Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 1 of 4 PI-12 Instructions 10/2006 PROCESS INFORMATION: Grain Elevators – INSTRUCTIONS Microsoft Word version of PI-12 Adobe PDF version of PI-12 The purpose of PI-12 (state form 52552) is to obtain detailed information about the grain elevator process. Complete one form for each process unit (or group of identical process units). PI-12 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: Grain Elevator Summary Part A identifies the main parameters of the grain elevator operation. 1. Process Installation Date: Provide the date on which the process was installed. If the exact date is not known, provide the month and year of the installation. If the unit has not yet been installed, provide the anticipated installation date. If the unit has been modified or reconstructed since the original installation, include the most recent modification/reconstruction date. 2. Grain Variety: Identify each variety of grain processed in the grain elevator. If there is another grain applicable beyond the listed items, specify the grain under the “other” option. 3. Maximum Processing Rate: For each variety of grain processed. provide the maximum processing rate in units of bushels per year (bushel/yr). 4. Is the Grain Cleaned prior to processing? Specify whether the grain is cleaned prior to processing and includes the percent cleaned if applicable. 5. Is the Receiving Area open or closed? Specify whether the receiving area for the grain is open to the atmosphere or closed. 6. Loading Source: Identify all loading sources and indicate the percentage of the total loading time for each. If there is a loading source other than truck, rail, or barge, specify the loading source under the “other” option. Part B: Storage Details Part B details the parameters specific to the storage operations of the grain elevator. If there are multiple units that are identical in nature, capacity, and use, you may use one row to summarize the data for the identical units. Identical units must be of the same type, process capacity, and installation date. 7. Storage Units: Identify the type of storage units used. If there is another type of storage unit applicable beyond the listed items, specify the unit type under the “other” option. 8. Quantity: Specify the quantity of each type of storage unit used. 9. Unit IDs: Provide the emission unit identification numbers for each storage unit. The identification number listed on this form should correspond to the emissions unit identified on the Plant Layout and Process Flow diagrams. 10. Number of Times Filled Annually: Specify the number of times the storage units are filled annually. American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 2 of 4 PI-12 Instructions 10/2006 11. Storage Capacity: Provide the total storage capacity of each type of storage unit in bushels. Also provide the total storage capacity for the source. Part C: Grain Handling System Details Part C details the parameters specific to the grain handling system. If there are multiple units that are identical in nature, capacity, and use, you may use one row to summarize the data for the identical units. Identical units must be of the same type, process capacity, and installation date. 12. Grain Handling System: Identify the type of grain handling system used. If there is another type of grain handling system applicable beyond the listed items, specify the unit type under the “other” option. 13. Quantity: Specify the quantity of each type of grain handling system used. 14. Unit IDs: Provide the emission unit identification numbers for each grain handling system. The identification number listed on this form should correspond to the emissions unit identified on the Plant Layout and Process Flow diagrams. 15. Are the Conveyors Totally Enclosed? Specify whether the grain conveyors are totally enclosed or open to the atmosphere. 16. Are the Transfer Points Totally Enclosed? Specify whether the grain transfer points are totally enclosed or open to the atmosphere. 17. Spout Type: Identify the type of spout used for the grain handling system. If there is another type of spout applicable beyond the listed items, specify the spout type under the “other” option. Part D: Dryer Details Part D details the parameters specific to the drying operations of the grain elevator. If there are multiple units that are identical in nature, capacity, and use, you may use one row to summarize the data for the identical units. Identical units must be of the same type, process capacity, and installation date. 18. Dryer Type: Identify the type of grain dryers used. If there is another type of grain dryer applicable beyond the listed items, specify the type of grain dryer under the “other” option. 19. Quantity: Specify the quantity of each type of grain dryer used. 20. Unit IDs: Provide the emission unit identification numbers for each grain dryer. The identification number listed on this form should correspond to the emissions unit identified on the Plant Layout and Process Flow diagrams. 21. Dryer Specific Parameters: Provide the operating parameters for the type of dryer used. Column Dryer: Plate Performance Diameter Rack Dryer: Mesh Size Other Dryer: Drying Technique American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 3 of 4 PI-12 Instructions 10/2006 22. Fuel Used: Specify whether natural gas is used as the only process fuel. If a fuel other than natural gas is used, include the PI02F form identifying all fuels used for the process, and complete the applicable PI-02 forms for the combustion process. Part E: Emission Factors Part E identifies the emission factors used to calculate air emissions from this process. 23. Process Unit: Identify the process and include the identification number for the unit, if applicable. 24. 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. 25. Emission Factor: Provide the relevant emission factor including the appropriate units (e.g., lb/units, lbs/ton, lbs/gal, lbs/cf, etc.). 26. 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. Part F: Emission Controls and Limitations Part F identifies control technology, control techniques, or other process limitations that impact air emissions. 27. Are the Hopper Emissions controlled? Specify whether the hopper emissions are controlled in the receiving area or the grain processing area. 28. 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. 29. Control Techniques: Identify all control techniques used for this process. 30. 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 G: Federal Rule Applicability Part G identifies any federal rules that apply to the process. 31. 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. 32. 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. 33. 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 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 4 of 4 PI-12 Instructions 10/2006 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. 34. 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. 35. 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-12: www.in.gov/icpr/webfile/formsdiv/52552.doc 2. Adobe PDF version of form PI-12: www.in.gov/icpr/webfile/formsdiv/52552.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. U.S. EPA’s Clearinghouse for Inventories & Emission Factors: www.epa.gov/ttn/chief/index.html 7. Appendix A of AP-42: www.epa.gov/ttn/chief/ap42/appendix/appa.pdf 8. United States Environmental Protection Agency (US EPA): www.epa.gov 9. Rules and Implementation section of U.S. EPA’s Air Toxics Website: www.epa.gov/ttn/atw/eparules.html 10. 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 11. IDEM, OAQ’s information regarding submittal of confidential business information: www.in.gov/idem/permits/air/apps/cbi.html 12. 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-12: Grain Elevators 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 52552 (R / 1-07) INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT • NOTES: • The purpose of this form is to obtain detailed information about the grain elevator process. Complete one form for each elevator (or group of identical elevators). Use additional forms as necessary. This is a required form. Detailed instructions for this form are available online at www.idem.IN.gov/permits/air/apps/instructions/pi12instructions.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: Grain Elevator Summary Part A summarizes the main parameters of the grain elevator operation. 1. Process Installation Date: (actual or anticipated) 2. Grain Variety: 3. Maximum Processing Rate: (check all that apply) (bushels/year) 4. Is the Grain Cleaned prior to processing? Corn No Yes: % cleaned: Soybeans No Yes: % cleaned: Wheat No Yes: % cleaned: Oats No Yes: % cleaned: Other: No Yes: % cleaned: 5. Is the Receiving Area open or enclosed? Open 6. Loading Source: Truck ( Enclosed ) Rail ( ) ( Barge ( ) ) (check all that apply and indicate the percentage) Other: PART B: Storage Details Part B details the parameters specific to the drying operations of the grain elevator. If there are multiple process units that are identical in nature, capacity, and use, you may use one form to summarize the data for the identical process units. 7. Storage Units: (check all that apply) 8. Quantity: 9. Unit ID(s): 10. Number of Times Filled Annually: 11. Storage Capacity: (bushels) Silo(s) Bin(s) Other (specify): Total Storage Capacity: Continued on Next Page Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department Of Environmental Management Office Of Air Quality State Form 52552 (R / 1-07) Process Information – Grain Elevators FORM PI-12 Page 2 of 3 PART C: Grain Handling System Details Part C details the parameters specific to the drying operations of the grain elevator. If there are multiple process units that are identical in nature, capacity, and use, you may use one form to summarize the data for the identical process units. 12. Grain Handling System: 13. Quantity: 14. Unit ID(s): 15. Are the Conveyors Totally Enclosed? 16. Are the Transfer Points Totally Enclosed? (check all that apply) Auger Yes No Yes No Belt Conveyor Yes No Yes No Bucket Conveyor Yes No Yes No Drag Conveyor Yes No Yes No Pneumatic Yes No Yes No Yes No Yes No Other (specify): 17. Spout Type: Fixed Down Spout Telescope Down Spout Dead Box Other: PART D: Dryer Details Part D details the parameters specific to the drying operations of the grain elevator. If there are multiple process units that are identical in nature, capacity, and use, you may use one form to summarize the data for the identical process units. 18. Dryer Types: 19. Quantity: 20. Unit ID(s): 21. Dryer Specific Parameters: 22. Fuel Used: (If “other”, attach (check all that apply) completed PI-02F form.) Plate Perforation Diameter (specify units): NA Rack Dryer Mesh Size NA (specify units): Other Other (specify): Drying Technique (specify): NA Column Dryer Natural Gas only Other Natural Gas only Natural Gas only Other PART E: Emission Factors Part E identifies all emission factors used to calculate air emissions from this process. 23. Process Unit: (& ID if applicable) 24. Air Pollutant: 25. Emission Factor: value 26. Source of Emission Factor (if not using AP-42, include calculations) units AP-42 AP-42 Other AP-42 Other AP-42 Other AP-42 Continued on Next Page Other Other American LegalNet, Inc. www.FormsWorkflow.com Indiana Department Of Environmental Management Office Of Air Quality State Form 52552 (R / 1-07) Process Information – Grain Elevators FORM PI-12 Page 3 of 3 PART F: Control Technology Part F identifies the methods used to control emissions from this process. Receiving Area only Grain Processing only All area are controlled 27. Are hopper emissions controlled? No areas are controlled 28. Add-On Control Technology: Identify all control technologies used for this unit, and attach completed CE-01 (unless “none”). None Baghouse / Fabric Filter – Attach CE-02. Cyclone – Attach CE-03. Other (specify): – Attach CE-10. 29. Control Techniques: Identify all control techniques used for this process. 30. Process Limitations / Additional Information: Identify any acceptable process limitations. Attach additional information if necessary. PART G: Federal Rule Applicability Part G identifies any federal rules that apply to the process. 31. Is a New Source Performance Standard (NSPS) applicable to this source? Attach a completed FED-01 for each rule that applies. Yes 40 CFR Part 60, Subpart DD No 34. Unit IDs Non-Metallic Mineral Processing Plants 40 CFR Part 60, Subpart UUU 32. Unit IDs Grain Elevators 40 CFR Part 60, Subpart OOO No Calciners and Dryers in Mineral Industries 33. Is a National Emission Standard for Hazardous Air Pollutants (NESHAP) applicable to this source? Attach a completed FED-01 for each rule that applies. 40 CFR Part 61, Subpart (specify) 40 CFR Part 63, Subpart Yes (specify) 35. 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. American LegalNet, Inc. www.FormsWorkflow.com