NESHAP Notification Form - Boilers - Area Sources
This information is provided by the Nebraska Department of Environment and Energy  
to assist the public and regulated community .

Form #:  11-012
Applications and Forms
Revised: 9/1/13

Sources subject to the National Emission Standards for Hazardous Air Pollutant (NESHAP) Subpart JJJJJJ for Industrial, Commercial, & Institutional Boilers at Area Sources are required to submit an initial notification form. Please see the instructions attached to the form to determine if you are subject to this rule and for more information. You can also find more information by visiting the Air Toxics Notebook page at