Statoil 

Eastern GOM OCS Air Permitting Project

Statoil - Transocean Discoverer Americas

Welding Activities Emissions Calculations

Parameters

Engine Type Electric - Powered by Rig Engines

Fuel Type Not Applicable

Hours of Operation (days/yr) 180

Maximum Horsepower Not Applicable

Amount of Electrode Used per Day (lbs/day) 0.3

Amount of Electrode Used per Year (lbs/yr) 50

Emissions Summary

Emission Factor

(lb/103 lb of 

electrode used) 1

(lbs/hr) (tpy) lb/yr

81.6 9.4E-04 0.002 4.08

Chromium Compounds 2.53 2.9E-05 6.3E-05 0.13

Chromium VI Compounds 1.88 2.2E-05 4.7E-05 0.09

Cobalt Compounds 0.001 1.2E-08 2.5E-08 5.0E-05

Manganese Compounds 23.2 2.7E-04 5.8E-04 1.16

Nickel Compounds 1.71 2.0E-05 4.3E-05 0.09

Lead Compounds 0.162 1.9E-06 4.1E-06 0.01

Emission Factor References

Sample Calculations

Pounds of electrode (lb/day) x Emission Factor (lb pollutant/1000 lb electrode) / Hours per Day (24 hr/day) = Emissions (lb/hr)

Emissions (lb/hr) x Hours per day (24 hrs/dy) x Hours of Operation (180 days/yr) / 2000 lbs/ton = Emissions (tpy)

1. Emission factors for fumes produced during welding activities are from AP-42, Table 12.19-1 (PM-10 Emission Factors for 

Welding Operations) and Table 12.19-2 (Hazardous Air Pollutant Emission Factors for Welding Operations), 1/95. Emissions of 

fumes are conservatively estimated to allow for use of any electrode type; therefore, emissions are based on the highest 

emission factors per pollutant regardless of electrode type.

Pollutant

Calculated Emission Rates

PM/PM-10/PM2.5

Welding Activities ENVIRON International Corporation
Statoil 

Eastern GOM OCS Air Permitting Project

Statoil - Transocean Discoverer Americas

Painting Activities Emissions CalculationsParameters

Paint Used (gal/day) 1.4Percent of each Paint Coating 50%Paint Transfer Efficiency for spraying 65%Percent Paint Spray as PM10 70%Percent Paint Spray as PM2.5 25%Thinner Used (gal/day) 1.4Hours of Operation (days/yr) 180

Name Manufacturer % Solids Density (lb/gal) Solids VOC Ethylbenzen e MIBK Xylene Hexamethylene- di-isocyanate

100-41-4 1330-20-7 822-06-0

Hempathane HS 55619 - Resin 73% 11.45 8.4 3.15 -- -- 0.34 -- Curing Agent 97050 90% 9.43 8.5 0.97 -- -- -- 0.47(7 parts resin: 1 part cure) -- -- 8.4 2.9 -- -- -- --Hempadur 45187 - resin 69% 12.07 8.3 4.03 0.60 -- 2.72 --Curing Agent 98180 31% 7.46 2.3 5.13 1.19 1.12 3.17 --(4 parts resin: 1 part cure) -- -- 7.1 4.3 -- -- -- --

8.5 5.1 1.2 1.1 3.2 0.5

Paint Thinner (Stoddard Solvent) W.M. Barr 0% 7.46 -- 6.6 -- -- 0.07 --

Emissions Summary

Paint Coating Paint Thinner

(lbs/hr) (lbs/hr) (lb/hr) (tpy) (lb/yr)

0.16 -- 0.2 0.34 678

0.11 -- 0.1 0.24 4750.04 -- 0.04 0.08 170

0.30 0.4 0.7 1.46 2,9190.07 -- 0.1 0.15 2980.06 -- 0.06 0.14 2800.18 0.004 0.2 0.41 8110.03 -- 0.027 0.06 118

Emission Factor ReferencesSample Calculations

Gallons of paint (gal/day) x VOC Content (lb VOC/gal) / Hours per Day (24 hr/day) = Emissions (lb/hr)Gallons of paint (gal/day) x coating use (50% per coating) x Solids Content (lb solids/gal) x Transfer Efficiency (1 - 0.65) / Hours per Day (24 hr/day) = Emissions (lb/hr)

Emissions (lb/hr) x Hours per day (24 hrs/dy) x Hours of Operation (180 days/yr) / 2000 lbs/ton = Emissions (tpy)

Composition (lb/gal)

Pollutant

VOC

1. Emissions of VOC and HAP based on gallons of paint and thinner used and material safety data sheets for paints and paint 

thinners. The maximum VOC and specific HAPs contents for each (paint and thinner) were determined across the available products.

Hempel

Max of Paint Coatings

Ethylbenzene

MIBK

Xylene

Hempel

Hexamethylene-di-isocyanate

Total Painting

Calculated Emission Rates 1

PM 2

PM10 2

PM2.5 2

2. Assume half of each surface coating is used throughout the year. Estimate of 65 percent transfer efficiency were obtained from South Coast Air Quality Management District. Bench-scale studies estimate that PM10 emissions from overspray are 

approximately 70% of total PM and PM2.5 emissions are approximately 25% of total PM.

Painting Activities 
Statoil 

Eastern GOM OCS Air Permitting Project

Statoil - Transocean Discoverer Americas

Cement Handling Baghouse

Parameters

Design Airflow (cfm) 4,415

Exhaust Grain Loading Estimate (gr/dscf) 0.01

Days of Operation (days/yr) 180

Emissions Summary

(lbs/hr) (tpy) (lb/yr)

0.38 0.8 1,635

0.38 0.8 1,635

0.38 0.8 1,635

Emission Factor References

Sample Calculations

Exhaust Air Flow (cfm) x 60 min/hr x grain loading (0.01 gr/dscf) / 7000 gr/lb = Emissions (lb/hr)

Emissions (lb/hr) x Hours per day (24 hrs/dy) x Hours of Operation (180 days/yr) / 2000 lbs/ton = Emissions (tpy)

1. Emissions based on design exhaust flow rate and estimated exhaust grain loading 

established from conversations with baghouse vendor. Assume PM2.5 and PM10 

emissions are equivalent to PM.

Pollutant

PM

PM10

PM2.5

Calculated Emission Rates 1

Cement Handling Dust Collector ENVIRON International Corporation
Project: Statoil OCS Permitting Project

Control Option: Discoverer Americas Emergency Generator Engine (E GEN) ReplacementDate: April 17, 2013Author: Kyle Heitkamp Page 

Economic Factors

Equipment Life (n) Worst case based on longest period of time Statoil would lease the drilling vessel 

Annual Interest Rate (I) OAQPS 

Design Parameters

NOx Removal Efficiency Calculated using the difference in emissions between 11.9 and 0.67 g/kW-hr emission factor. 

Direct Costs (DC) Total Equip + Fr + Install 

Total Purchased Equipment Cost (Total Equip) Equipment Cost (Equip) Instrumentation (Instr) Sales Tax (ST) Freight (Fr) Foundations and Support (F&S) Total Purchased Equipment Installation (Install) Electrical (Electric) Piping (Pipe) Insulation for Ductwork (Insul) Painting (Paint) 

Indirect Costs (IC) CE + E&S + Contract + SU + Test 

Construction Expenses (CE) Engineering and Supervision (E&S) Contractor Fees (Contract) Start-up (SU) Estimate for downtime related to engine replacement 

Initial Compliance Certification Emissions Test (Test) 

Project Contingency (PC) Total Plant Cost (B) DC + IC + PC 

Total Capital Investment (TCI) B 

DESIGN CONDITIONS

TOTAL CAPITAL INVESTMENT
Project: Statoil OCS Permitting Project

Control Option: Discoverer Americas Emergency Generator Engine (E GEN) ReplacementDate: April 17, 2013Author: Kyle Heitkamp Page 

Annual Maintenance Cost (AMC) Annual Reagent Cost (ARC) Annual Catalyst Replace Cost (ACRC) Annual Electricity Cost (AEC) Direct Annual Costs (DAC) Capital Recovery Factor (CRF) (i * (1 + i)^n) / ((1 + i)^n - 1) 

Fuel Penalty (FP) Taxes/Insurance/Admin (TIA) Indirect Annual Costs (IDAC) (CRF * TCI) + FP + TIA 

Total Annual Costs (TAC) DAC + IDAC NOx Removal Difference in emissions between 11.9 (baseline) and 0.67 (Tier 4) g/kW-hr emission factors. 

Cost Effectiveness TAC / NOx Removal 

COST EFFECTIVENESS - WORST CASE

TOTAL ANNUAL COSTS
Project: Statoil OCS Permitting Project

Control Option: Discoverer Americas Emergency Air Compressor Engines Replacement

Date: March 28, 2013

Author: Kyle Heitkamp Page 1 of 2

Economic Factors

Equipment Life (n) Worst case based on longest period of time statoil would lease the drilling vessel 10 years

Annual Interest Rate (I) OAQPS 7 %

Design Parameters

NOx Removal Efficiency Calculated using the difference in emissions between18.86 and 4.7 g/kW-hr emission factor. 75%

Direct Costs (DC) $1,000

Total Purchased Equipment Cost (Total Equip) $1,000

Equipment Cost (Equip) $1,000

Instrumentation (Instr) $0

Sales Tax (ST) $0

Freight (Fr) $0

Foundations and Support (F&S) $0

Total Purchased Equipment Installation (Install) $0

Electrical (Electric) $0

Piping (Pipe) $0

Insulation for Ductwork (Insul) $0

Painting (Paint) $0

Indirect Costs (IC) CE + E&S + Contract + SU $0

Construction Expenses (CE) $0

Engineering and Supervision (E&S) $0

Contractor Fees (Contract) $0

Start-up (SU) $0

Project Contingency (PC) $0

Total Plant Cost (B) DC + IC + PC $1,000

Total Capital Investment (TCI) B $1,000

DESIGN CONDITIONS

TOTAL CAPITAL INVESTMENT
Project: Statoil OCS Permitting Project

Control Option: Discoverer Americas Emergency Air Compressor Engines Replacement

Date: March 28, 2013

Author: Kyle Heitkamp Page 2 of 2

Annual Maintenance Cost (AMC) $0

Annual Reagent Cost (ARC) $0

Annual Catalyst Replace Cost (ACRC) $0

Annual Electricity Cost (AEC) $0

Direct Annual Costs (DAC) $0

Capital Recovery Factor (CRF) (i * (1 + i)^n) / ((1 + i)^n - 1) 0.14

Fuel Penalty (FP) $0

Taxes/Insurance/Admin (TIA) $0

Indirect Annual Costs (IDAC) (CRF * TCI) + FP + TIA $142

Total Annual Costs (TAC) DAC + IDAC $142

NOx Removal Difference in emissions between18.86 and 4.7 g/kW-hr emission factor. 0.002 tpy

Cost Effectiveness TAC / NOx Removal (per engine) $69,105 $/ton

COST EFFECTIVENESS

TOTAL ANNUAL COSTS
EPA Form 5900-79 Discoverer 

 OMB No. 2060-0336, Approval Expires 06/30/2015

Federal Operating Permit Program (40 CFR Part 71) 

GENERAL INFORMATION AND SUMMARY (GIS)

A. Mailing Address and Contact Information 

Facility name Transocean Discoverer Americas, StatOil Gulf Services, LLC 

Mailing address: Street or P.O. Box 2103 CityWest Blvd., Suite 800 

City Houston State Texas ZIP 77042 

Contact person: Don Evans Title Environmental Advisor 

Telephone (713) 485 – 2203 Ext. N/A 

Facsimile N/A email doev@statoil.com 

B. Facility Location 

Temporary source? ___Yes _X_No Plant site location Eastern Gulf of Mexico located in the Desoto 

Canyon 

City N/A State N/A County N/A EPA Region__4__ 

Is the facility located within: 

Indian lands? ___YES _X_ NO OCS waters? _X_YES ___ NO 

Non-attainment area? ___ YES _X_NO If yes, for what air pollutants? _________ 

Within 50 miles of affected State? __ YES _X_ NO If yes, What State(s)? _____ 

C. Owner 

Name Transocean Street/P.O. Box 4 Greenway Plaza/P.O. Box 2765 

City Houston State Texas ZIP 77252 

Telephone (713) 232 - 7500 Ext. N/A 

D. Operator 

Name StatOil Gulf Services, LLC Street/P.O. Box 2103 CityWest Blvd., Suite 800 

City Houston State Texas ZIP 77042 

Telephone (713) 918 - 8200 Ext. N/A 
GIS 2

EPA Form 5900-79 Discoverer 

E. Application Type 

Mark only one permit application type and answer the supplementary question appropriate for the type 

marked. 

_X_ Initial Permit ___ Renewal ___ Significant Mod ___ Minor Permit Mod(MPM) 

___ Group Processing, MPM ___ Administrative Amendment 

For initial permits, when did operations commence? 07/01/2013 (anticipated date) 

For permit renewal, what is the expiration date of current permit? _____/____/_____ 

F. Applicable Requirement Summary 

Mark all types of applicable requirements that apply. 

___ SIP ___ FIP/TIP _X_ PSD ___Non-attainment NSR

 

___ Minor source NSR _X_ Section 111 ___ Phase I acid rain ___Phase II acid rain 

___ Stratospheric ozone _X_ OCS regulations _X_ NESHAP ___ Sec. 112(d) MACT 

___ Sec. 112(g) MACT ___ Early reduction of HAP ___ Sec 112(j) MACT ___ RMP [Sec.112(r)] 

 

___ Tank Vessel requirements, sec. 183(f)) ___ Section 129 Standards/Requirement 

___ Consumer / comm.. products, ' 183(e) _X_ NAAQS, increments or visibility (temp. sources) 

Has a risk management plan been registered? ___YES _X_NO Regulatory agency ____________ 

Phase II acid rain application submitted? ___YES _X_NO If yes, Permitting authority ____________

G. Source-Wide PTE Restrictions and Generic Applicable Requirements 

Cite and describe any emissions-limiting requirements and/or facility-wide "generic" applicable requirements. 

40 CFR 82 Subpart F – Statoil will comply with all applicable provisions of this regulation as it relates to the 

servicing, maintenance, and reporting of appliances using Class I and II refrigerants installed on the

Discoverer rig. 
GIS 3

EPA Form 5900-79 Discoverer 

H. Process Description 

List processes, products, and SIC codes for the facility. 

 Process Products SIC 

Exploration N/A 1382 

I. Emission Unit Identification 

Assign an emissions unit ID and describe each emissions unit at the facility. Control equipment and/or alternative 

operating scenarios associated with emissions units should by listed on a separate line. Applicants may exclude 

from this list any insignificant emissions units or activities. 

Emissions Unit ID Description of Unit

GEN 

STX MAN Diesel Engine (GEN-1) 

STX MAN Diesel Engine (GEN-2) 

STX MAN Diesel Engine (GEN-3) 

STX MAN Diesel Engine (GEN-4) 

STX MAN Diesel Engine (GEN-5) 

STX MAN Diesel Engine (GEN-6) 

E GEN Emergency Diesel Generator Engine 

OSV Offshore Support Vessels 

CREW Crew Boats 

CEMENT Cement Mixing Dust Collector 

IE – PAINT Painting Activities 

IE – WELD Welding Activities 

IE-MUD Drilling Mud Degassing 

IE-FORK Forklift (#1) 

Forklift (#2) 

IE – FUG Fugitive Component Emissions 

IE – ACOMP 

Air Compressor (#1) 

Air Compressor (#2) 

IE – HTR Cargo Heater 

IE – FO ST 

Fuel Oil Storage Tank Port Side (#1) 

Fuel Oil Storage Tank Starboard Side (#2) 

IE – FO OV ST Fuel Oil Overflow Tank Port Side (#1) 

IE – FO SER ST 

Fuel Oil Service Tank Port Side 

Fuel Oil Service Tank Starboard Side 

IE – FO SET ST 

Fuel Settling Tank Port Side 

Fuel Settling Tank Starboard Side 

 IE – Insignificant Emissions sources (see IE Form)

 
GIS 4

EPA Form 5900-79 Discoverer 

IE – LB 

Life Boat #1 

Life Boat #2 

Life Boat #3 

Life Boat #4 

Life Boat #5 

Life Boat #6 

IE – FO LB ST 

Life Boat Storage Tank (#1) 

Life Boat Storage Tank (#2) 

Life Boat Storage Tank (#3) 

Life Boat Storage Tank (#4) 

Life Boat Storage Tank (#5) 

Life Boat Storage Tank (#6) 

IE – AV ST Aviation Fuel Tank 

IE – WO ST 

Waste Oil Tank (#1) 

Waste Oil Tank (#2) 

IE – FO E GEN ST Standby Generator Fuel Oil Tank 

IE – MOB Fast Rescue (MOB) 

IE – FO MOB ST Fast Rescue Boat Tank 

 IE – Insignificant Emissions sources (see IE Form) 

J. Facility Emissions Summary 

Enter potential to emit (PTE) for the facility as a whole for each air pollutant listed below. Enter the name of the 

single HAP emitted in the greatest amount and its PTE. For all pollutants stipulations to major source status 

may be indicated by entering "major" in the space for PTE. Indicate the total actual emissions for fee purposes 

for the facility in the space provided. Applications for permit modifications need not include actual emissions 

information. 

NOx 559.7 tons/yr VOC 24.8 tons/yr SO2 0.32 tons/yr 

PM-10 9.4 tons/yr CO 60.1 tons/yr Lead 0.01 tons/yr 

Total HAP 1.1 tons/yr 

Single HAP emitted in the greatest amount Xylene PTE 0.5 tons/yr 

Total of regulated pollutants (for fee calculation), Sec. F, line 5 of form FEE _591_ tons/yr 

K. Existing Federally-Enforceable Permits 

Permit number(s) N/A Permit type N/A Permitting authority N/A 

 Permit number(s) N/A Permit type N/A Permitting authority N/A 
GIS 5

EPA Form 5900-79 Discoverer 

L. Emission Unit(s) Covered by General Permits 

Emission unit(s) subject to general permit N/A 

 

Check one: ___ Application made ___ Coverage granted 

General permit identifier ______________________________ Expiration Date ____/____/____ 

M. Cross-referenced Information 

Does this application cross-reference information? ___ YES _X_ NO (If yes, see instructions) 
EPA Form 5900-83 Discoverer 

 OMB No. 2060-0336, Approval Expires 06/30/2015

Federal Operating Permit Program (40 CFR Part 71) 

INSIGNIFICANT EMISSIONS (IE)

On this page list each insignificant activity or emission unit. In the "number" column, indicate the number 

of units in this category. Descriptions should be brief but unique. Indicate which emissions criterion of part 

71 is the basis for the exemption.

Number Description of Activities or Emissions Units RAP, 

except 

HAP 

HAP 

1 MUD – Fugitive Emissions from Mud Degassing X X 

2 FORK – Diesel Engines on Forklifts X X 

1 FUG – Fugitive Emissions from Components X X 

2 FO ST – Fuel Oil Storage Tank X X 

2 FO SER ST – Fuel Oil Service Tank X X 

2 FO SET ST – Fuel Oil Settling Tank X X 

1 FO E GEN ST – Standby Generator Fuel Oil Tank X X

1 FO OV ST – Fuel Oil Overflow Tank X X 

1 HTR – Cargo Heater X X 

2 ACOMP – Air Compressor X X 

6 FO LB ST – Life Boat Tank X X 

1 FO MOB ST – Fast Rescue Boat Tank X X 

6 LB – Life Boat X X 

1 MOB – Fast Rescue Boat X X 

1 AV ST – Aviation Fuel Tank X X 

2 WO ST – Waste Oil Tank X X 

1 WELD – Welding Activities X X 

1 PAINT – Painting Activities X X 
EMISS 

EPA Form 5900-84 

5

 OMB No. 2060-0336, Approval Expires 06/30/2015

Federal Operating Permit Program (40 CFR Part 71) 

EMISSION CALCULATIONS (EMISS)

Calculate potential to emit (PTE) for applicability purposes and actual emissions for fee purposes for

each emissions unit, control device, or alternative operating scenario identified in section I of form GIS. 

If form FEE does not need to be submitted with the application, do not calculate actual emissions. 

A. Emissions Unit ID CEMENT 

B. Identification and Quantification of Emissions 

First, list each air pollutant that is either regulated at the unit or present in major amounts, then list any other 

regulated pollutant (for fee calculation) not already listed. HAP may be simply listed as "HAP." Next, 

calculate PTE for applicability purposes and actual emissions for fee purposes for each pollutant. Do not 

calculate PTE for air pollutants listed solely for fee purposes. Include all fugitives for fee purposes. You may 

round to the nearest tenth of a ton for yearly values or tenth of a pound for hourly values. 

Air Pollutants 

Emission Rates 

 

CAS No. 

 Actual 

 Annual 

 Emissions 

 (tons/yr) 

Potential to Emit 

 Hourly 

 (lb/hr) 

 Annual 

 (tons/yr) 

Particulate Matter N/A 0.38 0.8 

PM10 N/A 0.38 0.8 

PM2.5 N/A 0.38 0.8 
EPA Form 5900-85 Discoverer 

 OMB No. 2060-0336, Approval Expires 06/30/2015

Federal Operating Permit Program (40 CFR Part 71)

 

POTENTIAL TO EMIT (PTE)

For each unit with emissions that count towards applicability, list the emissions unit ID and the PTE for 

the air pollutants listed below and sum them up to show totals for the facility. You may find it helpful to 

complete form EMISS before completing this form. Show other pollutants not listed that are present in 

major amounts at the facility on attachment in a similar fashion. You may round values to the nearest

tenth of a ton. Also report facility totals in section J of form GIS. 

 

Emissions Unit ID 

Regulated Air Pollutants and Pollutants for which the Source is Major (tons/yr) 

 NOx 

 

 VOC SO2 PM10 CO 

 

 Lead TRS HAP 

GEN 422.49 15.01 0.23 5.25 13.09 0.004 0.005 0.2 

EGEN 0.88 0.03 0.0005 0.02 0.02 0.00001 0.00001 0.0005 

OSV 108.99 4.29 0.07 2.44 33.46 0.001 0.002 0.1 

CREW 27.24 1.76 0.03 0.63 12.75 0.0005 0.0006 0.03 

CEMENT -- -- -- 0.82 -- -- -- -- 

FACILITY TOTALS 559.72 21.09 0.32 9.16 59.32 0.006 0.008 0.4 
 OMB No. 2060-0336, Approval Expires 06/30/2015

Federal Operating Permit Program (40 CFR Part 71) 

FEE CALCULATION WORKSHEET (FEE)

Use this form initially, or thereafter on an annual basis, to calculate part 71 fees. 

A. General Information 

Type of fee (Check one): _X__Initial ___Annual 

Deadline for submitting fee calculation worksheet ____/____/_______ 

For initial fees, emissions are based on (Check one): 

___ Actual emissions for the preceding calendar year. (Required in most circumstances.) 

_X__ Estimates of actual emissions for the current calendar year. (Required when 

operations commenced during the preceding calendar year.) 

Date commenced operations ____/____/______ 

___ Estimates of actual emissions for the preceding calendar year. (Optional after a part 

71 permit was issued to replace a part 70 permit, but only if initial fee payment is 

due between January 1 and March 31; otherwise use actual emissions for the 

preceding calendar year.) 

For annual fee payment, you are required to use actual emissions for the preceding calendar year. 

B. Source Information: Complete this section only if you are paying fees but not applying for a permit. 

Source or facility name _______________________________________________________________ 

Mailing address: Street or P.O. Box ____________________________________________________ 

City_______________________________________ State______ ZIP__________ - ______ 

Contact person__________________________________ Title_____________________________ 

Telephone (_____) _____ - _________ Ext________ Part 71 permit no. _____________________ 

C. Certification of Truth, Accuracy and Completeness: Only needed if not submitting a separate form CTAC. 

I certify under penalty of law, based on information and belief formed after reasonable inquiry, the 

statements and information contained in this submittal (form and attachments) are true, accurate and 

complete. 

Name (signed) ________________________________________ 

Name (typed) ________________________________________ Date:____ /____ /_______ 
FEE 

EPA Form 5900-03 

2

D. Annual Emissions Report for Fee Calculation Purposes -- Non-HAP 

You may use this to report actual emissions (tons per year) of regulated pollutants (for fee calculation) on a 

calendar-year basis for both initial and annual fee calculation purposes. Section E is designed to report 

HAP emissions. Quantify all actual emissions, including fugitives, but do not include insignificant emissions 

and certain regulated air pollutants that are not counted for fee purposes, such as CO (see instructions). 

You may round to the nearest tenth of a ton on this form. Sum the emissions in each column and enter a 

subtotal at the bottom of the page. If any subtotal exceeds 4,000 tons, enter 4,000 for that column. 

This data is for _the initial application fee_ (year) 

See the GIS, EMISS and PTE forms for detailed emissions for each Emission Unit ID. The fee calculation 

is also included following this form as requested. 

 

Emission Unit ID 

NOx VOC SO2 PM10 Lead Other 

 SUBTOTALS

 
FEE 

EPA Form 5900-03 

3

E. Annual Emissions Report for Fee Calculation Purposes -- HAP 

HAP emissions are included with VOC emissions, thus are not included in the fee calculation (i.e. 

not double-counted). See the EMISS and PTE forms for HAP emissions. 

HAP Identification. Identify individual HAP emitted at the facility, identify the CAS number, and assign a 

unique identifier for use in the second table in this section. Whenever assigning identifier codes, use 

"HAP1” for the first, "HAP2" for the second, and so on. 

 Name of HAP CAS No Identifier 

 

 

 

 

 

 

 

 

HAP Emissions. Report the actual emissions of individual HAP identified above. Use the identifiers 

assigned in the table above. Include all emissions, including fugitives, and do not include insignificant 

emissions. You may round to the nearest tenth of a ton. Sum the emissions in each column and enter a

subtotal at the bottom of the page. If any subtotal exceeds 4,000 tons, enter 4,000. 

This data is for __________ (year) 

Emissions Unit ID Actual Emissions (Tons/Year) 

HAP___ HAP___ HAP___ HAP___ HAP___ HAP___ HAP___ HAP___ 

 

 SUBTOTALS 
FEE 

EPA Form 5900-03 

4

F. Fee Calculation Worksheet

This section is used to calculate the total fee owed for both initial and annual fee payment purposes. 

Reconciliation is only for cases where you are paying the annual fee and you used any type of estimate

of actual emissions when you calculated the initial fee. If you do not need to reconcile fees, only 

complete line 1-5 and then skip down to lines 21 – 26. See instructions for more detailed explanation.

1. Sum the emissions from section D of this form (non-HAP) and enter the total (tons). 591 

2. Sum the emissions from section E of this form (HAP) and enter the total (tons). 0 

3. Sum lines 1 and 2. 591 

4. Enter the emissions that were counted twice. If none, enter "0." 0 

5. Subtract line 4 from line 3, round to the nearest ton, and enter the result here. 591 

RECONCILIATION 

 (WHEN INITIAL FEES WERE BASED ON ESTIMATES 

FOR THE “CURRENT” CALENDAR YEAR) 

Only complete lines 6-10 if you are paying the first annual fee and initial fees were based on estimated actual 

emissions for the calendar year in which you paid initial fees; otherwise skip to line 11 or to line 21. 

6. Enter the total estimated actual emissions for the year the initial fee was paid 

(previously reported on line 5 of the initial fee form). 

7. If line 5 is greater than line 6, subtract line 6 from line 5, and enter the result. 

Otherwise enter "0." 

8. If line 6 is greater than line 5, subtract line 5 from line 6, and enter the result. 

Otherwise enter "0." 

9. If line 7 is greater than 0, multiply line 7 by last year’s fee rate ($/ton) and enter the 

result here. This is the underpayment. Go to line 21. 

10. If line 8 is greater than 0, multiply line 8 by last year's fee rate ($/ton) and enter the 

result here. This is the overpayment. Go to line 21. 

RECONCILIATION 

 (WHEN INITIAL FEES WERE BASED ON ESTIMATES 

FOR THE “PRECEDING” CALENDAR YEAR) 

Only complete lines 11-20 if you are paying the first annual fee and initial fees were based on estimated actual 

emissions for the calendar year preceding initial fee payment; otherwise skip to line 21. If completing this 

section, you will also need to complete sections D and E to report actual emissions for the calendar year 

preceding initial fee payment. 

11. Sum the actual emissions from section D (non-HAP) for the calendar year preceding 

initial fee payment and enter the result here. 

12. Sum the actual emissions from section E (HAP) for the calendar year preceding 

initial fee payment and enter the result here. 

13. Add lines 11 and 12 and enter the total here. These are total actual emissions for 

the calendar year preceding initial fee payment. 

14. Enter double counted emission from line 13 here. If none, enter "0." 

15. Subtract line 14 from line 13, round to the nearest ton, and enter the result here. 
FEE 

EPA Form 5900-03 

5

16. Enter the total estimated actual emissions previously reported on line 5 of the initial 

fee form. These are estimated actual emissions for the calendar year preceding 

initial fee payment. 

17. If line 15 is greater than line 16, subtract line 16 from line 15, and enter the result 

here. Otherwise enter "0." 

18. If line 16 is greater than line 15, subtract line 15 from line 16, and enter the result 

here. Otherwise enter "0." 

19. If line 17 is greater than 0, multiply line 17 by last year’s fee rate ($/ton) and enter the 

result here. This is the underpayment. 

20. If line 18 is greater than 0, multiply line 18 by last year’s fee rate ($/ton) and enter the 

result on this line. This is the overpayment. 

FEE CALCULATION 

21. Multiply line 5 (tons) by the current fee rate ($47.11/ton) and enter the result here. $27,842.01 

22. Enter any underpayment from line 9 or 19 here. Otherwise enter "0." 0 

23. Enter any overpayment from line 10 or 20 here. Otherwise enter "0." 0 

24. If line 22 is greater than "0," add it to line 21 and enter the result here. If line 23 is 

greater than "0," subtract this from line 21 and enter the result here. Otherwise enter 

the amount on line 21 here. This is the fee adjusted for reconciliation. 

0 

25. If your account was credited for fee assessment error since the last time you paid 

fees, enter the amount of the credit here. Otherwise enter "0." 

$27,842.01 

26. Subtract line 25 from line 24 and enter the result here. Stop here. This is the total 

fee amount that you must remit to EPA.