United States Environmental Protection Agency 

Acid Rain and CAIR Programs 

 OMB Nos. 2060-0258 and 2060-0570

 Approval Expires 11/31/2012

Certificate of Representation Page 1

For more information, see instructions and 40 CFR 72.24; 40 CFR 96.113, 96.213, or 96.313, or a 

comparable state regulation under the Clean Air Interstate Rule (CAIR) NOX Annual, SO2, and NOX

Ozone Season Trading Programs or 40 CFR 97.113, 97.213, or 97.313. 

This submission is:  New  Revised (revised submissions must be complete; see instructions) FACILITY (SOURCE)

 INFORMATION

STEP 1

Provide 

information for 

the facility

(source).

Facility (Source) Name State Plant Code

County Name

Latitude Longitude

STEP 2

Enter requested

information for 

the 

designated 

representative.

Name Title

Company Name

Address 

Phone Number Fax Number

E-mail address

STEP 3

Enter requested

information for 

the 

alternate 

designated 

representative.

Name Title

Company Name

Address 

Phone Number Fax Number

E-mail address

EPA Form 7610-1 (Revised 12-2009)
Facility (Source) Name (from Step 1)

Certificate of Representation - Page 2

Page of 

UNIT INFORMATION

STEP 4: Complete one page for each unit located at the facility identified in STEP 1 (i.e., for each boiler, simple cycle combustion turbine, or combined cycle combustion 

turbine) Do not list duct burners. Indicate each program to which the unit is subject, and enter all other unit-specific information, including the name of each owner and operator 

of the unit and the generator ID number and nameplate capacity of each generator served by the unit. If the unit is subject to a program, then the facility (source) is also subject.

(For units subject to the NOX Budget Trading Program, a separate "Account Certificate of Representation" form must be submitted to meet requirements under that program.)

Applicable Program(s):  Acid Rain  CAIR NOX Annual  CAIR SO2  CAIR NOX Ozone Season 

Unit ID# Unit Type

Source Category

NAICS Code

Generator ID Number Acid Rain Nameplate CAIR Nameplate 

(Maximum 8 characters) Capacity (MWe) Capacity (MWe)

Date unit began (or will begin) serving any generator producing electricity for sale 

(including test generation) (mm/dd/yyyy):

Check One:

Actual 

Projected 

Company Name:

 Owner

 Operator

Company Name:

 Owner

 Operator

Company Name:

 Owner

 Operator

Company Name:

 Owner

 Operator

Company Name:

 Owner

 Operator

EPA Form 7610-1 (Revised 12-2009)
Facility (Source) Name (from Step 1)

Certificate of Representation - Page 3

STEP 5: Read the appropriate certification statements, sign, and date.

Acid Rain Program 

I certify that I was selected as the designated representative or alternate designated representative (as applicable) by an 

agreement binding on the owners and operators of the affected source and each affected unit at the source (i.e., the source 

and each unit subject to the Acid Rain Program, as indicated in "Applicable Program(s)" in Step 4).

I certify that I have all necessary authority to carry out my duties and responsibilities under the Acid Rain Program on behalf 

of the owners and operators of the affected source and each affected unit at the source and that each such owner and 

operator shall be fully bound by my representations, actions, inactions, or submissions.

I certify that the owners and operators of the affected source and each affected unit at the source shall be bound by any 

order issued to me by the Administrator, the permitting authority, or a court regarding the source or unit.

Where there are multiple holders of a legal or equitable title to, or a leasehold interest in, an affected unit, or where a utility or 

industrial customer purchases power from an affected unit under a life-of-the-unit, firm power contractual arrangement, 

I certify that:

I have given a written notice of my selection as the designated representative or alternate designated 

representative (as applicable) and of the agreement by which I was selected to each owner and operator of 

the affected source and each affected unit at the source; and

Allowances, and proceeds of transactions involving allowances, will be deemed to be held or distributed in 

proportion to each holder's legal, equitable, leasehold, or contractual reservation or entitlement, except that, 

if such multiple holders have expressly provided for a different distribution of allowances, allowances and 

proceeds of transactions involving allowances will be deemed to be held or distributed in accordance with 

the contract.

Clean Air Interstate Rule (CAIR) NOX Annual Trading Program

I certify that I was selected as the CAIR designated representative or alternate CAIR designated representative (as 

applicable), by an agreement binding on the owners and operators of the CAIR NOX source and each CAIR NOX unit at the 

source (i.e., the source and each unit subject to the CAIR NOX Annual Trading Program, as indicated in "Applicable 

Program(s)" in Step 4).

I certify that I have all necessary authority to carry out my duties and responsibilities under the CAIR NOX Annual Trading 

Program on behalf of the owners and operators of the CAIR NOX source and each CAIR NOX unit at the source and that each 

such owner and operator shall be fully bound by my representations, actions, inactions, or submissions.

I certify that the owners and operators of the CAIR NOX source and each CAIR NOX unit at the source shall be bound by any 

order issued to me by the Administrator, the permitting authority, or a court regarding the source or unit.

Where there are multiple holders of a legal or equitable title to, or a leasehold interest in, a CAIR NOX unit, or where a utility 

or industrial customer purchases power from a CAIR NOX unit under a life-of-the-unit, firm power contractual arrangement, 

I certify that:

I have given a written notice of my selection as the CAIR designated representative or alternate CAIR 

designated representative (as applicable) and of the agreement by which I was selected to each owner and 

operator of the CAIR NOX source and each CAIR NOX unit at the source; and

CAIR NOX allowances and proceeds of transactions involving CAIR NOX allowances will be deemed to be 

held or distributed in proportion to each holder's legal, equitable, leasehold, or contractual reservation or 

entitlement, except that, if such multiple holders have expressly provided for a different distribution of CAIR 

NOX allowances by contract, CAIR NOX allowances and proceeds of transactions involving CAIR NOX

allowances will be deemed to be held or distributed in accordance with the contract.

EPA Form 7610-1 (Revised 12-2009)
Facility (Source) Name (from Step 1)

Certificate of Representation - Page 4

Page of 

Clean Air Interstate Rule (CAIR) SO2 Trading Program

I certify that I was selected as the CAIR designated representative or alternate CAIR designated representative (as applicable), 

by an agreement binding on the owners and operators of the CAIR SO2 source and each CAIR SO2 unit at the source (i.e., the

source and each unit subject to the SO2 Trading Program, as indicated in "Applicable Program(s)" in Step 4).

I certify that I have all necessary authority to carry out my duties and responsibilities under the CAIR SO2 Trading Program, on 

behalf of the owners and operators of the CAIR SO2 source and each CAIR SO2 unit at the source and that each such owner 

and operator shall be fully bound by my representations, actions, inactions, or submissions.

I certify that the owners and operators of the CAIR SO2 source and each CAIR SO2 unit at the source shall be bound by any 

order issued to me by the Administrator, the permitting authority, or a court regarding the source or unit.

Where there are multiple holders of a legal or equitable title to, or a leasehold interest in, a CAIR SO2 unit, or where a utility or 

industrial customer purchases power from a CAIR SO2 unit under a life-of-the-unit, firm power contractual arrangement, 

I certify that:

I have given a written notice of my selection as the CAIR designated representative or alternate CAIR 

designated representative (as applicable) and of the agreement by which I was selected to each owner and 

operator of the CAIR SO2 source and each CAIR SO2 unit at the source; and

CAIR SO2 allowances and proceeds of transactions involving CAIR SO2 allowances will be deemed to be held 

or distributed in proportion to each holder's legal, equitable, leasehold, or contractual reservation or entitlement, 

except that, if such multiple holders have expressly provided for a different distribution of CAIR SO2 allowances 

by contract, CAIR SO2 allowances and proceeds of transactions involving CAIR SO2 allowances will be 

deemed to be held or distributed in accordance with the contract.

Clean Air Interstate Rule (CAIR) NOX Ozone Season Trading Program

I certify that I was selected as the CAIR designated representative or alternate CAIR designated representative (as applicable), 

by an agreement binding on the owners and operators of the CAIR NOX Ozone Season source and each CAIR NOX Ozone 

Season unit at the source (i.e., the source and each unit subject to the CAIR NOX Ozone Season Trading Program, as indicated 

in "Applicable Program(s)" in Step 4).

I certify that I have all necessary authority to carry out my duties and responsibilities under the CAIR NOX Ozone Season Trading 

Program on behalf of the owners and operators of the CAIR NOX Ozone Season source and each CAIR NOX Ozone Season unit 

at the source and that each such owner and operator shall be fully bound by my representations, actions, inactions, or 

submissions.

I certify that the owners and operators of the CAIR NOX Ozone Season source and each CAIR NOX Ozone Season unit shall be 

bound by any order issued to me by the Administrator, the permitting authority, or a court regarding the source or unit.

Where there are multiple holders of a legal or equitable title to, or a leasehold interest in, a CAIR NOX Ozone Season unit, or 

where a utility or industrial customer purchases power from a CAIR NOX Ozone Season unit under a life-of-the-unit, firm power 

contractual arrangement, I certify that:

I have given a written notice of my selection as the CAIR designated representative or alternate CAIR 

designated representative (as applicable) and of the agreement by which I was selected to each owner and 

operator of the CAIR NOX Ozone Season source and each CAIR NOX Ozone Season unit; and

CAIR NOX Ozone Season allowances and proceeds of transactions involving CAIR NOX Ozone Season 

allowances will be deemed to be held or distributed in proportion to each holder's legal, equitable, leasehold, or 

contractual reservation or entitlement, except that, if such multiple holders have expressly provided for a 

different distribution of CAIR NOX Ozone Season allowances by contract, CAIR NOX Ozone Season allowances 

and proceeds of transactions involving CAIR NOX Ozone Season allowances will be deemed to be held or 

distributed in accordance with the contract.

EPA Form 7610-1 (Revised 12-2009)
Facility (Source) Name (from Step 1)

Certificate of Representation - Page 5 

Page  f 

General

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

Signature (Designated Representative) Date

Signature (Alternate Designated Representative) Date

EPA Form 7610-1 (Revised 12-2009)
1 

Instructions for the Certificate of Representation

Note: The Certificate of Representation information can be submitted online through the 

CAMD Business System (CBS) at https://camd.epa.gov/cbs/index.cfm. You must have a user 

ID and password. If you need a user ID and password, or if you have questions about CBS, contact 

Laurel DeSantis at desantis.laurel@epa.gov or (202) 343-9191, or Alex Salpeter at 

salpeter.alex@epa.gov or (202) 343-9157.

Any reference in these instructions to the Designated Representative means the Acid Rain 

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. As reflected in 

this form, the Acid Rain Designated Representative, 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. 

Please type or print. Submit one copy of page 2 for each unit subject to the Acid Rain Program or a 

CAIR Trading Program at the facility (source), and indicate the page order and total number of 

pages (e.g., 1 of 4, 2 of 4, etc.) in the boxes in the upper right hand corner of page 2. A Certificate 

of Representation amending an earlier submission supersedes the earlier submission in its 

entirety and must therefore always be complete. Submit one Certificate of Representation form 

with original signature(s). NO FIELDS SHOULD BE LEFT BLANK. For assistance, contact Laurel 

DeSantis at desantis.laurel@epa.gov or (202) 343-9191. 

STEP 1 

(i) 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 facilities, "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) 586-4325 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. 

(ii) Enter the latitude and longitude representing the location of the facility in degree decimal format.

Note that coordinates MUST be submitted in decimal degree format; in this format minutes and seconds are 

represented as a decimal fraction of one degree. Therefore, coordinates containing degrees, minutes, and 

seconds must first be converted using the formula: 

decimal degrees = degrees + (minutes / 60) + (seconds / 3600)

Example: 

39 degrees, 15 minutes, 25 seconds = 39 + (15 / 60) + (25 / 3600) = 39.2569 degrees
2 

STEPS 2 & 3

The Designated Representative and the Alternate Designated Representative must be individuals 

(i.e., natural persons) and cannot be a company. Enter the company name and address of the 

representative as it should appear on all correspondence. If an email address is provided, most 

correspondence will be emailed. Although not required, EPA strongly encourages owners and 

operators to designate an Alternate Designated Representative to act on behalf of the 

Designated Representative.

STEP 4 

(i) Complete one page for each unit subject to the Acid Rain Program or a CAIR Trading Program, 

and indicate the program(s) to which the unit is subject. (For units subject to the NOX Budget 

Trading Program, a separate "Account Certificate of Representation" form must be submitted to 

meet requirements under that program.) Identify each unit at the facility by providing the appropriate 

unit identification number, consistent with the identifiers used in previously submitted Certificates of 

Representation (if applicable) and with submissions made to DOE and/or EIA. Do not list duct 

burners. For new units without identification numbers, owners and operators must assign identifiers 

consistent with EIA and DOE requirements. Each submission to EPA that includes the unit 

identification number(s) (e.g., monitoring plans and quarterly reports) should reference those unit 

identification numbers in exactly the same way that they are referenced on the Certificate of 

Representation. Do not identify units that are not subject to the above-listed programs but are part 

of a common monitoring configuration with a unit that is subject to any of these programs. To 

identify units in a common monitoring configuration that are not subject to any of these programs, 

call the CAMD Hotline at (202) 343-9620, and leave a message under the "CEMS" submenu.

(ii) Identify the type of unit using one of the following abbreviations:

Boilers Boilers Turbines

AF

BFB

C 

CB

CFB

DB

DTF

DVF

Arch-fired boiler

Bubbling fluidized bed 

boiler

Cyclone boiler

Cell burner boiler

Circulating fluidized 

bed boiler

Dry bottom wall-fired 

boiler

Dry bottom turbo-fired 

boiler

Dry bottom verticallyfired boiler

OB

PFB

S 

T 

WBF

WBT

WVF

Other boiler

Pressurized 

fluidized bed boiler

Stoker

Tangentially-fired 

boiler

Wet bottom wallfired boiler

Wet bottom turbofired boiler

Wet bottom 

vertically-fired boiler

CC

CT

OT

Others

ICE

KLN

PRH

Combined cycle

Combustion turbine

Other turbine

Internal combustion

engine

Cement kiln

Refinery process 

heater

If there is uncertainty about how a unit should be characterized, contact Robert Miller at 

miller.robertl@epa.gov or (202) 343-9077. 
3 

(iii) Indicate the source category description that most accurately describes the purpose for which

the unit is operated by entering one of the following terms. If none of these descriptions applies to 

your unit, contact Robert Miller at miller.robertl@epa.gov or (202) 343-9077.

Automotive Stampings Industrial Boiler Petroleum Refinery

Bulk Industrial Chemical Industrial Turbine Portland Cement Plant

Cement Manufacturing Institutional Pulp and Paper Mill

Cogeneration Iron and Steel Small Power Producer

Electric Utility Municipal Waste Combustor Theme Park

(iv) Provide the primary North American Industrial Classification System (NAICS) code that most 

accurately describes the business type for which the unit is operated. If unknown, go to 

http://www.census.gov for guidance on how to determine the proper NAICS code for the unit. 

(v) Enter the date the unit began (or will begin) serving any generator producing electricity for sale, 

including test generation. Enter this date and check the "actual" box for any unit that has begun to 

serve a generator producing electricity for sale as of the date of submission of this form. (This 

information should be provided even if the unit does not currently serve a generator producing 

electricity for sale.) For any unit that will begin, but has not begun as of the date of submission of 

this form, to serve a generator producing electricity for sale, estimate the future date on which the 

unit will begin to produce electricity for sale and check the "projected" box. When the actual date is 

established, revise the form accordingly by entering the actual date and checking the "actual" box. 

Enter "NA" if the unit has not ever served, is not currently serving, and is not projected to serve, a 

generator that producing electricity for sale. You are strongly encouraged to use the CAMD 

Business System to update information regarding when a unit begins serving a generator 

producing electricity for sale. 

If you have questions regarding this portion of the form, contact Robert Miller at 

miller.robertl@epa.gov or (202) 343-9077.

(vi) For a unit subject to the Acid Rain Program or a CAIR Trading Program, that, as of the date of 

submission of this form, serves one or more generators (whether or not the generator produces 

electricity for sale), indicate the generator ID number and the nameplate capacity (in MWe) of each 

generator served by the unit. A unit serves a generator if it produces, or is able to produce, steam, 

gas, or other heated medium for generating electricity at that generator. For combined cycle units, 

report separately the nameplate capacities of the generators associated with the combustion turbine 

and the steam turbine. Please ensure that the generator ID numbers entered are consistent with 

those reported to the EIA. 

The definitions of "nameplate capacity" under the Acid Rain Program and under the CAIR Program

differ slightly. Therefore, for a unit subject to the Acid Rain Program and any CAIR Program, the 

nameplate capacity for the same generator under the Acid Rain Program and under the CAIR 

Program may differ in certain limited circumstances. Specifically, for a unit subject to the Acid Rain 

Program, the nameplate capacity of a generator, if listed in the National Allowance Database

("NADB"), is not affected by physical changes to the generator after initial installation that result in 

an increase in the maximum electrical generating output that the generator is capable of producing. 

Otherwise, for a unit subject to the Acid Rain Program or a CAIR Program, the nameplate capacity 

of a generator is affected by physical changes to the generator after initial installation that result in 

an increase in the maximum electrical generating output that the generator is capable of producing. 

In such a case, the higher maximum electrical generating output number in MWe should be reported 

in the nameplate capacity column. Enter "NA" if, as of the date of submission of this form, the unit 

does not serve a generator. 

See the definition of "nameplate capacity" at 40 CFR 72.2, 96.102, 97.102, 96.202, 97.202, 96.302, 

and 97.302, as applicable. The NADB is located at the CAMD website at
4

http://www.epa.gov/airmarkets/trading/allocations.html. If you have questions regarding nameplate 

capacity, contact Robert Miller at miller.robertl@epa.gov or (202) 343-9077; if you have questions 

regarding the NADB, contact Craig Hillock at hillock.craig@epa.gov or (202) 343-9105.

(vii) Enter the company name of each owner and operator in the "Company Name" field. Indicate 

whether the company is the owner, operator, or both. For new units, if the operator of a unit has not 

yet been chosen, indicate that the owner is both the owner and operator and submit a revised form 

when the operator has been selected within 30 days of the effective date of the selection. EPA must 

be notified of changes to owners and operators within 30 days of the effective date of the change. 

You are strongly encouraged to use the CAMD Business System to provide updated 

information on owners and operators.

STEP 5 

Read the appropriate certification statements, sign, and date. 

Mail this form to:

For regular/certified mail: For overnight mail:

U.S. Environmental Protection Agency U.S. Environmental Protection Agency

Clean Air Markets Division (6204J) Clean Air Markets Division (6204J)

Attention: Designated Representative Attention: Designated Representative

1200 Pennsylvania Avenue, NW 1310 L Street, NW

Washington, DC 20460 Second Floor

Washington, DC 20005

(202) 343-9191

Submit this form prior to making any other submissions under the Acid Rain Program, CAIR 

NOX Trading Program, CAIR SO2 Trading Program, or CAIR NOX Ozone Season Trading 

Program. Submit a revised Certificate of Representation when any information in the existing 

Certificate of Representation changes. You are strongly encouraged to use the CAMD Business 

System to provide updated information.

Paperwork Burden Estimate

The public reporting and record keeping burden for this collection of information is estimated to 

average 15 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 

Federal 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. 
5

Send comments on the Agency'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.