Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 1 of 3 PI-05 Instructions 5/2006 PROCESS INFORMATION: Brick & Clay Products – INSTRUCTIONS Microsoft Word version of PI-05 Adobe PDF version of PI-05 The purpose of PI-05 (state form 52545) is to obtain detailed information about the brick and clay products manufacturing process. Complete one form for each process (or group of identical processes). PI-05 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 Summary Part A brick and clay products manufacturing process. 1. Type of Processed Material: Identify the type of processed material. 2. Maximum Final Product Throughput: Specify the maximum final product throughput in tons per hour (ton/hr). Part B: Elements of Brick and Clay Products Manufacturing Part B identifies the processes related to brick and clay products manufacturing and additional forms that may be needed. For each process listed, specify the form(s) attached. If a listed process is not applicable to the process, choose “N/A”. If there is another process applicable beyond the listed items, specify the process under the “other” option, and identify any additional forms used to describe the process. 3. Process: a. Un-sized Raw Material Storage and Handling: Use the PI-03 form to describe all storage and handling activities. b. Raw Materials Processing: Use the PI-18 form to describe the mineral processing activities. c. Sized Raw Material Storage and Handling: Use the PI-03 form to describe all storage and handling activities. d. Kiln: To adequately describe the kiln, complete the PI-02A to summarize the combustion units, Complete the PI02E to describe each kiln, complete the PI-02G to identify all the emission factors applicable to the process, and complete PI-02H to identify any federal rules that apply to the combustion unit. e. Fuel Type for Kiln: Complete the PI-02F form is a fuel other than natural gas is used. f. Finished Product Storage and Handling: Use the PI-03 form to describe all storage and handling activities. 4. Form: PI-03: Storage and Handling of Bulk Material PI-02A: Combustion Unit Summary PI-02E: Combustion – Kilns PI-02F: Combustion – Fuel Use PI-02G: Combustion – Emission Factors PI-02H: Combustion – Federal Rule Applicability PI-18: Mineral Processing Part C: Federal Rule Applicability Part C identifies any federal rules that apply to the process. American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 2 of 3 PI-05 Instructions 5/2006 5. 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. 6. Unit IDs: Provide the identification numbers for the process 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. 7. 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. 8. Unit IDs: Provide the identification numbers for the process 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. 9. 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. Summary of Websites 1. Microsoft Word version of form PI-05: www.in.gov/icpr/webfile/formsdiv/52545.doc 2. Adobe PDF version of form PI-05: www.in.gov/icpr/webfile/formsdiv/52545.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. PI-03 Form: Storage and Handling of Bulk Material: www.in.gov/idem/permits/air/apps/instructions/pi03instructions.html 7. PI-02A Form: Combustion Unit Summary: www.in.gov/idem/permits/air/apps/instructions/pi02Ainstructions.html 8. PI-02E Form: Combustion – Kilns: www.in.gov/idem/permits/air/apps/instructions/pi02Einstructions.html 9. PI-02F Form: Combustion – Fuel Use: www.in.gov/idem/permits/air/apps/instructions/pi02Finstructions.html 10. PI-02G Form: Combustion – Emission Factors: www.in.gov/idem/permits/air/apps/instructions/pi02Ginstructions.html 11. PI-02H Form: Combustion – Federal Rule Applicability: www.in.gov/idem/permits/air/apps/instructions/pi02Hinstructions.html American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 3 of 3 PI-05 Instructions 5/2006 12. PI-18 Form: Mineral Processing: www.in.gov/idem/permits/air/apps/instructions/pi18instructions.html 13. United States Environmental Protection Agency (US EPA): www.epa.gov/ 14. Rules and Implementation section of U.S. EPA’s Air Toxics Website: www.epa.gov/ttn/atw/eparules.html 15. 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 16. IDEM, OAQ’s information regarding submittal of confidential business information: www.in.gov/idem/permits/air/apps/cbi.html 17. 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-05: Brick & Clay Products State Form 52545 (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 obtain detailed information about the Brick and Clay Products manufacturing process. Complete one form for each process unit (or group of identical process units). • NOTES: Detailed instructions for this form are available online at www.idem.IN.gov/permits/air/apps/instructions/pi05instructions.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 Summary Part A summarizes the Brick and Clay Products process. 1. Type of Process Material: 2. Maximum Final Product Throughput: tons per hour (tons/hr) PART B: Brick and Clay Products Manufacturing Part A identifies the processes related to Brick and Clay Products Manufacturing and additional forms that may be needed. 3. Process 4. Use the form listed for the specified processes. Check all that apply. a. Un-sized Raw Material Storage and Handling This form is included for un-sized raw materials unloading / storage: b. Raw materials processing This form is included for raw materials processing: PI-03 N/A PI-18 N/A (crushing and sizing of raw materials) c. Sized Raw Material Storage and Handling This form is included for the sized raw material storage / handling: d. Kiln These forms are included for the kiln: N/A N/A N/A PI-02F N/A Submit form if fuel other than natural gas Is used in kiln: Natural Gas) g. Other process(es) N/A PI-02H Finished Product Storage and Handling PI-02A PI-02G f. N/A PI-02E e. Fuel Type for Kiln (if other than PI-03 This form is included for raw materials unloading / storage: PI-03 N/A This form is included for (specify process): N/A This space was intentionally left blank. 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 52545 (R / 1-07) Process Information – Brick & Clay Products FORM PI-05 Page 2 of 2 PART C – Federal Rule Applicability Part C identifies any federal rules that apply to the process. 5. Is a New Source Performance Standard (NSPS) applicable to this source? If yes, identify the affected emission units and attach a completed FED-01 for each rule that applies. 40 CFR Part 60, Subpart UUU Yes No 6. Unit ID(s) No 8. Unit ID(s) Calciners and Dryers in Mineral Industries 7. Is a National Emission Standard for Hazardous Air Pollutants (NESHAP) applicable to this source? If yes, identify the affected emission units and attach a Yes completed FED-01 for each rule that applies. 40 CFR Part 63, Subpart JJJJJ Bricks and Structural Clay Products Manufacturing 40 CFR Part 63, Subpart KKKKK Clay Ceramics Manufacturing 40 CFR Part 63, Subpart QQQQQ Friction Products Manufacturing 40 CFR Part 63, Subpart SSSSS Refractory Products Manufacturing 9. 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