United States
Environmental Protection Washington, DC 20460

Acid Rain Program Agency 

# Opt

- in Reduction from Improved Efficiency Confirmation Report OMB No. 2060

- 0258 Approval expires 1 1/ 3 0/2012

This sheet is not electronically scanned. See instructions for completing this form.

Step 1 Plant Name St ate Compliance Year

Facility Account Number Unit ID

Step 2 Verified Reduction from Demand Side Measures that Improve Eff iciency of Electric Consumption (kWh) Step 3 Heat Rate (mmBtu/kWh) Step 4 Verified Reduction from Demand Side Measures that Improve Efficiency of Electric Consumption (mmBtu)

Step 5 Verified Reduction from Demand Side Measures that Improve Efficiency of Steam Consumption (mmBtu) Step 6 Verified Reduction from Improved Steam Production

Effi ciency (mmBtu)

Step 7 Verified Reduction from Heat Rate Improvements (mmBtu) Step 8 Total Verified Reduction from Improved Efficiency (mmBtu)

Make sure the documentation supporting all numbers is attached.

Step 9 Revis ed Annual Utilization (mmBtu)

Step 10 Revised Average Utilization (mmBtu) Step 11 E s timated Average Utilization (mmBtu) Step 12 Allowances to be Credited

Allowances to be Deducted

Step 13 Allowance Deduction Form Included? Step 14 Does the Number of Allowances Credited or Deducted Affect the Unit's Compliance Status?

 Yes  No  Yes  No

Step 15 Certification

I am authorized to make this submission on behalf of the owners and operators of the affected source or affected 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 a nd belief true; accurate, and complete. I am aware that there are significant penalties for submitting false statements an d information or omitting required statements and Information, Including the possibility of fine or Imprisonment.

I certify that w here two or more opt

- in sources and Phase I units Include in the confirmation reports the verified mmBtu reductions from the same specific demand side measures or improvements in heat rate or steam production efficiency, we have agreed on an apportionment of the total mmBtu reductions among such sources and have included in our confirmation reports only our respective shares of the reductions. We will make that apportionment available upon request.

Signature Date AAR ID#

Signature Date AAR ID#

EPA Form 7620

- 8 (Revised 12

- 2009 )

# Acid Rain Program

Instructions for Opt

- in Reduction from Improved Efficiency Confirmation Report
(40 CFR 74.43 and 74.44)

The Acid Rain Program regulations require the designated representative to submit an Opt

- in Reduction from Improved Efficiency Confirmation Report for each opt

- in source that is claiming any reduction in heat input resulting in improved efficiency by July 1 of the year in which the Opt

- in Util ization Report was submitted. E PA may grant, for good cause shown, an extension of time for submission

.

ST EP 1 Enter the Plant Name, State, Boiler Identification Number, Facility Account Number, Compliance

Year , and Unit ID

.

ST EP 2 Enter all reductions in kWh from demand

- side measures that improve efficiency of electric consumption to be verified by EPA for the calendar year for the opt

- in source. Only demand

- side measures at the opt

- in source may be used. Attach documentation that supports these reductions, including demand

- side measures in kWh. ( The EPA Conservation Verification Protocols and T he User's Guide to the Conservation Verification Protocols (Version 2.0) may be used to develop the

doc umentation.) Demand

- side measures listed in Appendix A Section 1 of 40 CFR Part 73 and other measures that are not listed in Appendix A may be included.

ST EP 3 Enter the heat rate for the opt

- in source in mmBtu/kWh to eight decimal places. The heat rate used to convert kWh to mmBtu must be based on actual heat input divided by actual net generation by the
opt

- in source. Heat rate information must c ome from EIA form 767 or a comparable source. If the source generates no electricity, then no credit can be claimed for demand

- side measures.

ST EP 4 Enter the reductions in mmBtu from demand

- side measures that improve efficiency of electric consumption by multiplying the kWh value reported in Step 2 by the heat rate in Step 3.

ST EP 5 Enter all reductions in mmBtu from demand

- side measures that improve efficiency of steam consumption to be verified by EPA for the calendar year for the opt

- in source. Attach documentation that supports these reductions. (The EPA Conservation Verification Protocols and The User's Guide to the Conservation Verification Protocols (Version 2.0) may be used to develop the documentation.)

Demand

- side measures listed in Appendix A Section 1 of 40 CFR Part 73 and other measures tha t are not listed in Appendix A may be included.

ST EP 6 Enter all reductions in mmBtu from improvement in the efficiency of steam production to be verified by EPA for the calendar year for the opt

- in source. Attach documentation that supports these reductions. In order to claim improvements in the efficiency of steam production, the designated representative must demonstrate that the heat rate of the opt

- in source has not increased since the baseline period.

ST EP 7 Enter all reductions in mmBt u from improvements in h e at rate to be verifie d by EPA for the ca lendar year for the opt

- in source. Heat rate information must come from EIA form 767 or a comparable source. Attach documentation that supports these reductions. Supply

- side measures listed in Appendix A. Section 2.1 of 40 CFR Part 73 and other measures that are not listed in Appendix A may be included.

ST EP 8 Enter the total verified reduction from improved efficiency as follows. Step 8 = Step 4 + Step 5 + Step 6 + Step 7

ST EP 9 Enter the opt

- in source's revised actual heat input, Re vised Annual Util ization (mmBtu), for the calendar year as follows. Step 9 = Step 3 from the Opt

- in Utilization Report + Step 8STEP 10 Enter the Revised Average Utilization (mmBtu) for the calendar year as follows. If this is the first year the source is affected under the Acid Rain Program: Step 10 = Step 9

Otherwise:

Step 10 = 12

36 x ** **  ** **  ** **  **− +**  **+**

or effect inis permit in

- opt the which formonths of Number of lesser Report n Utilizatio in t Step4(B)Op (Step4(A) Step9

Calculate Step 2 from the Opt

- in Utilization Report - Step 10.

If the result is <= 0 and Step 9 from the Opt

- in Utilization Report = 0, then go to Step 15.

Othe rwise, go to Step 11.

STEP 11 Enter the estimated Average Utilization (mmBtu) from Step 7 of the Opt

- in Utilization Report.

STEP 12 Calculate the number of allowances to be credited to or deducted from the opt

- in source's ATS

account as follows.

Allowa nces credited/deducte = number of allowances x (Step 10 - Step 11) divided by

d allocated for the Step 2 from the Opt

- in Utilization Report compliance year

If the result of this formula is < 0, enter the absolute value of the result as the number of additional

allowances to be deducted.

If t he result of this formula is > 0, enter the number of allowances to be credited to your account, which is the lesser of the result of this formula or the number entered in Step 10 of the Opt

- in

Utilization R eport.

STEP 13 Check the appropriate box to indicate if you are including an Allowance Deduction form that identifies specific allowances to be deducted or credited. If you do not specify serial numbers, allowances will be deducted using first

- in, first

- out (FIFO), or allowances will be returned using last

out, first

- in (LOFI).

STEP 14 If the opt

- in source did not previously have excess emissions based on the Annual Compliance Certification for the year, but the additional allowances deducted in Step 12 now result in excess emissions for the year, or if the source previously had excess emissions, but the allowances credited in Step 12 reduce the amount of or eliminate the excess emissions, check the Yes box.

If the compliance status does not change, check the No box.

EPA will notify you concerning any additional penalty payment that you owe or refund that you will

receive.

STEP 15 Read the certifications, type your name, sign, and date.