OPERATING SITE INFORMATION Briefly describe the proposed new operation and/or any change(s) to the facility: Directions to the facility: ATTACHMENTS AND SUPPORTING DOCUMENTS I have enclosed the following required documents: Check payable to WVDEP Division of Air Quality with the appropriate application fee (per 45CSR13 and 45CSR22). – Check attached to front of application. I wish to pay by electronic transfer. Contact for payment (incl. name and email address): I wish to pay by credit card. Contact for payment (incl. name and email address): $500 (Construction, Modification, and Relocation) $300 (Class II Administrative Update) $1,000 NSPS fee for 40 CFR60, Subpart IIII and/or JJJJ1 $2,500 NESHAP fee for 40 CFR63, Subpart ZZZZ 2 1 Only one NSPS fee will apply. 2 Only one NESHAP fee will apply. The Subpart ZZZZ NESHAP fee will be waived for new engines that satisfy requirements by complying with NSPS, Subparts IIII and/or JJJJ. NSPS and NESHAP fees apply to new construction or if the source is being modified. Responsible Official or Authorized Representative Signature (if applicable) Facility Location Attachment A Single Source Determination Form Attachment B – – Siting Criteria Waiver (if applicable) Attachment C Current Business Certificate Attachment D – – Process Flow Diagram Attachment E Process Description Attachment F – – Plot Plan Attachment G Area Map Attachment H – – G50-C Section Applicability Form Attachment I CBP Affected Source Sheet Attachment J – – APCD Affected Source Sheet Attachment K CBP Capture System Sheet Attachment L – – CBP Storage and Handling Sheet Attachment M Storage Vessel Data Sheet Attachment N – – Haulroad Emissions Attachment O – Internal Combustion Engine Data Sheet(s) (include manufacturer performance data sheet(s) if applicable) – Attachment P Natural Gas Fired Fuel Burning Unit(s) Data Sheet (Heaters, Boilers if applicable) Attachment Q – Emissions Calculations Attachment R CBP Emissions Summary Sheet Attachment S – – Facility Wide PTE Summary Sheet Attachment T – Class I Legal Advertisement Attachment U – One (1) paper copy and two (2) copies of CD or DVD with pdf copy of application and attachments All attachments must be identified by name, divided into sections, and submitted in order. ATTACHMENT A FACILITY LOCATION –
OPERATING SITE INFORMATION Briefly describe the proposed new operation and/or any change(s) to the facility: Directions to the facility: ATTACHMENTS AND SUPPORTING DOCUMENTS I have enclosed the following required documents: Check payable to WVDEP – Division of Air Quality with the appropriate application fee (per 45CSR13 and 45CSR22). Check attached to front of application. I wish to pay by electronic transfer. Contact for payment (incl. name and email address): I wish to pay by credit card. Contact for payment (incl. name and email address): $500 (Construction, Modification, and Relocation) $300 (Class II Administrative Update) $1,000 NSPS fee for 40 CFR60, Subpart IIII and/or JJJJ1 $2,500 NESHAP fee for 40 CFR63, Subpart ZZZZ 2 1 Only one NSPS fee will apply. 2 Only one NESHAP fee will apply. The Subpart ZZZZ NESHAP fee will be waived for new engines that satisfy requirements by complying with NSPS, Subparts IIII and/or JJJJ. NSPS and NESHAP fees apply to new construction or if the source is being modified. Responsible Official or Authorized Representative Signature (if applicable) Facility Location – Attachment A Single Source Determination Form – Attachment B Siting Criteria Waiver (if applicable) – Attachment C Current Business Certificate – Attachment D Process Flow Diagram – Attachment E Process Description – Attachment F Plot Plan – Attachment G Area Map – Attachment H G50-C Section Applicability Form – Attachment I CBP Affected Source Sheet – Attachment J APCD Affected Source Sheet – Attachment K CBP Capture System Sheet – Attachment L CBP Storage and Handling Sheet – Attachment M Storage Vessel Data Sheet – Attachment N Haulroad Emissions – Attachment O Internal Combustion Engine Data Sheet(s) (include manufacturer performance data sheet(s) if applicable) – Attachment P Natural Gas Fired Fuel Burning Unit(s) Data Sheet (Heaters, Boilers if applicable) – Attachment Q Emissions Calculations – Attachment R CBP Emissions Summary Sheet – Attachment S Facility Wide PTE Summary Sheet – Attachment T Class I Legal Advertisement – Attachment U One (1) paper copy and two (2) copies of CD or DVD with pdf copy of application and attachments All attachments must be identified by name, divided into sections, and submitted in order. A – FACILITY LOCATION ATTACHMENT
G50-C%20General%20Permit%20Application.docx