Form 542-1302 - Form Af: Construction Permit Application Fee Page 3
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4. Fee Payment Agreement: Major Facility:
This section should be completed if you selected that your facility is a major facility in Section 2. Please sign the
confirmation that application fees are required based on the current Fee Schedule. Construction permit application fees,
plant-wide applicability limit requests, and regulatory applicability determinations for major sources are based on the
number of hours worked to process your application. Major source fees are billed to the facility in an invoice. The invoice
amount is based on the hours spent reviewing the application and the staff’s hourly rates per the “Fee Schedule” available
at
Signature and Date: The application will not be assigned a Project Number for engineering review until a signed Form
AF is received.
For Assistance 1-877-AIR-IOWA (1-877-247-4692)
03/2017 cmc
DNR Form 542-1302
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Parent category: Legal