# KD^E**AQ Form** **001**

# Kansas**Department of** **Health and** **Environment 2005** **Emissions Inventory** **and Fee** **Form for** **Class Sources** **1. Source** **Information Source** **Name: Source** **Street Address:** 

# City:**Source Mailing** **Address: City:** **NAICS: HALLMARK** **CARDS, INC.** **(SELECT PRODUCTS)** **Source ID:** **4901 SELECT** **PRODUCTS DRIVE** 

# LEAVENWORTH**State: KS** 

# 4901**SELECT PRODUCTS** **DRIVE LEAVENWORTH** **323111 SIC** **code: 2754** 

# State:**KS EPATRII.D.#:** **Zip: Zip:** **1030013 66048** **66048 66048HLLMR4901S** 

# 2.**Mailing address** **for fee** **forms and** **correspondence. (Address** **may be** **left blank** **if same** **as listed** **in item** **1.)**

# Contact**Name: MICHAEL** **T. ROBERT** 

# Company**Name: HALLMARK** **CARDS, INC.** **(SELECT PRODUCTS)** **Mailing Address:** 

# 4901**SELECT PRODUCTS** **DRIVE City:** **LEAVENWORTH State:** 

# KS

# Zip:**66048 Telephone** **#: (913)** **727-6080 x247** **FAX#:**

# (913)702-3705

# E-mail:**mrobeii@hallmark.com**

# This**completed form** **must be** **signed by** **responsible official** **representing the** **owner or** **operator of** **the source.** **Emissions inventory** **information that** **is not** **confidential under** **the Kansas** **Open Records** **Act (K.S.A.** **45-215 et** **seq) and** **K.S.A. 65-3015** **may be** **made available** **to the** **public. hereby** **certify that** **the information** **and statements** **contained in** **these documents** **are true,** **accurate and** **complete. am** **aware that** **knowingly making a** **false statement** **or misrepresenting** **the facts** **presented in** **these documents** **is violation** **of state** **law. Name:** **JEFFREY D.** **DEMA Telephone:** 

# (913)**727-6692 x330** 

# Fully**complete this** **form and** **worksheets used** **in the** **2005 calendar** **year emissions** **inventory and** **fee calculation** **with the** **annual emissions** **fee payment** **and return** **by June** **1, 2006** **to:**

# Kansas**Department of** **Health and** **Environment Bureau** **of Air** **and Radiation** **1000 SW** **Jackson, Suite** **310 Topeka,** **KS 66612-1366** **Attn: Barb** **Bangert**

# If**you have** **questions about** **emission factors** **or calculations,** **please contact** **Will Stone** **at (785)** **296-6427, Barb** **Bangert at** **(785) 296-1582** **or Cathy** **Watson at** **(785) 296-1947.** 

# 12**Source ID** **Number:**

# 1030013

# Worksheet**to Determine** **if HAP** **Emissions Are** **Subject to** **Fees This** **worksheet is** **designed to** **determine whether** **you owe** **fees on** **emissions of** **single HAP** **or combination** **of HAPs.** 

# In**addition, if** **your facility** **is paying** **fees on** **PM10 and/or** **VOC emissions,** **this worksheet** **will ensure** **that you** **don't pay** **twice for** **any HAP** **emissions that** **you're already** **paying for** **as part** **of your** **PM10 and/or** **VOC fees.** **You may** **skip this** **worksheet and** **move on** **to worksheet** **13 if** **your facility** **does not** **emit any** **HAPs. IMPORTANT** **NOTE ABOUT** **ROUNDING Emissions** **should not** **be rounded** **to the** **nearest ton** **to meet** **the fee** **thresholds of** **10 tons/year** **for single** **HAP or** **25 tons/year** **for combination** **of HAPs.** **For example,** **if your** **facility emits** 

# total**of 24.5** **tons/year of** **combination of** **HAPs, you** **would enter** **24.5 tons/year** **at line** **1, but** **you would** **skip line** **because 24.5** **25 tons/year.** 

# Line**Enter the** **sum of** **the totals** **of column** **from all** **worksheet 11s.** **Line If** **line 1 is** **25 tons/year,** **enter the** **sum of** **the totals** **of columns** **and from** **all worksheet** **11s. Enter** **zero if** **there are** **no HAPs** **in columns** **and F on** **worksheet 11.** **If line** **is 25** **tons/year, skip** **to line** **4. (See** **note above** **about rounding** **at this** **step.)**

# Line**Subtract line** **from line** **and enter** **the result.** **Skip to** **line 8.** **Line If** **line is** **< 25 tons/year,** **sum the** **total emissions** **for each** **individual HAP** **on all** **worksheet 11s.** **If the** **emissions for** **any individual** **HAPs are** **10 tons/year,** **list the** **HAPs in** **lines 4a** **and 4b** **and enter** **the**

# emissions.**If no** **individual HAP** **is fc** **10 tons/year,** **move on** **to worksheet** **13. (See** **note above** **about rounding** **at this** **step.) 1.4** **1.4**

# tons/yr**tons/yr**

# tons/yr

# Line**4a Line** **4b**

# tons/yr**Line Add** **lines 4a** **and 4b** **and enter** **result.**

# Line**Sum the** **quantities of** **emissions in** **tons in** **columns and/or** **on worksheet** **11 for** **the pollutants)** **listed in** **line 4a** **and line** **4b. Enter** **zero**

# if**there are** **no emissions** **listed in** **columns and/or** **on worksheet** **11 for** **the pollutant(s)** **listed in** **line 4a** **and 4b.** **Line Subtract** **line from** **line and** **enter result.** 

# Line**If line** **is 25** **tons/year, enter** **result from** **line 3,** **otherwise enter** **result from** **line 7.** **This is** **the amount** **of HAP** **emissions subject** **to fees.** **Transfer this** **result to** **box 10** **on worksheet** **13. tons/yr** **tons/yr**

# tons/yr**Duplicate as** **necessary**

# KDHE**Air Monitoring,** **Inventory and** **Modeling**

# December**2005**

# 13

# Source**ID Number** **1030013**

# Emissions**Summary and** **Fee Calculation** **For the** **criteria pollutants,** **transfer the** **results from** **the total** **column on** **worksheet to** **boxes through** **4. Note** **that total** **PM2.S, TSP,** **NH3 and** **CO emissions** **are not** **carried forward** **to this** **worksheet because** **fees are** **not paid** **on these** **pollutants. For** **HAPs, transfer** **the total** **of column** **from worksheet** **11 (or** **line on** **worksheet 12)** **to box** **and the** **results from** **line on** **worksheet 12** **to box** **10.**

# IMPORTANT**NOTE ABOUT** **ROUNDING Total** **facility-wide emissions** **should be** **rounded to** **the nearest** **ton for** **the facility-wide** **emissions summary** **in boxes** **- 5. However,** **emissions should** **nor be** **rounded to** **the nearest** **ton to** **determine whether** **or not** **your facility** **meets the** **fee thresholds.** **For example,** **facility that** **emits total** **of 99.7** 

# tons/year**of NOX** **does not** **owe fees** **on its** **NOX emissions** **because 99.7** **tons/year 100** **tons/year.**

# Facility-Wide**Emissions Summary** **Round facility-wide** **emissions to** **the nearest** **ton before** **entering into** **boxes 1-5.** **If criteria** **emissions are** **between 99** **and 100** **tons, truncate** **the value** **to 99** **and enter** **99 in** **appropriate box** **(boxes 4).** **Total Facility-Wide** **NOX Emissions** **(tons/year) Total** **Facility-Wide VOC** **Emissions (tons/year)** **Total Facility-Wide** **PM10 Emissions (tons/year)** 

# Total**Facility-Wide SOX** **Emissions (tons/year)** **Total Facility-Wide** **HAP Emissions** **(tons/year)**

# Emissions**Fee Determination** **NOx Emissions** **Subject to** **Fees**

# If**box 100** **tons, enter** **0. If** **box > 4,000** **tons, enter** **4,000. Otherwise,** **enter box** **1. VOC** **Emissions Subject** **to Fees** 

# If**box 2 <** **100 tons,** **enter 0.** **If box** **4,000 tons,** **enter 4,000.** **Otherwise, enter** **box 2.** **PM10 Emissions** **Subject to** **Fees**

# If**box 100** **tons, enter** **0. If** **box 3 > 4,000** **tons, enter** **4,000. Otherwise,** **enter box** **3. SOX** **Emissions Subject** **to Fees** 

# box 4**100 tons,** **enter 0.** **If box** **4,000 tons,** **enter 4,000.** **Otherwise, enter** **box 4.** **HAP Emissions** **Subject to** **Fees**

# Enter**results from** **line 8,** **worksheet 12** **(rounded to** **the nearest** **ton). Sum** **of boxes** **6-10. This** **is the** **total quantity** **of emissions** **subject to** **fees. Multiply** **box 11** **by $25/ton** **and enter** **the result.** 

# Enter**your fee** **credit carried** **over from** **previous years.** **Enter 0 or** **leave blank** **if no** **ee credit** **applies.**

# Subtract**box 13** **from box** **12 and** **enter the** **result. This** **is the** **emissions fee** **due. 88** 

# $0**$0 $0** **Box1**

# Box

# Box**Box**

# Box**Box**

# Box**Box Box** **Box 10** **Box 11** 

# Box**12**

# Box**13 Box** **14 Duplicate** **as necessary** 

# KDHE**Air Monitoring, Inventory** **and Modeling** **December 2005** 

# 11/8/200

# Source**10 Facility** **Name Air** **I'lTmit Contact** **Phone**

# K1OWA**CO**

# 09700007**GREENSBURG MUNICIPAL** **POWER PLANT** **09700009 ANR** **PIPELINE COMPANY** 

# 09700010**NORTHERN NATURAL** **GAS COMPANY** **09700011 PANHANDLE** **EASTERN PIPE** **LINE COMPANY** **09700019 ONEOK** **FIELD SERVICES** **COMPANY, LLC** **09700024 ONEOK** **FIELD SERVICES** **COMPANY, LLC** **09700025 KANSAS** **GAS SERVICE** **Rick Bolfing** **Mike Parhomek** **Mike Parhomek** **Mike Parhomek** **Mike Parhomek** **Mike Parhomek** 

# Mike**Parhomek (785)296-1576** **(785)296-1580 (785)296-1580** 

# (785)296-1580**(785)296-1580 (785)296-1580** **(785)296-1580**

# LABETTE**CO 09900001** **09900010 09900011** **09900025 09900035** 

# 09900037**09900041 09900048** **09900049 09900050** 

# WESTAR**ENERGY. INC.** **Rick Bolfing** **(785) 296-1576** **KANSAS ARMY** **AMMUNITION PLANT** **Jim Stewart** **(785) 296-1556** 

# LABETTE**COUNTY HIGHWAY** **DEPT. Bert** **Bucklanti (785)** **296-6438 FRONTIER** **CHARCOAL. DIV** **OF PKGING** **SERV David** **Pete (785)** **296-1104**

# PARSONS**STATE HOSPITAL** **TRAINING CENTER** **John Ramsey** **(785) 296-1992** **COLUMBIAN TECTANK** **Rasha Allen** **(785)296-1693**

# GRANDVIEW**PRODUCTS COMPANY,** **INC. Rasha** **Allen (785)** **296-1693 RUSKIN** **COMPANY Ralph** **Walden (785)296-1583** **MIDWEST MINERALS.** **INC. Berl** **Buckland (785)** **296-6438**

# MIDWEST**MINERALS, INC.** **Bert Buckland** **(785) 296-643S** **LEAVENWORTI1 CO** **10300001 103000II** 

# 10300012**10300013 10300016** **10300018 10300019** 

# 10300020**10300119 IO3OO12O** 

# 10300121**10300122 10300128** 

# LANSING**CORRECTIONAL FACILITY** **David Peter** **(785) 296-1104** 

# SOUTHERN**STAR CENTRAL** **GAS PIPELINE.** **INC. Mike** **Parhomek (785)** **296-1580 FORT** **LEAVENWORTI1 Jim** **Stewart (785)** **296-1556 HALLMARK** **CARDS. INC.** **(SELECT PRODUCTS)** **Rasha Allen** **(785) 296-1693** **HALLMARK CARDS,** **INC. Jim** **Stewart (785)296-1556** **ST. MARY** **COLLEGE (SISTERS** **OF CHARITY)** **John Ramsey** **(785) 296-1992** **FBOP LEAVENWORTH** **David Peter** **(785) 296-1104** **DWIGHT D.** **EISENHOWER VA** **MEDICAL CENTER** **John Ramsey** **(785)296-1992 N.R.** **IIAMM QUARRY,** **INC. Bert** **Buckland (785)** **296-6438 N.R.** **IIAMM QUARRY,** **INC. Bert** **Bucklanci (785)296-6438** **N.R. IIAMM** **QUARRY, INC.** **Bert Buckland** **(785) 296-6438** 

# N.R.**IIAMM QUARRY,** **INC. Bert** **Buckland (785)** **296-6438 KANSAS CORRECTIONAL** **INDUSTRIES Rasha** **Allen (785)** **296-1693 LINCOLN** **CO 10500013** **10500016 10500019** 

# LINCOLN**MUNICIPAL POWER** **PLANT APAC-KANSAS,** **INC., SHEARS** **DIVISION**

# APAC**KANSAS. INC..** **SHEARS DIVISION** **Rick Bolfing** **Bert Buckland** **Ben Buckland** **(785)296-1576 (785)296-6438** **(785)296-6438 LINN** **CO**

# 10700005**10700008 10700019** 

# 10700020**10700021 1O7OOO23** **10700027 10700028** **10700030**

# 1O7OOO31**10700032**

# KANSAS**CITY POWER** **LIGHT CO.** **REED MINERALS** **DIVISION, 11ARSCO** **CORP. ASH** **GROVE AGGREGATES.** **INC. WADE** **QUARRIES WADE** **QUARRIES NATION** **ROCK TOWER** **METAL PRODUCTS** **NATION ROCK** 

# WADE**QUARRIES APAC-KANSAS,** **INC., KANSAS** **CITY DIVISION** **IIARS11MAN CONSTRUCTION** **L.L.C. Dana** **Morris Bert** **Buckland Bert** **Buckland**

# Bert**Buckland Bert** **Buckland Bert** **Buckland Ralph** **Walden Bert** **Buckland Bert** **Buckland**

# Bert**Buckland Bert** **Buckland (785)296-1578** **(785)296-6438 (785)296-6438** **(785)296-6438 (785)** **296-6438 (785)** **296-6438 (7S5)** **296-1583 (785)296-6438** **(785) 296-6438** **(785) 296-6438** **(785) 296-6438**