United States Environmental Protection Agency

Acid Rain and CAIR Program OMB Nos. 2060

- 0258 and 2060

- 0570 Approval Expires 11/30/2012 

# R etired Unit Exemption

For more inform ation, see instructions and refer to 40 CFR 72.8, 96.105, 96.205, and 96.305, or a comparable state regulation, as applicable.

This submission is: New Revised

STEP 1 Identify the unit by facility (source) name, State,

ORIS /plant code and unit

ID#. Facility (Source) Name State ORIS/Plant Code Unit ID#

STEP 2 Indicate the program(s) that the unit is subject to: 

###  Acid Rain

 CAIR NO X 

### Annual

 CAIR SO 2 

###  CAIR NO X 

### Ozone Season

STEP 3 Identify the date on which the unit was (or will be) permanently retired.

STEP 4 If the unit is subject to the Acid Rain Program

, identify the first full calendar year in which the unit meets (or will meet) the requirements of 40

CFR 72.8(d). January 1, _________________

___

STEP 5 Read the appropriate special provisions. Acid Rain Program Special Provisions

(1) A unit exempt under 40 CFR 72.8 shall not emit any sulfur dioxide and nitrogen oxides starting on the date that the exemption takes effect. The owners and operators of the unit will be allocated allowances in accordance with 40 CFR part 73 subpart B. (2) A unit exempt under 40 CFR 72.8 shall not resume operation unless the designated representative

of the source that includes the unit submits a complete Acid Rain permit application under 40 CFR 72.31 for the unit not less than 24 months prior to the date on which the unit is first to resume operation. (3) The owners and operators and, to the extent applicable, th e designated representative of a unit

exem pt under 40 CFR 72.8 shall comply with the requirements of the Acid Rain Program concerning all periods for which the exemption is not in effect, even if such requirements arise, or must be complied with, after the exemption takes effect. (4) For any period for which a unit is exempt under 40 CFR 72.8, the unit is not an affected unit under

the A cid Rain Program and 40 CFR part 70 and 71 and is not eligible to be an opt

- in source under 40 CFR part 74. As an unaffe cted unit, the unit shall continue to be subject to any other applicable requirements under 40 CFR parts 70 and 71. (5) For a period of 5 years from the date the records are created, the owners and operators of a unit exempt under 40 CFR 72.8 shall retain, at the source that includes the unit, records demonstrating that the unit is permanently retired. The 5

- year period for keeping records may be extended for cause, at any time prior to the end of the period, in writing by the Administrator or the permitting authority. The owners and operators bear the burden of proof that the unit is permanently retired. (6) On the earlier of the following dates, a unit exempt under 40 CFR 72.8(b) or (c) shall lose its exemption and become an affected unit under the Acid R ain Program and 40 CFR part 70 and 71: (i) the date on which the designated representative submits an Acid Rain permit application under paragraph (2); or (ii) the date on which the designated representative is required under paragraph (2)

to submit an Ac id Rain permit application. For the purpose of applying monitoring requirements under 40 CFR part 75, a unit that loses its exemption under 40 CFR 72.8 shall be treated as a new unit that commenced commercial operation on the first date on which the unit resumes operation.

EPA Form 7610

- 20 (Revised 12

- 200 9 )Retired Unit Exemption

Page 2

Plant N ame ( from S TEP 1)

CAIR NO X Annual Trading Program Special Provisions

(1) A unit exempt under 40 CFR 96.105(a) shall not emit any nitrogen oxides, starting on the date that the exemption

takes effect. (2) The permitting authority will allocate CAIR NO X allowances under 40 CFR 96 subpart EE to a unit exempt under 40 CFR 96.105(a). (3) For a period of 5 years from the date the records are created, the owners and operators of a unit exempt under 40 CFR 96.105(a) shall retain, at the source that includes the unit, records demonstrating that the unit is permanently

retired. The 5

- year period for keeping records may be extended for cause, at any time before the end of the period, in writing by the permitting authority or the Administrator. The owners and operators bear the burden of proof that the unit is permanently retired. (4) The owners and operators and, to the extent app licable, the CAIR designated representative of a unit exempt under 40 CFR 96.105(a) shall comply with the requirements of the CAIR NO X Annual Trading Program concerning all periods for which the exemption is not in effect, even if such requirements arise, or must be complied with, after the exemption takes effect. (5) A unit exempt under 40 CFR 96.105(a) and located at a source that is required, or but for this exemption would be required, to have a title V operating permit shall not resume operation unless the CAIR designated representative of the source submits a complete CAIR permit application under 40 CFR 96.122 for the unit not less than 18 months (or such lesser time provided by the permitting authority) before the later of January 1, 2009 or the date on which the unit resumes operation. (6) On the earlier of the following dates, a unit exempt under 40 CFR 96.105(a) shall lose its exemption: (i) The date on which the CAIR designated representative submits a CAIR permit application for the unit under 40 CFR 96.105(b)(5); (ii) The date on which the CAIR designated representative is required under 40 CFR 96.105(b)(5) to submit a CAIR permit application for the unit; or (iii) The date on which the unit resumes operation, if the CAIR designated representati ve is not required to submit a CAIR permit application for the unit. (7) For the purpose of applying monitoring, reporting, and recordkeeping requirements under 40 CFR 96 subpart HH, a unit that loses its exemption under 40 CFR 96.105(a) shall be treated as a unit that commences commercial operation on the first date on which the unit resumes operation.

CAIR SO 2 Trading Program Special Provisions

(1) A unit exempt under 40 CFR 96.205(a) shall not emit any sulfur dioxide, starting on the date that the exemption

takes effect. (2) For a period of 5 years from the date the records are created, the owners and operators of a unit exempt under 40 CFR 96.205(a) shall retain, at the source that includes the unit, records demonstrating that the unit is permanent ly

retired. The 5

- year period for keeping records may be extended for cause, at any time before the end of the period, in writing by the permitting authority or the Administrator. The owners and operators bear the burden of proof that the unit is permanently retired. (3) The owners and operators and, to the extent applicable, the CAIR designated representative of a unit exempt under 40 CFR 96.205(a) shall comply with the requirements of the CAIR SO 2 Trading Program concerning all periods

for which the exe mption is not in effect, even if such requirements arise, or must be complied with, after the exemption takes effect. (4) A unit exempt under 40 CFR 96.205(a) and located at a source that is required, or but for this exemption would be required, to have a title V operating permit shall not resume operation unless the CAIR designated representative of the source submits a complete CAIR permit application under 40 CFR 96.222 for the unit not less than 18 months (or such lesser time provided by the permitting authority) before the later of January 1, 2010 or the date on which the unit resumes operation. (5) On the earlier of the following dates, a unit exempt under 40 CFR 96.205(a) shall lose its exemption: (i) The date on which the CAIR designated representati ve submits a CAIR permit application for the unit under 40 CFR 96.205(b)(4); (ii) The date on which the CAIR designated representative is required under 40 CFR 96.205(b)(4) to submit a CAIR permit application for the unit; or (iii) The date on which the unit resumes operation, if the CAIR designated representative is not required to submit a CAIR permit application for the unit. (6) For the purpose of applying monitoring, reporting, and recordkeeping requirements under 40 CFR 96 subpart
HHH, a unit that lo ses its exemption under 40 CFR 96.205(a) shall be treated as a unit that commences commercial operation on the first date on which the unit resumes operation.

EPA Form 7610

- 20 (Revised 12

- 200 9 )Retired Unit Exemption

Page 3

Plant N ame ( from S TEP 1)

CA IR NO X Ozone Season Trading Program Special Provisions

(1) A unit exempt under 40 CFR 96.305(a) shall not emit any nitrogen oxides, starting on the date that the exemption

takes effect. (2) The permitting authority will allocate CAIR NO X Ozone Season allowances under 40 CFR 96 subpart EEEE to a unit exempt under 40 CFR 96.305(a). (3) For a period of 5 years from the date the records are created, the owners and operators of a unit exempt under 40 CFR 96.305(a) shall retain, at the source that includes the unit, records demonstrating that the unit is permanently

retired. The 5

- year period for keeping records may be extended for cause, at any time before the end of the period, in writing by the permitting authority or the Administrator. The owners and operators bear the burden of proof that the unit is permanently retired. (4) The owners and operators and, to the extent applicable, the CAIR designated representative of a unit exempt under 40 CFR 96.305(a) shall comply with the requirements of the CAIR NO X Ozone Season Trading Program concerning all periods for which the exemption is not in effect, even if such requirements arise, or must be complied with, after the exemption takes effect. (5) A unit exempt under 40 CFR 96.305(a) and located at a source that is required, or but for this exemption would be required, to have a title V operating permit shall not resume operation unless the CAIR designated representative of the source submits a complete CAIR permit applicatio n under 40 CFR 96.322 for the unit not less than 18 months (or such lesser time provided by the permitting authority) before the later of January 1, 2009 or the date on which the unit resumes operation. (6) On the earlier of the following dates, a unit exempt under 40 CFR 96.305(a) shall lose its exemption: (i) The date on which the CAIR designated representative submits a CAIR permit application for the unit under 40 CFR 96.305(b)(5); (ii) The date on which the CAIR designated representative is required u nder 40 CFR 96.305(b)(5) to submit a CAIR permit application for the unit; or (iii) The date on which the unit resumes operation, if the CAIR designated representative is not required to submit a CAIR permit application for the unit. (7) For the purpose of applying monitoring, reporting, and recordkeeping requirements under 40 CFR 96 subpart HHHH, a unit that loses its exemption under 40 CFR 96.305(a) shall be treated as a unit that commences commercial operation on the first date on which the unit resumes operation.

EPA Form 7610

- 20 (Revised 12

- 200 9 )EPA Form 7610

- 20 (Revised 12

- 200 9 ) Retired Unit Exemption

Plant N ame ( from S TEP 1 ) Page 4

STEP 6

Read the statement of

c ompliance and the appropriate certification

statements and sign

and date. Statement of Compliance I certify t hat the unit identified above at STEP 1 was (or will be) permanently retired on the date

identified at STEP 3 and will comply with the appropriate S pecial Provisions listed at STEP 5.

Certification (for Acid Rain or CAIR designa ted representatives or alternate Acid Rain or CAIR designated representatives only ) I am authorized to make this submission on behalf of the owners and operators of the source and unit 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 sta tements 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 Title

Owner Company Name

Phone Email

Signature Date

Certification (for certifying officials of units subject to the Acid R ain P rogram only ) 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 Title

Owner Company Name

Phone Email

Signature Date

# Instructions for Submission of the Retired Unit Exemption Notice

Please type or print. If you have any questions regarding the submission of the Retired Unit Exemption
notice, contact Robert Miller at miller.robertl@epa.gov or 202.343.9077, or contact your local, S tate, or EPA Regional Acid Rain or CAIR contact, as appropriate. You may also call U.S. EPA's Acid Rain Hotline at (202)

343

- 9620.

Any reference in these instructions to the Designated Representative means the Acid Ra in Designated Representative and/or CAIR Designated Representative, as applicable. Any reference to the Alternate Designated Representative means the Alternate Acid Rain Designated Representative and/or the Alternate CAIR Designated Representative, as applicable. The Acid Rain Designated Representative and the CAIR Designated Representative for a facility (source) must be the same individual, and the Alternate Acid Rain Designated Representative and the Alternate CAIR Designated Representative for a facility (source) must be

the same individual.

Submission Deadline: For units subject only to CAIR, submit the retired unit exemption notice no later than 30 days after the date the unit is permanently retired (i.e.

, within 30 days of the date entered at STEP 3). For units subject only to the Acid Rain Program, submit the form by December 31 of the first year the unit is to be exempt. If the unit is subject to the Acid Rain Program and to CAIR, submit the retired unit exemption notice no later than 30 days a fter the date the unit is permanently retired (i.e., within 30 days of the date entered at STEP 3).

STEP 1 Enter the facility name and state where the unit is located, the ORIS/Plant Code for the facility, and
Unit ID for the unit, consistent with the dat a listed on the most current Certificate of Representation for the facility. A Plant Code is a 4 or 5 digit number assigned by the Department of Energy = s (DOE) Energy Information Administration (EIA) to facilities that generate electricity. For older fac ilities, "Plant Code" is synonymous with "ORISPL" and "Facility" codes. If the facility generates electricity but no Plant Code has been assigned, or if there is uncertainty regarding what the Plant Code is, contact EIA at (202) 586

- 4258 or (202) 586

- 2402 . For facilities that do not produce electricity, use the facility identifier assigned by EPA (beginning with "88"). If the facility does not produce electricity and has not been assigned a facility identifier,

contact Laurel DeSantis at desantis.laurel@epa.gov or (202) 343

- 9191.

STEP 2 I dentify the programs to which the unit is subject.

STEP 3 Ent er the date on which the unit was (or will be) permanently retired.

STEP 4 If the unit is subject to the Acid Rain Program , identify the first full calendar year in which the unit meets (or will meet) the requirements of 40 CFR 72.8(d).

STEP 5 Read the appropriate special provisions.

STEP 6 Read the appropriate certification statements, sign, and date.

For units subject only to the Acid Rain Program, if no designated representative has been authorized, a certifying official for each owner of the unit must read the certification at STEP 6 labeled "for certifying officials

of Acid Rain affected units only

, @ enter his or her name, title, name of the owner company for which he or she is the certifying official, phone number, email address, and then sign and date. A certifying official is not required to submit a Certificate of Representation. If there is more than one owner of a unit for which no designated representative has been authorized, each owner of the unit must have a certifying official sign the appropriate certification at STEP 6.

### Submit the original Retired Unit Exemption notice to the title V permitting authority for the facility, and a copy

to U.S. EPA:

For regular/certified mail:

U.S. Environmental Protection Agency Clean Air Markets Division (6204J)

Attenti on: Retired Unit Exemption 1200 Pennsylvania Avenue, NW Washington, DC 20460 For overnight mail:

U.S. Environmental Protection Agency Clean Air Markets Division (6204J) Attention: Retired Unit Exemption 1310 L Street, NW

Second Floor Washington, DC 20005 (202) 343

- 9191

Paperwork Burden Estimate

The public reporting and recordkeeping burden for this collection of information is estimated to average 3 .5 hours per response annually. Burden means the total time, effort, or financial resources expended by persons to generate, maintain, retain, or disclose or provide information to or for a Fed eral agency. This includes the time needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes of collecting, validating, and verifying information, processing and maintaining information, and disclosing and providing information; adjust the existing ways to comply with any previously applicable instructions and requirements; train personnel to be able to respond to a collection of information; search data sources; complete and review the collection of information; and transmit or otherwise disclose the information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Send comments on the Ag ency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW., Washington, D.C. 20460. Include the OMB control number in any
correspondence. Do not send the completed form to this address.