## United States Environmental Protection Agency

General Permit for New or Modified True Minor Sources of Air

Pollution in Indian Country

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



## Instructions for Requesting Coverage under the General Air Quality Permit

for New or Modified True Minor Source Boilers in Indian Country

Version 1.0

Last Modified: July 2

, 2014

If you wish to apply for the ‘ General Air Quality Permit for New or Modified True Minor Source Boilers

, ’

please complete the form “Request for Coverage under the General Air Quality Permit for New or Modified

True Minor Source Boilers in Indian Country

. ”

This General Air Quality Permit implements the requirements of the minor New Source Review (NSR) rule as

described under 40 CFR p art 49

.

These instructions are intended to provide you with information that may be useful in completing the Request

for Cov erage form

. In the form, please provide information on all existing, new and modified units.



### Helpful Definitions f

r o m the Federal Indian Country Minor NSR Rule (40 CFR 49.152)

– This is not a comprehensive list.

 Modification means any physical or operational change at a source that would cause an increase in the

allowable emissions of the affected emissions units for any regulated NSR pollutant or that would cause

the emission of any regulated NSR pollutant not previously emitted. [ 40 CFR 49.152(d) ]

The following exemptions apply:

(1) A physical or operational change does not include routine maintenance, repair, or replacement.

(2) An increase in the hours of operation or in the production rate is not considered an operational

change unless s uch increase is prohibited under any federally

- enforceable permit condition or

other permit condition that is enforceable as a practical matter.

(3) A change in ownership at a source is not considered a modification.

 Potential to e mit (PTE) means the ma ximum capacity of a source to emit a pollutant under its physical

and operational design. Any physical or operational limitation on the capacity of the source to emit a

pollutant, including air pollution control equipment and restrictions on hours of opera tion or on the type

or amount of material combusted, stored or processed, shall be treated as part of its design if the

limitation or the effect it would have on emissions is enforceable as a practical matter. Secondary

emissions, as defined at 40 CFR 52.2 1(b)(18) of this chapter, do not count in determining the PTE of a

source.Instructions: Boilers Page 2 of 5

Version 1.0 Information collected on applications includes the following:



### Section 1: Contact Information

1. Business Name: Provide the complete company name. For corporations, include divisions or subsidiary

name, if any.

2. Date: Provide the date you submit the completed application.

3. Site Address: Provide the actual address of where the source is operating or will operate and not the

mailing addr ess. Include the state and the zip code.

4. County: Provide the county in which the source is operating or will operate.

5. Name of Operator or Contact at Site: Provide the name of the operator or contact at the site.

6. Telep hone Number of Operator or Contact at Site: Provide a telephone number where the operator or

contact at the site can be reached during business hours.

7. Owner: List the full name of the owner of the business.

8. Telephone Number of Owner: Provide a telephone number where the owner of the business can be

reached during business hours.

9. Mailing Address of Owner: Provide the mailing address of the owner. Include the state and the zip code.

10. Correspondence Address: Provide the mailing address of the authorized contact person. Include the

state and the zip code.

11. Authorized Contact P erson: Provide the name, title, phone number, email address, and f ax number of

the authorized contact person. The authorized contact is the person authorized to receive requests for

data and information.



### Section 2: Facility Information for Requesting Cove rage under the General Air Quality

Permit for New or Modified True Minor Source Boilers

12. Description of Your Boiler : Is your boiler a new facility or a modification to an ex isting facility? If this is a

new request, describe the proposed new source. If this is a modification, describe the modification

proposed.

13. North American Industry Classification System (NAICS)/Standard Industrial Classification (SIC) Code and

Description : Provide the N AICS/SIC Code and/or a description for the facility:

 11**** NAICS Agriculture, G reenhouses

 2211** NAICS Electric Power Generation

 311*** NAICS Food M anufacturing

 321*** NAICS Wood P roduct M anufacturing (except sawmills)

 327*** NAICS Nonmetallic M ineral P roduct M anufacturing (except r eady

- m ix c oncrete )Instructions: Boilers Page 3 of 5

Version 1.0  424*** NAICS Wholesale T rade, N ondurable G oods

 611110 NAICS Elementary and Secondary Schools

 611210 NAICS Junior Colleges

 611310 NAICS Colleges, Universities, and Professional Schools

 62  NAICS Health C are and S ocial A ssistance

 721120 NAICS Casino Hotels

 813110 NAICS Religious O rganizations

 92** ** NAICS Public A dministration

 2***

- 3*** SIC Manufacturing

 5*** SIC Wholesale and Retail Trade

 7011 SIC Hotels and Motels

 82** SIC Educational Services

 Other

– please specify _____NAICS; _____SIC

14. Ozone Attainment Status: Indicate if this facility is located in an ozone nonattainment area and specify

the classification of the ozone nonattainment area. If part of a tribe’s area is designated as attainment,

unclassifiable, or attainment /unclassifiable and another part as non attainment, the answer to this

question should be based on the designation where the source would be located. If the source straddles

the two areas, the more stringent classification applies. Information on the ozone attainment status of

the area where you r facility is located can be found at: http://www.epa.gov/airquality/greenbook/

. Please contact your reviewing authority if you have questions about an area’s attainment status.

15. Exemption from the Minor NSR Program: For a new facility, calculate the PTE of all proposed emission

units and determine if the proposed construction is below the applicability thresholds in the Indian

Country Minor NSR program (the thresholds listed in 40 CFR 49.153). For a modification to your existing

facility, calculate the emissions increase from your new or modified emission units and determine if the

proposed construction or modification is below the thresholds listed. For a new emissions unit

, the

emissions change is the PTE of the new unit. For a modified emissions units, the emissions change is the

change in allowable emissions of the unit.

You only need to consider the thresholds for nonattainment areas if your source is (will be) located in an

area designated nonattainment. If in a nonattainment area, then you only need to consider the

nonattainment threshold for the pollutant(s) for which the area is designated nonattainment.

If the PTE of your new facility or the emissions increase at your existing facility is below the applicable

thresholds listed for ALL pollutants, the new or modified source is exempt from the minor NSR program.

You do not need a permit for this source. The U.S. Environmental Protection Agency (EPA) is providing a

PT E calculator to assist with this task. The calculator is available online at :

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

.

16. Qualification for General Permit

– Facility in Attainment, Unclassifiable, or Attainment /Unclassifiable

Area : If located in an attainment, unclassifiable, or attainment /unclassifiable area, calculate the PTE of

your entire facility (include new, modified, and existing units) and determine if the facili ty is below the

NSR major source threshold of 250 tons per year ( tpy ) . If the PTE of the proposed facility is equal or

above 250 tpy for ANY pollutant, this new or modified source does not qualify for this general permit.

The EPA is providing a PTE calcula tor to assist with this task. The calculator is available online at :

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

.Instructions: Boilers Page 4 of 5

Version 1.0 17. Qualification for General Permit

– Facility in Nonattainment Area : If located in a nonattainment area,

calculate the PTE of your entire facility (include new, modified, and existing units) and determine if the

facility is below the NSR major source thresholds listed. Note the NSR major source classification is

pollutant specific. You only need to consider the nonattainment area thresholds for the particular

pollutant for which your area is designat ed as nonattainment. If the PTE of the proposed facility is equal

to or above the threshold for ANY pollutant for which the ar ea is designated as nonattainment then this

new or modified source does not qualify for this general permit. The EPA is providing a PTE calculator to

assist with this task. The calculator is available online at : http://www.epa.gov/air/tribal/tribalnsr.html

.

18. Qualification for General Permit

– Hazardous Air Pollutants : C alculate the PTE of your entire facility

(include new, modified, and existing units) and determine if the facility is below the major source

thresholds for hazardous air pollutants (HAPs)

. If the PTE of the proposed facility is equal to or above 10

tpy for a single HAP or 25 tpy for any combination of HAPs, then this new or modified source does not

qualify for this general permit. The EPA is providing a PTE calculator to assist with this task. The

calculator is available online at : http://www.epa.gov/air/tribal/tribalnsr.html

.

19. Setback Requirement : The permit contains a se tback requirement and this question seeks information

to verify compliance with that requirement.



### Section 3 : Technical Information for Requesting Coverage under the General Air Quality

Permit for New or Modified True Minor Source Boilers

20. Boilers and Heaters: List all boilers and heaters at the source, including the ID#; unit description, fuel

type(s), maximum rated capacity in million British thermal units , make/model; and date of construction.

For the unit description, identify whether the equipment is a boiler or process heater and whether it is

new, modified, or existing. The definition for boiler and process heater can be found in Attachment B of

the General Air Quality Permit for New or Modified True Minor Source Boilers.

21. Emergency Engines: Provide information on the ID#, unit description, maximum rated capacity , type s of

fuel used , date of manufacture, and model year

.

22. Volatile Liquid Storage Tanks : Technical information is needed concerning onsite storage of liquids,

including unit ID#, type of liquid stored, tank capacity, vapor pressure of liquid, whether the tank is

above or below ground and date o f installation (if an existing unit)

.



### Section 4 : Information on Compliance with Federal Statu t es Necessary for Requesting

Coverage under th e General Air Quality Permit for New or Modified True Minor Source

Boilers

23. Endangered Species Act: To request coverage under this permit, sources must demonstrate that they

have satisfied the permitting requirements related to the Endangered Species Act. The EPA is providing

procedures with the application to assist with this task.

24. National Historic Preservation Act: To request coverage under this permit, sources must demonstrate

that they have satisfied the permitting requirements related to the National Historic Preservation Act.

The EPA is providing procedures with the application to assist with this task.Instructions: Boilers Page 5 of 5

Version 1.0 

### Section 5 : Applicant’s Statement

Certify that the information supplied in the application is correct, then sign the document, print your name, and

date the document in the spaces provided.