## United States Environmental Protection Agency

Air Quality Permit by Rule for New or Modified Minor Sources of Air Pollution in Indian Country
http://www.epa.gov/air/tribal/tribalnsr.html



## Questionnaire for Notification of Coverage under the Air Quality Permit by Rule for New or Modified True Minor Source Gasoline Dispensing Facilities in Indian Country

Last Modified: March 2 3 , 2015

Version 1.0



### Does th e Permit by Rule apply to my facility?
The following questionnaire is intended to help you, the facility owner or operator, determine whether or not you are
eligible for the Air Quality Permit by Rule for New or Modified True Minor Source Gasoline Dispensing Facilities in Indian
Country . You are not required to complete th is questionnaire and it is not necessary to gain coverage under the Permit by Rule for New or Modified True Minor Source Gasoline Dispensing Facilities

. This questionnaire does not cover all of

the Permit by Rule requirements and does not guarantee approval of a true minor source preconstruction permit under
this program

.

This Permit by Rule is not available for use by gasoline dispensing facilities

with in the geographic boundaries of the State of California.



### Description of Gasoline Dispensing Facilities

A g asoline d ispensing f acility is any stationary facility which dispenses gasoline into the fuel tank of a motor vehicle,

non road vehicle or equipment, including a nonroad vehicle or nonroad engine used solely for competition. T his Gasoline Dispensing Facilities Questionnaire is for gasoline dispensing facilities that are not major sources of air pollution and tha t are located, or planning to locate, with in Indian country

.



### About this Questionnaire
The questions focus on general information pertaining to your existing or future gasoline dispensing facility. The
questionnaire is not meant to be exhaustive and only requires knowledge of basic facility information, including fuel
throughput

.



### You should continue with this Questionnaire if you meet all of the following criteria:

 You plan to construct a true minor source gasoline dispensing facility that dispenses gasoline for resale or

non

- resale purposes OR you plan to modify an existing, true minor source gasoline dispensing facility that dispenses gasoline for resale or non

- resale purposes;

 Your new or modified true minor source gasoline dispensing facility is located within Indian country;

 You d o not know whether your facility needs a permit, or if you do not know the attainment status of your area
and you want to find out whether you should seek the P ermit by R ule for a gasoline dispensing facilit y ; and

 You intend to satisfy the processes that the U.S. Environmental Protection Agency ( EPA ) has made available in

the document entitled “ Procedures to Address Threatened and Endangered Species and Historic Properties for

New or Modified True Minor Sources in Indian Country Seeking Air Quality Permits by Rule” to address

threatened and endangered species and historic properites.Questionnaire: Gasoline Dispensing Facilities Page 2 of 5

Version 1.0 

### More Information

T he definition of “modification” and “ Potential to Emit” (or “ PTE” ) can be found at 40 CFR 49.152(d) and in the

“Instructions” d ocument. Additional information on the applicability of th e Indian Country New Source Review (NSR)

rule can be found at 40 CFR 49.153

.

Information on the ozone attainment status of the area where your facility is located can be found at: http://www.epa.gov/airquality/greenbook/ . You may also contact your reviewing authority for information on your

attainment status

.

Please contact your reviewing authority if you have questions or nee d assistance. A list of reviewing authorities, their area of coverage, and contact information can be found in Attachment D to the Permit by Rule for True Minor Source
Gasoline Dispensing Facilities at 40 CFR 49.16 4 or visit: http://www.epa.gov/air/tribal/tribalnsr.html

.

Sources eligible for the Permit by Rule for New or Modified True Gasoline Dispensing Facilities may also be subject to

federal standards under 40 CFR 63 Subpart CCCCCC

, National Emission Standards for Gasoline Dispensing Facilities ; 40

CFR 60 Subpart IIII

– Standards of Performance for Stationary Compression Ignit ion Internal Combustion Engines ; 40 CFR 60 Subpart JJJJ

– Standards of Performance for Stationary Spark Ignition Intern al Combustion Engines ; and 40 CFR 63

ZZZZ National Emission Standards for Hazardous Air Pollutants for Stationary Reciprocating Internal Combustion Engines.
The conditions applicable to sources seeking coverage under this Permit by Rule are intended to be generally consistent
with the requirements in 40 CFR 63 Subpart CCCCCC, 40 CFR 60 Subpart JJJJ, 40 CFR 60 Subpart IIII, and 40 CFR 63
Subpart ZZZZ. However, compliance with the applicable requirements in these provisions is required independent of the

cond itions in the Permit by Rule, and not all requirements applicable under these provisions are necessarily included in
the Permit by Rule. The Background Document for the Permit by Rule identifies the specific requirements in Subparts

CCCCCC, IIII, JJJJ, and ZZZZ that are intended to be included in the Permit by Rule. The EPA’s brochure for Subpart

CCCCCC is available here: http://www.epa.gov/ttn/atw/area/gdfb.pdf

.



## Questionnaire for Gasoline Dispensing Facilities

Part 1: Does my Gasoline Dispensing Facility Need or Qualify for a True Minor Source Permit?
The following questions are meant to determine whether or not your gasoline dispensing facility qualifies for the Permit
by Rule

.

1. Will the PTE of your facility be less than 250 tons per year (tpy) for particulate matter (PM, PM 10 , or PM 2.5 ), VOC, nitrogen oxides (NO X ), carbon monoxide (CO), and sulfur dioxide (SO 2 )

, each individually ? The emissions from
your facility may be calculated us ing the PTE calculator provided at http://www.epa.gov/air/tribal/tribalnsr.html

. Be sure to include all existing, new, and modified emission units
at your facility

.

Yes No

If you answered ‘No

, ’ your source does not qualify for the Permit by Rule . Please contact your reviewing
authority to apply for a site

- specific permit. If you answered ‘Yes

, ’ continue on to the next question

.Questionnaire: Gasoline Dispensing Facilities Page 3 of 5

Version 1.0 2. Will the PTE of your new facility or the increase in potential emissions from your modified existing facility be
equal to or above the applicable minor NSR thresholds listed below for ANY pollutant? The emissions from your
facility may be calculated using the PTE calculator available online at : http://www.epa.gov/air/tribal/trib alnsr.html

. Be sure to include all new and modified emission units at your facility

. Pollutant Attainment Area Nonattainment Area

CO 10 tpy 5 tpy

PM 10 tpy 5 tpy

PM 10 5 tpy 1 tpy

PM 2.5 3 tpy 0.6 tpy

SO 2 10 tpy 5 tpy

NO X 10 tpy 5 tpy

VOC 5 tpy 2 tpy

Yes No

If you answered ‘No

, ’ your source is exempt from the minor NSR program. Please contac t your reviewing authority to confirm that your facility will not need a permit. If you answered ‘Yes

, ’ continue on to the next

question

.

3. If located in a nonattainment area for any pollutant, will the PTE of your facility for the particular
nonattainment pollutant be less than the NSR major source thresholds specified in the table below (based on nonattainment classification)? Be sure to include all existing, new, and modified emission units at your facility

.

Pollutant Nonattainment Classification NSR Major Source Threshold

Ozone Marginal 100 tpy of VOC or NO X

Moderate 100 tpy of VOC or NO X

Serious 50 tpy of VOC or NO X

Severe 25 tpy of VOC or NO X

Extreme 10 tpy of VOC or NO X

PM 10 Moderate 100 tpy

Serious 70 tpy

CO Moderate 100 tpy

Serious 50 tpy

SO 2 , NO 2 , PM 2.5 No nonattainment classification 100 tpy

Yes No No t ApplicableQuestionnaire: Gasoline Dispensing Facilities Page 4 of 5

Version 1.0 If yo u answered ‘No ,’ your source does not qualify for the Permit by Rule . Please contact reviewing authority to apply for a site

- specific permit. If you answered ‘Yes

, ’ continue on to Part 2 of the Questionnaire

.

Information on the ozone attainment status of the area where your facility is located can be found at: http://www.epa.gov/airquality/greenbook/

.



### Part 2: Does My Gasoline Dispensing Facility Q ualify for the P ermit by Rule ?
The following questions are meant to determine whether or not your gasoline dispensing facility would qualify for

the Permit by Rule for true minor source gasoline dispensing facilities

.

1. Will your facility be located in a serious, severe, or extreme ozone nonattainment area and, after the proposed
construction or modification project, be projected to dispense less than 8 ,000,000 gallons of fuel o n a 12

- month
rolling total ?

Yes No No t Applicable

2. Will your facility be located in an attainment , unclassifiable or attainment/unclassifiable area for ozone or marginal/moderate nonattainment area for ozone, after the proposed construction or modification project

, your facility is projected to dispense less th an 25 ,000,000 gallons of fuel o n a 12 month rolling total ?

Yes No No t Applicable

3. Will your facility be located in an ozone nonattainment area, after the proposed construction or modification
project, be projected to dispense more than 2,100,000 gallons of fuel over a consecutive 12 month period;

Yes No No t Applicable

4. Will your facility be located in an attainment , unclassifiable or attainment/unclassifiable area for ozone

, after the
proposed construction or modification project

, your facility is projected to dispense less than 4 ,000,000 gallons
of fuel over a consecutive 12 month period ?

Yes No No t Applicable

5. Will your facility utilize a St a g e I v apor recovery syste m and will you assur e that the required Stage I vapor

r ecovery equipment is properly connected and in use at all times whi le gasoline is actively being dropped/delivered?

Yes No

6. Do you intend to satisfy the procedures for threatened or endangered species and historic properties according

to the processes provided by the EPA for the permits by rule?

Yes NoQuestionnaire: Gasoline Dispensing Facilities Page 5 of 5

Version 1.0 

### Conclusion
If you answered ‘Yes’ or ‘Not Applicable’ to each of the questions in Part 2, your facility may qualify for coverage

under the Permit by Rule for Gasoline Dispensing Facilit ies

. If you believe based upon your answers in this
questionnaire that your new or modified gasoline dispensing facility qua lifies for Permit by Rule for Gasoline
Dispensing Facilities , please contact your reviewing authority to obtain a permit application.

If you answered ‘No’ to any of these questions, your facility may not qualify for coverage under the Permit by Rule

for G asoline Dispensing Facilities . Please contact your reviewing authority to confirm that your facility will not
qualify for this Permit by Rule

.