Benton Clean Air Agency

Forms and Fees

The forms below are available to download and print . The Benton Clean Air Agency does not accept forms electronically, they still must be completed and hand delivered or mailed to the Benton Clean Air Agency.

Forms

General

Change of Ownership  (doc)   (pdf)
Closure   (doc)   (pdf)

 

Portable Facilities 

Asphalt Plant    (doc)    (pdf)
Concrete Plant    (doc)     (pdf)
Rock Crusher    (doc)    (pdf)
Rock Crusher  Relocation    (doc)    (pdf)
General     (doc)    (pdf)
Generator    (doc)       (pdf)

Stationary Facilities

Asphalt Plant

   (doc)       (pdf)

 Baghouse 

   (doc)      (pdf)

Boiler

   (doc)    (pdf)

Concrete Plant 

   (doc)    (pdf)

Dry Cleaning                                   

   (doc)       (pdf)

Flare

   (doc)      (pdf)

Furnace or Oven

   (doc)       (pdf)

Gas Station

   (doc)      (pdf)

General      

   (doc)      (pdf)

Generator           

   (doc)      (pdf)

Lithographic Printing

   (doc)       (pdf)

Paint Booth

   (doc)    (pdf)

Rock Crusher

   (doc)      (pdf)

Fees

Here is a fee schedule Fees