## United States Environmental Protection Agency

General Permit for New or Modified Minor Sources of Air Pollution in

Indian Country

http://www.epa.gov/air/tribal/tribalnsr.html



## Request for Coverage under the General Permit for New or Modified True Minor

Source Petroleum Dry Cleaning Facilities in Indian Country

Last Modified: November 14 , 2013

Version 1. 0

This Request for Coverage under the General Permit for True Minor Source Petroleum Dry Cleaning Facilities applies to

the construction of new, true minor source petroleum dry cleaning facilities or the modification of existing, true minor

source petroleum dry c leaning facilities in Indian Country that consume 5,600 gallons or less of petroleum solvents

annually in National Ambient Air Quality Standard (NAAQS) ozone attainment areas, or 1,300 gallons or less of

petroleum solvents annually in NAAQS ozone nonattain ment areas

. A petroleum dry cleaning facility consists of dry

cleaning dryers, washers, filters, stills, settling tanks, and boilers.



### You qualify to sub mit a Request for Coverage u nder the General Permit if you meet all of the

following criteria:

Your new or modified true minor source petroleum dry cleaning facility is located within Indian Country;

Your facility h a s a potential to emit (PTE) less than the New Source Review (NSR) major source thresholds;

If located in an ozone attainment area, after the pr oposed construction or modification project, your facility

will not consume more than 5,600 gallons of solvents over a consecutive 12 month period;

If located in an ozone nonattainment area, after the proposed construction or modification project, your

fa cility will not consume more than 1,300 gallons of solvents over a consecutive 12 month period;

You do not use fuels other than natural gas, propane, and butane in the fuel combustion units at your

facility;

The maximum heat input capacity of each fuel c ombustion unit is less than 10 MMBtu/h ou r;

The total heat input capacity of the fuel combustion units at your facility is eq ual to or less than 30

MMBtu/h ou r ;

Y o u de m o n s t r a t e t h a t yo u meet o n e o f t h e c r i t er i a l i s t ed i n Appendix A w i t h re s p e c t t o t h e p r o t e c t i o n o f an y

an d al l s p e ci es t ha t a re feder all y

- li s t ed a s e n d an gered o r t h re a t e n ed u n der t h e E n d an gered S p e ci es A c t (ESA)

o r o f habi t a t t ha t i s feder all y

- de s i g na t ed a s “c r i t ic a l hab i t a t ” u n der t h e E S A; and

Y o u have f o ll o wed t h e s c ree nin g p r o c ess i n A pp e n d i x B t o de t e r m in e i f the construction, modification or operation

of your new or modified minor source of air pollutants ha s t h e p o t e n t ia l t o ca u se effe c t s t o hi s t o r i c p r o p er t i e s

(pursuant to the National Historic Preservation Act (NHPA))

, an d w h e t h er y o u n eed t o c o n t ac t the appropriate

state o r t r iba l re p r e s e n t a t i ve f o r f u r t h er in f o rm a t i o n.

More Information

Information on the definition of a “modification” and “PTE” can be found at 40 CFR 49.152(d) and in the

“Instructions” document. Additional information on the applicability of the Indian Country 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 the

area’s attainment status.

The reviewing authority retains discretion to deny coverage under a general permit and require a source

- speci fic permit

even if the above criteria are met.Request for Coverage: Petroleum Dry Cleaning Page 2 of 17

Version 1.0 

### Instructions

Step 1: Complete all sections of the Request for Coverage under the General Permit

. If you have questions, please

contact the reviewing authority

.

Step 2: Submit a copy of this permit application to the reviewing authority and the tribe in the area where the source is

locating

.



### After you submit the Request for Coverage under the General Permit to the Reviewing Authority :

You may not commence construction until you receive request for the final decision on your app lication for

coverage under the general permit

.

Your reviewing authority will act on your coverage under the general permit as expeditiously as possible, and will

notify you if more information is needed in writing within 15 days from receipt of your request for coverage. The

reviewing authority will grant or deny coverage under a general permit no later than 45 days after the date the

notification is received, comments are reviewed, and all additional information necessary to make an informed

decision has been provided

.

Your reviewing authority will send you a letter notifying you of the approv al or denial of your coverage under

this general permit . Such a letter is a final permit action for purposes of judicial review only for the issue of

whether your source qualifies for this general permit

.

Applicants are welcome to s end comments on the U.S. Environmental Protection Agency’s (EPA’s) need for th e

information in this application , and any suggested methods for minimizing respondent burden, including through the

use of automated collection techniques

, to the Director, Collection Strategies Division, U.S. Environmental Protection

Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any

c orrespondence. Do not send the completed form to this address.

## United States Environmental Protection Agency

General Permit for New or Modified Minor Sources of Air Pollution in

Indian Country

http://www.epa.gov/air/tribal/tribalnsr.html



## Request for Coverage under the General Permit for New or Modified True Minor

Source Petroleum Dry Cleaning Facilities in Indian Country

Last Modified: November 14 , 2013

Version 1.0

Prior to construction or modification, complete this application and submit it to your reviewing authority.

A list of reviewing authorities, their area of coverage, and contact information can be found in Attachment D to the

General Permit for True Minor Source Pet roleum Dry Cleaning Facilities or visit:

http://www.epa.gov/air/tribal/tribalnsr.html

.

For assistance with this application please contact your reviewing authority.

For instructions on completing this application please see the document “ Instructions f or Request for Coverage

under the General Permit f or New o r Modified True Minor Source Petroleum Dry Cleaning Facilities in Indian

Country .”



### Section 1: Contact Information

1. Business Name : 2. Date :

3. Site Address : 4. County :

5. Name of Operator at Site (if different from owner) : 6. Phone of Operator or Contact at Site (if different from

owner) :

7. Owner : 8. Telephone of Owner :

9. Mailing Address : 10.Send all correspondence regarding this application to:

Company Name:

C/o:

Address:

11. A uthorized contact regarding this permit application:

Name:

Title:

Phone: Email:

FAX:Request for Coverage: Petroleum Dry Cleaning Page 4 of 17

Version 1.0 

### Section 2: Facility and Technical Information

12. This application is for:

A new petroleum dry cleaning facility (please describe the proposed new source )

.

_______________________________________________________________________________________________

__________________

_________________________________________ ____________________________________

Modification of an existing petroleum dry cleaning facility. Please describe the modification belo w. T he definition

of “modification” can be found at 40 CFR 49.152(d), and in the “Instructions” document for requesting coverage

under this general permit

.

_______________________________________________________________________________________________

___________________________________________________________ __________ __________________________

13. North American Industry Classification System/Standard Indu strial Classification Code and/or description o f the

facility:

_______________________________________________________________________________________________

___________________________________________________________ ________________________________ ____

1 4. Is your new or modified facility located in a serious, severe, or extreme ozone nonattainment area?

Information on the ozone attainment status of the area where your facility is /will be located can be found

at: http://www.epa.gov/airquality/greenbook/

.

Yes No

If yes, specify the classification of the ozone nonattainment area:

Marginal Moderate Serious Severe Extreme

15. Is the potential to emit (PTE) of your new facility

, or the emissions increase from your modified existing facility

, equal to or above the applicable minor NSR thresholds listed bel ow for ANY of the listed pollutant s, both in tons

per year (tpy) ? Emissions from your facility may be calculated using the PTE calculator available online at :

http://www.epa.gov/air/tribal/tribalns r.html

. Be sure to include all new, modified, or existing emission units when

determining PTE.

Pollutant Attainment Area Nonattainment Area

Carbon Monoxide (CO) 10 tpy 5 tpy

Particulate Matter (PM) 10 tpy 5 tpy

Particulate Matter

(PM

10 ) 5 tpy 1 tpy

Particulate Matter

(PM

2.5 ) 3 tpy 0.6 tpy

Sulfur Dioxide (SO

2 ) 10 tpy 5 tpy

Nitrogen Oxides (NO

X ) 10 tpy 5 tpy

Carbon Monoxide (CO) 5 tpy 2 tpyRequest for Coverage: Petroleum Dry Cleaning Page 5 of 17

Version 1.0 Yes No

16. If located in an attainment area, is the PTE of your facility less than 250 tpy for PM, PM

10 , PM 2.5 , VO C, NO X , CO, and SO

2 ? Be sure to include all existing, new, and modified emission units.

Yes No

If you answered ‘No

, ’ your source does not qualify for the minor NSR program. Please contact your

reviewing authority to apply for a site

- specific permit. If you answered ‘Yes

, ’ continue on to the next

question.

17. If located in a nonattainment area, is the PTE of your facility for the particular nonattainment pollutant

less than the NSR major source thresho l ds below for ALL pollutants? Be sure to include all existing, new,

and modified emission units.

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 N/A

- Not located in any nonattainment area

If you answered ‘No

, ’ your source does not qualify for the minor NSR program. Please contact your reviewing

authority to apply for a site

- specific permit. If you answered ‘Yes’ or ‘N/A

, ’ continue on to the next question.

18. Is your annual solvent consumption less than the thresholds required under 40 CFR 49. 162 ?

Yes No

If no, your source does not qualify for a g eneral p ermit under 40 CFR 49.162 and you must obtain a site

- specific

permit from your reviewing authority

.Request for Coverage: Petroleum Dry Cleaning Page 6 of 17

Version 1.0 19. Is the maximum heat input capacity of each fuel combustion unit less than 10 MMBtu/h ou r and the total

combined heat input capacity of all fuel combustion units less than 30 MMBtu/h ou r?

Yes No

If no, your source does not qualify for a g eneral p ermit under 40 CFR 49.162 and you must obtain a site

- specific

permit from your reviewing authority

.

20. Do you agree to comply with all requirements of the g eneral p ermit as stated in 40 CFR 49.162?

Yes No

If no, your source does not qualify for a g eneral p ermit under 40 CFR 49.162 and you must obtain a site

- specific

permit from your reviewing authority

.

Section 3 : Information on Compliance with Federal Statues Necessary for Requesting Coverage under the

General Permit

2 1 . Endangered Species Act

Have y o u de m o n s t r a t ed t h a t yo u meet o n e o f t h e c r i t er i a l i s t ed i n Appendix A w i t h re s p e c t t o t h e p r o t e c t i o n o f

an y an d al l s p e ci es t ha t a re feder all y

- li s t ed a s e n d an gered o r t h re a t e n ed u n der t h e E S A o r o f habi t a t t ha t i s

feder all y

- de s i g na t ed a s “c r i t ic a l hab i t a t ” u n der t h e E S A? If no, you cannot request coverage under the general

permit

.

Yes No

If yes, then you need to provide the appropriate documentation to the EPA to qualify for coverage under the

general permit . Please indicate under which c riterion in Appendix A you are satisfy ing this requirement:

A B C D E

2 2 . Nation al Historic Preservation Act

Have y o u f o ll o wed t h e s c ree nin g p r o c ess i n A pp e n d i x B t o de t e r m in e i f the construction, modification or

operation of your new or modified true minor source of air pollutants ha s t h e p o t e n t ia l t o ca u se effe c t s t o hi s t o r i c

p r o p er t i e s (pursuant to the NHPA)

, an d w h e t h er y o u n eed t o c o n t ac t the appropriate state o r t r iba l

re p r e s e n t a t i ve f o r f u r t h er in f o rm a t i o n ? If no, you cannot request coverage under the general permit

.

Yes No

If yes, then provide the appropriate documentation to the EPA to qualify for coverage under the general

permit

.Request for Coverage: Petroleum Dry Cleaning Page 7 of 17

Version 1.0 

### Applicant’s Statement (to be signed by the applicant)

I certify that this document and all attachments were prepared under my direction or supervision according to a system

designed to assure that qualified personnel properly gather and evalu ate the information submitted. Based on my

inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the

information, the information submitted is, to the best of my knowledge and belief, true, accurate, an d complete.



### Name: _____________________________Name: ____________________________Date:__________

(Signature) (Print or Type)



### Title: _____________________________________Request for Coverage: Petroleum Dry Cleaning Page 8 of 17

Version 1.0 

## A pp e n d i x A

- E n da n g e r ed S p ec i es A c t R e q ui r e m en t s

T h e p u r p os e o f t hi s appendix i s t o a s s i s t y o u i n c o m pl y in g w i t h t h e re q u i reme n t s of your request for coverage under

the General Permit for True Minor Source Petroleum Dry Cleaning Facilities in Indian Country

. I n o rder t o b e e l i g ibl e

f o r c o ver a ge u n d e r t hi s p erm i t, y o u must de m o n s t r a t e t h a t yo u meet o n e o f t h e c r i t er i a l i s t ed i n t h i s app e n d ix w i t h

re s p e c t t o t h e p r o t e c t i o n o f an y an d al l s p e ci es t ha t a re feder all y

- li s t ed a s e n d an gered o r t h re a t e n ed u n der t h e E S A

o r o f habi t a t t ha t i s feder all y

- de s i g na t ed a s “c r i t ic a l hab i t a t ” u n der t h e E S A.

T hi s appendix p r o v i des y o u in f o rm a t i o n o n t h e f o ll o w in g:

• Section 1.0: E S A Eli g ibil i t y C r i t er ia and

• Section 2.0: G u i d anc e f o r D e t erm inin g Whic h E S A C r i t er i a A ppli es

.



### 1.0 ESA Eli g i b ility Cr ite r ia

Y o u m u st c er t i fy i n y o u r request for coverage under the general permit t ha t yo u meet o n e o f t h e e li g i bi l i t y c r i t er i a li s t e d

b e l o w i n o rder t o b e e li g ibl e f o r c o ver a ge u n d er t h e general permit

. Y o u m u s t al s o s p e ci fy i n your request for coverage

t h e ba s i s f o r y ou r s e l e c t i o n o f t h e applic a b l e e li g ib i l i t y c r i t er i o n and provide documentation supporting the criterion

selected with your request for coverage under the general permit . If you do not meet any of these ESA eligibility

criteria, you will not be eligible for coverage under this permit and you must apply for a site

- specific permit.

No t e : ( 1 ) R eg a r d l e s s o f t h e c r i t er i o n s e l e c t ed, y o ur request for coverage m us t p r o v i de sufficient d o c u me n t a t i o n t o s u pp o rt y o u r

de t erm ina t io n t ha t yo u s a t i s fy t h e r e q u i reme n t s o f t h e pa r t ic u la r c r i t er i o n you have selected

. ( 2 ) Whil e c oo rd ina t i o n b e tw een yo u

an d t h e U

. S

. F i s h an d Wil d li fe S erv ic e (FWS) an d / o r t h e N a t i o na l M a r in e F i s h er i es S erv ic e ( NMFS; t o ge t h er, t h e “ S erv i c e s ” ) i s n o t

n e c es s a r il y re q u i red i n al l ca se s

, the EPA e nc o u r a ges y o u t o c o o rd ina t e w i t h t h e Services an d t o do s o e a r l y i n t h e plannin g p r o c e s s

p r i o r t o s u b m i tt in g you r request for coverage

.

Cr ite r ion A :

N o f eder all y

- li s t ed t h re a te n ed o r e n d an gered s p e ci es o r t h e i r des i g na t ed c r i t i c a l ha b i t a t ( s ) a re lik e l y t o o c c u r within

the action area. 1

Cr ite r ion B :

F eder all y

- li s t ed t h re a t e n ed o r e n d an gered s p e ci es o r t h e i r de s i g na t ed c r i t ica l habi t a t ( s ) a re lik e l y t o o c c u r within the

action area of your source an d the construction and operation of y o u r new minor source or construction and operation of

the modification to your existing minor source is n o t lik e l y t o a dverse l y a ff e ct li s t ed t h re a t e n ed o r e n d an gered s p e ci es

o r c r i t i c a l hab i t a t . T hi s de t erm ina t i o n m a y incl u de c o n s i der a t io n o f a n y air pollution c o n t r o l s or other changes to the

construction and/or operation of your new or modified source that yo u w il l a d o p t to e n s u re t ha t construction, modification

or operation of your new or modified source is n o t l ik e l y t o a dver s e l y a f fe c t li s t ed s p e ci es an d c r i t ic a l hab i t a t. To m ak e

t hi s c ert i f ic a t i o n

, y o u m u st incl u de t h e f o ll ow in g i n you r request for coverage : (1) identify any federally listed species

and/or designated habitat located within the action area of your source; (2) the distance between your site and the

listed species or designated critical habitat (in miles) ; and (3) any other information necessary ( e.g. , a map) to show

1 Action area means all areas to be affected directly or indirectly by the Federal action and not merely the immediate area

involved in the action [50 CFR 402.02].Request for Coverage: Petroleum Dry Cleaning Page 9 of 17

Version 1.0 that the construction/ modification and operat ion of your new or modified source are not likely to cause any adverse effects to

the listed threatened or endangered species or their critical habitat.

Cr ite r ion C :

C o o rd ina t i o n b et w een yo u an d t h e S erv ic e s ha s b een c o ncl u de d

. T h e c oo rd ina t i o n m us t ha ve a ddre s sed t h e effe c t s o f

y o u r new or modified true minor source’s construction/modification and operation o n fe d er all y

- li s t ed t h r e a t e n ed o r

e n d an gered s p e ci es an d feder all y

- d e s i g na t ed c r i t ica l hab i t a t

, an d m us t ha ve re s u l t ed i n a w r i t t en c o nc u rre nc e f ro m t h e

re l ev an t S erv ic e ( s) t h a t you r new or modified true minor source’s construction/modification and operation a re n o t

lik e l y t o a dver s e l y a ffe c t li s t ed s p e ci es o r c r i t i c a l ha b i t a t

. Y o u m us t incl u de c o pi es o f t h e c o rre s p o n de nc e b e tw een

y o u r s e l f an d t h e S e r v ic es with your request for coverage under the general permit

.

Cr ite r ion D :

Co n s u l t a t i o n b et w een another F eder a l A ge n c y an d t h e F W S an d /o r t h e N M F S u n d e r s e c t i o n 7 o f t h e E S A ha s b een

c o ncl u de d

. T h e c o n s u l t a t i o n m us t ha ve a ddres s ed t h e effe c t s o f your minor source’s construction/modification and

operation o n feder all y

- li s t ed t h re a t e n ed o r e n d an ge r ed s p e ci es an d feder ally

- des i g na t ed c r i t ic a l hab i t a t

. T h e re s u l t o f

t hi s c o n s u l t a t i o n m us t b e e i t h er:

1. A bi o l o g ica l o pini o n t h a t c o ncl u des t ha t t h e a c t i o n i n q u e s t i o n ( t akin g i n t o acc ou n t t h e effe c t s o f y ou r

s ource’s construction/modification and operation) i s n o t lik e l y t o j e o pa rd i z e t h e c o n t in u ed ex i s t e nc e o f

li s t ed s p e ci e s

, o r to result in t h e des t r u c t i o n o r a dverse m o d i f ica t i o n o f c r i t i ca l hab i t a t ; o r

2. Written c o nc u rre nc e f ro m t h e appl i cabl e S erv ic e ( s ) w i t h a f in d in g t h a t t h e source’s

construction/modification and operation a re n o t lik e l y t o a dver s e ly a ffe c t feder all y

- li s t ed s p e ci es o r

fed e r all y

- des i g na t ed habi t a t

.

Y o u m u st incl u de c o pi es o f t h e c o rre s p o n de nc e b e tw een you rse l f an d t h e S erv ic es i n y o u r request for coverage under

the general permit

.

Cr ite r ion E :

Y ou r c o n s t r u c t i o n/modification and operation ac t i v i t i es a re a u t h o r i z ed t h r ou g h t h e i ssu anc e o f an incidental take

p erm i t u n der s e c t i o n 10 o f t h e E S A

, an d t hi s a u t h o r i z a t i o n a ddres s e s t h e effe c t s o f t h e source o n feder all y

- li s t ed s p e ci es

an d feder all y

- des i g na t ed c r i t i ca l hab i t a t

. Y o u m u st incl u de c o pi es o f t h e incidental take permit and associated

documentation and c o rre s p o n de nc e b e tw e e n y o u r s e l f an d t h e S erv i c es with your request for coverage under the

general permit

.

You must comply with any applicable terms, conditions, or other requirements developed in the process of meeting

one of the eligibility criteria (A

- E) in this section to remain eligible for coverage under this permit. Documentation of

these requirements must be kept as part of your permit application and shall be maintained by the pe r mittee for the

duration of time the affected emissions unit(s) is (are) covered under the permit.



### 2.0 De t e r mini n g W hich Cr ite r ion A pp lies

To qualify for this permit, yo u need to m e et o n e o f t h e five c r i t er i a l i s t ed a b o ve . Y o u m u st f o ll o w t h e p r o c ed u res i n

S t e p s 1 t h r ou gh 4 below t o de t erm in e t h e E S A c r i t er i o n, if any, u n der w hic h y o u r project i s e li g ibl e f o r p e r m i t

c o ver a ge.Request for Coverage: Petroleum Dry Cleaning Page 10 of 17

Version 1.0 2.1 Step 1

De t erm in e i f L i s t ed T h re a t e n ed o r En d an gered S p e ci es o r t h e i r D e s i g na t ed C r i t ica l Ha b i t a t ( s ) a re L ik e l y t o O cc u r within

the Action Area of your Minor Source.

Y o u m u s t de t erm in e, t o t h e b e s t o f y o u r kn o w l edge, w h e t h er s p e ci es federally li s t ed a s e i t h er t h re a t e n ed o r

e n d an ge r ed, o r t h e i r c r i t ic a l hab i t a t ( s ), a re l o ca t ed within the action area of your minor source. 2 T o m ak e t hi s

de t erm ina t i o n

, y o u s h ou l d f i r st de t erm in e i f li s t ed s p e ci es an d /o r c r i t ica l hab i t a t a re ex p e c t ed t o ex i s t i n you r c ou n t y o r

t o w n s hip or nearby counties or townships to determine if species/habitat in those areas could potentially be affected

by the construction/modification or operation of your new or modified source

. T h e l o ca l o ff ic es o f t h e F W S

, N M F S

, an d

S t a t e o r T r ib a l H er i t a ge C e n t ers o f t en m ain t a i n li s t s o f feder all y li s t ed e n d an gered o r t h re a t e n ed s p e ci es o n t h e i r

i n t er n et si t es. Fo r F W S t erre s t r ia l a n d aq u a t i c s p e ci es in f o rm a t i o n

, y o u c a n u se the F W S o n

- lin e m app i n g t oo l

, t h e

I n f o rm a t i o n

, P lannin g, a n d Co n su l t a t i o n S y st em, l o ca t ed a t h t t p : // www

. f w s

. g o v / ipac /

.

No t e : T o de t erm in e t h e f i e l d o ff ic e t ha t c o rres p o n ds t o y ou r p r o je c t s i t e, v i s i t

h t t p : // www

. f w s

. g o v / e n d an gered / reg i o n s / in de x

. h t ml an d h t t p : // www

. n mf s

. n o a a

. g o v/ ( un der t h e l eft t ab f o r “ R eg i o n s ” )

.

I n m o st ca se s

, s p e ci es an d /o r c r i t ica l hab i t a t li s t s all o w yo u t o de t erm in e i f an y s u c h s p e ci es o r habi t a t ex i s t s i n

y o u r c o u n t y o r t o w n s h i p

. Yo u ca n al so f in d c r i t i ca l hab i t a t des i g na t i o n s an d a sso ci a t ed re q u i reme n t s a t 50 CF R

P a r t s 17 an d 22 6 (see h t t p : // www

. acc e s s

. g p o .g o v )

. You may also use the FWS Critical Habitat Portal (see

http://criticalhabitat.fws.gov/crithab/ ).

• I f the r e ar e li s ted sp e cies a n d

/or c r itic a l h ab it a t in your coun t y or t o w n s hi p (or nearby areas in which

species/habitat could potentially be affected by the construction/modification of your new or

modified source)

, y o u s h ou l d c o n t ac t you r l o c a l F W S

, N MFS

, o r S t a t e o r T r iba l H er i t a ge C e n t er t o de t erm in e

i f t h e l i s t ed sp e ci es a re kn o w n t o ex i st within the action area of y o u r minor source an d i f any designated

c r i t i c a l ha b i t a t a re a s o ver la p the action area of y o u r minor source

.

o I f you r l o ca l F W S

, N M F S

, o r S t a t e o r T r iba l H er i t a ge C e n t er in d ica t es t h a t t h ese s p e ci es an d /o r c r i t ica l

hab i t a t c ou l d ex i s t within the action area of y o u r minor source

, y o u m us t do one of the following :

Co n d u c t v i su a l in s p e c t i o n s. T hi s me t h o d m a y be pa r t ic u la r l y su i t abl e f o r s i t es t h a t a re s m all er in

s i z e o r l o ca t ed i n n o n

- na t u r a l s e tt in gs s u c h a s hi g hly u r bani z ed a re a s o r in d u s t r ia l pa r k s w h ere

t h ere i s l i t t l e o r n o na t u r a l hab i t a t

.

Co n d u c t a f o rm a l bi o l o g i ca l su rv e y

. I n so me ca s e s

, pa r t ic u la r l y f o r la rger s i t es, b i o l o g ica l s u rv e y s

m a y b e a n app r o p r ia t e w a y t o a s s e s s w h e t h er s p e ci es a re l o ca t ed within the action area of y o u r

minor source an d w h e t h er t h ere a re lik e l y t o b e a dverse effe c t s t o s u c h s p e ci e s

. Bi o l o g ica l su rv e y s

a r e fre q u e n t ly p erf o rmed b y e n v i r o n me n t a l c o n s u l t in g f i rms. A b i o l o g ica l su rv e y m a y i n s o me

ca s e s b e u se f u l t o c o n d u c t in c o n j u nc t i o n w i t h S t e p s 2, 3, or 4 o f t h e s e in s t r u c t i o n s.

Fo ll o w t h e in s t r u c t i o n s i n S t e p s 2

– 4 b e l o w

, a s ap p licabl e. No t e t h a t m an y b u t n o t al l m e a s u r e s

i m p os ed t o p r o t e c t li s t ed s p e ci es u n der t h ese s t e p s w il l al s o p r o t e c t c r i t ica l ha bi t a t

. T h u s

, to mee t

t h e e li g i bi l i t y re q u i reme n t s o f t hi s permit the me a su r es needed t o p r o t e c t c r i t ic a l hab i t a t may be

2 For definitions of terms that you might encounter when hearing or reading about the endangered species program, go to:

http://www.fws.gov/midwest/endangered/glossary/index.html and http://www.fws.gov/northeast/nyfo/es/ac tionarea.htm

.Request for Coverage: Petroleum Dry Cleaning Page 11 of 17

Version 1.0 se pa r a t e fr o m t h os e needed t o p r o t e c t li s t ed s p e ci e s

.

• I f t h e r e ar e n o li s ted sp e cies in y our coun t y or t o w n s hip (or nearby areas in which species/habitat could

potentially be affected by the construction/modification of your new or modified source) a nd no c r itic a l

h a b it a t ar

e a s in your a ct

i on ar e a

, y o u m a y select cr i t e r i o n A as the ESA criterion for which your project is

eligible in your request for coverage under the general permit

. Y o u m u st al so p r o v i de a des c r ip t i o n o f t h e

ba s i s f o r t h e c r i t er i o n s e l e c t ed o n y ou r request for coverage f o rm an d p r o v i de d o c u me n t a t i o n su pp o r t in g t h e

c r i t er i o n selected.



### 2.2 Step 2

D e t erm in e i f t h e Co n s t r u c t i o n/Modification or Operation of Your New or Modified Minor Source is L ik e l y t o

A d ver s e l y A f f e c t L i s t ed T h re a t e n ed o r En d an gered S p e ci es o r D e s i g na t ed C r i t ica l H a b i t a t

I f i n S t ep 1 y o u de t erm in e

, ba s ed o n c o mm u nica t i o n w i th yo u r l o ca l F WS

, N M F S

, o r S t a t e o r T r iba l H er i t a ge C e n t er, o r

o t h erwise, t ha t l i s t ed s p e ci es an d /o r c r i t i c a l habi t a t c ou l d ex i s t within the action area of your new or modified minor

source

, y o u m u s t n ext a s se s s w h e t h er the construction/modification or operation of your new or modified minor source is

lik e l y t o a dver s e l y a ffe c t li s t ed t h re a t e n ed o r e n d an gered s p e ci es o r d e s i g na t ed c r i t ica l h a b i t a t.

P o t e n t ia l a dver s e effe c t s fr o m construction/modification and operation activities incl u de direct and indirect effects and

could include, but are not limited to, the following:

• Ha b i t a t Disturbance

. Surface disturbance activities such as e x ca v a t i o n

, s i t e deve l o p me n t, gr a d in g, and associated

light and noise m a y a dverse l y a ffe c t li s t ed s p e ci es o r t h e i r habi t a t

. Operation of the Source. Source operations could result in additional traffic, noise and light that could affect

species or habitat.

Water

- Related Impacts. Changes in water usage or water discharges may affect listed species or their habitat.

Air Emission Impacts. Increases in emission of certain pollutants may in certain cases affect vegetation growth

patterns which can affect listed species or their habita t.

T h e s c o p e o f e ffe c t s t o c o n s i der w il l v a ry w i t h e a c h site and project

. I f yo u a re ha v in g d i ff ic u l t y de t erm inin g w h et h er

y o u r p r o je c t i s lik e l y t o a dver s e l y a ffe c t li s t ed s p e ci es o r c r i t ical habi t a t

, o r o n e o f t h e S e r v ic es ha s al re a dy r ai sed

c o nc er n s t o y o u

, y o u s h o u l d c o n t act t h e app r o p r i a t e o ff ic e o f t h e F W S

, N MF S o r N a t u r a l H er i t a ge C e n t er f o r

a s s i st anc e.

• I f a d v e rs e e

ff e cts to li s ted th r e a tened or en da n g e r ed sp ecies or their c r itic a l h ab it a t ar

e not l i kel y

, t h e n y o u

m a y s e l e c t cr i t e r i o n B as the ESA criterion for which your project is eligible in request for coverage under the general

permit

. Y o u m u st p r o v i de t h e f o ll o w in g s p e ci f i c in f o rm a t i o n with your request for coverage f o r m :

1 . The feder all y li s t ed s p e ci es an d /o r d e s i g na t ed hab i t a t a re l o ca t ed within the action area of your minor

source ;

2 . T h e d i s t anc e b et w een you r s i t e an d t h e li s t ed s p e ci e s o r des i g na t ed c r i t ica l h a b i t a t ( i n m il es ); and

3 . Any other information necessary to show that the air emissions from your source are not likely to cause any

adverse effects to the listed threatened or endangered species or their critical habitat.

• I f a d v e rs e e

f f ects to li s t e d th r e a tened or en da n g e r

ed sp ecies or t

h eir c r iti c a l h ab it a t ar

e like l y

, y o u m us t

f o ll o w S t ep 3 b e l o w

.Request for Coverage: Petroleum Dry Cleaning Page 12 of 17

Version 1.0 

### 2.3 Step 3

D e t erm in e i f M e a s u r e s C a n B e I m pl eme n t ed t o A v o i d A d ver s e E f f e c t s

I f yo u m ak e a p re li m ina ry de t erm ina t i o n i n S t ep 2 t ha t a dver s e effe c t s fr o m the construction/modification or operation

of your new or modified minor source are lik e l y to o c c u r

, y o u ca n s t i l l re c e i ve c o ver a g e u n der e li g ibili t y cr i t er i o n B o f

t h is permit i f app r o p r ia t e me a su res a re u n der t ak en t o a v o i d o r e li m ina t e t h e lik e l ih oo d o f a dve r se ef f e c t s p r i o r t o

applying for c o v er a g e under the permit

.

T h ese me a su r es m a y in v o l ve re la t i ve l y s i m pl e chan ges t o c o n s t r u c t i o n ac t i v i t i es s u c h a s re

- r ou t in g construction t o

b y pa s s a n a rea w h ere s p e ci es a re l o ca t ed, re l o ca t in g source activities

, o r m o d i f y in g t h e “ f oo t p r in t ” o f t h e site

. I f y o u a re

u nabl e t o determine w hic h m e a su r e s t o i m pl eme n t t o a v o i d t h e lik e lih oo d o f a dver s e eff e c t s, y o u m u s t c oo rd ina t e with,

o r e n t er in t o c o n su l t a t i o n w i t h

, t h e F W S an d /o r N M F S

, i n w hic h c a se y o u w ou l d n o t b e e li g ibl e f o r c o ver a ge u n der

e li g ibi l i t y c r i t er i o n B

, b u t m a y in s t e a d b e e li g ibl e f o r c o ver a ge u n der e li g ibili t y cr i t er io n C, D

, o r E ( de s c r ib ed i n m o re

de t ai l i n S t ep 4 ).

• I f y ou ar e ab l e to im p le m ent appr o pr i a te me as u r

es to av oid the likelihood of adv e rs e e f f e ct s

, t h en y o u m a y

s e l e c t cr i t e r i o n B as the criterion for which your project is eligible in your request for coverage under the general

permit

. T h e me a s u r e s y o u a d o p t t o a v o i d o r e li m ina t e a dver s e a ffe c t s m u st b e i m pl eme n t ed f o r t h e d u r a t i o n o f

t h e c o n s t r u c t i o n/modification and operation of your new or modified minor source an d y o u r c o v er a ge u n der

t h is permit

. Yo u m us t al so p r o v i de a d e s c r ip t i o n o f t h e ba s i s f o r t h e c r i t er i o n s e l e c t ed, an d t h e f o ll o w in g s p e ci f i c

in f o rm a t i o n o n y o u r request for coverage f o r m : ( 1 ) the feder all y li s t ed s p e ci es an d /o r d e s i g na t ed hab i t a t that

a re l o ca t ed within the action area of your minor source ; ( 2 ) t h e d i s t anc e b et w een you r source an d t h e li s t ed

s p e ci e s o r des i g na t ed c r i t ica l h a b i t a t ( i n m il es ); and (3) what steps were or will be taken to avoid the likelihood

of adverse effects

• I f y ou c a n n ot determine w hich me as u r es to im p l em ent to a v

oid the l i kelih oo d of ad v e rs e e

ff e ct s

, y o u m u s t

f o ll o w t h e p r o c ed u r e s i n S t ep 4

.



### 2.4 Step 4

D e t erm in e i f t h e Eli g i b il i t y R e q u i reme n t s o f C r i t er i o n C

, D

, o r E C a n B e M et

I f i n S t ep 3 y o u cann o t a s c er t ai n w hi c h me a su res t o i m pl eme n t t o a v o i d t h e lik e lih oo d o f a dver s e e f fe c t s

, y o u m u s t

c o n t a c t t h e F W S an d /o r N M F S

. Yo u m a y s t il l b e e li g ibl e f o r c o ver a ge under this permit i f a n y lik e l y a dver s e ef f e c t s c an b e

a ddre s sed t h r o u gh mee t in g c r i t er i o n C

, D

, o r E

.

• Cr ite r ion C : Y o u ha ve c o o rd ina t ed w i t h either of t h e S erv ic es an d ha ve a ddre s s ed t h e effe c t s o f the

construction/modification and operation of your new or modified minor source o n fe d er all y

- li s t ed t h re a t e n ed

o r e n d an gered s p e ci es an d feder all y

- d e s i g na t ed c r i t ica l hab i t a t

, w hic h res u l t ed i n a w r i t t e n c o nc u rre nc e f r o m

t h e re l ev an t S erv ic e ( s ) t ha t the construction/modification or operation of your new or modified minor source

is n o t lik e ly t o a dverse l y a f fe c t li s t ed s p e ci es o r c r i t ica l hab i t a t

.

I f yo u ha ve m et t h e re q u i reme n t s o f c r i t er i o n C

, then y o u m a y s e l e c t criterion C as the criterion for which your

project is eligible for request for coverage under the general permit

. As part of your request for coverage

,

y o u m u st p r o v i de a d e s c r ip t i o n o f t h e ba s i s f o r t h e c r i t er i o n s e l e c t ed with y ou r request for coverage f o r m an d

m us t incl u de c o p i es o f t h e c o rr e s p o n de n c e b e tw een yo u an d t h e applicabl e S erv ic e.Request for Coverage: Petroleum Dry Cleaning Page 13 of 17

Version 1.0 • Cr ite r ion D : Fo rm a l o r in f o rm a l E S A se c t i o n 7 c o n s u l t a t i o n i s p erf o rmed w i t h t h e F W S an d / o r N M F S an d t ha t

c o n su l t a t i o n a ddre ss e s t h e effe c t s o f the construction/modification or operation of y o u r minor source o n

feder all y

- li s t e d an d t h re a t e n ed s p e ci e s an d des i g na t ed c r i t ica l h a b i t a t

. I n o rder t o b e e li g ibl e f o r c o ver a ge

u n der t hi s p erm i t

, c o n s u l t a t i o n m us t re su l t i n a “n o je o pa rdy and no destruction/adverse modification

o pini o n ” o r a w r i tt en c o nc u rre nc e by t h e S erv ic e ( s ) o n a f in d in g t h a t the construction/modification or

operation of your new or modified minor source a re n o t lik e l y t o a dver s e l y a ffe c t li s t ed s p e ci es o r c r i t i c a l

ha b i t a t. ( F o r m o re in f o rm a t i o n o n c o n s u l t a t io n

, see 5 0 C F R Part 40 2 )

. I f y o u re c e i ve a “ je o pa r d y or

destruction/adverse modification o pi n i o n

, ” y o u m a y c o n t in u e t o w o rk w i th t h e F W S an d /o r N M F S an d y o u r

p erm i tt i n g a u t h o r i t y t o m o d i fy y o u r p r o je c t so t ha t i t w il l n o t je o pa rd i z e li s t ed s p e ci es o r result in the

destruction or adverse modification of de s i g na t ed c r i t ica l h a bi t a t

.

No t e t ha t m os t c o n su l t a t io n s a re acc o m pli s h ed in f o rm a lly. Wh en c o n d u c t in g in f o rm a l E S A s e c t i o n 7

c o n s u l t a t i o n a s a n o n

- feder a l re p re s e n t a t i ve, y o u m u st f o ll o w t h e p r o c ed u res fo u n d i n 50 C F R P a rt 402 o f

t h e E S A re g u la t i o n s. Yo u m u s t also n o t i fy F W S an d /o r N MF S o f y o u r in t e n t i o n an d a greeme n t t o c o n d u c t

c o n su l t a t i o n a s a n o n

- feder a l re p re s e n t a t i ve.

Your request for coverage under the general permit is not a federal action that triggers ESA section 7. However,

co n s u l t a t i o n m a y o cc u r i n t h e c o n t e x t o f an o t h er feder a l ac t i o n for the same project ( e

. g

., w h ere E S A s e c t i o n 7

c o n s u l t a t i o n w a s p erf o rmed f o r i s su anc e o f a w e t lan ds d redge an d f il l p erm i t f o r t h e p r o je c t or for some other

federal permit or permission )

. A s n o t ed ab o v e

, o p era t o r s m a y

, i f t he y w i s h

, i n i t i a te c o n s u l t a t i o n w i t h t h e S e r v i c es

a t S t e p 3

.

Wh e t h er E S A se c t i o n 7 c o n su l t a t i o n m us t b e p erf o rmed w i t h t h e F W S

, N MF S, o r b o t h S erv ic es d e p e n d s o n t h e

li s t ed s p e ci es t h a t m a y b e a ffe c t ed b y t h e construction/operational ac t i v i t y

. I n ge n er al

, N MF S ha s j u r i s d ic t i o n

o ver m a r in e, e s t u a r in e, an d ana dr o m o u s fish s p e ci e s

. O p er a t o rs s h o u l d al s o b e a w a re t h a t w h i l e f o rm a l s e c t i o n

7 c o n s u l t a t i o n p r o v i des p r ot e c t i o n fr o m inci de n t a l t akin gs liab i l i t y

, in f o r m a l c o n s u l t a t i o n d o es n o t

.

I f yo u ha ve m et t h e re q u i reme n t s o f c r i t er i o n D

, y o u m a y se l e c t c r i t e r i o n D as the criterion for which your

project is eligible in your request for coverage under the general permit

. As part of your request for coverage

,

y o u m u s t p r o v i de a de s c r ip t i o n o f t h e ba s i s f o r t h e c r i t er i o n s e l e c t ed an d m us t incl u de c o p i es o f t h e

documentation demonstrating such eligibility, including c o rr e s p o n de n c e and related ESA consultation

documentation b e tw een you rse l f , the Federal agency or agencies that requested section 7 consultation an d t h e

S erv ic es.

• Cr ite r ion E : Yo u r c o n s t r uc t i o n a c t i v i t i es a re a u t h o r i z ed t h r ou gh t h e i s su an c e o f an incidental take p erm i t

u n der s e c t i o n 10 o f t h e E S A

, an d t ha t a u t h o r i z a t i o n a ddre s s e s t h e effe c t s o f the construction/modification

and/or operation of your new or modified source o n fe d er all y

- li s t ed s p e ci es an d de s i g na t ed c r i t ica l h abi t a t

.

Y o u m u s t f o ll o w F W S an d /o r N MF S p r o c e d u res w h en ap p l y in g f o r a n E S A S e c t i o n 10 p erm i t ( s ee 50 C F R

§ 1 7

. 2 2 ( b ) ( 1) f o r F W S an d §22 2

. 22 f o r N M F S )

. A pplica t i o n in s t r u c t i o n s f o r s e c t i o n 10 p erm i t s f o r F W S a n d

N M F S ca n b e o b t ain ed b y acc e s s in g t h e F W S an d N M F S w e b s i t es ( h tt p : // www

. f w s

. g o v a n d

h t t p : // www

. n mf s

. n o a a

. g o v ) o r b y c o n t ac t in g t h e app r o p r ia t e F W S a n d N M F S reg i o na l o ff ic e

.

I f yo u ha ve m et t h e re q u i reme n t s o f c r i t er i o n E

, y o u m a y s e l e c t c r i t e r i o n E as the criterion for which your

project is eligible in your request for coverage under the general permit

. As part of your request for coverage

,

y o u m u s t p r o v i de a de s c r ip t i o n o f t h e ba s i s f o r t h e c r i t er i o n s e l e c t ed an d m us t incl u de c o p i es o f t h e applicable

documentation demonstrating such eligibility including c o rr e s p o n de n c e b e tw een you rse l f an d t h e S erv ic es.Request for Coverage: Petroleum Dry Cleaning Page 14 of 17

Version 1.0 K ey T e rm s

H i sto r ic p r o p e r ty

- pr e h i s t o r

i c o r h i s t o r i c d i s t r i c t s

, s i te s

,

b u i l d i n gs

, s t

r uctu r e s

, o r ob

j ec t s t h a t a r e i n c l u d e d i n o r

e l i g i b l e fo r i n c l u s i o n i n t h e Na t i ona l R e g i s ter o f H i s t o r i c

P l a c e s

, i n c l u d i n g a r t i f

a ct s

, r ec or ds

, a n d r e m a i n s t h a t a r e

r e l a ted to an d l o c a ted w i t h i n s uch prop e r t i e s

S H PO

– T h e S t a te H i s t o r

i c P r e s e rv a t i o n O f

f i cer fo r a

p a r t i c u l a r s t a te

T H P O o r T r ibal r e p r ese n t a t i v e

– T h e Tr i b a l H i s t o r

i c

P r e s e rv a t i o n O f f i cer fo r a p a

r t i c u l a r Tr

i b e or

, i f t h e r e i s n o

T H P O

, t h e r e pr e s e n t a t i v e d e s i g n a t e d b y s uch T r i b e fo r

NH P A p u rpo s es 

## A pp en d i x B

– H i s to r ic P r o p e r ty Sc r e ening P r oce s s

1.0 B a ck gr ound

S e c t i o n 106 o f t h e N H P A r e q u i res F ede r a l a ge nci es t o t ake in t o

acc ou n t t h e effe c t s o f F e d er a l “ u n der t akin gs

, ” su c h a s t h e General

Permit for True Minor Source Petroleum Dry Cleaning Facilities in

Indian Country

, o n hi s t o r ic p r o p er t i es t h a t a re e i t h er li s t ed o n

, o r

e li g ibl e f o r li s t in g o n

, t h e N a t i o na l R eg i s t er o f Hi s t o r ic P lac es.

T o a ddre s s an y i s s u e s re la t in g t o hi s t o r ic p r o p er t i es i n c o nn e c t i o n

w i t h t h e i s s u anc e o f t hi s p erm i t

, the EPA ha s d ev e l o p ed t h e

s c ree nin g p r o c ess i n t hi s app e n d i x t o e nabl e source

owners/operators t o: (1) app r o p r ia t e ly c o n s i der t h e p o t e n t i a l

i m pac t s

, i f any

, resulting from the construction, modification,

and/or operation of a new or modified emission source o n hi s t o r ic

p r o p er t i es an d, (2) if applicable, de t erm in e w h e t h er a c t i o n s ca n b e

t ak e n t o m i t i g a t e an y su c h i m pac t s

. A l t h ou gh each decision to

allow coverage o f in d i v i d u a l minor sources u n der t hi s p erm i t does

n o t c o n s t i t u t e a s e pa r a t e F eder a l u n der t akin g, t h e s c ree nin g

p r o c ess i n t hi s app e n d i x p r o v i des a n app r o p r ia t e si t e

- s p e c i f i c me an s o f ad dres s in g hi s t o r i c p r o p e r t y i s s u e s i n c o nn e c t i o n

w i t h the EPA ’s i s s u anc e o f t h e p erm i t

.



### 2.0 I n s t r uctions f

or Source Owners/ Op e ra to r s

Y o u a re re q u i red t o f o ll o w t h e s c ree nin g p r o c ess i n t hi s app e n d i x t o de t e r m in e i f the construction, modification or

operation of a new or modified minor source of air pollutants o n y o u r s i t e ha s t h e p o t e n t ia l t o ca u se effe c t s t o hi s t o r i c

p r o p er t i e s

, an d w h e t h er o r n o t y o u n eed t o c o n t ac t you r State Historic Preservation Officer ( S H PO)

, Tribal Historic

Preservation Officer ( T H P O)

, o r o t h er t r iba l re p r e s e n t a t i ve f o r f u r t h er in f o rm a t i o n

. Yo u m a y n o t su b m i t you r request for

coverage under the general permit u n t i l y o u ha ve c o m pl e t ed t hi s s c ree nin g p r o c e s s

. T h e f o ll o w in g f ou r s t e p s d e s c r ib e

h o w app l ica n t s ca n meet t h e hi s t o r i c p r o p erty re q u i r e me n t s u n der t hi s p erm i t

.



### 2.1 Step 1

Ha ve p r i o r p r o f e s s i o na l c u l t u r a l re s o u r c e s u rv e y s o r o t h er ev al u a t i o n s de t e r m i n ed whether h i s t o r i c

p r o p ert i es ex i st in the area of your proposed source? Or, have p r i o r earth d i s t u r banc es p re cl u ded t h e

ex i s t e nc e o f h i s t o r i c p r op ert i e s in the area of your proposed source?

I f it h a s al re a dy b een de t erm i n ed t h a t n o hi s t o r i c p r o p er t i es ex i st in the area of your proposed source ba s ed

o n a v ailabl e in f o rm a t i o n

, incl u d in g in f o rm a t i o n t h a t m a y b e p r o v i ded b y y o u r applica b l e S H P O

, T H P O

, o r

o t h er t r iba l re p re s e n t a t i ve, t h en yo u m a y in d i c a t e t hi s o n y o u r request for coverage under the general

permit

, an d n o f u r t h er s c ree nin g s t e p s a re n e c e s s a r y

.

Similarly, i f e a r t h d i s t u r banc es t ha t h a ve o cc u rred p r i o r t o y o u r p r o je c t ha ve e li m ina t ed t h e p os s ibil i ty t ha t hi s t o r i c

p r o p er t i es ex i st o n y o u r s i te or in the area affected by your new or modified minor source

, y o u m a y in d ica t e t h i s o n

y o u r request for coverage

, an d n o f u r t h er s c ree nin g s t e p s a re n e c e ss a r y

.Request for Coverage: Petroleum Dry Cleaning Page 15 of 17

Version 1.0 After submitting your request for coverage under the general permit , and during the 30

- day period after submitting your

request for coverage under the general permit , the SHPO, THPO, or other tribal representative may request that the EPA

deny coverage under this permit based on concerns about potential adverse impacts to historic properties. The EPA will

evaluate any such request and notify you if any additional information is needed to address adverse impacts to historic

properties b efore continuing review of your request for coverage under the general permit

.



### 2.2 S t ep 2

I f yo u a re constructing, or modifying a minor source of air pollutants, as defined in 40 CFR § 49.152

, yo u m us t

d e t erm in e i f the construction, modification or operation of the minor source w i l l ha ve a n ef f e c t o n h i s t o r i c

p r o p ert i es.

I f you r an s w er t o t h e q u e s t i o n s i n S t e p 1 i s “n o

, ” t h en y o u m us t a s s e s s w h e t h er the ac t i v i t i es re la t ed t o t h e

construction, modification or operation of your new or modified minor source w i l l ha ve a n e ff e c t o n h i s t o r i c p r o p ert i e s.

Activities that could have an adverse effect on historic properties could include, for example:

Excavations;

Demolitions of existing buildings;

Construction of f oundations (e.g., for buildings, tanks or stacks);

Installations of underground tanks;

Addition of impervious surfaces; and

Increases in truck traffic during excavation, demolition, or construction

.

No t e : T h i s l i s t i s n o t i n t e n ded t o b e ex ha us t i ve. Ot h er activities t ha t a re n o t o n t h i s l i st m a y in v o l ve e a r t h

- d i s t u r b i n g

a c t i v i t i es an d m u s t al

so b e ex a m i n ed f

o r t h eir p o t e n t i a l t o a

f f e c t h i s t o r i c p r o p ert i e s . For more information, go to the

National Park Service, National Register of Historic Places database found at

http://www.nps.gov/history/nr/research/index.htm

.

T he a s se ss m e n t m a y b e ba s ed on a site map of your source and an analysis of h i s t o r i c a l sou r c e s

, kn o w l edge o f t h e a re a

,

a n a s se s s m e n t o f t h e t y p es o f a c t i v i t i es yo u a re e n g a g i n g in

, c o n s i der a t i o n s o f an y c o n t r o l s an d / o r m ana ge m e n t

p r ac t ic es y o u w i l l a d o p t t o e n su re t ha t y o u r a c t i v i t i es w i l l n o t h a ve a n e ff e c t o n h i s t o r i c p r o p ert i es, an d any o t h er

re l ev an t f ac t o rs.

I f y o u de t er m in e ba sed o n t h i s a s s es s m e n t t h a t the activities re la t ed t o t h e construction, modification or operation of

your new or modified minor source w i l l n o t ca u se e ff e c t s to h i s t o r i c p r o p ert i e s

, y o u m a y i n d i c a t e t h i s o n y o u r request for

coverage under the general permit

, an d d o c u m e n t t h e ba s i s f o r you r de t erm i n a t i o n i n your request for coverage an d

n o f u r t h er s c ree nin g s t e p s a re n e c e s s a r y

.

After submitting your request for coverage , and during the 30 days after the receipt of your request for coverage , the

SHPO, THPO, or other tribal representative may request that the EPA delay your coverage under the permit based on

concerns about potential adverse impacts to h istoric properties. The EPA will evaluate any such request and notify you if

any additional information is needed to address adverse impacts to historic properties before continuing review of your

request for coverage under the general permit

.

I f yo u a re in s t allin g or modifying equipment that ha s t h e p o t e n t i a l t o ha ve a n adverse effe c t o n hi s t o r i c p r o p er t i es, t he n

y o u m u st p r o c eed t o S t ep 3.Request for Coverage: Petroleum Dry Cleaning Page 16 of 17

Version 1.0 

### 2.3 Step 3

I f yo u a re constructing or modifying a minor source an d y o u ha v e n o t s a t i sf i ed t h e c o n d i t i o n s i n S t e p s 1

- 2

, yo u

m us t c o n t ac t a n d c o n su l t w i t h t h e app r o p r i a t e h i s t o r i c p re s erv a t i o n a u t h o r i t i es.

Wh ere y o u a re constructing or modifying a minor source an d y o u cann o t de t erm in e i n S t ep 2 t h a t t his ac t i v i ty w il l n o t

ha ve effe c t s o n hi s t o r ic p r o p er t i e s

, t h en y o u m us t c o n t ac t t h e re l ev a n t S H P O

, T H P O

, o r o t h er t r iba l r e p re s e n t a t i ve t o

re q u est t h e i r v i e w s a s t o t h e lik e lih oo d t h a t hi s t o r i c p r o p er t i es m a y b e adversely affected b y t h e construction,

modification or operation o f your new or modified minor source

.

No t e : A ddre s s es f

o r S H P O s an d T

H POs m a y b e fo u n d o n t h e A dv i s o r y C o un c i l o n H i s t o r i c Preserv a t i o n ’s (ACHP’s) w e b s i t e

( http://www.achp.gov/programs.html )

. I n i n s t a n c es w h ere a t r i b e d o es n o t ha ve a T H PO, y o u s h o u l d c o n t ac t t h e

app r o p r ia t e T

r iba l g o ver n m e n t o

ff i c e des i g n a t ed b y t h e t r i b e f o r t h i s p u r

p os e w h en re s p o n d i n g t o t h i s p e r m i t e l i g i b i l i t y

c o n d i t i o n

.

Y o u m u st su b m i t t h e f o ll o w in g m i n i m u m in f o rm a t i o n i n o rder t o p r o p er l y ini t ia t e you r re q u e s t f o r in f o rm a t i o n :

1. Project name (i.e., the name or title most commonly associated with your project);

2. A narrative description of the project;

3. Name, address, phone and fax number, and email address (if available) of the operator;

4. Most recent U.S. Geological Survey map section (7.5 minute quadrangle) showing actual project location and

boundaries clearly indicated; and

5. Sections of site map that show locations where activities might cause an adverse effect on historic properties.

Wi t h ou t s u b m i t t in g t hi s m i ni m u m in f o rm a t i o n

, y o ur request cannot be considered. Yo u w il l n eed t o p r o v i de t h e

S H P O

, T H PO

, o r o t h er t r iba l re p rese n t a t i ve a m ini m u m o f 15 cal e n d a r d a y s a f t er t h ey re c e i ve t h ese m a t er ial s t o

res p o n d t o y o u r re q u est f o r in f o rm a t i o n ab ou t y o u r p r o je c t

. Y o u a re a dv i sed t o get a r e c e ip t fr o m t h e p o st o ff ic e o r

o t h er ca rr i er c o n f i rm in g t h e d a t e o n w h i c h y o u r l e tt er w a s re c e i v ed.

I f yo u d o n o t re c e i ve a r e s p o n s e w i t hin 15 cal e n d a r d a y s a f t er re c e ip t b y t h e S H P O

, T H PO

, o r o t h er t r iba l re p re s e n t a t i ve

o f y o u r re q u e s t

, t h en y o u m a y in d ica t e t h i s o n y o u r request for coverage under the general permit

, an d n o f u r t h er

s c ree nin g s t e p s a re n e c e s s a ry

. O r

, i f t h e applicabl e S H PO, T H P O

, o r o t h er t r ib a l re p rese n t a t i ve re s p o n ds t o y o u r re qu est

w i t h a n i n d ica t i o n t h a t n o hi s t o r i c p r o p er t i es w i l l be adversely a ffe c t ed b y t h e construction or modification of your

minor source

, t h en y o u m a y in d ica t e t hi s o n y o u r request for coverage

, and include a copy of the response and n o f u r t h er

s c ree nin g s t e p s a re n e c e ss a r y

. A f t er s u b m i tt in g you r request for coverage

, an d d u r in g t h e 30

- d a ys following the

receipt of your request for coverage

, t h e S H PO

, T H P O

, o r o t h er t r iba l re p rese n t a t i ve m a y re qu est t h a t the EPA place a

hold on a u t h o r i z a t i o n ba sed o n c o nc er n s ab o u t p o t e n t i a l a dver s e i m pac t s t o hi s t o r i c p r o p er t i es. The E P A w il l ev al u a t e

an y s u c h re q u e s t an d n o t i f y y o u i f an y a dd i t i o na l information is needed t o a ddress a d v erse i m pac t s t o h i s t o r i c p r o p er t i es

before continuing review of your request for coverage under the general permit

.

I f w i t hi n 15 cal e n d a r d a y s o f re c e ip t o f y o u r re q u e s t t h e ap p lica b l e S H P O

, T H P O

, o r o t h er t r ib a l re p re s e n t a t i ve

re s p o n ds w i t h a re q u est f o r a dd i t i o na l i n f o rm a t i o n o r f o r f u r t h er c o n s u l t a t i o n reg a rd in g app r o p r ia t e m e a su r e s f o r

t re a t me n t o r m i t i g a t i o n o f effe c t s o n h i s t o r i c p r o p er t i es ca u sed b y t h e construction, modification or operation of your

minor source

, y o u m us t c o m pl y w i th t h i s re q u e s t an d p r o c eed t o S t ep 4

.Request for Coverage: Petroleum Dry Cleaning Page 17 of 17

Version 1.0 

### 2.4 Step 4

Co n s u l t a t i o n w i th you r app l i ca b l e S H PO, T H PO, o r o t h er t r i b a l re p rese n t a t i v e.

I f, f o ll o w in g y o u r d i s c us s i o n s w i t h t h e app r o p r ia t e h i s t o r i c p reserv a t i o n a u t h o r i t i es i n S t ep 5, t h e applicabl e S H P O

, T H P O

,

o r o t h er t r iba l re p r e se nta t i ve re q u es t s a dd i t i o na l in f o rm a t i o n o r f u r t h er c o n s u l t a t i o n

, y o u m us t res p o n d w i t h s u c h

in f o rm a t i o n o r c o n s u l t to de t erm in e i m pac t s and appropriate measures to mitigate such impacts t o hi s t o r i c p r o p er t i es

t ha t m a y b e cau sed b y t h e construction, modification or operation of your new or modified minor source s i t e. I f a s a

re s u l t o f y ou r d i s c us s i o n s w i t h t h e app li cabl e S H P O

, T H P O

, o r t r iba l re p re s e n t a t i ve, y o u e n t er i n t o

, an d c o m ply w i t h

, a

w r i tt en a greeme n t reg a rd in g t re a t me n t a n d /o r m i t i g a t i o n o f i m pac ts o n y o u r s i t e, t h en y o u m a y in d ica t e t h i s o n y o u r

request for coverage and include a copy of the written agreement, an d n o f u r t h er s c ree nin g s t e p s a re n e c es s a r y

.

I f, h o w ever, a greeme n t o n a n app r o p r ia t e t re a tme n t o r m i t i g a t i o n pla n c ann o t be re ach ed b e tw een yo u a n d t h e S H P O

,

T H PO

, o r o t h er t r iba l re p re s e n t a t i ve w i t hi n 30 d a y s o f y o ur re s p o n se t o t h e S H PO

, T H P O

, o r o t h er t r iba l

re p rese n t a t i ve’s re q u est f o r a d d i t i o na l in f o rm a t i o n o r f u r t h er c o n s u l t a t i o n

, y o u m a y s u b m i t y o u r request for coverage

, b u t y o u m u st in d ica t e t h a t yo u ha ve n o t n eg o t ia t ed me a s u res t o a v o i d o r m i t i g a t e su c h e f fe c t s. Yo u m u st al so incl u de

with your request for coverage under the general permit t h e f o ll o w in g d o c u me n t a t i o n :

1. Copies of any written correspondence between you and the SHPO, THPO, or other tribal representative; and

2. A description of any significant remaining disagreements as to mitigation measures bet ween you and the SHPO,

THPO, or other tribal representative.

After submitting your request for coverage under the general permit , and during the 30

- day period after the receipt of

your request for coverage under the general permit , the SHPO, THPO, ACHP or other tribal representative may request

that the EPA place a hold on authorization based upon concerns regarding potential adverse effects to historic

properties. The EPA, in coordination with the SHPO, THPO, ACHP or other tribal representative, will evaluate any such

request and notify you if any additional measures to address potential adverse effects to historic properties are

necessary.