Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 1 of 2 PI-02D Instructions 10/2006 PROCESS INFORMATION: Combustion – Incinerators & Combustors – INSTRUCTIONS Microsoft Word version of PI-02D Adobe PDF version of PI-02D The purpose of PI-02D (state form 52538) is to specify details that pertain only to incinerators and combustors. Complete one form for each combustion unit (or group of identical combustion units). PI-02D is a required form for all air permit applications submitted to IDEM, OAQ. For the purposes of this form, the term “source” refers to the plant as a whole and NOT to the individual emissions units. If you do not provide the enough information to adequately describe the process, the application process may be stopped. If you have any questions, contact the Air Permit Reviewer of the Day (PROD) at (317) 233-0178 or 1-800-451-6027 extension 3-0178 (toll free call within Indiana). Part A: Process Unit Details Part A specifies operating information that is unique to incinerators and combustors. Definitions and additional explanation of terminology are included in the instructions for this form. 1. Unit ID: Provide the identification number for the unit. The identification numbers listed on this form should correspond to the emissions unit identified on the Plant Layout and Process Flow diagrams. If there are multiple combustion units that are identical in nature, capacity, and use, you may use one row to summarize the data for the identical combustion units. 2. Type of Combustion Unit: Specify the type of combustion unit. If none of the listed categories or subcategories is applicable, specify the combustions type under the “other” option. Part B: Emission Controls and Limitations Part B identifies control technology, control techniques, or other process limitations that impact air emissions. 3. Add-On Control Technology: Identify all control technologies used for this process, if applicable. A Control Equipment (CE) application form will need to be completed for each control device used, and a summary of control equipment should be submitted using form CE-01. 4. Control Techniques: Identify all control techniques used for this process. 5. Process Limitations / Additional Information: Use the space provided to identify any acceptable process limitations or to provide additional information. An example of an acceptable process limitation would be taking a limit on raw material usage. Such a limit would require an additional record keeping and reporting requirements to be enforceable. For some limitations, performance testing may also be required. Any future change to the established limit will require a permit modification. Part C: Indiana Requirements Part C identifies the information needed to satisfy the Indiana rule pertaining to incinerators. 6. Is the unit subject to 326 IAC 4-2? Specify whether the requirements of 326 IAC 4-2 are applicable to the incinerator. 7. Incinerator Design: For incinerators subject to 326 IAC 4-2, specify whether there is a single chamber with an afterburner or a multiple chamber. If an alternate design is used, provide an explanation of how the design is equivalent to having primary and secondary combustion chambers. American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 2 of 2 PI-02D Instructions 10/2006 8. Manufacturer’s Guaranteed Particle Emission Rate: Provide the particle emission rate that is guaranteed by the incinerator manufacturer. Part B: Emission Controls and Limitations Part B identifies control technology, control techniques, or other process limitations that impact air emissions. 9. Burner? Specify where burners are located for the primary and secondary combustion chambers. 10. Fuel Used: If applicable, specify whether natural gas is used as the only process fuel. If a fuel other than natural gas is used, complete the PI-02F form identifying all fuels used for the process. ***SUBMISSION OF CONFIDENTIAL RECORDS*** All information submitted to IDEM will be made available to the public unless it is submitted under a claim of confidentiality. Claim of confidentiality must be made at the time the information is submitted to IDEM, and must follow the requirements set out in 326 IAC 17.1-4-1. Failure to follow these requirements exactly will result in your confidential information becoming a public record, available for public inspection. To ensure that your information remains confidential, refer to the IDEM, OAQ information regarding submittal of confidential business information. For more information on confidentiality for certain types of business information, please review IDEM’s Nonrule Policy Document Air-031-NPD regarding Emission Data. Summary of Websites 1. Microsoft Word version of form PI-02D: www.in.gov/icpr/webfile/formsdiv/52538.doc 2. Adobe PDF version of form PI-02D: www.in.gov/icpr/webfile/formsdiv/52538.pdf 3. Air Permit Reviewer of the Day (PROD) online form: www.in.gov/idem/permits/air/prodform.html 4. Plant Layout Diagram: www.in.gov/idem/permits/air/apps/instructions/pldexample.pdf 5. Example Process Flow Diagram: www.in.gov/idem/permits/air/apps/instructions/pfdexample.pdf 6. Article 4, Rule 2 of the Indiana Administrative Code (326 IAC 4-2): www.in.gov/legislative/iac/T03260/A00040.PDF 7. Article 17.1, Rule 4, Section 1 of the Indiana Administrative Code (326 IAC 17.1-4-1): www.in.gov/legislative/iac/T03260/A00171.PDF 8. IDEM, OAQ’s information regarding submittal of confidential business information: www.in.gov/idem/permits/air/apps/cbi.html 9. IDEM’s Nonrule Policy Document regarding Emission Data (Air-031-NPD): www.in.gov/idem/rules/policies/index.html American LegalNet, Inc. www.FormsWorkflow.com OAQ PROCESS INFORMATION APPLICATION PI-02D: Combustion – Incinerators & Combustors State Form 52538 (R / 1-07) INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT IDEM – Office of Air Quality – Permits Branch 100 N. Senate Ave., MC 61-53 Indianapolis, IN 46204-2251 Telephone: (317) 233-0178, or Toll Free: 1-800-451-6027 x30178 (within Indiana) Facsimile Number: (317) 232-6749 www.idem.IN.gov/permits/air/index.html • The purpose of this form is to specify details that pertain only to incinerators and combustors. • Complete one PI-02D form for each emissions unit. If there are multiple emission units that are identical in nature, capacity, and use, you may use one PI-02D form to summarize the units. • NOTES: Detailed instructions for this form are available online at www.idem.IN.gov/permits/air/apps/instructions/pi02Dinstructions.doc . • All information submitted to IDEM will be made available to the public unless it is submitted under a claim of confidentiality. Claims of confidentiality must be made at the time the information is submitted to IDEM, and must follow the requirements set out in 326 IAC 17.1-4-1. Failure to follow these requirements exactly will result in your information becoming a public record, available for anyone to inspect and photocopy. PART A: Process Unit Details Part A specifies operating information that is unique to incinerators and combustors. Definitions and additional explanation of terminology are included in the instructions for this form. 1. Unit ID: 2. Type of Combustion Unit Multiple Chamber Single Chamber Commercial or Industrial Solid Waste Incineration: Part Reclamation Rack Reclamation Drum Reclamation Other Commercial or Industrial Solid Waste Incineration (specify): Mass Burn Waterwall Mass Burn Rotary Waterwall Mass Burn Refractory Wall Municipal Waste Combustion: Refuse-Derived Fuel-Fired Fluidized Bed Modular Starved Air Modular Excess Air Other Municipal Waste Combustion (specify): Multiple Hearth Sewage Sludge Incineration: Fluidized Bed Electric Other Sewage Sludge Incineration (specify): Controlled Air Hospital/Medical/Infectious Waste Incineration: Excess Air Rotary Kiln Other Hospital/Medical/Infectious Waste Incineration (specify): Air Curtain Destructor Other (specify): Continued on Next Page Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department Of Environmental Management Office Of Air Quality State Form 52538 (R / 1-07) Process Information - Combustion FORM PI-02D Page 2 of 2 PART B: Emission Controls and Limitations Part B identifies control technology, control techniques or other process limitations that impact air emissions. 3. Add-On Control Technology: Identify all control technologies used for this process. Attach completed CE-01 (unless “none”). None Baghouse / Fabric Filter – Attach CE-02. Cyclone – Attach CE-03. Electrostatic Precipitator – Attach CE-04. Absorption / Wet Collector / Scrubber – Attach CE-05. Other (specify): – Attach CE-10. 4. Control Techniques: Identify all control techniques used for this process. 5. Process Limitations / Additional Information: Identify any acceptable process limitations. Attach additional information if necessary. PART C: Indiana Requirements Part C identifies the information needed to satisfy the Indiana rule pertaining to incinerators. Yes 6. Is the unit subject to 326 IAC 4-2? No – Proceed to Part D Single Chamber with afterburner 7. Incinerator Design: Multiple Chamber Other (explain below): If “other”, explain how the design is equivalent. 8. Manufacturer’s Guaranteed Particulate Emission Rate (specify units and attach the specifications): PART D: Combustion Chamber Details Part D identifies the details that pertain to the combustion chambers of the incinerator. 9. Burner? 10. Fuel Used Primary Chamber Yes No Natural Gas Only Other – Attach completed PI-02F. Secondary Chamber Yes No Natural Gas Only Other – Attach completed PI-02F. American LegalNet, Inc. www.FormsWorkflow.com