HomeMy WebLinkAboutDAQ-2024-010172Utah Division of Air Quality
OPERATING PERMIT APPLICATION
APPLICATION FOR: INITIAL
MODIFICATION
RENEWAL
AN APPLICATION FOR A PERMIT TO OPERATE MUST BE SUBMITTED WITHIN 12 MONTHS OF COMMENCING
OPERATION OR OCTOBER 10, 1995, WHICHEVER IS LATER; OR, FOR RENEWALS, NOT LATER THAN THE
RENEWAL DATE. This is not a stand alone document. Please refer to the Utah Administrative Code or the Permit Application
Instructions for specific details required to complete the application. Please print or type all information requested. A
completeness review will be made utilizing a Completeness Checklist. If you would like a copy of the checklist or if you have
any questions please contact the Operating Permit Section of the Division of Air Quality at (801) 536-4000. Written inquiries
may be addressed to: Division of Air Quality, Operating Permit Section, P.O. Box 144820, Salt Lake City, Utah 84114-4820.
GENERAL OWNER AND PLANT INFORMATION
1. Company name and address:
Phone: ( )
FAX: ( )
2. Company contact for environmental issues:
Phone: ( )
FAX: ( )
3. Plant name and address, and plant contact (if different
from above):
Phone: ( )
FAX: ( )
4. Owner's name and address (if different from #1):
Phone: ( )
FAX: ( )
5. Is plant permanent? Yes No If not, how long will equipment be at this location?
6. County plant is located in: ______________________ Are you within 50 miles of state border? Yes No
7. Directions to plant (street address and/or directions to site to include U.S. Geological Survey
map if necessary):
8. Identify any current Approval Order(s) (continue on separate sheet if necessary): Grandfathered? Yes No
AO#_________________Date ____/____/____ AO#_________________Date ____/____/____
AO#_________________Date ____/____/____ AO#_________________Date ____/____/____
AO#_________________Date ____/____/____ AO#_________________Date ____/____/____
9. If request for modification, previous operating permit # and date:
DAQO #____________________________ DATE: ____/____/____
10. Type of business at this plant: ___________________________________________________________________
11. Is your company a Small Business?
Yes No
12. Standard Industrial Classification (SIC) Code
(See Instructions): [ ] [ ] [ ] [ ]
OPERATING PERMIT APPLICATION FORM October 19, 2006
OPERATING PERMIT APPLICATION FORM October 19, 2006
PROCESS INFORMATION
13. Site plan of plant drawn to scale to include location of emission units (Attach as Appendix A):
14. Flow diagram of emission unit(s) at the plant to include flow rates and other applicable information (Attach as
Appendix B):
15. Detailed process/equipment description. (Attach as Appendix C)
Description must include:
Process/Equipment specific form(s) identified in the instructions
Fuels and their use Equipment used in process Description of product(s)
Raw materials used Operation schedules Description of changes to process
Production rates (include daily/seasonal variances) (if applicable)
16. Does this application contain confidential information? Yes No
If yes, mark those portions claimed confidential and submit a statement in support of the claim.
17. Are you requesting that the permit include Alternative Operating Scenario(s)? Yes No
If yes, include the detailed information described in this application for each alternative requested.
EMISSIONS RELATED INFORMATION
18. Describe all potential emissions of air pollutants. (Attach as Appendix D).
Include the following:
Emissions for which the source is major.
Emissions of regulated air pollutants.
Emissions of hazardous air pollutants.
Description of any operational constraints or work practices imposed that limit the amount of regulated or
hazardous air pollutants.
Emissions above described in appropriate units (lbs/hr, lbs/day, ppm, etc.) based on the underlying standard,
and in tons/year.
All calculations, including conversion factors as appropriate, to support the emissions data above.
19. Identify on the site plan (see #13 above) all emissions points; and all relevant building dimensions, stack
parameters, etc.
20. List and describe any insignificant emission units. (Attach as Appendix E)
21. List all air pollution control equipment and include equipment specific forms identified in the instructions.
(Attach as Appendix F)
MONITORING INFORMATION
22. List and describe all compliance monitoring devices and activities. (Attach as Appendix G)
23. Cite and describe any applicable test methods used for determining compliance. (Include with Appendix G)
APPLICABLE REQUIREMENTS
24. Cite and describe all applicable requirements with regard to (but not limited to) the following (attach as
Appendix H):
SIP HAP NSPS PSD NSR UACR Title IV Approval Order Other
25. Are there any proposed exemptions from applicable requirements? (If yes, attach as Appendix I) Yes No
OPERATING PERMIT APPLICATION FORM October 19, 2006
ADDITIONAL INFORMATION
26. Is the trading of emissions involved? (If yes, include detailed description as Appendix J) Yes No
27. Has a Risk Management Plan been forwarded to Region VIII, EPA, in accordance with 40 CFR Part 68?
Yes No RMP Not Required
COMPLIANCE PLAN AND CERTIFICATION
28. Compliance Plan (Attach as Appendix K)
Plan must include the following:
Description of compliance status with respect to all applicable requirements.
A statement that source will continue to comply with all requirements with which the source is in compliance.
A statement that source will comply with any requirement that becomes effective during term of permit.
For requirements not being complied with, a detailed narrative description of how you will achieve compliance.
29. Compliance Schedule (Include with Appendix K)
Schedule must include the following:
A statement that source will continue to comply with all requirements with which the source is in compliance.
A statement that source will comply with any requirement that becomes effective during term of permit.
A schedule of remedial measures to come into compliance with any requirement not being met. Include any
outstanding Notice Of Violations (NOVs) and date.
An enforceable sequence of actions, with milestones, leading to compliance.
A schedule for submission of certified progress reports at least every 6 months for sources out of compliance.
30. Compliance Plan Certification (Attach as Appendix L)
The responsible official must certify the truth, accuracy, and completeness of the compliance plan in accordance
with R307-415-5c(9) and provide other information related to compliance.
Include a certification of compliance with all applicable requirements by a responsible official consistent with
R307-415-5d.
Include a statement of the methods used for determining compliance, to include a description of:
Monitoring
Recordkeeping
Reporting requirements
Test methods
Include a schedule for submission of compliance certifications during the permit term to be submitted annually
or as specified by the applicable requirement.
Include a statement indicating the compliance status with any applicable enhanced monitoring and compliance
certification requirements of the Act.
CERTIFICATION OF APPLICATION
31. In accordance with UAC R307-415-5d, I hereby certify that the information and data submitted in and with this
application are true, accurate and complete, based on information and belief formed after reasonable inquiry.
Signature: Title:
32.
_______________________________________
Name (Typed or printed)
33. Telephone Number:
( )
34. Date: