### EPA Form 5900

- 86 OMB No. 2060

- 0336, Approval Expires 0 6 /30/201 5



### Federal Operating Permit Program (40 CFR Part 71)

INITIAL COM PLIANCE PLAN AND COMPLIANCE CERTIFICATION (I

- COMP)

SECTION A

- COMPLIANCE STATUS AND COMPLIANCE PLAN

Complete this section for each unique combination of applicable requirements and emissions units at the

facility. List all co mpliance methods (monitorin g, recordkeeping and reporting) you used to determine

compliance with the applicable requirement described above. Indicate your compliance status at this time

for this requirement and compliance methods and check “YES” or “NO” to th e follow

- up question.

Emission Unit ID(s): Refer to Application package for details.

Applicable Requirement (Describe and Cite)

Please refer to Section 4 of the attached application.

Compliance Methods for the Above (Description and Citation):

Compliance Status:

__ _ In Compliance: Will you continue to comply up to permit issuance? ____Yes ____No

___ Not In Compliance: Will you be in compliance at permit issuance? ___Yes ___No

_ X _ Future

- Effective Requirement: Do you expect to meet this on a timely ba sis? _ X

_ Yes ____No

Emission Unit ID(s):

Applicable Requirement (Description and Citation):

Compliance Methods for the Above (Description and Citation):

Compliance Status:

___ In Compliance: Will you continue to comply up to permit issuance? ____ Yes ____No

___ Not In Compliance: Will you be in compliance at permit issuance? ___Yes ___No

___ Future

- Effective Requirement: Do you expect to meet this on a timely basis? ____Yes _____No

### I

- COMP

EPA Form 5900

- 86 2

B. SCHEDULE OF COMPLIANCE

Complete this section i f you answered “NO” to any of the questions in section A. Also complete this

section if required to submit a schedule of compliance by an applicable requirement. Please attach

copies of any judicial consent decrees or administrative orders for this requir ement.

Unit(s)____________________ Requirement_____________________________________________

Reason for Noncompliance . Briefly explain reason for noncompliance at time of permit issuance or

that future

- effective requirement will not be met on a t imely basis:

Narrative Description of how Source Compliance Will be Achieved . Briefly explain your plan for

achieving compliance:

Schedule of Compliance . Provide a schedule of remedial measures, including an enforceable

sequence of actions with mi lestones, leading to compliance, including a date for final compliance.

Remedial Measure or Action Date to be

Achieved

C. SCHEDULE FOR SUBMISSION OF PROGRESS REPORTS

Only complete this section if you are required to submit one or more schedules of compliance in section B or if an

applicable requirement requires submittal of a progress report. If a schedule of compliance is required, your

progress report should start within 6 months of application submittal and subsequently, no less than every s ix

months. One progress report may include information on multiple schedules of compliance.

Contents of Progress Report (describe):

First Report____/____/___ Frequency of Submittal_______________

Contents of Progress Report (describe):

First Repor t____/____/___ Frequency of Submittal_______________

D. SCHEDULE FOR SUBMISSION OF COMPLIANCE CERTIFICATIONS

This section must be completed once by every source. Indicate when you would prefer to

submit compliance certifications during the term of your permit (at least once per year).

Frequency of submittal

__ _ Annual

_ Beginning

_ Upon Commencement of Operation

______

E. COMPLIANCE WITH ENHANCED MONITORING & COMPLIANCE CERTIFICATION REQUIREMENTS

This section must be completed once by every source . To certify compliance with these, you

must be able to certify compliance for every applicable requirement related to monitoring and

compliance certification at every unit.

Enhanced Monitoring Requirements: __

_ __ In Compliance ____ Not In Compliance

Compliance Certification Requirements: __

_ __ In Compliance ____ Not In Compliance