### United States

Environmental Protection Agency

Acid Rain Program OM B No. 2060

- 0258

A pproval e xpir es 11/30/2012 

# Opt

- In Permit Application

For more information, see instructions and refer to 

### 40 CFR 

### 74.16 Page 1



### STE P 1

Identify the facility by plant

name, State, ORIS code from

NA D B (if known), and

operator's name. Plant Name State ORIS Code

Operating Company Name



### STEP 2

Identify the combustion

source by unique ID number

and short name assigned by

the operating company. Combustion Source ID# Short Name



### STEP 3

Enter the requested

information on the location of

the source. Plant Site Address

Count y Latitude Longitude

Plant Mailing Address



### STEP 4

Check the appropriate box. Has the combustion source pr eviously participated in the Opt

- in Program?

Yes No

If Yes, enter the effecti v e dat e of the most recent opt

- in permit

------------ > mm/dd/yy



### STEP 5

Briefly describe the

combustion source and the

facility. Attach the required

information. General facility description

Combustion source description

A diagram showing the configuration of the combustion source and the facility is attached.

Date EPA Form 7610

- 26 (Rev 12

- 2009)

### Opt

- in Permit Application - Page 2

OMB No. 2060

- 0258

Plant Name (from Step 1) Combustion Source ID #



### STEP 6

Indicate whether the

combustion source has SO 2 

### controls. Scrubber Other Controls Uncontrolled

(specify)



### STEP 7

Check the top box and the

second or third box and attach

the r equired information. Two copies of a complete Monitoring Plan (as required by 40 CFR parts 74 and 75) are attached.

A completed Certificate of Representation is attached.

A completed Certificate of Representation has been previously submi tted.



### STEP 8

Specify the compliance plan

for the combustion source.

Check the second box to

identify an additional method

of compliance. X Hold allowances in accordance with 40 CFR 72.9(c)(1)

A Thermal Energy Plan is attached. This combustion source seeks to transfer allowances to one or

more replacement units for the replacement of thermal energy.



### STEP 9

Provide the required

information on the operating

history of the combustion

source. Indicate that the

required documentation is

attached. Date the combustion source commenced operation

--------------------- > mm/yy

Number of hours the combustion source operated during the six

months immediately preceding this application

-------------------------- -- > Hrs

Preceding six months of

operation

- ------------------------ Start

mm/yy – End (Date of Application)

- > mm / yy

Data supporting determination of operating hours are attached.



### STEP 10

Identify the time period for

which the baseline data is

provided. Baseline 19 85 - 1987

Alternative Baseline, beginning with

--------------------------------------- >

year

Combustion source began operation after 1985.

Combustion source was subject to natural catastrophe

during 1985 - 1987. Documentation of natural catastrophe is

attached.

worksheets 

### STEP 11

Complete and attach one

worksheet for each type of

fuel used at the combustion

source. Number of completed worksheets attached

------- ----------------------------- >

Date EPA For m 7610

- 26 (R ev 12

- 2009 )

### Opt

- in Permit Application - Page 3

OMB No. 2060

- 0258

Plant Name (from Step 1) Combustion Source ID #



### STEP 12

For each fuel type used at the

combustion source, indicate

that a worksheet is attached,

enter the total 1985 (or first

year) fuel consumption from

the bottom row of the

worksheet, and enter the

average of the total fuel

consumption for the three

operating years from the

bottom row of the worksheet.

Enter the S O 2 

### emissions for

the first operating year fr om

each worksheet. Total 1985 (or first year) Average Annual SO 2 Fuel Type Fuel Consumption Fuel Consumption

Bituminous Coal

mmBtu mmBtu

Subbituminous Coal

mmBtu mmBtu

Lignite Coal

mmBtu mmBt u

Distillate Oil

mmBtu mmBtu

Residual Oil

mmBtu mmBtu

Natural Gas

mmBtu mmBtu

Other (describe):

mmBtu mmBtu

Other (describe ):

mmBtu mmBtu Emissions for 1985

(or first year)

lbs

lbs

lbs

lbs

lbs

lbs

lbs

lbs



### STEP 13

Enter the total 1985 (or first

year) fuel consumption, the

total average annual fuel

consumption, and the total

1985 (or first year) actual S O 2 

### emissions for all fuels used. (a) (b) (c)

T otal Average

Total 1985 Annual Total SO 2 Emissions

(or first year) Fuel Consumption for 1985

Fuel Consumption (Baseline) (or first year)

mmBtu mmBtu l bs



### STEP 14

Calculate the actual 1985 (or

first year) S O 2 

### emissions rate. Total SO 2 Emissions for

1985 (or first year)

mmBtu 

### ÷ Total 1985 (or first year)

Fuel Consumption

mmBtu 

### = Actual 1985 (or fist year)

SO 2 Emissions Rate

l bs/mmBtu

Date EPA Form 7610

- 26 ( Rev 12

- 2009 )

### Opt

- in Permit Application - Page 4

OMB No. 2060

- 0258

Plant Name (from Step 1) Combustion Source ID #

STEP 15

Enter information for the 1985 (or

first year) allowable SO 2 emissions

rate. Regulatory Limit

Conversion Factor

Converted Rate X



### = Limit Units of Measure

lbs/ mmBtu

lbs/ mmBtu Averaging Period

Annualizatio n Factor

Annualized Rate X



### =

STEP 16

Enter the current allowable SO 2 emissions rate. Regulatory Limit Limit Units of Measure Averaging Period

Conversion Factor X

Converted Rate 

### = lbs /mmBtu

STEP 17

Enter the current promulgated SO 2 emissions limit, if different from

the current allowable SO 2 emissions rate. Limit Units of Measure Averaging Period

Regulatory Limit

Conversion Factor X

lbs/mmBt u Converted Rate 

### =

STEP 18

Identify the regulatory citations for

the SO 2 emissions limits in Steps

15

- 17. Regulatory

Limit Effective Date Regulatory Citation and Name of Permitting Authority

1985 (1st yr)

Allowable

(Step 15)

Current

Allowable

(Step 16)

Current

Promulgated

(Step 17)

Date EPA Form 7610

- 26 (Rev 12

- 2009 )

### Opt

- in Permit Application - Page 5

OMB No. 2060

- 0258

Plant Name (from Step 1) Combustion Source ID #



### STEP 19

Calculate and enter the

proposed allowances f or the

combustion source. Baseline (Step 13(b))

mmBtu X Lowest of 3

SO 2 Emission Rates

lbs/mmBtu 

### ÷ 2,000 = Proposed Allowances

allowances



### STEP 20

Calculate and enter the

proposed allowances for the

combustion source, if the

current promulgat ed S O 2 

### emissions limit differs from the

current allowable S O 2 

### emissions rate. Baseline (Step 13(b))

mmBtu X Lowest of 4 SO 2 Emission Rates

lbs/mmBtu 

### ÷ 2,000 = Proposed Allowances

allowances



### STEP 21

Read the Opt

- in Program

requirements and

cer tifications, and sign and

date. Opt

- in Program Requirements

Permit Requirements

.

(1) The designated representative of each combustion source under 40 CFR part 74 shall:

(i) Submit a complete opt

- in permit application (including a compliance plan).

(ii) Submit in a timely manner any supplemental information that the Administrator or the permitting authority

determines is necessary to review an opt

- in permit application and issue or deny an opt

- in permit;

(2) The owners and operators of each combustion source under 40 CFR part 74 shall:

(i) Have an opt

- in permit; and

(ii) Operate the opt

- in source in compliance with the opt

- in permit.

Monitoring Requirements

.

(1) The owners and operators and, to the extent applicable, the designated representative of e ach combustion source and

each opt

- in source shall comply with the monitoring requirements of 40 CFR Parts 74 and 75.

(2) The emissions measurements recorded and reported in accordance with 40 CFR part 75 shall be used to determine

compliance by the opt -in source with the Acid Rain emissions limitations and emissions reduction requirements for sulfur

dioxide under the Acid Rain Program.

(3) The requirements of 40 CFR parts 74 and 75 shall not affect the responsibility of the owners and operators to monitor

emissions of other pollutants or other emissions characteristics at the opt

- in source under other applicable requirements of

the Act and other provisions of the operating permit for the source.

Sulfur Dioxide Requirements

.

(1) The owners and operators of each opt

- in source shall:

(i) Hold allowances as of the allowance transfer deadline, in the opt

- in source's compliance subaccount (after

deductions under 40 CFR 73.34(c)) not less than the total annual emissions of sulfur dioxide for the previous

calendar year from the opt

- in source; and

(ii) Comply with the applicable Acid Rain emissions limitations for sulfur dioxide.

(2) Each ton of sulfur dioxide emitted in excess of the Acid Rain emissions limitations for sulfur dioxide shall constitute a

separate vio lation of the Act.

(3) An opt

- in source shall be subject to the requirements under paragraph (1) of the sulfur dioxide requirements upon the

effective date of the opt

- in source's opt

- in permit.

(4) Allowances shall be held in, deducted from, or transferred among Allowance Tracking System accounts in accordance

with the Acid Rain Program, including 40 CFR parts 73 and 74.

(5) An allowance shall not be deducted in order to comply with the requirements under paragraph (1) of the sulfur dioxide

requirements prior to the calendar year for which the allowance was allocated.

(6) An allowance allocated by the Administrator under the Acid Rain Program is a limited authorization to emit sulfur dioxide

in accordance with the Acid Rain Program. No provision of the Acid Rain Program, the opt

- in permit application, or the opt

in permit, and no provision of law shall be construed to limit the authority of the United States to terminate or limit such

authorization.

(7) An allowance allocated by the Administrator under the Ac id Rain Program does not constitute a property ri ght.

Excess Emissions Requirements

.

(1) The designated representative of an affected unit that has excess emissions in any calendar year shall submit a

proposed offset plan, as required under 40 CFR part 7 7.
(2) The owners and operators of an affected unit that has excess emissions in any calendar year shall:

(i) Pay without demand the penalty required, and pay upon demand the i nterest on that penalty, as required by

40 CFR part 77; and

(ii) Comply with the terms of an approved offset plan, as required by 40 CFR part 77.

Date EPA Form 7610

- 26 (Rev 12

- 2009 )

### Opt

- in Permit Application - Page 6

OMB No. 2060

- 0258

Plant Name (from Step 1) Combustion Source ID #

Recordkeeping and Reporting R equirements

.

(1) Unless otherwise provided, the owners and operators of the opt

- in source shall keep on site at the opt

- in source each of

the following d ocuments for a period of 5 years from the date the document is created. This period may be extended for

cause, at any time prior to the end of the 5 years, in writing by the Administrator or permitting authority : (i) T he certificate of representation for the designated representative for the opt

- in source and all documents that

demonstrate the truth of the statements in the certificate of representation, in accordance with 40 CFR 72.24, provided

that the certificate and documents shall be retained on site at the op t- in source beyond such 5

- year period until such

documents are superseded because of the submis sion of a new certificate of representation changing the designated

representative;

( ii) All emissions monitoring information, in accordance with 40 CFR part 75;

( iii) Copies of all reports, compliance certifications, and other submissions, and all records made or required under the

Acid Rain Program; and

( iv) Copies of all documents used to complete an opt

- in permit application and any other submission under the Acid

Rain Program or to demonstrate compliance with the requirements of the Acid Rain Program.

(2) The designated representative of an affected source and each affected unit at the source shall submit the reports and

compliance certifications required under the Acid Rain Program, including those under 40 CFR part 72 subpart I and 40

CFR part 75

Lia bility.

(1) Any person who knowingly violates any requirement or prohibition of the Acid Rain Program or an opt

- in permit,

including any re quirement for the payment of any penalty owed to the United States, shall be subject to enforcement

pursuant to secti on 113(c) of the Act.

(2) Any person who knowingly makes a false, material statement in any record, submission, or report under the Acid Rain

Program shall be subject to criminal enforcement pursuant to section 113(c) of the Act and 18 U.S.C. 1001.

(3) No permit revision shall excuse any violation of the requirements of the Acid Rain Program that occurs prior to the date

that the revision takes effect.

(4) Each affected source and each affected unit shall meet the requirements of the Acid Rain Program.

(5) Any provision of the Acid Rain Program that applies to an affected source (including a provision applicable to the

designated representative of an affected source) shall also apply to the owners and operators of such source and of the

affected units at th e source. (6) Any provision of the Acid Rain Program that applies to an affected unit (including a provision applicable to the

designated representative of an affected unit shall also apply to the owners and operators of such affected unit. Except as

provi ded under 40 CFR 72.44 (P h ase II repowe ri ng extension plans) and 40 CFR part 76 (NO

x averaging plans), and

except with regard to the requirements applicable to affected units with a common stack under 40 CFR part 75 (including

40 CFR 75.16, 75.17, and 75.18), the owners and operators and the designated representative of one affected unit shall

not be liable for any violation by any other affected unit of which they are not owners or operators or the designated

representative and that is located at a source of which they are not owners or operators or the designated representative.

(7) Each v iolation of a provision of 40 CFR parts 72

, 73, 74, 75, 76, 77 and 78 by an affected source or affected unit, or by

an owner or operator or designated representative of s uch source or unit, shall be a separate violation of the Act.

Effect on Other Authorities. No provision of the Acid Rain Program, an opt

- in permit application, or an opt -in permit s hal l be

construed as:

(1) Except as expressly provided in title IV of the A ct, exempting or excluding the owners and operators and, to the extent

applicable, the designated representative of an affected source or affected unit from compliance with any other provision of

the Act, including the provisions of title I of the Act rela ting to applicable National Ambient Air Quality Standards or State

Implementation Plans·

(2) Limiting the number of allowances a unit can hold; prov id

ed, that the number of allowances held by the unit shall not

affect the source's obligation to comply with any other provisions of the Act;

(3) Re q uiring a change of any kind in any State law regulating electric utility rates and charges, affecting any State law

regarding such State regulation, or limiting such State regulation, including any prudence review r equirements under such

State law;

(4) Modifying the Federal Power Act or affecting the authority of the Federal Energy Regulatory Commission under the

Federal Power Act; or,

(5) Interfering with or impairing any program for competitive bidding for power s upply in a State in which such program is

established.

Certifications

I certify that, to the best of my knowledge and belief, the combustion source is not an affected unit under 40 CFR 72.6.

I certify that the data submitted under subpart C of part 74 reflects actual operations of the combustion source and has not

been adjusted in any way.

I am authorized to make this submission on behalf of the owners and operators of the combustion source or opt

- in sources

for which the submission is made. I certify under penalty of law that I have personally examined, and am familiar with, the

statements and information submitted in this document and all its attachments. Based on my inquiry of those individuals

with primary responsibility for obtaining the information, I certify that the statements and information are to the best of my

knowledge and belief true, accurate, and complete. I am aware that there are significant penalties for submitting false

statements and information or omitting required statements and information, including the possibility of fine or

imprisonment.

Name

Signature Date

EPA Form 7610

- 26 (Rev 12

- 2009 )

# Acid Rain Program

Instructions for

Opt

- in Permit Application (40 CFR 74.16)

The designated representative of a combustion source that seeks to participate in the Opt

- in Program is required to submit

an opt

- in permit application. The opt

- in permit application gives EPA necessary information about the combustion source,

such as its location, operating history, and emissions data.

Please type or print. The alternate designated representative may sign in lieu of the designated representative. For

assistance, call the Acid Rain Hotline at (202) 233

- 9620. Enter the plant name from Step 1, the combustion source ID

number from Step 2, and the date in the boxes provided on each page.

STEP 1 NADB is the National Allowance Data Base for the Acid Rain Program. To obtain the database on diskette, call

the Acid Rain Hotline at (202) 233

- 9620. This data file is in dBase format for use on an IBM

- compa tible PC. It

requires approximately 2 megabytes of hard disk space.

I f the combustion source does not have an ORIS code, use the code from the Department of Energy 867 form.

If no 867 form has been filed for the combustion source, leave this space blank, and EPA will assign a code.

STEP 2 The combustion source ID number and the combustion source short name are the ID number and name

assigned by the operator to distinguish this combustion source from others at the facility.

STEP 3 Enter the latitude and longitude if they are known. If not, leave blank.

Enter the plant mailing address if it is different from the plant site address.

STEP 4 If the combustion source has participated in the Opt

- in Program prior to submitting the current application, the

combu stion source may not submit a new opt

- in permit application until four years after the effective date of its

most recent opt

- in permit. The opt

- in permit's effective date is defined under 40 CFR 74.14(d)(1). This

restriction does not affect participating o pt

- in sources when renewing their opt

- in permits.

STEP 5 Briefly describe the combustion source for which the opt

- in permit application is being submitted and the

facility where the combustion source is located.

**Example:**

General Facility Description: Pap er mill

Combustion Source Description: Boiler supplying steam to pulping process.

Attach a diagram showing the general layout of the facility and the location of the combustion source within the

facility.

STEP 6 Check the first box if the combustion source uses a scrubber to control SO 2 

### emissions. If the combustion

source uses other SO 2 

### control methods, check the second box and identify the method in the space provided.

If the combustion source does not use controls for SO 2 

### emissions, check the third box.

STEP 7 The combustion source must submit two copies of a complete monitoring plan with the opt

- in permit

application.

Check the second box or the third box to indicate when the Certificate of Representation for the combustion

source was submitted. The Certificate of Representation must be submitted prior to or at the same time as the

opt

- in permit application.

STEP 8 Each combustion source must hold sufficient allowances to cover its emissions of SO 2 

### as required in 40 CFR

72.9(c)(1).

If the combustion s ource seeks to transfer allowances to a replacement unit or units for the replacement of

thermal energy under 40 CFR 74.47, check the second box and submit a Thermal Energy Plan form.

### Page 2 Opt

- in Permit Application Instructions

STEP 9 Enter the month and year that the combustion source commenced operation.

Enter the number of hours that the combustion source operated during the six months preceding the application, the dates

for this six month period, and indicate that data supporting the determ ination of the number of operating hours are

attached. You may submit this data in ASCII format on a 3 1/2 inch high density floppy disk. If so, provide the file name

and a complete description of the data layout of the file.

STEP 10 If the combustion source began operating before January 1, 1985, use data from 1985, 1986 and 1987 to determine the

baseline utilization. Check the top box.

If the combustion sources began operating after January 1, 1985, or if the data required for determining the baseline

u tilization of the combustion source are not available due solely to a natural catastrophe, use data from the first three

consecutive calendar years after December 31,1985, when the combustion source operated. Check the appropriate box

and enter the first year for which data are used.

STEP 11 For each type of fuel used at the combustion source, complete and attach one Opt

- in Permit Application Worksheet. Enter

the number of worksheets attached in the box in Step 11.

STEP 12 Check the box next to each type of fuel combusted by the combustion source to indicate that a worksheet for that fuel is

attached. If a fuel type used at the combustion source is not listed, check the "Other" box at the bottom of the table, and

identify the fuel in the space provided.

Enter the total 1985 (or first year) fuel consumption, average annual fuel consumption, and S O 2 

### emissions for 1985 (or

first year) from the bottom of the worksheet for each fuel type.

STEP 13 Total the 1985 (or first year) fuel consumption amounts listed in Step 12, and enter the result in box (a).

Total the average annual fuel consumption amounts listed in Step 12, and enter the result in box (b). This is the baseline

utilization.

Total the S O 2 

### emissions for 1985 (or first year) listed in Step 12, and enter the result in box (c).

STEP 14 Enter the total SO 2 

### emissions for 1985 (or first year) from box (c) of Step 13. Divide it by the total 1985 (or first year) fuel

consumption from box (a) of Step 13. The result is the actual 1985 (or first year) S O 2 

### em issions rate.

STEPS 15,

16 and 17 In Steps 15, 16 and 17, enter the three federally enforceable S O 2 

### emissions limits used to calculate the allowance

allocation. These limits are (1) the 1985 allowable SO 2 

### emissions rate; (2) the current allowable SO 2 

### emis sions rate; and

(3) the current promulgated SO 2 

### emissions limit. Please refer to 40 CFR 72.2, 74.23, 74.24 and 74.25 for additional

descriptions of these limits.

If the regulatory limit is not measured in Ibs/mmBtu, use the appropriate conversion factor f rom the table below.

Unit of

Measurement Conversion Factors

Bituminous Coal Subbituminous Coal Lignite Coal Oil

lbs Sulfur/mmBtu 2.0 2.0 2.0 2.0

% Sulfur in fuel 1.66 2.22 2.86 1.07

ppm SO 2 

### 0.00287 0.00384

-- 0.00167

ppm Sulfur in fuel

-- -- - - 0.00334

Tons SO 2 

### /hour 2 x 8760/(annual fuel consumption for specified 1 

### year * 10 3 

### )

lbs SO 2 

### /hour 8760/(annual fuel consumption for specified 1 

### year * 10 6 

### )

1 

### Annual fuel consumption is defined in 40 CFR 74.20; specified calendar year is defined in 40 CFR 74.23(a)(2).

### Opt

- in Permit Application Instructions Page 3

For Step 15, enter the appropriate annualization factor from the table below.

Type of Combustion Source Annualization Factors

Scrubbed Unit Unscrubbed Unit

Unit Combusting Oi l,

Combination Gas, or Some 1.00 1.00

Coal Unit with Averaging Time ≤ 1 day 0.93 0.89

Coal Unit with Averaging Time = 1 week 0.97 0.92

Coal Unit with Averaging Time = 30 days 1.00 0.96

Coal Unit with Averaging Time = 90 days 1.00 1.00

Coal Unit with Averaging Time = 1 year 1.00 1. 00

Coal Unit with Federal limit, but Averaging

Time Not Specified 0.93 0.89



### Example: In 1985, a commercial boiler fueled by residual oil, with a rated capacity of 245 mmBtu per hour, was subject to a

SIP standard prohibiting the use of fuel oil with greater than 2.0% sulfur, with a three month weighted average of fuel sulfur

content. This combustion source would calculate its 1985 allowable emissions rate in Step 15 as follows:



### Regulatory Limit

Conversion Factor

Converted Rate

Annualization Factor

Annualized Rate X



### =

X



### = Limit

2.0

2.14

2.14 Units of Measure

%S

1.07

lbs/mmBtu

1.0

lbs/mmBtu Averaging Period

3 mos.

STEP 18 Enter the effective date of each SO 2 

### emissions limit in Steps 15, 16 and 17. P rovide the regulatory citation for each of

these emissions limits, and identify the permitting authority under which the emissions limit was established or through

which it is enforced.

STEP 19 Enter the baseline utilization from Step 13(b) in the first box. Enter the lowest of the three rates in Steps 14, 15 and 16 in

the second box. Divide the product by 2,000 to determine the proposed allowances for the combustion source.

STEP 20 If the combustion source does not have a current promulgated SO 2 

### e mission s limit, skip to Step 21

. Otherwise, complete

both Step 19 and Step 20. In Step 20, enter the baseline utilization from Step 13(b) in the first box. Enter the lowest of the

four limits in Steps 14, 15, 16 and 17. Divide the product by 2,000 to determine the proposed allowances for the

combustion source for when the current promulgated SO 2 

### emissions limit becomes effective.

STEP 21 Read the Opt

- in Program requirements and certifications, and sign and date.

### Page 4 Opt

- in Permit Application Instructions



## Submission Instructions

Mail the original completed opt

- in permit application and the original completed worksheet for each fuel used at the combustion source, and

three photocopies of the entire submission, to the permitting authority responsible for issuing the opt

- in permit. Initially, the EPA region is

the permitting authority. As States and, in some cases, local air pollution control agencies are authorized to issue permits under titles IV

and V, they will become permitting authorities.

Paperwork Burden Estimate

The burden on the public for collecting and reporting of information under this request is estimated at 140 hours per response. Send

comments regarding this collection of information, including suggestions for reducing the burden, to: Chief, Information Policy Branch

(2136), Environmental Protection Agency, 401 M Street SW, Washington, D.C. 20460; and to: Paperwork Reduction Project (OMB# 2 060

- 0258). Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503. **Do not send this form to**

**these addresses; see the submission instructions above.**

### United States

Environmental Protection Agency

Acid Rain Program OM B No. 2060

- 0258

Approval e xpires 1 1/ 3 0/2012



# Opt

- In Permit Application Worksheet

For more information, see instructions and refer to 40 CFR 74.20

- 74.22 

### Plant Name (from Step 1)

Combustion Source ID# (from Step 2 )

Page of



### Type of Fuel:

Fuel Units: Heat Content Units:

SO 2 

### Emissions Factor: Control System Efficiency %

Fuel Pretreatment Efficiency: %

(a) (b) (c) (d)

1985/1st Operating Year: 1986/2nd Operating Year: 1987/3rd Operating Year 1985/1st Year

Heat Fuel SO 2 % S Content Consumption Emissions Heat Fuel

Quantity %S Content Consumption Quantity Heat Fuel

% S Conte nt Consumption Quantity

Jan mmBtu mmBtu mmBtu lbs

Feb mmBtu mmBtu mmBtu lbs

Mar mmBtu mmBtu mmBtu lbs

Apr mmBtu mmBtu mmBtu lbs

May mmBtu mmBtu mm Btu lbs

June mmBtu mmBtu mmBtu lbs

July mmBtu mmBtu mmBtu lbs

Aug mmBtu mmBtu mmBtu lbs

Sep mmBtu mmBtu mmBtu lbs

Oct mmBtu mmBtu mmBtu lbs

Nov mmBtu mmBtu mmBtu lbs

Dec mmBtu mmBtu mmBtu lbs

ANNUAL mmBtu mmBtu mmBtu lbs



### Total these values for each worksheet and transfer

each total to Step 12 of the Opt

- in Permit Application 198 5 /1st Operating Year

Fuel Consumption

mmBtu 

### Average Annual Fuel

Consumption

mmBtu 

### 1985/1st yr

SO 2 

### Emissions

lbs EPA Form 7610

- 26W ( Rev 12

- 2009)

# Acid Rain Program

Instructions for Opt

- in Permit

Application Worksheet (40 CFR 74.20

- 74.22)

For each fuel used at the combustion source, the designated representative must complete a worksheet to be submitted with

the opt

- in permit application. The worksheet provides space for all of the information that is required for each fuel in 40 CFR

74.20

- 74.22. The information calculated using the worksheet is transferred to the opt

- in p ermit application and used in

determining the proposed SO 2 

### allowances for the combustion source.

Please type or print. For assistance, call the Acid Rain Hotline at (202) 233

- 9620. Enter the plant name from Step 1 and the

combustion source ID number from Step 2 of the opt

- in permit application in the boxes in the upper right corner. If more than

one worksheet is needed, photocopy the worksheet and indicate the page order and total number of worksheets (e.g., 1 of 4,

2 of 4, etc.) in the boxes in the upper right corner of each page.



## PART I - HEADING INFORMATION

F uel Units and Heat Content Units. Specify the fuel type for which the worksheet is being completed in the first space.

Select the fuel units and the heat content units for the fuel type from the chart below, and enter them in the corresponding

spaces on the worksheet.

Fuel Fuel Units Heat Content Units

Coal Thousands of tons Btu per pound

Oil Thousands of barrels Btu per barrel

Natural Gas Million standard cubic feet Btu per standard cubi c foot

Other Combustion source should specify

If the fuel type for the worksheet is not listed in the chart, the combustion source should specify the appropriate fuel units and

heat content units in the space provided on the worksheet.

SO 2 

### Emission s Factor

. C alculate the SO2 emissions factor using the following formula:

SO 2 

### Emissions Factor = (average percent of sulfur by weight) x (k)

T he value of k for several types of fuel is shown in the following chart:

Fuel Type k

Bituminous coal or an thracite 39,000

Subbituminous coal 35,000

Lignite 30,000

Distillate (light) oil 5,964

Residual (heavy) oil 6,594

Natural gas 0.6

Other fuels Combustion source should

consult with EPA

### Page 2 Opt

- in Permit Application Worksheet Ins tructions

Enter the SO 2 

### emissions factor and the corresponding units from the chart below in the space on the worksheet.



### Fuel Type SO 2 

### Emissions Factor Units

Coal lbs per thousand tons

Oil lbs per thousand barrels

Natural Gas lbs per milli on standard cubic feet

Other Combustion source should consult with EPA

If the fuel type for the worksheet is not listed in the charts, the combustion source should consult with EPA to specify the

constant to be used in the calculation and/or the SO 2 

### emissions factor units. Attach the SO 2 

### emissions factor calculation to

the worksheet.

Control System Efficiency and Fuel Pretreatment Efficiency. These are determined in Method 19 of 40 CFR part 60. Please

attach the relevant calculations.



## PART II - TAB LE INFORMATION

Operating Year. If the combustion source began operating before January 1, 1985, enter data from 1985, 1986 and 1987. If

the combustion source began operating after January 1, 1985, or if the data required on the worksheet are not available due

solely to a natural catastrophe, use data from the first three consecutive calendar years after December 31, 1985, when the

combustion source operated and for which data are available. Enter the operating years for which data are used in the

spaces at the top of the table.

Quantity, Sulfur Content (% S ), and Heat Content. This information may be submitted on a monthly or annual basis.

Fuel Consumption. This information may be submitted on a monthly or annual basis. For each month and/or each year,

det ermine the fuel consumption using the following formula:

Fuel Consumption = 

# ( quantity of fuel

consumed 

# )

x (heat content) x (unit conversion)

If submitting monthly data, total the monthly fuel consumption amounts to determine the annual fuel consumpt ion.

The unit conversion for several types of fuel is listed in the following chart:

Fuel Type Unit Conversion

Coal 2

Oil 0.001

Natural Gas 1

Combustion source must specify Other

If the fuel type for this worksheet is not listed, the combustion source must specify the unit conversion in the calculation.

Enter the annual fuel consumption for each year in the space on the bottom row of the table, and attach to the worksheet the

annual fuel consumption calculation for each of the three operating years for which data are submitted.

### Opt

- in Permit Application Worksheet Instructions Page 3

SO 2 

### Emissions for 1985 or First Operating Year

. For 1985 or the first operating year for which data are submitted,

determine the S O 2 

### emissions using the following formula:

SO 2 

### Emissions

Formula = 

# ( quantity of

fuel

consumed 

# )

x 

# ( SO 2 

### emissions

factor 

# )

x 

# (

1- control

system
efficiency 

# )

x 

# (

1- fuel

pretreatment

efficiency 

# )

If the combustion source has submitted monthly data, determine the SO 2 

### emissi ons for each month of 1985 or the first operating

year and enter the results in column (d). If the combustion source has submitted annual data, determine the SO 2 

### emissions for

the entire year, and enter the result in the appropriate box at the bottom of th e page. Attach the SO 2 

### emissions for 1985 or first

operating year calculation to the worksheet.

PART III - SUMMARY INFORMATION

1985 or First Operating Year Fuel Consumption. Calculate the fuel consumption for 1985 or the first operating year and enter

th e result in the bottom row of the table and in the box at the bottom of the worksheet. Also enter this result at Step 12 of the

opt

- in permit application for the fuel type discussed in the worksheet.

Average Annual Fuel Consumption. Average the annual fu el consumption for the three operating years, and enter the result

in the box at the bottom of the worksheet. Also enter this average at Step 12 of the opt

- in permit application for the fuel type

discussed in the worksheet.

SO 2 

### Emissions for 1985 or First Operating Year. Calculate the total S O 2 

### emissions for 1985 or the first operating year using

the formula provided above and enter the result in the box at the bottom of the worksheet. Also enter this total at Step 12 of the

opt

- in permit application for the fuel type discussed in the worksheet.