This form should be used to notify EPA Region 9 Tribal NSR Permitting Program of a Request for Administrative Permit Amendment.

• Region 9 Request for Administrative Permit Amendment (Form AMEND) (MSWORD)(5 pp, 56 K, 01/04/2016)

• Region 9 Request for Administrative Permit Amendment (Form AMEND) (PDF)(5 pp, 413 K, 01/04/2016)
  This Tribal Minor NSR form should be used to notify EPA Region 9 Tribal NSR Permitting Program of a Request for Administrative Permit Amendment.