new york state department of environmental …section iv - emission unit information determination...

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New York State Department of Environmental ConservationAir Permit Application Form

DEC ID

Section II - Identification InformationProject Description (continuation)

Continuation Sheet ____ of ____

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DEC ID

Section III - Facility InformationFacility Description (continuation)


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Facility Applicable Federal Requirements (continuation)Paragraph SubclauseClauseSubparagraphTitle Type Part Subpart Section Subdivision


DEC ID

Section III - Facility Information

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Subdivision Paragraph Subparagraph Clause Subclause


DEC ID

Section III - Facility InformationFacility State Only Requirements (continuation)

Title Type Part Subpart Section

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Limit Limit UnitsUpper Lower Code Description


Code DescriptionCode Description Code DescriptionAveraging Method Reporting RequirementsMonitoring Frequency

ParameterCode Description

Manufacturer Name/Model No.

Work PracticeType

Process MaterialCode Description

Reference Test Method

Monitoring Information

Description

State Only Requirement Capping

CAS No. Contaminant Name

Continuous Emission Monitoring Monitoring of Process or Control Device Parameters as a Surrogate Intermittent Emission Testing Work Practice Involving Specific Operations Ambient Air Monitoring Record Keeping/Maintenance Procedures

Applicable Federal Requirement

Paragraph Subparagraph Clause SubclauseTitle Type Part Subpart Section Subdivision


DEC ID

Section III - Facility InformationFacility Compliance Certification (continuation)

Rule Citation

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Actual(lbs/yr)

CAS No. Contaminant NamePTE

Range (lbs/yr)


DEC ID

Section III - Facility InformationFacility Emissions Summary (continuation)

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DEC ID

Section IV - Emission Unit InformationEmission Unit Description (continuation)

Emission Unit

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Building ID Building Name


DEC ID

Section IV - Emission Unit InformationBuilding (continuation)

Emission Unit OrientationWidth (ft)Length (ft)

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Date of RemovalExit Velocity (FPS)

Exit Flow (ACFM)

NYTM (E)(km)

NYTM (N)(km)

Building Distance to Property Line (ft)

Width (in)

Emission Unit Emission Point

Ground Elevation (ft)

Height(ft)

Height Above Structure (ft)

Inside Diameter (in)

Exit Temp.(oF)

Cross SectionLength (in)


Exit Flow (ACFM)

NYTM (E)(km)

NYTM (N)(km)


Width (in)



Height(ft)



Exit Temp.(oF)



Exit Flow (ACFM)

NYTM (E)(km)

NYTM (N)(km)


Width (in)



Height(ft)



Exit Temp.(oF)



Exit Flow (ACFM)

NYTM (E)(km)

NYTM (N)(km)


Width (in)



Height(ft)



Exit Temp.(oF)



Exit Flow (ACFM)

NYTM (E)(km)

NYTM (N)(km)


Width (in)



Height(ft)



Cross SectionExit Temp.(oF) Length (in)


DEC ID

Section IV - Emission Unit InformationEmission Point Information (continuation)

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Code DescriptionDesign

CapacityDesign Capacity Units Waste Feed Waste Type

Code Description Code Description

Emission Source Date of Construction

Date of Operation

Date of Removal

Control Type Manufacturer's Name/Model No.ID Type Code Description





Date of Operation

Date of Removal






Date of Operation

Date of Removal






Date of Operation

Date of Removal






Date of Operation

Date of Removal


Waste TypeCode Description

Design Capacity

Design Capacity UnitsCode Description

Waste FeedCode Description

Control TypeCode Description

Manufacturer's Name/Model No.

Date of Construction

Date of Operation

Emission Unit

Emission SourceID Type

Date of Removal


DEC ID

Section IV - Emission Unit InformationEmission Source/Control (continuation)

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-Emission Unit Process

Emission Point Identifier(s)

Emission Point Identifier(s)


Emission Source/Control Identifier(s)

Operating ScheduleBuilding Floor/Location

Source Classification Code (SCC)

Total Throughput Throughput Quantity UnitsQuantity/Hr Quantity/Yr Code Description

Description

Hrs/Day Days/Yr

Building Floor/Location

Emission Source/Control Identifier(s)

Operating ScheduleHrs/Day Days/Yr

Code DescriptionSource Classification Code

(SCC)Total Throughput

Quantity/Hr Quantity/YrThroughput Quantity Units

Emission Unit Process

Description


DEC ID

Section IV - Emission Unit InformationProcess Information (continuation)

Confidential Operating at Maximum Capacity

Confidential Operating at Maximum Capacity

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Subpart Section Subdiv. Parag.


Type Part Clause


DEC ID

Section IV - Emission Unit InformationEmission

UnitEmission

PointProcess

Emission Source

Emission Unit Applicable Federal Requirements (continuation)Title Subparag. Subcl.

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Parag.Subdiv.SectionSubpart


Subparag. Clause Subcl.Title Type Part


DEC ID

Section IV - Emission Unit InformationEmission

UnitEmission

PointProcess

Emission Source

Emission Unit State Only Requirements (continuation)

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Applicable Federal Requirement State Only Requirement Capping

Subparagraph Clause

Emission Unit CAS No. Contaminant Name


Description

Code Description Code Description Code DescriptionAveraging Method Monitoring Frequency Reporting Requirements

LimitUpper

Limit UnitsCode Description

ParameterCode Description

Manufacturer Name/Model No.

Work PracticeType

Process MaterialCode Description

Reference Test Method

Lower

Emission Point Process

Subclause

Section IV - Emission Unit InformationEmission Unit Compliance Certification (continuation)

Rule CitationTitle Type Part Subpart Section Subdivision Paragraph

Monitoring Information Continuous Emission Monitoring Intermittent Emission Testing Ambient Air Monitoring

Monitoring of Process or Control Device Parameters as a Surrogate Work Practice Involving Specific Operations Record Keeping/Maintenance Procedures

Emission Source


DEC ID

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State Only RequirementEmission Source


Description State Only Requirement

Emission Unit Emission Point Process

Subdivision Paragraph Subparagraph Clause Subclause

Applicable Federal RequirementEmission Source

Rule CitationTitle Type Part Subpart Section

Description

Emission Unit Emission Point Process Applicable Federal Requirement State Only Requirement

Emission Source

Subdivision Paragraph Subparagraph Clause SubclauseRule Citation

Title Type Part Subpart Section

Description

Emission Unit Emission Point Process

Paragraph Subparagraph Clause SubclauseTitle Type Part Subpart Section Subdivision

Applicable Federal Requirement

Description

Rule Citation

Emission Point ProcessEmission Unit Applicable Federal Requirement State Only Requirement

Emission Source

Subparagraph Clause Subclause

Section IV - Emission Unit InformationDetermination of Non-Applicability (continuation)

Rule CitationTitle Type Part Subpart Section Subdivision Paragraph


DEC ID

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ERP How Determined

PTE Standard Units PTE How Determined Actual(lbs/hr) (lbs/yr) (standard units) (lbs/hr) (lbs/yr)


ERP How Determined


CAS No. Contaminant Name%

Throughput%

Capture%

ControlERP (lbs/hr)




Throughput%

Capture%

ControlERP (lbs/hr)

ERP How Determined



Throughput%

Capture%

ControlERP (lbs/hr)




Throughput%

Capture%

ControlERP (lbs/hr)

ERP How Determined

Actual(lbs/hr) (lbs/yr)

PTE(lbs/hr) (lbs/yr) (standard units)

Standard Units PTE How Determined

ERP How Determined


Throughput%

Capture%

ControlERP (lbs/hr)

Air Permit Application FormDEC ID

Section IV - Emission Unit Information


Process Emissions Summary (continuation)

New York State Department of Environmental Conservation

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DEC ID

Section IV - Emission Unit InformationEmission Unit

Emission Unit Emissions Summary (continuation)


ERP (lbs/yr)PTE Emissions Actual Emissions

(lbs/hr) (lbs/yr) (lbs/hr) (lbs/yr)




















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Subpart

Section IV - Emission Unit InformationCompliance Plan (continuation)

Consent Order / /

Emission Unit

ProcessEmission Source Title Subparag.


DEC ID

SubclauseApplicable Federal Requirement

R/I Date ScheduledRemedial Measures/Intermediate Milestones

Type Part ClauseParag.Subdiv.Section


Certified progress reports are to be submitted every 6 months beginning

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Emission Source


DEC ID

Section IV - Emission Unit InformationRequest for Emission Reduction Credits (continuation)

Emission Reduction Description

Contaminant Emission Reduction Data

CAS No.ERC (lbs/yr)

Contaminant NameNetting Offset


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Emission Source

Source of Emission Reduction Credit - Facility


DEC ID

Section IV - Emission Unit InformationUse of Emission Reduction Credits (continuation)

Proposed Project Description

City/ Town/ VillageEmission Source

CAS No.ERC (lbs/yr)

Contaminant NameNetting Offset


Permit ID

Name

Location Address

State Zip

new york state department of environmental …section iv - emission unit information determination...

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