Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 1 of 4 PI-14 Instructions 5/2006 PROCESS INFORMATION: Volatile Organic Liquid Compound Storage – INSTRUCTIONS Microsoft Word version of PI-14 Adobe PDF version of PI-14 The purpose of PI-14 (state form 52554) is to obtain detailed information about the volatile organic liquid storage tanks with a capacity over 250 gallons. PI-14 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. NOTE: Use this form to provide summary information for a single tank or a group of identical tanks. Duplicate the form as necessary to include information on all applicable volatile organic liquid storage tanks at the source. If there are a significant number of tanks at the source, the alternate version of the PI-14 form may be used. 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 Information Part A identifies and describes the volatile organic liquid storage tank. Duplicate this form as necessary to include all applicable volatile organic liquid storage tanks. 1. Tank / Unit ID: Provide the identification number for the unit(or group of identical tanks). The identification numbers listed on this form should correspond to the emissions unit identified on the Plant Layout and Process Flow diagrams. 2. Installation Date: Provide the date on which the process unit 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 since the original installation, include the most recent modification date. 3. How many identical units are identified in this form? Indicate whether this form identifies one process unit, or a number of identical process units. Identical units must be of the same type, capacity, and installation date. If more than one identical unit, specify the number of units in the space provided. 4. Tank Location: Specify the location of the tank (or group of identical tanks). 5. Tank Type: Specify the type of tank. If none of the listed categories is applicable, specify the tank type under the “other” option. 6. Is the Tank Above Ground? Specify whether the tank is above ground or buried underground. If a tank is partially buried, it is an above ground tank. 7. Tank Orientation: Specify whether the tank is oriented horizontally or vertically. 8. Tank Color: Specify the color of the outside of the tank. 9. Materials Stored: List all materials stored in the tank and attach the Material Safety Data Sheet (MSDS) for each. American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 2 of 4 PI-14 Instructions 5/2006 10. True Vapor Pressure: Specify the true vapor pressure (PVA) in pounds per square inch at a temperature of twenty degrees Centigrade (psi at 20°C). 11. Vapor Molecular Weight: Specify the vapor molecular weight (Mv) in pounds per pound-mole (lb/lb-mol). 12. Annual Throughput: Specify the annual volatile organic liquid throughput for the tank in gallons per year (gal/hr). 13. Venting Method: Specify the method used to vent the tank. 14. Filling Method: Specify the method used to fill the tank. If none of the listed categories is applicable, specify the filling method under the “other” option. Part B: Emission Controls and Limitations Part B identifies control technology, control techniques, or other process limitations that impact air emissions. 15. 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. 16. Control Techniques: Identify all control techniques used for this process. 17. 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 C: Information Specific to Tank Type Part C identifies the physical properties of the tank. 18. Tank Diameter: Provide the tank diameter (D) in feet (ft). 19. Tank Height: Provide the tank height (Hs) in feet (ft). 20. Tank Volume / Capacity: Provide the tank volume / capacity (V) in gallons (gal) and in cubic feet (ft3). 21. Maximum Liquid Height: Provide the maximum height of the liquid inside the tank (Hlx) in feet (ft). 22. External Floating Roof: If the tank is of the external floating roof design, provide the following information. a. Average Liquid Density: Provide the average liquid density (Wl) in pounds per gallon (lb/gal). b. Roof Type: Specify whether the roof is of the pontoon or double deck design. c. Tank Construction: Specify how the tank is constructed. d. Primary Rim Seal: Specify the type of primary rim seal. e. Secondary Rim Seal: Specify the type of secondary rim seal. If there is no secondary seal, choose “None”. American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 3 of 4 PI-14 Instructions 5/2006 23. Internal Floating Roof: If the tank is of the internal floating roof design, provide the following information. a. Average Liquid Density: Provide the average liquid density (Wl) in pounds per gallon (lb/gal). b. Roof Type: Specify whether the roof is of the double deck design or use the “other” option to specify an alternate design. c. Self-Supported Fixed Roof: Specify whether the roof is self-supported and fixed in place. d. Number of Support Columns: Quantify the number of columns supporting the fixed roof. e. Deck Construction: Specify how the deck is constructed. f. Primary Rim Seal: Specify the type of primary rim seal. g. Secondary Rim Seal: Specify whether there is a secondary rim seal. 24. Variable Vapor Space: If the tank is of the variable vapor space design, provide the following information. a. Liquid Pumped into System: Specify the volume of liquid pumped into the system (V1) in gallons per year (gal/yr). b. Expansion Capacity of System: Specify the volumetric expansion capacity of the system (V2) in gallons (gal). c. Transfers into System: Quantify the total number of transfers into the system (N2) per year (transfers/yr). Part D: Emission Factors Part D identifies the emission factors used to calculate air emissions from this process. 25. 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. 26. Emission Factor: Provide the relevant emission factor including the appropriate units (e.g., lb/units, lbs/ton, lbs/gal, lbs/cf, etc.). 27. 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 E: Federal Rule Applicability Part E identifies any federal rules that apply to the process. 28. 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. 29. 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. 30. 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. American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Quality Air Permit Application Page 4 of 4 PI-14 Instructions 5/2006 ***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-14: www.in.gov/icpr/webfile/formsdiv/52554.doc 2. Adobe PDF version of form PI-14: www.in.gov/icpr/webfile/formsdiv/52554.pdf 3. Alternate version of the PI-14 form in spreadsheet format: www.in.gov/icpr/webfile/formsdiv/52555.xls 4. Air Permit Reviewer of the Day (PROD) online form: www.in.gov/idem/permits/air/prodform.html 5. Plant Layout Diagram: www.in.gov/idem/permits/air/apps/instructions/pldexample.pdf 6. Example Process Flow Diagram: www.in.gov/idem/permits/air/apps/instructions/pfdexample.pdf 7. U.S. EPA’s Clearinghouse for Inventories & Emission Factors: www.epa.gov/ttn/chief/efpac/index.html 8. Appendix A of AP-42: www.epa.gov/ttn/chief/ap42/appendix/appa.pdf 9. United States Environmental Protection Agency (US EPA): www.epa.gov/ 10. Rules and Implementation section of U.S. EPA’s Air Toxics Website: www.epa.gov/ttn/atw/eparules.html 11. 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 12. IDEM, OAQ’s information regarding submittal of confidential business information: www.in.gov/idem/permits/air/apps/cbi.html 13. 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-14: Volatile Organic Liquid Compound Storage State Form 52554 (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 all tanks larger than 250 gallons that are used to store volatile organic liquid compounds. Duplicate this form as necessary. • NOTES: Detailed instructions for this form are available online at www.idem.IN.gov/permits/air/apps/instructions/pi14instructions.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: Tank Identification Part A identifies and describes the tank. Duplicate this form as necessary to include all applicable tanks. 1. Tank/Unit ID: 2. Installation Date: (actual or anticipated) 3. Tank Location: 4. Tank Type Fixed Roof, Cone External Floating Roof, Domed Internal Floating Roof Fixed Roof, Dome External Floating Roof, Not Domed Variable Vapor Space Pressure Tank Other (specify): 5. Is the tank Above Ground? Yes No 6. Tank Orientation: Horizontal Vertical 7. Tank Color: 8. Materials Stored:(include MSDS) 9. True Vapor Pressure (PVA): pounds per square inch (psi at 20°C) 10. Vapor Molecular Weight (Mv): gallons (b/lbmole) 11. Annual Throughput: gallons per year (gal/yr) 12. Venting Method: 13. Filling Method: Submerged Not Submerged Other (specify): PART B: Emission Controls and Limitations Part B identifies control technology, control techniques or other process limitations that impact air emissions. 14. Add-On Control Technology: Identify all control technologies used for this unit, and attach completed CE-01 (unless “none”). None Other (specify): – Attach CE-10. 15. Control Techniques: Identify all control techniques used for this process. None Other (specify): Flare Vapor Recovery System – Attach GSD-09. 16. Process Limitations / Additional Information: Identify any acceptable process limitations. Attach additional information if necessary. Continued on Next Page Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department Of Environmntal Management Office Of Air Quality State Form 52554 (R / 1-07) Process Information – Volatile Organic Liquid Compound Storage FORM PI-14 Page 2 of 3 PART C: Information Specific to Tank Type Part C identifies the physical properties of the tank. 17. Tank Diameter (D): feet (ft) 18. Tank Height (Hs): feet (ft) 19. Tank Volume / Capacity (V): gallons (gal) 20. Maximum Liquid Height (Hlx): feet (ft) cubic feet (ft3) 21. External Floating Roof: Complete only if applicable. a. Average Liquid Density (WI): pounds per gallon (lb/gal) b. Roof Type: Pontoon Floating Roof Double Deck Floating Roof c. Tank Construction: Welded Riveted d. Primary Rim Seal: Vapor Mounted Liquid Mounted Mechanical Shoe e. Secondary Rim Seal: Weather Shield Rim Mounted None 22. Internal Floating Roof: Complete only if applicable. a. Average Liquid Density (WI): pounds per gallon (lb/gal) b. Roof Type Double Deck Floating Roof c. Self-supported fixed roof Yes No e. Deck Construction: Welded Riveted f. Vapor Mounted Other: (specify) d. Number of columns supporting the fixed roof Primary Rim Seal: g. Is there a Secondary Rim Seal? Yes Bolted Liquid Mounted No 23. Variable Vapor Space: Complete only if applicable. a. Volume of liquid pumped into the system (V1): gallons per year (gal/yr) b. Volume expansion capacity of system (V2): gallons (gal) c. Number of Transfers Into the System (N2) per year (/yr) PART D: Emission Factors Part D identifies all emission factors used to calculate air emissions from the storage tank. 24. Air Pollutant: 25. Emission Factor value units 26. Source of Emission Factor (if not using AP-42, include calculations) Hazardous Air Pollutant (HAP): (specify): AP-42 Other N/A Volatile Organic Compounds (VOC) AP-42 Other N/A Other (specify): AP-42 Other Other (specify): AP-42 Other Continued on Next Page American LegalNet, Inc. www.FormsWorkflow.com Indiana Department Of Environmental Management Office Of Air Quality State Form 52554 (R / 1-07) Process Information – Volatile Organic Liquid Compound Storage FORM PI-14 Page 3 of 3 PART E: Federal Rule Applicability Part E identifies any federal rules that apply to the process. 27. Is a New Source Performance Standard (NSPS) applicable to this source? If yes, attach a completed FED-01 for each rule that applies. Yes No 40 CFR Part 60, Subpart K Petroleum Liquid Storage Vessels (constructed after 6/11/1973 and before 5/19/1978) 40 CFR Part 60, Subpart Ka Petroleum Liquid Storage Vessels (constructed after 5/18/1978 and before 7/23/1984) 40 CFR Part 60, Subpart Kb Volatile Organic Liquid Storage Vessels, Including Petroleum Liquid Storage (constructed after 7/23/1984) 40 CFR Part 60, Subpart VV Equipment Leaks of VOC in the Synthetic Organic Chemicals Manufacturing Industry 40 CFR Part 60, Subpart GGG Equipment Leaks of VOC in Petroleum Refineries 40 CFR Part 60, Subpart KKK 28. Unit ID: Equipment Leaks of VOC from On-Shore Natural Gas Processing Plants 29. Is a National Emission Standard for Hazardous Air Pollutants (NESHAP) applicable to this source? If yes, attach a completed FED-01 for each rule that applies. Yes No 40 CFR Part 61, Subpart J Equipment Leaks (Fugitive Emission Sources) of Benzene 40 CFR Part 61, Subpart V Equipment Leaks (Fugitive Emission Sources) 40 CFR Part 61, Subpart Y Benzene Emissions from Benzene Storage Vessels 40 CFR Part 63, Subpart R Gasoline Distribution (Bulk Gasoline Terminals and Pipeline Breakout Stations) 40 CFR Part 63, Subpart CC Petroleum Refineries 40 CFR Part 63, Subpart HHH Natural Gas Transmission and Storage 40 CFR Part 63, Subpart EEEE 30. Unit ID: Organic Liquids Distribution (non-gasoline) 31. 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