Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
OAQ Process Information Application PI-02F Combustion Fuel Use Form. This is a Indiana form and can be use in Department Of Enviromental Management Statewide.
Loading PDF...
Tags: OAQ Process Information Application PI-02F Combustion Fuel Use, 52540, Indiana Statewide, Department Of Enviromental Management
Indiana Department of Environmental Management
Office of Air Quality
Air Permit Application
Page 1 of 4
PI-02F Instructions
10/2006
PROCESS INFORMATION: Combustion – INSTRUCTIONS
Microsoft Word version of PI-02F
Adobe PDF version of PI-02F
The purpose of PI-02F (state form 52540) is to identify each fuel that will be used in the combustion unit. Complete one
form for each combustion unit (or group of identical combustion units). PI-02F 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).
SUMMARY OF POSSIBLE FUEL TYPES
Gaseous Fuels
Natural Gas
Liquefied Petroleum Gas
Liquid Fuels
Residual Fuel Oil
Solid Fuels
Anthracite Coal
No. 5 – Heavy Residual Fuel Oil
Anthracite
Commercial-Grade Propane
No. 5 – Light Residual Fuel Oil
Culm
Engine Fuel-Grade Propane (HD-5)
No. 6 Residual Fuel Oil (Bunker C)
Commercial-Grade Butane
Process Gas
Landfill Gas
Distillate Fuel Oil
No. 1 Distillate Fuel Oil
No. 2 Distillate Fuel Oil (Diesel)
No. 4 Distillate Fuel Oil
Gasoline
Waste Oil
Liquid Waste
Bituminous Coal
Sub-bituminous Coal
Lignite Coal
Coke
Wood / Wood Waste
Wood Only
Wood Residue Only
Wood and Wood Residue
Tires or Tire Derived Fuel
Whole Tires
Tire Derived Fuel
Bagasse
Solid Waste
Part A: Process Unit Identification
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.
Part B: Gaseous Fuels
Part B identifies the gaseous fuels that will be used in the combustion unit.
2. Fuel Type:
Identify all gaseous fuels used in this process. If none of the listed gaseous fuels is applicable, specify the gaseous
fuel under the “other” option.
Natural Gas: If natural gas is the only fuel used for this process, this form is not necessary.
Liquefied Petroleum Gas (LPG): Indicate the grade of LPG used in the process.
Process Gas: Indicate the source of the process gas in the last row of the table.
American LegalNet, Inc.
www.FormsWorkflow.com
Indiana Department of Environmental Management
Office of Air Quality
Air Permit Application
Page 2 of 4
PI-02F Instructions
10/2006
Landfill Gas: Indicate the source of the landfill gas in the last row of the table.
3. Percent of Fuel Use:
Specify the volumetric percent of this fuel used in comparison to the total amount of fuel used annually. For example,
if this is the only fuel used for this process, the amount would be 100 percent (100.00%)
4. Primary or Secondary Fuel?
Specify whether the fuel used is the primary or secondary fuel.
5. Component Percentages:
Indicate maximum content of each component (e.g., sulfur, ash, moisture) on a weight percentage basis. If a blend of
the fuel is used, indicate the highest content for each component.
Natural Gas: If sulfur content is not indicated, a default value of 0.00% will be used.
Liquefied Petroleum Gas: If sulfur content is not indicated, a default value of 1.50% will be used. If butane
content is not indicated, a default value of 0.00% will be used. If propane content is not indicated, a default value
of 0.00% will be used.
Process Gas or Landfill Gas: If sulfur content is not indicated, a default value of 7.00% will be used.
6. Heating Value:
Indicate minimum heating value of the fuel used. If a blend of the fuel is used, indicate the lowest heating value. For
gaseous fuels, the units of measure should be British thermal units per cubic foot (Btu/ft3).
Part C: Liquid Fuels
Part C identifies the liquid fuels that will be used in the combustion unit.
7. Fuel Type:
Identify all liquid fuels used in this process. If none of the listed liquid fuels is applicable, specify the liquid fuel under
the “other” option.
If liquid waste is used, indicate the Resource Conservation and Recovery Act (RCRA) alpha-numeric codes for each
special or hazardous waste used for this process.
8. Percent of Fuel Use:
Specify the volumetric percent of this fuel used in comparison to the total amount of fuel used annually. For example,
if this is the only fuel used for this process, the amount would be 100 percent (100.00%)
9. Primary or Secondary Fuel?
Specify whether the fuel used is the primary or secondary fuel.
10. Component Percentages:
Indicate maximum content of each component (e.g., sulfur, ash, moisture) on a weight percentage basis. If a blend of
the fuel is used, indicate the highest content for each component.
Residual Oil: If sulfur content is not indicated, a default value of 2% will be used.
Distillate Fuel Oil: If sulfur content is not indicated, the following default values will be used: No.1 0.3%; No.2
0.3%; No.4 2.0%
Gasoline: If sulfur content is not indicated, a default value of 0.00% will be used.
Waste Oil: If sulfur content is not indicated, a default value of 2.0% will be used. If ash content is not indicated, a
default value of 0.3% will be used. If lead content is not indicated, a default value of 0.5% will be used. If chlorine
content is not indicated, a default value of 0.5% will be used.
Liquid Waste: If sulfur content is not indicated, a default value of 7.0% will be used. If fluorine content is not
indicated, a default value of 3.0% will be used. If chlorine content is not indicated, a default value of 7.0% will be
used.
American LegalNet, Inc.
www.FormsWorkflow.com
Indiana Department of Environmental Management
Office of Air Quality
Air Permit Application
Page 3 of 4
PI-02F Instructions
10/2006
11. Heating Value:
Indicate minimum heating value of the fuel used. If a blend of the fuel is used, indicate the lowest heating value. For
gaseous fuels, the units of measure should be British thermal units per gallon (Btu/gal).
12. Percent Heat:
Indicate the portion of heat input that is provided by the fuel.
Part D1: Solid Fuels – Coal
Part D1 identifies all variations of coal that will be used in the combustion unit.
13. Fuel Type:
Identify all types of coal used in this process. If none of the listed types of coal is applicable, specify the coal type
under the “other” option.
14. Percent of Fuel Use:
Specify the volumetric percent of this fuel used in comparison to the total amount of fuel used annually. For example,
if this is the only fuel used for this process, the amount would be 100 percent (100.00%)
15. Primary or Secondary Fuel?
Specify whether the fuel used is the primary or secondary fuel.
16. Component Percentages:
Indicate maximum content of each component (e.g., sulfur, ash, moisture) on a weight percentage basis. If a blend of
the fuel is used, indicate the highest content for each component.
Sulfur Content: If sulfur content is not indicated, a default value of 0.00% will be used.
Ash Content: If ash content is not indicated, a default value of 0.00% will be used.
Moisture Content: If moisture content is not indicated, a default value of 0.00% will be used.
17. Heating Value:
Indicate minimum heating value of the fuel used. If a blend of the fuel is used, indicate the lowest heating value. For
solid fuels, the units of measure should be British thermal units per pound (Btu/lb).
18. Basis:
Indicate whether the heating value was calculated on a dry or moist basis.
Part D2: Other Solid Fuels
Part D2 identifies the solid fuels, other than coal, that will be used in the combustion unit.
19. Fuel Type:
Identify all solid fuels, other than coal, used in this process. If none of the listed solid fuels is applicable, specify the
solid fuel under the “other” option.
If solid waste is used, indicate the Resource Conservation and Recovery Act (RCRA) alpha-numeric codes for each
special or hazardous waste used for this process.
20. Percent of Fuel Use:
Specify the volumetric percent of this fuel used in comparison to the total amount of fuel used annually. For example,
if this were the only fuel used for this process, the amount would be 100 percent (100.00%)
21. Primary or Secondary Fuel?
Specify whether the fuel used is the primary or secondary fuel.
22. Component Percentages:
Indicate maximum content of each component (e.g., sulfur, ash, moisture) on a weight percentage basis. If a blend of
the fuel is used, indicate the highest content for each component.
American LegalNet, Inc.
www.FormsWorkflow.com
Indiana Department of Environmental Management
Office of Air Quality
Air Permit Application
Page 4 of 4
PI-02F Instructions
10/2006
Wood / Wood Waste: If moisture content is not indicated, a default value of 30% will be used.
Tires / Tire Derived Fuel: If sulfur content is not indicated, a default value of 2.5% will be used. If chromium
content is not indicated, a default value of 0.2% will be used. If chlorine content is not indicated, a default value of
0.3% will be used.
Bagasse: If ash content is not indicated, a default value of 0.00% will be used. If moisture content is not
indicated, a default value of 0.00% will be used.
Solid Waste: Identify and quantify any relevant component percentages.
23. Heating Value:
Indicate minimum heating value of the fuel used. If a blend of the fuel is used, indicate the lowest heating value. For
solid fuels, the units of measure should be British thermal units per pound (Btu/lb). For wood or wood waste, use
British thermal units per ton (Btu/ton).
24. Percent Heat:
Indicate the portion of heat input that is provided by the fuel.
Part E: Fuel Consumption Limitations
Part E provides a place for the applicant to specify any fuel consumption limitations that are acceptable for the combustion
unit.
In the case that one or more fuel is burned either intermittently or as a backup, use the space provided to identify any
acceptable fuel consumption limitations. Stating an acceptable limit on fuel consumption at this point will facilitate permit
review. If a limit is not stated, it will be assumed that the fuel will be burned at the full rate capacity of the unit for 8760
hours per year.
***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-02F: www.in.gov/icpr/webfile/formsdiv/52540.doc
2. Adobe PDF version of form PI-02F: www.in.gov/icpr/webfile/formsdiv/52540.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 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
7. IDEM, OAQ’s information regarding submittal of confidential business information:
www.in.gov/idem/permits/air/apps/cbi.html
8. 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-02F: Combustion – Fuel Use
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
State Form 52540 (R / 1-07)
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
•
The purpose of this form is to identify each fuel that will be used in the combustion unit. Definitions and additional explanation of terminology are included in the instructions for this
form.
•
Complete one form PI-02F for each combustion unit. If the unit has any capability of using a fuel, even if on a backup or intermittent basis, complete the applicable section. Using a
fuel that is not specified in the permit is a violation of the permit.
•
Detailed instructions for this form are available online at www.idem.IN.gov/permits/air/apps/instructions/PI02Finstructions.doc .
•
NOTES:
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 Identification
1. Unit ID:
PART B: Gaseous Fuels
Part B identifies the gaseous fuels that will be used in the combustion unit.
2. Fuel Type:
3. Percent of Fuel Use
4. Primary or Secondary Fuel?
5. Component Percentages:
6. Heating Value:
(by volume)
Natural Gas
Primary
Secondary
Liquefied Petroleum Gas
Commercial- Propane
Sulfur:
(Btu/ft3)
Sulfur:
Primary
Secondary
Butane:
(Btu/ft3)
Engine Fuel Propane (HD-5)
Propane:
Commercial- Butane
Process Gas *
Primary
Secondary
Sulfur:
(Btu/ft3)
Landfill Gas *
Primary
Secondary
Sulfur:
(Btu/ft3)
Other (specify):
Primary
Secondary
:
:
(Btu/ft3)
* Indicate the source of the process or landfill gas:
Continued on Next Page
Page 1 of 4
American LegalNet, Inc.
www.FormsWorkflow.com
Indiana Department Of Environmental Management
Office Of Air Quality
State Form 52540 (R / 1-07)
Process Information - Combustion
FORM PI-02F
Page 2 of 4
PART C: Liquid Fuels
Part C identifies the liquid fuels that will be used in the combustion unit.
7. Fuel Type:
8. Percent of Fuel Use
(by volume)
9. Primary or
Secondary Fuel?
10. Component
Percentages:
11. Heating Value:
12. Percent Heat:
Residual Fuel Oil
No. 5 – Heavy
Primary
No. 5 – Light
Secondary
Sulfur:
(Btu/gal)
Sulfur:
(Btu/gal)
Sulfur:
(Btu/gal)
No. 6 (Bunker C)
Distillate Fuel Oil
No. 1
Primary
No. 2 (Diesel)
Secondary
No. 4
Gasoline
Primary
Secondary
Sulfur:
Waste Oil
Primary
Ash:
Secondary
Lead
(Btu/gal)
Chlorine:
Liquid Waste *
Other (specify):
Primary
Secondary
Sulfur:
Fluorine:
(Btu/gal)
Chlorine:
Primary
:
Secondary
:
(Btu/gal)
* RCRA alpha-numeric codes for Special or Hazardous Waste to be Burned:
This space was intentionally left blank.
Continued on Next Page
American LegalNet, Inc.
www.FormsWorkflow.com
Indiana Department Of Environmental Management
Office Of Air Quality
State Form 52540 (R / 1-07)
Process Information - Combustion
FORM PI-02F
Page 3 of 4
PART D1: Solid Fuels – Coal
Part D1 identifies all variations of coal that will be used in the combustion unit.
13. Fuel Type:
14. Percent of Fuel Use
(by volume)
15. Primary or
Secondary Fuel?
Anthracite Coal
Anthracite
Culm
Bituminous Coal
Sub-bituminous Coal
Lignite Coal
Coke
Other Coal (specify):
Primary
Secondary
Primary
Secondary
Primary
Secondary
Primary
Secondary
Primary
Secondary
Primary
Secondary
16. Component
Percentages:
17. Heating Value:
18. Basis:
Sulfur:
Ash:
(Btu/lb)
Dry
Moist
(Btu/lb)
Dry
Moist
(Btu/lb)
Dry
Moist
(Btu/lb)
Dry
Moist
(Btu/lb)
Dry
Moist
(Btu/gal)
Dry
Moist
Moisture:
Sulfur:
Ash:
Moisture:
Sulfur:
Ash:
Moisture:
Sulfur:
Ash:
Moisture:
Sulfur:
Ash:
Moisture:
Sulfur:
Ash:
Moisture:
This space was intentionally left blank.
Continued on Next Page
American LegalNet, Inc.
www.FormsWorkflow.com
Indiana Department Of Environmental Management
Office Of Air Quality
State Form 52540 (R/ 1-07)
Process Information - Combustion
FORM PI-02F
Page 4 of 4
PART D2: Other Solid Fuels
Part D2 identifies the solid fuels, other than coal, that will be used in the combustion unit.
19. Fuel Type:
20. Percent of Fuel Use
(by volume)
21. Primary or
Secondary Fuel?
22. Component
Percentages:
23. Heating Value:
24. Percent Heat:
Wood or Wood Waste
Wood Only
Primary
Wood Residue Only
Secondary
Moisture:
(Btu/ton)
Wood and Wood Residue
Tires or Tire Derived Fuel
Whole Tires
Tire Derived Fuel
Bagasse
Solid Waste *
Other (specify):
Primary
Secondary
Sulfur:
Chromium:
(Btu/lb)
Chlorine:
Primary
Ash:
Secondary
Moisture:
Primary
:
Secondary
:
Primary
:
Secondary
:
(Btu/lb)
(Btu/lb)
(Btu/lb)
*RCRA alpha-numeric codes for Special or Hazardous Waste to be Burned:
PART E: Fuel Consumption Limitations
Use the space provided to specify any fuel consumption limitations that are acceptable for the combustion unit.
American LegalNet, Inc.
www.FormsWorkflow.com