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 PBCHD Organizational Chart
(*.pdf)

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Environmental Health & Engineering Permitting Forms

About Publication Forms

The forms below are used in our office.   They are listed by category. If you don't see the form you need call (561) 355-3070. 

The following documents are available for downloading in pdf (requires Adobe Acrobat Reader Software). There are also some PowerPoint files.

  • Download a free copy of Adobe Acrobat Reader software

  • Viewers can convert a pdf file to html through Adobe.

Note: links for all pdfs open in a new window

 

Air Quality

Application for for Air Permit
  • dep62_210_900-1.pdf  pdf
    Application : for Air Permit – Long Form
    (all Title V air operation permit applications; concurrent processing of air construction permit application and revised/renewal Title V air operation permit application; initial FESOP applications; air construction permit applications for a proposed project: 1) subject to PSD review, NAA-NSR review, MACT review, 2) where applicant proposes to assume a restriction on the potential emissions of one or more pollutants to escape a federal program requirement, 3) at an existing FESOP or Title V permitted facility.)
    Electronic Permit Application Form

     
  • dep62_210_900-3.pdf  pdf
    Application : Application for Air Permit - Non Title V Source.
    (For Non Title V sources: all air construction permit applications and all initial air operation permit applications, including FESOP)
    Electronic Permit Application Form

     
  • dep62_210_900-4.pdf  pdf
    Application : for Non Title V Air Permit Renewal.
     

Asbestos Notification

Open Burning Forms
  • 62_256_7005a.pdf   pdf
    Application for: Fire departments requesting to burn a
    building/structure for
    training purposes.
     
  • pbchd-ob_land_clearing.pdf  pdf
    Application :
    is required for the initial clearing of
    vegetation in connection with building
    construction or initial clearing of vegetation
    to enhance property
    .
     
  • pbchd-ob_residential.pdf  pdf
    Application :
    is required for the initial clearing of
    vegetation on a parcel consisting of not more
    than two dwelling units.

     
  • pbchd-ob_wavier.pdf  pdf
    shall be submitted when an open burn  site fails to
    meet the required setbacks set forth in the applications.


 Air Quality Dept - Org Chart

Application/Forms  Prefix & Terms explained:

Prefix
-
dep - (Department of Environmental Protection)
- pbchd - Palm Beach County Health Dept. Forms
- doh  - State of Florida Florida Department of Health Forms
- der  - (Department of Environmental Regulation)

Terms
  n/a

PERMIT FORMS

pdfPublic Water Supply and Wastewater Systems
FORMS

pdfSeptic Tanks (OSTDS) and Private Drinking Water Wells FORMS

pdfSolid, Hazardous & Biomedical Waste Control

pdfPublic Swimming Pools
FORMS

pdfChild Care FORMS

pdfBody Piercing FORMS

pdfAir Quality


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Last Updated: Friday, May 09, 2008 04:26:21 PM