### 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/10 3 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 Hou rs of Operation (180 days/yr) / 2000 lbs/ton = Emis sions (tpy) 1. Emission factors for fumes produced during weldi ng activities are from AP-42, Table 12.19-1 (PM-10 Emission Factors for

Welding Operations) and Table 12.19-2 (Hazardous Ai r 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 ba sed on the highest

emission factors per pollutant regardless of electr ode type.

Pollutant Calculated Emission Rates

PM/PM-10/PM2.5

Welding Activities ENVIRON International CorporationStatoilEastern GOM OCS Air Permitting ProjectStatoil - Transocean Discoverer AmericasPainting Activities Emissions CalculationsParametersPaint 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) 180Name Manufacturer % SolidsDensity(lb/gal)Solids VOCEthylbenzeneMIBK XyleneHexamethylene-di-isocyanate100-41-4 1330-20-7 822-06-0Hempathane HS 55619 - Resin 73% 11.45 8.4 3.15 -- -- 0.34 --Curing Agent 9705090% 9.43 8.5 0.97 -- -- -- 0.47(7 parts resin: 1 part cure) -- -- 8.4 2.9 -- -- -- --Hempadur 45187 - resin69% 12.07 8.3 4.03 0.60 -- 2.72 --Curing Agent 9818031% 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 0.5Paint Thinner (Stoddard Solvent) W.M. Barr 0% 7.46 -- 6.6 -- -- 0.07 --Emissions SummaryPaint Coating Paint Thinner(lbs/hr) (lbs/hr) (lb/hr) (tpy) (lb/yr)0.16--0.2 0.34 6780.11--0.1 0.24 4750.04--0.04 0.08 1700.30 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 118Emission Factor ReferencesSample CalculationsGallons 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 TransferEfficiency (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)PollutantVOC1. Emissions of VOC and HAP based on gallons of paint and thinner used and material safety data sheetsfor paints and paintthinners. The maximum VOC and specific HAPs contents for each (paint and thinner) were determined across the availableproducts.HempelMax of Paint CoatingsEthylbenzeneMIBKXyleneHempelHexamethylene-di-isocyanateTotal PaintingCalculated Emission Rates1PM2PM102PM2.522. Assume half of each surface coating is used throughout the year. Estimate of 65 percent transfer efficiency were obtained fromSouth Coast Air Quality Management District. Bench-scale studies estimate that PM10 emissions from overspray areapproximately 70% of total PM and PM2.5 emissions are approximately 25% of total PM.Painting ActivitiesENVIRON International Corporation

### 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 Hou rs of Operation (180 days/yr) / 2000 lbs/ton = Emis sions (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 CorporationProject:Statoil OCS Permitting ProjectControl Option:Discoverer Americas Emergency Generator Engine (E GEN) ReplacementDate:April 17, 2013Author:Kyle HeitkampPage1 of 2Economic FactorsEquipment Life (n)Worst case based on longest period of time Statoilwould lease the drilling vessel10 yearsAnnual Interest Rate (I)OAQPS7 %Design ParametersNOx Removal EfficiencyCalculated using the difference in emissions between 11.9 and 0.67 g/kW-hr emission factor.94%Direct Costs (DC)Total Equip + Fr + Install$20,000Total Purchased Equipment Cost (Total Equip)$20,000Equipment Cost (Equip)$20,000Instrumentation (Instr)$0Sales Tax (ST)$0Freight (Fr)$0Foundations and Support (F&S)$0Total Purchased Equipment Installation (Install)$0Electrical (Electric)$0Piping (Pipe)$0Insulation for Ductwork (Insul)$0Painting (Paint)$0Indirect Costs (IC)CE + E&S + Contract + SU + Test$500,000Construction Expenses (CE)$0Engineering and Supervision (E&S)$0Contractor Fees (Contract)$0Start-up (SU)Estimate for downtime related to engine replacement$500,000Initial Compliance Certification Emissions Test (Test)$0Project Contingency (PC)$0Total Plant Cost (B)DC + IC + PC$520,000Total Capital Investment (TCI)B$520,000DESIGN CONDITIONSTOTAL CAPITAL INVESTMENTProject:Statoil OCS Permitting ProjectControl Option:Discoverer Americas Emergency Generator Engine (E GEN) ReplacementDate:April 17, 2013Author:Kyle HeitkampPage2 of 2Annual Maintenance Cost (AMC)$0Annual Reagent Cost (ARC)$0Annual Catalyst Replace Cost (ACRC)$0Annual Electricity Cost (AEC)$0Direct Annual Costs (DAC)$0Capital Recovery Factor (CRF)(i * (1 + i)^n) / ((1 + i)^n - 1)0.14Fuel Penalty (FP)$0Taxes/Insurance/Admin (TIA)$0Indirect Annual Costs (IDAC)(CRF * TCI) + FP + TIA$74,036Total Annual Costs (TAC)DAC + IDAC$74,036NOx RemovalDifference in emissions between 11.9 (baseline) and0.67 (Tier 4) g/kW-hr emission factors.0.82 tpyCost EffectivenessTAC / NOx Removal$90,495 $/tonCOST EFFECTIVENESS - WORST CASETOTAL 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, St atOil Gulf Services, LLC

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

City Houston State Texas ZIP 77042

Contact person: Don Evans Title Environmen tal 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 locat ion Eastern Gulf of Mexico located in the Desoto

Canyon

City N/A State N/A County N/A EPA Regi on__4__

Is the facility located within:

Indian lands? ___YES _X_ NO OCS wate rs? _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. Bo x 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 th e supplementary question appropriate for the type

marked.

_X_ Initial Permit ___ Renewal ___ Signif icant Mod ___ Minor Permit Mod(MPM)

___ Group Processing, MPM ___ Administ rative 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 appl y.

___ 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 visibili ty (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 Applic able Requirements

Cite and describe any emissions-limiting requiremen ts and/or facility-wide "generic" applicable requir ements.

40 CFR 82 Subpart F – Statoil will comply with all applicable provisions of this regulation as it rela tes 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 fac ility.

Process Products SIC

Exploration N/A 1382

I. Emission Unit Identification

Assign an emissions unit ID and describe each emiss ions unit at the facility. Control equipment and/o r alternative

operating scenarios associated with emissions units should by listed on a separate line. Applicants m ay 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 P TE. For all pollutants stipulations to major sourc e status
may be indicated by entering "major" in the space f or PTE. Indicate the total actual emissions for fe e purposes for the facility in the space provided. Applicatio ns 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 aut hority N/A

Permit number(s) N/A Permit type N/A Permitt ing 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 instru ctions)

### 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 em ission unit. In the "number" column, indicate the number

of units in this category. Descriptions should be brief but unique. Indicate which emissions criteri on 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 regul ated at the unit or present in major amounts, then list any other

regulated pollutant (for fee calculation) not alrea dy listed. HAP may be simply listed as "HAP." Nex t,
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 purpos es

. 

### You may

round to the nearest tenth of a ton for yearly valu es 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

PM 10 N/A 0.38 0.8

PM 2.5 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 app licability, 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 help ful to

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

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

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

.

Emissions Unit ID Regulated Air Pollutants and Pollutants for which t he 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 0.4OMB 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 ___Annua l

Deadline for submitting fee calculation worksheet _ ___/____/_______

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

___ Actual emissions for the preceding calendar yea r. (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, b ut only if initial fee payment is
due between January 1 and March 31; otherwise use a ctual emissions for the
preceding calendar year.)

For annual fee payment, you are required to use act ual 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__________________________________ Ti tle_____________________________

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

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

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

statements and information contained in this submit tal (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 Pur poses -- Non-HAP

You may use this to report actual emissions (tons p er year) of regulated pollutants (for fee calculati on) on a
calendar-year basis for both initial and annual fee calculation purposes. Section E is designed to re port HAP emissions. Quantify all actual emissions, incl uding fugitives, but do not include insignificant e missions
and certain regulated air pollutants that are not c ounted for fee purposes, such as CO (see instructio ns).
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_ (yea r)

See the GIS, EMISS and PTE forms for detailed emiss ions for each Emission Unit ID. The fee calculatio n 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 Pur poses -- 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 f or HAP emissions.

HAP Identification. Identify individual HAP emitte d at the facility, identify the CAS number, and ass ign a
unique identifier for use in the second table in th is section. Whenever assigning identifier codes, u se "HAP1” for the first, "HAP2" for the second, and so on.

Name of HAP CAS No Identif ier



### HAP Emissions. Report the actual emissions of indi vidual HAP identified above. Use the identifiers
assigned in the table above. Include all emissions , including fugitives, and do not include insignifi cant 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___ HA P___

SUBTOTALS

### FEE

EPA Form 5900-03 4

F. Fee Calculation Worksheet

This section is used to calculate the total fee owe d for both initial and annual fee payment purposes.
Reconciliation is only for cases where you are payi ng 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. I f none, enter "0." 0

5. Subtract line 4 from line 3, round to the neares t 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 firs t annual fee and initial fees were based on estimat ed actual

emissions for the calendar year in which you paid i nitial fees; otherwise skip to line 11 or to line 2 1.

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

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

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 fir st annual fee and initial fees were based on estima ted actual

emissions for the calendar year preceding initial f ee payment; otherwise skip to line 21. If completi ng this

section, you will also need to complete sections D and E to report actual emissions for the calendar y ear preceding initial fee payment.

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

initial fee payment and enter the result here.

12. Sum the actual emissions from section E (HAP) f or 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 nea rest ton, and enter the result here.

### FEE

EPA Form 5900-03 5

16. Enter the total estimated actual emissions prev iously 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 li ne 16 from line 15, and enter the result

here. Otherwise enter "0."

18. If line 16 is greater than line 15, subtract li ne 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 en ter the result here. Otherwise enter

the amount on line 21 here. This is the fee adjust ed 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. Otherwi se enter "0." $27,842.01

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

fee amount that you must remit to EPA.