Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 1 of 2 PI-02H Instructions 4/2006 PROCESS INFORMATION: Combustion – Federal Rule Applicability – INSTRUCTIONS Microsoft Word version of PI-02H Adobe PDF version of PI-02H The purpose of PI-02H (state form 52542) is to identify any federal rules that apply to the combustion units. Complete one form for all combustion units. PI-02H 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). Federal Rule Applicability This table identifies any federal rules that apply to the combustion process. 1. Is a New Source Performance Standard (NSPS) applicable to this source? Specify whether a New Source Performance Standard (NSPS) is applicable to the process unit(s). If a New Source Performance Standard (NSPS) applies, list the rule citation and title in the space provided and submit a FED-01 form to identify the applicable portions of the rule. 2. Unit IDs: Provide the identification numbers for the combustion units that are subject to an NSPS. 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. 3. Is a National Emission Standard for Hazardous Air Pollutants (NESHAP) applicable to this source? Specify whether a National Emission Standard for Hazardous Air Pollutants (NESHAP) is applicable to the process unit(s). If a National Emission Standard for Hazardous Air Pollutants (NESHAP) applies, list the rule citation and title in the space provided and submit a FED-01 form to identify the applicable portions of the rule. The United States Environmental Protection Agency (U.S. EPA) provides lists of NESHAP on the Rules and Implementation section of the Air Toxics Website. 4. Unit IDs: Provide the identification numbers for the combustion units that are subject to a NESHAP. 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. 5. Non-Applicability Determination: Provide an explanation of non-applicability if the process unit would appear to be subject to a rule (based on the rule title of affected source category), but the rule will not apply to the process. For example, if the process unit is part of the source category subject to a rule, but the process unit in question is not subject to the rule, state the reason why the unit is not subject. ***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. American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 2 of 2 PI-02H Instructions 4/2006 Summary of Websites 1. Microsoft Word version of form PI-02H: www.in.gov/icpr/webfile/formsdiv/52542.doc 2. Adobe PDF version of form PI-02H: www.in.gov/icpr/webfile/formsdiv/52542.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. United States Environmental Protection Agency (US EPA): www.epa.gov/ 7. Rules and Implementation section of U.S. EPA’s Air Toxics Website: www.epa.gov/ttn/atw/eparules.html 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 American LegalNet, Inc. www.FormsWorkflow.com OAQ PROCESS INFORMATION APPLICATION PI-02H: Combustion – Federal Rule Applicability State Form 52542 (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 identify any federal rules that apply to the emission unit. • Complete one PI-02H form for each emissions unit. If there are multiple emission units that are identical in nature, capacity, and use, you may use one PI-02H form to summarize the units. • Detailed instructions for this form are available online at www.idem.IN.gov/permits/air/apps/instructions/pi02Hinstructions.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. Federal Rule Applicability This table identifies any federal rules that apply to the process. 1. Is a New Source Performance Standard (NSPS) applicable to this source? If yes, attach a completed FED-01 for each rule that applies. 40 CFR Part 60, Subpart Cb Yes No 2. Unit IDs Large Municipal Waste Combustors (constructed before 9/20/1994) 40 CFR Part 60, Subpart Ce Hospital/Medical/Infectious Waste Incinerators 40 CFR Part 60, Subpart D Fossil-Fuel-Fired Steam Generators (constructed after 8/17/1971) 40 CFR Part 60, Subpart Da Electric Utility Steam Generating Units (constructed after 9/18/1978) 40 CFR Part 60, Subpart Db Industrial-Commercial-Institutional Generating Units 40 CFR Part 60, Subpart Dc Small Industrial-Commercial-Institutional Generating Units 40 CFR Part 60, Subpart E Incinerators 40 CFR Part 60, Subpart Ea Municipal Waste Combustors (constructed after 12/20/1989 and before 9/20/1994) 40 CFR Part 60, Subpart Eb 40 CFR Part 60, Subpart Ec Large Municipal Waste Combustors (constructed after 9/20/1994 or modified / reconstructed after 6/19/1996) Hospital/Medical/Infectious Waste Incinerators (constructed after 6/20/1996) 40 CFR Part 60, Subpart O Sewage Treatment Plants (sludge burners) 40 CFR Part 60, Subpart Y Coal Preparation Plants 40 CFR Part 60, Subpart GG Stationary Gas Turbines 40 CFR Part 60, Subpart AAA New Residential Wood Heaters 40 CFR Part 60, Subpart AAAA Small Municipal Waste Combustion Units (constructed after 8/30/1999 or modified / reconstructed after 6/6/2001) 40 CFR Part 60, Subpart BBBB Small Municipal Waste Combustion Units (constructed on or before 8/30/1999) 40 CFR Part 60, Subpart CCCC Commercial and Industrial Solid Waste Incineration Units (constructed after 11/30/1999 or modified / reconstructed after 6/1/2001) 40 CFR Part 60, Subpart DDDD Commercial and Industrial Solid Waste Incineration Units (constructed on or before 11/30/1999) 40 CFR Part 60, Subpart KKKK Stationary Combustion Turbines 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 52542 (R / 1-07) Process Information - Combustion FORM PI-02H Page 2 of 2 Federal Rule Applicability (continued) This table identifies any federal rules that apply to the process. 3. Is a National Emission Standard for Hazardous Air Pollutants (NESHAP) applicable to this source? Yes No 4. Unit IDs If yes, attach a completed FED-01 for each rule that applies. 40 CFR Part 63, Subpart MM Combustion Sources at Kraft, Soda, and Sulfite Pulp & Paper Mills 40 CFR Part 63, Subpart EEE Hazardous Waste Combustion 40 CFR Part 63, Subpart YYYY Stationary Combustion Turbines 40 CFR Part 63, Subpart ZZZZ Reciprocating Internal Combustion Engines (RICE) 40 CFR Part 63, Subpart DDDDD Industrial, Commercial, and Institutional Boilers and Process Heaters 5. Non-Applicability Determination: Provide an explanation if the process unit appears subject to a rule (based on the rule title or the source category), but the rule will not apply. This space was intentionally left blank. American LegalNet, Inc. www.FormsWorkflow.com