EPA Form 7610
- 1 (Rev ised 6
-2011) United States Environmental Protection Agency OMB Nos. 2060 -0258 , 2060 -0570 , and 2060 - NEW Acid Rain , CAIR, and Transport Rule Program s Approval Expires 11 /31/20 12 

# Certificate of Representation
Fo r more information, see instructions and 40 CFR 72.24, 96.113, 96.213, 96.313 , 97.113, 97.213, 97.313 , 97.416, 97.516, 97.616, 97.716, or a comparable state regulation , as applicable . 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
Mailing Address

Phone Number Fax Number

E
- mail address

STEP 3 Enter requested information for the alternate designated representative. Name Title
Company

Name
Mailing Address

Phone Number Fax Number

E
- mail addressEPA Form 7610
- 1 (Revised 6
-2011) Certificate of Representation Page of UNIT INFORMATION STEP 4: Complete a separate page 2 for each unit located at the facility ident ified 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 . See instructions for more details. Applicable Program(s): 

##  Acid Rain 

##  CAIR NOX Annual 

##  CAIR SO 2 

##  CAIR NOX Ozone Season



##  TRNOx Annual 

##  TRNOx Ozone Season 

##  T RSO 2 Annual

Unit ID# Unit Type Source Category Generator I D Number (Maximum 8 characters) Acid Rain Nameplate Capacity (MW e) CAIR/Transport Rule

Nameplate Capacity

(MW e)

NAICS Code Date unit began (or will begin) serving any generator producing electricity for sale (including test ge neration) (mm/dd/y yyy): ): Check One: Yes 

##  No 

##  Is this unit located in Indian Country?

Check One: Yes 

##  No 

##  If this is the first time the unit has been identified on the Certificate of Representation for this facility, was the unit moved from another facility?
Check One: Yes 

##  No 

##  Company

Name: 

##  Owner 

##  Operator Company

Name: 

##  Owner 

##  Operator Company

Name: 

##  Owner 

##  Operator Company

Name: 

##  Owner 

##  Operator Company

Name: 

##  Owner 

##  OperatorEPA Form 7610
- 1 (Revised 6
-2011) Certificate of Representation P age of 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 a uthority

to carry o ut my d uties 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 representation s, 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 Adm inistrator, the permitting authority, or a court regarding the source or unit. Wh ere there are mu ltiple holders of a legal or equitable title to, or a leasehold interest in, an affected unit , or where a utility o r industrial customer purchases power from an affected unit under a life
-of
-the
- unit, firm power contractu al arrangement, I certify that: I have given a written notice of my s election 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 deem ed to be held or distributed in proportion to each holder's legal, equitable, leasehold, or contractual reservation or entitlem ent, except that, if such multiple holders have expressly provided for a different distribution of allowances, allowances and proceeds of transactions involving allowances will be deem ed to be held or distributed in accordance with the contract.

Clean Air Interstate Rule ( CAIR) NO X Annual Trading Program I certify that I was selected as the CAIR designated representative or alternate CAIR designated representative (as applicable), by

a n agreement binding on the owners and operators of the CAIR NO X source and each CAIR NO X unit at the source (i.e., the source and each unit subject to the CAIR NO X 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 NO X Annual Trading Program on behalf of the owners and operators of the CAIR NO X 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 submiss ions. I certify that the owners and operators of the CAIR NO X source and each CAIR NO X unit at the source shall be bound by a ny order issued to me by

the Adm inistrator, the permitting authority, or a court regarding the source or unit. Wh ere there are mu ltiple holders of a legal or equitable title to, or a leasehold interest in, a CAIR NO X unit , or where a utility or industrial customer purchases power from a CAIR NO X unit under a life
-of
-the
- unit, firm power contractual arrangement, I certify that: I h ave given a written notice of my s election 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 NO X source and each CAIR NO X u nit at the source; and CAIR NO X allowances and proceeds of transactions involving CAIR NO X allowances will be deem ed to be held or distributed in proportion to each holder's legal, equitable, leasehold, or contractual reservation or entitlem ent, except th at, if such mu ltiple holders have expressly p rovided for a different distribution of CAIR NO X allowances by contract, CAIR NO X allowances and proceeds of transactions involving CAIR NO X allowances will be deem ed to be held or distributed in accordance wi th the contract.EPA Form 7610
- 1 (Revised 6
-2011) Certificate of Representation Page of Clean Air Interstate Rule (CAIR) SO 2 Trading Program I certify that I was selected as the CAIR designated representative or alternate CAIR designated represe ntative (as applicable), by

an agreem ent binding on the owners and operators of the CAIR SO 2 source and each CAIR SO 2 unit at the source (i.e., the source and each unit subject to the SO 2 Trading Program, as indicated in "Applicable Program(s)" in Step 4). I certify that I have all necessary a uthority

to carry o ut my d uties and responsibilities under the CAIR SO 2 Trading Program, on behalf of the owners and operators of the CAIR SO 2 source and each CAIR SO 2 unit at the source and that each such owner and o perator shall be fully bound by

my representations, actions, inactions, or submissions. I certify that the owners and operators of the CAIR SO 2 source and each CAIR SO 2 unit at the source shall be bound by a ny order issued to me by

the Adm inistrator, the permitting authority, or a court regarding the source or unit. Wh ere there are mu ltiple holders of a legal or equitable title to, or a leasehold interest in, a CAIR SO 2 unit, or where a utility o r industrial customer purchases power from a CAIR SO 2 unit u nder a life
-of
-the
- unit, firm power contractual arrangement, I certify that: I have given a written notice of my s election 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 SO 2 source and each CAIR SO 2 unit at the source; and CAIR SO 2 allowances and proceeds of transactions involving CAIR SO 2 allowances will be deem ed 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 SO 2 allowances by contract, CAIR SO 2 allowances and proceeds of transactions involving CAIR SO 2 allowances will be deem ed to be held or distributed in accordance with the contract. Clean Air Interstate Rule (CAIR) NO X Ozone Season Trading Program I certify that I was selected as the CAIR designated representative or alternate CAIR designated representative (as applicable), by

a n agreement binding on the owners and operators of the CAIR NO X Ozone Season source and each CAIR NO X Ozone Season unit at the source (i.e., the source and each unit subject to the CAIR NO X Ozone Season Tradin g 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 NO X Ozone Season Trading Program on behalf of the owners and operators of the CAIR NO X 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

m y representations, actions, inactions, or submissions. I certify that the owners and operators of the CAIR NO X Ozone Seaso n source and each CAIR NO X Ozone Season unit shall be bound by

any order issued to me by

the Adm inistrator, the permitting authority, or a court regarding the source or unit. Wh ere there are mu ltiple holders of a legal or equitable title to, or a leasehol d interest in, a CAIR NO X Ozone Season unit, or where a utility

o r industrial customer purchases power from a CAIR NO X Ozone Season unit under a life
-of
-the
- unit, firm power contractual arrangement, I certify that: I have given a written notice of my s ele ction 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 NO X Ozone Season source and each CAIR NO X Ozone Season unit; and CA IR NO X Ozone Season allowances and proceeds of transactions involving CAIR NO X Ozone Season allowances will be deem ed to be held or distributed in proportion to each holder's legal, equitable, leasehold, or contractual reservation or entitlem ent, except th at, if such mu ltiple holders have expressly p rovided for a different distribution of CAIR NO X Ozone Season allowances by contract, CAIR NO X Ozone Season allowances and proceeds of transactions involving CAIR NO X Ozone Season allowances will be deem ed to be held or distributed in accordance with the contract.EPA Form 7610
- 1 (Revised 6
-2011) Certificate of Representation Page of T ransport R ule NO x Annual I certify that I was selected as the designated representative or alternate designated representative, as appli cable, by an agreement binding on the owners and operators of the source and each TR NOX Annual unit at the source. I certify that I have all the necessary authority

to carry out my duties and responsibilities under the TR NOX Annual Trading Program on be half of the owners and operators of the source and of each TR NOX Annual unit at the source and that each such owner and operator shall be fully bound by

my representations, actions, inactions, or submissions and by any order issued to me by

the Adm inistrator regarding the source or unit. Wh ere there are multiple holders of a legal or equitable title to, or a leasehold interest in, a TR NOX Annual unit, or where a utility

or industrial customer purchases power from a TR NOX Annual 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 ‘ alte rnate designated representative’ , as applicable, and of the agreement by which I was selected to each owner and operator of the source and of each TR NOX Annual unit at the source

. TR NOX Annual allowances and proceeds of transactions involving TR NOX Annual allowances will be deemed to be held or distributed in proportion to each holder's legal, equitable, leasehold, or contractual reservation or entitlem ent, except that, if such multiple holders have expressly provided for a different distribution of TR NOX Annual allowances by

contract, TR NOX Annual allowances and proceeds of transactions involving TR NOX Annual allowances will be deem ed to be held or distributed in accordance with the contract.
T ransport R ule NO x Ozone Season I certify that I was selected as the designated representative or alternate designated representative, as applicable, by an agreem ent binding on the owners and operators of the source and each TR NOX Ozone Season unit at the source. I certify that I have all the necessary authority

to carry out my duties and responsibilities under the TR NOX Ozone Season Trading Program on behalf of the owners and operators of the source and of each TR 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 and by

any order issued to me by

the Adm inistrator regarding the source or unit. Wh ere there are multiple holders of a legal or equitable title to, or a leasehold interest in, a TR NOX Ozone Season unit, or where a utility

or industrial customer purchases power from a TR 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 ‘designated representative’ or ‘ alte rnate designated representative’ , as applicable, and of the agreement by which I was selected to each owner and operator of the source and of each TR NOX Ozone Season unit at the source

. TR NOX Ozone Season allowances and proceeds of transactions involving TR NOX Ozone Season allowances will be deem ed to be held or distributed in proportion to ea ch holder's legal, equitable, leasehold, or contractual reservation or entitlement, except that, if such multiple holders have expressly provided for a different distribution of TR NOX Ozone Season allowances by contract, TR NOX Ozone Season allowances an d proceeds of transactions involving TR NOX Ozone Season allowances will be deemed to be held or distributed in accordance with the contract.EPA Form 7610
- 1 (Revised 6
-2011) Certificate of Representation Page of T ransport R ule SO 2 Annual Group 1 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 source and each TR SO2 Group 1 unit at the source. I certify that I have all th e necessary authority

to carry out my duties and responsibilities under the TR SO2 Group 1 Trading Program on behalf of the owners and operators of the source and of each TR SO2 Group 1 unit at the source and that each such owner and operator shall be full y bound by my representations, actions, inactions, or submissions and by any order issued to me by

the Adm inistrator regarding the source or unit. Wh ere there are multiple holders of a legal or equitable title to, or a leasehold interest in, a TR SO2 Grou p 1 unit, or where a utility

or industrial customer purchases power from a TR SO2 Group 1 unit under a life
-of
-the
- unit, firm power contractual arrangement, I certify that: I have given a written notice of my se lection as the ‘designated representative’ or ‘ alte rnate designated representative’ , as applicable, and of the agreement by which I was selected to each owner and operator of the source and of each TR SO2 Group 1 unit at the source. TR SO2 Group 1 allowances and proceeds of transactions involvin g TR SO2 Group 1 allowances will be deem ed 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 distri bution of TR SO2 Group 1 allowances by contract, TR SO2 Group 1 allowances and proceeds of transactions involving TR SO2 Group 1 allowances will be deemed to be held or distributed in accordance with the contract.
T ransport R ule SO 2 Annual Group 2 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 source and each TR SO2 Group 2 unit at the source. I certify that I have all the necessary authority

to carry out my duties and responsibilities under the TR SO2 Group 2 Trading Program on behalf of the owners and operators of the source and of each TR SO2 Group 2 unit at the source and that each such owner and operator shall be fully bo und by

my representations, actions, inactions, or submissions and by any order issued to me by

the Adm inistrator regarding the source or unit. Wh ere there are multiple holders of a legal or equitable title to, or a leasehold interest in, a TR SO2 Group 2 unit, or where a utility

or industrial customer purchases power from a TR SO2 Group 2 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 ‘ alte rnate designated representative’ , as applicable, and of the agreement by which I was selected to each owner and operator of the source and of each TR SO2 Group 2 unit at the source

. TR SO2 Group 2 allowances and proceeds of transactions involving TR SO2 Group 2 allowances will be deem ed 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 distributio n of TR SO2 Group 2 allowances by contract, TR SO2 Group 2 allowances and proceeds of transactions involving TR SO2 Group 2 allowances will be deemed to be held or distributed in accordance with the contract.EPA Form 7610
- 1 (Revised 6
-2011) Certificate of Representation P age of General I am a uthorized to ma ke 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 exam ined, and am familiar with , the statem ents and information submitted in this document and all its attachments. B ased on my i nquiry of those individuals with primary responsibility

fo r obtaining the information, I certify that the statements and information are to the best of my kn owledge and belief true, accurate, and complete. I a m aware that there are significant penalties for submitting false statements and information or om itting required statements and information, including the possibility of fine or imprisonment.

Signature ( Designated Representative ) Date Signature (Alternate Designated Representative ) Date1 

## 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

. Yo u must have a user ID and password. If yo u need a user ID and password, call Karen Van Sickle at (202) 343
-9220 or Kirk Nabors at (202) 343
-9171 or Paula Branch at (202) 343
-9168. I f yo u 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 Re presentative means the Acid Rain Designated Representative , the CAIR Designated Representative , and/or Transport Rule Designated Representative , as applicable. Any reference to the Alternate Designated Representative means the Alternate Acid Rain Designated Representative , the Alternate CAIR Designated Representative , and/or the Alternate Transport Rule Designated Representative , as applicable. As reflected in this form, the Acid Rain Designated Representative, the CAIR Designated Representative , and the Transport Rule Designated Representative for a facility (source) must be the same individual, and the Alternate Acid Rain Designated Representative , the Alternate CAIR Designated Representative , and the Alternate Transport Rule Designated Representative fo r a facility (source) must be the same individual

. Please type or print. Submit a separate page 2 for each unit subject to the Acid Rain Program , a CAIR Tradi ng Program, or a Transport Rule Program at the facility (source) , and indicate the page order a nd 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 compl ete

. S ubmit 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

. F or older facilities, " Plant Code " is synonymous with " ORISPL " and " Facility" codes. If the facility g enerates electricity

b ut no Plant Code has been assigned, or if there is uncertainty regarding what the Plant Code is, contact EIA at (202) 586
- 1 029

. F or facilities that do not produce electricity, use the facility i dentifier assigned by EPA (beginning with " 88 " ). I f the facility d oes not produce electricity a nd has not been assigned a facility

i dentifier, contact Laurel DeSantis at desantis.laurel@epa.gov or (202) 343
-9191

. (ii) Enter th e 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. Therefo re, coordinates containing degrees, minutes, and seconds must first be converted using the formula: decimal degrees = degrees + (minutes / 60) + (seconds / 3600)2

Example: 39 degrees, 15 minutes, 25 seconds = 39 + (15 / 60) + (25 / 3600) = 39.2569 de grees STEPS 2 & 3 The Designated Representative and the Alternate Designated Representative must be individuals (i.e., natural persons) and cannot be a company
. E nter the company n ame and address of the representative as it should appear on all correspon dence. If an email address is provided, most correspondence will be emailed. Al though not required, EPA strongly encourages ow ners and operators to designate an Al ternate Designated Representative to act on behalf of the Designated Representative . STEP 4 (i) Complete one page for each unit s ubject to the Acid Rain Program , a CAIR Trading Program , or a Transport Rule Program , and indicate the program (s) to which the unit is subject

. Identify each unit at the facility

by providing the appropriate unit identification number, consistent with the identifiers used in previously s ubmitted Certificates of Representation (if applicable) and with submissions made to DOE and/or EIA. Do not list duct burners

. F or 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 a re referenced on the Certificate of Representation. D o not identify u nits 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 progra ms. 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 “Continuous Emissions Monitoring ” submenu. (ii) Identify

the type of unit us ing one of the following abbreviations:
Boilers Boilers Turbines AF Arch
-fired boiler OB Other boiler CC Combined cycle BFB Bubbling fluidized bed boiler PFB Pressurized fluidized bed boiler CT Combustion turbine C Cyclone boiler S Stoker OT Other turbine CB Cell burner boiler T Tangentially
-fired boiler Others CFB Circulating fluidized bed boiler WBF Wet bottom wall
fired boiler ICE Internal combustion engine DB Dry

bottom wall
-fired boiler WBT Wet bottom turbo
fired boiler KLN Cement kiln DTF Dry

bottom turbo
-fired boiler WVF Wet bottom vertically
-fired boiler PRH Refinery process heater DVF Dry

bottom vertically
fired boiler If there is uncertainty a bout how a unit should be characterized, contact Robert M iller at miller.robertl@epa.gov or (202) 343
-9077

.3

(iii) Indicate the source category d escription that most accurately d escribes the purpose for which the unit is operated by entering one of the following terms

. I f none of these descriptions applies to yo ur unit, contact Robert Miller at miller.robertl@epa.gov or (202) 343
-9077. Automotive Stampings Industrial Boiler Petroleum Refinery Bulk Industria l Chemical Industrial Turbine Portland Cement Plant Cement Manufacturing Institutional Pulp and Paper Mill Cogeneration Iron and Steel Small Power Producer Electric Utility Municipal W aste Combustor Theme Park (iv) Provide the primary North American Indu strial Classification System (NAICS) code that most accurately

d escribes the business type for which the unit is operate d

. I f unknown, go to http://www.census.gov for guidance on how to determine the proper NAICS cod e for the unit

. (v) Enter the date the unit began (or will begin) serving any g enerator producing electricity for sale , including test generation

. Enter this date and check the " actual " box for an y u nit that has begun to serve a generator producing electricity for sale as of the date of submissio n of this form. (This information should be provided even if the unit does not currently s erve a generator producing electricity

for sale. ) For any unit that will begin , but ha s not begun as of the date of subm ission 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. W hen 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 w hen a unit begins serving a generator producing electricity for sale. I f yo u 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 , a CAIR Trading Program , or a Transport Rule 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 MW e) of each generator served by the unit. Au nit serves a generator if it produces, or is able to produce, steam, gas, or other heated medium for generating electric ity at that generator. For combined cycle un its, 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 repo rted to the EIA. The definitions of " nameplate capacity" under the Acid Rain Program and under the CAIR/Transport Rule Program s differ slightly

. T herefore , for a unit subject to the Acid Rain Program and any CAIR/Transport Rule Program, the nameplate ca pacity for the same generator under the Acid Rain Program and under the CAIR/Transport Rule P rogram may d iffer in certain limited circumstances. Specifically, for a unit subject to the Acid Rain Program, the nameplate capacity of a generator, if listed i n the National Allowance Database ( " NADB " ) , is not affected by p hysical 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 CA IR/Transport Rule P rogram, 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 outpu t that the generator is capable of producing . In such a case, the higher maximum electrical generating output number in MW e should be reported in the nameplate capacity column. Enter " NA" if, as of the date of submission of this form, the un it does not s erve a generator

. See the definition of " nameplate capacity" at 40 CFR 72.2, 96.102, 97. 102, 96.202, 97.202, 96.302, 97.302, 97.402, 97.502, 97.602, and 97.702, as applicable. The NADB is located at the CAMD4

website at http://www.epa.gov/airmarkets/trading/allocations.html

. I f yo u have questions regarding nameplate capacity, contact Robert Miller at miller.robertl@epa.gov or (202) 343
-9077 ; if yo u 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 N ame " field. Indicate whethe r the company

i s the owner, operator, or both. F or 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 ow ners and operators . (viii) Indicate whether or not the unit is located in Indian Country. For more information see the definition of “Indian Country” at 40 CFR 97.402, 97.502, 97.602 and 97.702. (ix) Wh en identifying a unit at a facility for the first time, indicate wh ether or not the unit was moved from another facility

. I f the answer is “yes”, the EPA will contact the owners/operator for more information. 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 Ac id Rain Program, CAIR Programs, or Transport Rule Programs . 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 reporti ng and record keeping burden for this collection of information is estimated to average 15 hours per response annually

. B urden means the total time, effort, or financial resources expended by

p ersons to generate, maintain, retain, or disclose or provide i nformation to or for a Federal agency
. T his includes the time needed to review instructions; develop, acquire, install, and utilize technology

a nd 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 p reviously

a pplicable 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

s uggested 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.