NEBRASKA DEPARTMENT OF ENVIRONMENTAL QUALITY Air Quality Division INITIAL NOTIFICATION FORM Applicable Rule: National Emission Standards for Hazardous Air 40 CFR Part 63, Subpart ZZZZZ - Pollutants (NESHAP) for the - Promulgated January 2, 2008 Iron and Steel Foundries Area Sources Company Name: Facility ID#: Owner/Operator/Title: Mailing Address: City: Zip: Plant Address (if different than owner/operator’s mailing address): Street: City: Zip: Plant Phone Number: Plant Contact/Title: This form must be completed, signed, and submitted to the following agencies by May 1, 2008, or within 120 days of startup, whichever is later: NDEQ Air Quality Division Region VII EPA AND 1200 N Street, Atrium Suite 400 11201 Renner Blvd Lincoln, NE 68509-8922 Lenexa, KS 66219 If your facility is located in Omaha or Lancaster County, you must submit a notification to the appropriate local air pollution control agency and Region VII EPA. Keep a copy of this completed form for your records. Provide a brief description of the source (include nature, size, design, and method of operation): Identify the emission points applicable to this standard:
NEBRASKA DEPARTMENT OF ENVIRONMENTAL QUALITY Air Quality Division INITIAL NOTIFICATION FORM Applicable Rule: 40 CFR Part 63, Subpart ZZZZZ - National Emission Standards for Hazardous Air Pollutants (NESHAP) for the Iron and Steel Foundries Area Sources - Promulgated January 2, 2008 Company Name: Facility ID#: Owner/Operator/Title: Mailing Address: City: Zip: Plant Address (if different than owner/operator’s mailing address): Street: City: Zip: Plant Phone Number: Plant Contact/Title: This form must be completed, signed, and submitted to the following agencies by May 1, 2008, or within 120 days of startup, whichever is later: NDEQ Air Quality Division 1200 N Street, Atrium Suite 400 Lincoln, NE 68509-8922 AND Region VII EPA 11201 Renner Blvd Lenexa, KS 66219 If your facility is located in Omaha or Lancaster County, you must submit a notification to the appropriate local air pollution control agency and Region VII EPA. Keep a copy of this completed form for your records. Provide a brief description of the source (include nature, size, design, and method of operation): Identify the emission points applicable to this standard: