United States

Environmental Protection Agency

Washington, DC 20460

Acid Rain Program 

# Thermal Energy

Compliance Report OMB No. 2060

- 0258

Approval expires 1 1/ 3 0/2012

PLEASE TYPE OR PRINT CLEARLY IN BLACK INK

ALL LETTERS IN UPPER

- CASE, LEFT JUSTIFY

TEXT, RIGHT JUSTIFY NUMBERS AS SHOWN. 

### A B C 1 2 3 See instructions for completing this form.

Step 1 Plant Name State Compliance Year

Facility Account Number Unit ID

Step 2 Opt

- in Source Calendar Year Thermal Energy Reduced (mmBtu)

Step 3 Re placement Units

B C D

A Calendar Year Actual No. of No. of Transferable E

Replac ement Thermal Trans ferable All owances under Difference

Unit ID Energy Output (mmBtu) Allowances Thermal Energy Plan C

- D

Total for all Replacement Units

Step 4 Certification

I am authorized to make this submission on behalf of the owners and operators of the affected source or affected units for wh ich

the submissio n is made. I certify under penalty of law that I have personally examined, and am familiar with, the statements arid

Information submitted in this document and all its attac hments. 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 and belief

true, accurate, and complete, I am aware that there are significant penalties for submitting false statements and information or

omitti ng required statements and information, i ncluding the possibility of fine or i mprisonment.

I cer tify that this opt

- in source has not become an affected unit under 40 CFR 72.6 for the compliance year.

Signature Date AAR ID#

Signature Date AAR ID#

Signature Date AAR ID#

Signature Date AAR ID#

EPA Form 7620

- 10 ( Revised 12

- 2009 ) Page 

###  of 

### 

# Acid Rain Program

Instructions for

Thermal Energy Compliance Report

(40 CFR 74.43 and 74.47 )

The Acid Rain Program regulations require the designated representative to submit a Thermal Energy

Compliance Report for each opt

- in source that is governed by a Thermal Energy Plan.

STEP 1 Enter the Plant Name, State, Facility Account Number, Compliance Year , and Unit ID for the opt

- in

source that is transferring its thermal energy to replacement units.

STEP 2 Enter the actual amount of thermal energy (mmBtu) reduced at the opt

- in source during the

calendar year. Include all energy flows (steam, gas, or hot water) used for any process or heating

and cooling application. The actual amount of thermal energy (mmBtu) reduced cannot exceed

the difference between the opt

- in source's baseline and its annual utilization (i.e., Step 2 must be

<= Step 2 from the Opt

- in Utilization Report

- Step 6 from the Opt

- in Utilization Report).

STEP 3 Colu mn A: Enter the Unit ID for each replacement unit under the approved Thermal Energy Plan.

Column B: Enter the actual amount of thermal energy (mmBtu) for each replacement unit that is

replacing the thermal energy at the opt

- in source during the calendar year. Include all energy

flows (steam, gas, or hot water) used for any process or heating and cooling application. The total

amount of thermal energy (mmBtu) replaced by all replacement units must not exceed the amount

reduced at the opt

- in source as rep orted in Step 2.

Note: The opt

- in source must document the total steam output (in mmBtu) from each replacement

unit, the portion of the total steam output used in process or heating and cooling applications, and

the portion used to generate electricity, and be prepared to provide a copy of these records to EPA

upon request.

Column C: Enter the actual number of allowances that may be transferred to each replacement

unit under the approved Thermal Energy Plan calculated as follows.

If the replacement unit is a boiler;

2000 rate emission SO allowable B) 3(Column Step

C) 3(Column Step unit t replacemen 2 

### x ** **  ** **  ** ** 

**=** 85 0

.



### If the replacement unit is a cogenerator;

2000 rate emission SO allowable B) 3(Column Step

C) 3(Column Step unit t replacemen 2 

### x ** **  ** **  ** ** 

**=** 80 0

.



### Note: The allowable emission rate for the replacement unit is defined in 40 CFR 74.47(a)(3)(vii).

Column D: Enter the number of allowances that were transferred to each replacement unit under

the approved Thermal Energy Plan (Calculated in Step R

- 8 of the Thermal Energy Plan Form)

included in the Acid Rain Permit for the opt

- in source.

Column E: Subtract Column D from Column C and enter the difference, which is the number of

allowances that will be transferred to or from the replacement unit's facility account

.

STEP 4 The designated representative of the opt

- in source and the designated representative for each

replacement unit must either:

1) Read the certifications, enter the date, AAR ID number, and sign this form (e ach designated

representative may sign a copy of the original Thermal Energy Compliance Report; all of the

copies with original signatures should be submitted in the same package.) ; or 2) Submit a cover letter with a certification statement, following the General Instructions.