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OAQ Process Information Application PI-02G Combustion Emission Factors Form. This is a Indiana form and can be use in Department Of Enviromental Management Statewide.
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Tags: OAQ Process Information Application PI-02G Combustion Emission Factors, 52541, Indiana Statewide, Department Of Enviromental Management
Indiana Department of Environmental Management
Office of Air Quality
Air Permit Application
Page 1 of 2
PI-02G Instructions
4/2006
PROCESS INFORMATION: Combustion – Emission Factors –
INSTRUCTIONS
Microsoft Word version of PI-02G
Adobe PDF version of PI-02G
The purpose of PI-02G (state form 52541) is to specify the emission factors used to calculate potential to emit from the
combustion unit. Complete one form for each combustion unit (or group of identical combustion units). PI-02G 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).
Emission Factors
This table identifies all emission factors used to calculate potential to emit from the combustion unit.
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. Air Pollutant:
For each process identified, list each air pollutant emitted to the atmosphere during normal operation. If there are
multiple pollutants for an process, use a new row for each pollutant.
3. Emission Factor:
Provide the relevant emission factor including the appropriate units (e.g., lb/units, lbs/ton, lbs/gal, lbs/cf, etc.).
4. Source of Emission Factor:
Provide the source of the emission factors. Common sources include AP-42, stack test data, engineering analysis.
The United States Environmental Protection Agency (U.S. EPA) has developed a Clearinghouse for Inventories &
Emission Factors containing AP-42 and other emission factors. Appendix A of AP-42 lists several common
conversion factors that may be needed to calculate potential to emit.
***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-02G: www.in.gov/icpr/webfile/formsdiv/52541.doc
2. Adobe PDF version of form PI-02G: www.in.gov/icpr/webfile/formsdiv/52541.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
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Indiana Department of Environmental Management
Office of Air Quality
Air Permit Application
Page 2 of 2
PI-02G Instructions
4/2006
6. U.S. EPA’s Clearinghouse for Inventories & Emission Factors: www.epa.gov/ttn/chief/efinformation.html
7. Appendix A of AP-42: www.epa.gov/ttn/chief/ap42/appendix/appa.pdf
8. 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
9. IDEM, OAQ’s information regarding submittal of confidential business information:
www.in.gov/idem/permits/air/apps/cbi.html
10. IDEM’s Nonrule Policy Document regarding Emission Data (Air-031-NPD): www.in.gov/idem/rules/policies/index.html
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OAQ PROCESS INFORMATION APPLICATION
PI-02G: Combustion – Emission Factors
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 52541 (R / 1-07)
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
•
The purpose of this form is to specify the emission factors used to calculate potential to emit from the combustion unit.
•
Complete one PI-02G form for each emissions unit. If there are multiple emission units that are identical in nature, capacity, and
use, you may use one PI-02G form to summarize the units.
•
NOTES:
Detailed instructions for this form are available online at
www.idem.IN.gov/permits/air/apps/instructions/pi02Ginstructions.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.
Emission Factors
This table identifies all emission factors used to calculate air emissions from the combustion unit.
1. Unit ID:
2. Air Pollutant:
3. Emission Factor
value
units
4. Source of Emission Factor
(if not using AP-42, include calculations)
Carbon Monoxide (CO)
AP-42
Other
N/A
Lead (Pb)
AP-42
Other
N/A
Hazardous Air Pollutant (HAP) (specify):
AP-42
Other
N/A
Nitrogen Oxides (NOX)
AP-42
Other
N/A
Mercury (Hg)
AP-42
Other
N/A
Particulate Matter (PM)
AP-42
Other
N/A
Particulate Matter less than 10μm (PM10)
AP-42
Other
N/A
Particulate Matter less than 2.5μm (PM2.5)
AP-42
Other
N/A
Sulfur Dioxide (SO2)
AP-42
Other
N/A
Volatile Organic Compounds (VOC)
AP-42
Other
N/A
Other (specify):
AP-42
Other
N/A
Other (specify):
AP-42
Other
N/A
Other (specify):
AP-42
Other
N/A
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