated by the U. S. Environmental Protection Agency relating to nonmajor or area sources and their obligation to obtain a permit under Title V of the Clean Air Act or until the date specified in any individual standard or requirement relating to a source's obligation to obtain a Title V Operating Permit.
This deferral does not relieve the source from the requirements of any applicable statutes, rules or permits, other than the requirement to obtain a permit under West Virginia 45CSR30; provided, however, that such sources shall not be relieved from the obligation to pay any and all permit fees required under West Virginia 45CSR30 (45CSR§30A-5.1.).

Ordering RMP

Please order RMP* E-submit through the U. S. Environmental Protection Agency's National Service Center for Environmental Publications (NSCEP):


Documents and Files



Title V Permit boilerplate
Title V Fact Sheet boilerplate
Table B
April 2013 General Requirement Comparison Tables (comparasion of Rule 13 permit language and the corresponding Title V permit language).
March 2017 Title V Operating Permit Semi-Annual Monitoring Report. Use of this form became mandatory as of April 1, 2004.  Submit signed electronic copy by e-mail to:  DEPAirQualityReports@wv.gov

March 2017

Title V Operating Permit Annual Compliance Certification. Use of this form became mandatory as of April 1, 2004.  Submit signed electronic copy by e-mail to:  DEPAirQualityReports@wv.gov

Inactive Guidance

Obtaining Inactive Status for Title V Sources
(New 10/2014)

CES Registration (New 10/2014)