Document ID: EPA-HQ-OAR-2002-0058-0754
Agency: epa
Document Type: Supporting & Related Material
Title: 
Posted Date: 2008-05-09T04:00Z

Draft Questionnaire Content for Public Comment

Survey Overview

You will use this document to guide you through the question sequence.
You will not enter your responses in this document, the responses will
be entered in the answer key spreadsheet, which maps the question
numbers in this document to columns in the spreadsheets. After you have
reviewed your responses, you will e-mail all of your completed responses
to   HYPERLINK "mailto:help@xxx.com"  help@xxx.com  by the specified
response deadline. This survey is divided into four parts: 

Part I – Facility Level Data

Please answer these questions for the facility listed in the Section 114
letter you received in the mail. If you received more than one Section
114 letter for multiple facilities, you must create a separate survey
response for each facility. 

Part II – Data from each relevant Combustion Unit* 

II.A Design, Operating, Air Pollution Control Device, and Emission Data
for Small Gas-fired* Boilers or Process Heaters

Please fill out Section II.A for all boilers or process heaters that
qualify as small gas-fired* fired combustion units.

II.B Unit Design, Operation, and Air Pollution Control Data for all
other combustion units

II.C. Fuels/Materials burned in the Combustion Unit

Please fill out Sections II.B-II.C for each combustion unit that does
not qualify under section II.A or PART IV.  Sections II.B-II.C have been
designed to request answers about a particular combustion unit before
moving on to other combustion units at the facility. 

II.D. Emission Data

Section II.D will collect available emissions test data, CEM data, and
Permitted and Regulatory emission limits from all combustion units that
were not eligible to complete Section II.A.  All facilities who complete
sections II.B and II.C must complete this section.

Part III – Fuel/Materials Analysis Data

Please fill out Part III for any fuel/material used in a combustion unit
at the facility other than natural gas, propane, liquefied petroleum
gas, and refinery gas.  All facilities using any fuel/material other
than natural gas, propane, liquefied petroleum gas, and refinery gas
must complete this section

Part IV – Data from each Incinerator Unit*

Please fill out Part IV if you have any incinerators* at your facility. 
Otherwise you may skip this part.

________________________________________________________________________
_______________________

  SEQ CHAPTER \h \r 1 Part I:  Facility Data

1. Name of facility: ______________________________

2. Complete street address of facility (physical location):

	a. Address _____________

	b. City    _____________

	c. State  _____________

	d. Zip	   _____________

	e. County  _____________

3.  Facility contact 

a. Name (First Name, Last Name): _________________________ 

b. Title: _____________________________

c. Telephone number: (____) ______________________ ext. ___

	d. Fax number: (____) ______________________

e. E-mail: _________________________

4.  If not the same as question #1, provide legal name of the owner of
this facility:  _____________________   

5. Is the owner of this facility a private enterprise, not-for-profit,
or a public sector entity? (select one)

	() private enterprise

 	() not-for-profit

() public sector

6.. Is your facility a major source* of HAP? (Y/N) 

7.  Size of entity 

a. If private company owns facility:

a1.  Please enter the approximate number of employees of the business
enterprise that owns this facility, including where applicable, the
parent company and all subsidiaries, branches, and unrelated
establishments owned by the parent company:

(select from list)

a2  Please enter the number of facility employees: (select from list)

b. If public sector owns facility:

b1. What is the population of the local government entity (city, county,
town, school district, special district) that owns the facility?
________________

8. Is the legal owner a small entity* as defined by the Regulatory
Flexibility Act? (select one)

___ Yes 

 ___No 

 ___Don’t know

9.  Select facility’s primary NAICS. The primary NAICS code represents
the line of business that generates the most income for the facility:
(select from list of 3-digit NAICS codes)

10  SEQ CHAPTER \h \r 1 . Do any combustion units at your facility fire
any non-fossil or other* fuels/materials? (Y/N) If no skip questions 11
and 12.

11. If the unit were to stop burning non-fossil or other* material in
your combustion unit(s), what would happen to the material? (Please
answer questions 11 and 12 separately for each non-fossil fuel burned) 

(a) Select non-fossil fuel from list

(b) Check corresponding alternative disposal method(s).

() Send to a landfill off-site

() Dispose on-site

() Dispose through local trash collection

() Vent to atmosphere

() Send to waste water treatment plant

() Contract for special disposal service

() Sell as a product

() Sell it to another facility as a fuel (off-site incineration)

() Stop purchasing material from 3rd Party

() Don’t know

() No other alternative currently available

() Other: _________________________________________________

12  SEQ CHAPTER \h \r 1 .	If the unit were to stop burning this
non-fossil or other* fuel/material in your combustion unit(s), how would
you compensate for the lost heating value?

(a) Select non-fossil fuel from list

(b) Check corresponding compensation for lost heating value.

() burn a fossil fuel such as coal, oil, or gas in the same units

() buy new equipment capable of burning another fuel

() not applicable, material has no heating value

() purchase steam from another nearby facility

(c)  Would your combustion units likely stop combusting these non-fossil
or other materials if continuing to burn these materials would result in
the unit being subject to 129 instead of 112? (Y/N)

If you fire more than one type of non-fossil or other* fuel/material at
your facility, repeat questions 11 and 12 for each non-fossil or other*
fuel/material.   

13. What additional annualized costs would you incur to comply with
Section 129 CISWI rule (40 CFR Part 60 Subpart CCCC) as compared to the
vacated Boiler MACT? (Check appropriate cost range, and provide note on
cost components evaluated).

a.             () $0 to $50,000  (

() $50,001 to $100,000

() $100,001 to $500,000

() $500,001 to $1,000,000

() >$1,000,000

b.               Indicate the cost components evaluated in your cost
estimate above:
__________________________________________________________________

II.A Design, Operation, Air Pollution Control Device, and Emission Data
for Small Gas-Fired* Boilers or Process Heaters

Please provide a brief inventory of each similar group of small natural
gas fired boilers:

Enter the number of natural-gas fired boilers less than or equal to 10
million Btu/hr (mmBtu/hr) design capacity? _____

Please classify any tune-up practices performed on this group of boilers
along with the corresponding frequency (i.e., daily, monthly, quarterly,
semiannually, annually, every two years, every five years or longer).
Tune-up practices include activities that involve checking the unit’s
combustion processes and adjusting as needed:

() using the scheduled tune-up and procedures provided by the boiler
manufacturer

() Inspection and cleaning, as necessary, of fireside and water-side
surfaces. 

() Inspecting, cleaning and/or reconditioning of fuel systems. 

() Checking all electrical and combustion control systems. 

() Testing of exhaust gases (CO, CO2, other) as necessary to calculate
combustion efficiency and make necessary adjustments to the combustion
system. If this option is checked, indicate what level the CO is
adjusted to: _______________

() Inspection and repair of all valves (relief, safety, hydraulic,
pneumatic, etc.). 

() Inspection and repair of refractories. 

() Cleaning and inspecting fan housing, blades, and inlet screens. 

() Cleaning/reconditioning and inspecting the feedwater system. 

Please classify any good combustion practices performed on this group of
boilers, along with the corresponding frequency (i.e., daily, monthly,
quarterly, semiannually, annually, every two years, every five years or
longer) of each practice:

() Using up to date operating procedures, training, recordkeeping

() Maintenance knowledge (including training on applicable equipment and
procedures)

() Maintenance practices including maintenance procedures and
recordkeeping

() Fuel/air ratio periodic checks

() Automatic O2/CO trim control systems

() Monitoring furnace residence time and temperature

() Fuel quality and proper fuel handling (including monitoring quality,
periodic sampling and analysis, fuel supplier certification, if used) 

() Proper fuel distribution in the combustion zone

() Combustion air distribution based on observations with periodic or
continuous adjustments

() Low NOx burners

If any of these boilers are subject to a CO limit, please provide the
numerical limit with units. 

CO numerical limit _________

Fuel associated with numerical limit (select from list)_ _______

Corresponding Averaging Time (i.e., 30-day rolling average, hourly,
other) for CO limit: ______

Corresponding O2 concentration (if applicable) ____

Corresponding CO2 concentration (if applicable)____ 

CO limit units ______

Please provide a brief inventory of each similar group of small natural
gas fired process heaters:

Enter the number of natural-gas fired process heaters less than or equal
to 10 million Btu/hr (mmBtu/hr) design capacity? _____

Please classify any tune-up practices performed on this group of process
heaters along with the corresponding frequency (i.e., daily, monthly,
quarterly, semiannually, annually, every two years, every five years or
longer). Tune-up practices include activities that involve checking the
unit’s combustion processes and adjusting as needed:

() using the scheduled tune-up and procedures provided by the boiler
manufacturer

() Inspection and cleaning, as necessary, of fireside and water-side
surfaces. 

() Inspecting, cleaning and/or reconditioning of fuel systems. 

() Checking all electrical and combustion control systems. 

() Testing of exhaust gases (CO, CO2, other) as necessary to calculate
combustion efficiency and make necessary adjustments to the combustion
system. If this option is checked, indicate what level the CO is
adjusted to: _______________

() Inspection and repair of all valves (relief, safety, hydraulic,
pneumatic, etc.). 

() Inspection and repair of refractories. 

() Cleaning and inspecting fan housing, blades, and inlet screens. 

() Cleaning/reconditioning and inspecting the feedwater system. 

Please classify any good combustion practices performed on this group of
process heaters, along with the corresponding frequency (i.e., daily,
monthly, quarterly, semiannually, annually, every two years, every five
years or longer) of each practice:

() Using up to date operating procedures, training, recordkeeping

() Maintenance knowledge (including training on applicable equipment and
procedures)

() Maintenance practices including maintenance procedures and
recordkeeping

() Fuel/air ratio periodic checks

() Automatic O2/CO trim control systems

() Monitoring furnace residence time and temperature

() Fuel quality and proper fuel handling (including monitoring quality,
periodic sampling and analysis, fuel supplier certification, if used) 

() Proper fuel distribution in the combustion zone

() Combustion air distribution based on observations with periodic or
continuous adjustments

() Low NOx burners

If any of these process heaters are subject to a CO limit, please
provide the numerical limit with units. 

CO numerical limit _________

Fuel associated with numerical limit (select from list_ _______

Corresponding Averaging Time (i.e., 30-day rolling average, hourly,
other) for CO limit: ______

Corresponding O2 concentration (if applicable) ____

Corresponding CO2 concentration (if applicable)____ 

CO limit units ______

2. For each small gas-fired* combustion unit, provide the results of the
most recent stack test data for each of the pollutants listed in the
emission test spreadsheet by completing the spreadsheet linked below. 
EPA is not requesting actual test reports at this time; however we
reserve the right to request actual copies in the future.  EPA will also
accept other supporting emission test data to document any earlier   SEQ
CHAPTER \h \r 1 emission tests on the unit with similar controls and
fuels.  You may also submit a spreadsheet of any other information
available relative to trials or tests of emission control methods or R&D
efforts.  The Agency is requesting these data only as they may already
be available; no additional sampling or analyses are required to provide
these data. [INSERT LINK to NATURAL GAS EMISSIONS TEST SPREADSHEET]

Provide the daily averages of continuous emissions monitor (CEM) data
for CO, O2, CO2, if available for the most recent 30 days of operation,
and the highest single data point within the most recent calendar year
of CEM data.  You should exclude data from the averages if they are from
periods of start-up, shutdown, or malfunctions. You can submit this data
by completing the CEM data spreadsheet linked below. [INSERT LINK to
NATURAL GAS CEM TEST SPREADSHEET]

Do you have any non-natural gas fired combustion units at your facility?
Y/N

If no, you are done with the survey. Please review your answers and
submit your response to EPA by the deadline listed in the Section 114
letter. 

  SEQ CHAPTER \h \r 1 Part II.B Unit Design, Operation, and Air
Pollution Control Device Data for non-natural gas* boilers and process
heaters 

1. General Information

Facility Name: (pass through data from Part I)

Combustion device ID:_____ 

Year built: _______

Design capacity (heat input) value: _______

Fuel type associated with design capacity (heat input) value (select
from list): _____

Design capacity units (select one): (insert list)

Furnace heat release rate (Btu/ ft3): ________

Is unit subject to NSPS? Yes/No

If you indicated yes to question g, indicate the year of NSPS:

()1971

()1984/1986

()1989

() 1997

() 2006

Primary combustion device use (check all that apply):

() steam generation

() space heat

() process heat

() electricity generation

() waste incineration

() cogeneration 

() Other (please explain): _______________________

 

        j.	Additional combustion device uses (select all that apply):

() steam generation

() space heat

() process heat

() electricity generation

() waste incineration

() cogeneration 

() Other (please explain): _______________________

        k.	For boilers only, check all that apply (several may apply to
your unit):

	k.1 Erection Design

 () Package (shop erected)

() Field Erected

() Modular (part shop erected and part field erected)

k.2 Unit Design

 () Water tube

() Fire tube

() Hybrid  (if hybrid is selected, check the appropriate subtype)

	() main combustion zone design is watertube

() main combustion zone design is firetube

k.3 Suspension Firing

 () tangential

 ()  wall-fired

 ()  combination of suspension firing and grate firing (i.e., oil and
bark)

 () other (please explain)

l. For solid-fuel* boilers only, check all that apply (several may apply
to your unit):

( ) Stoker

  () spreader

  () mass feed

  () manual feed

  () other (please specify): _________

() Fluidized Bed

   () circulating 

   () bubbling

() Pulverized Coal

() Cyclone

() Other 

    () fuel cells

    () suspension burners

    () sloped-grate

    () dutch oven

    () gasifier

    () other not listed (please specify): _________



m.  For process heaters only, check all that apply: 

( ) Erection Design

 () Package (shop erected)

() Field Erected

( ) Unit Design

 () Fire tube

() Water tube

()Thermal oil heaters

() Other (please explain): _____________

() Draft Configuration

() natural draft 

() forced draft

2.  Operating Parameters

a.  Hours of Operation (hr/yr)

	Typical: _________

b. Duty Cycle: (select one)

() base-loaded

() load following

() stand-by

c. Is the operation seasonal*? Y/N

3.   Air Pollution Control

You will first be asked to list all add-on control devices, in the order
contacted by the exhaust, and then you will be asked to identify good
combustion practices used, followed by combustion controls.  Specify the
control device type using the descriptions provided in the drop-down
menus.

a1.  Control device currently installed (select from list)

a2.  Year control device installed:

a3. Has an upgrade/modification been made to the control device since it
was installed? Y/N

a4. Was an upgrade/modification/installation / replacement of the
control device in a1 made to comply with 40 CFR 63 Subpart DDDDD? Y/N
(skip to a9 if no)

a5. If yes to question a4 above, please provide the month and year that
the upgrade/modification/replacement to the control device was made
(mm/yyyy): ______

a6. If yes to a4, what was the control device prior to complying with 40
CFR 63 Subpart DDDDD? (select from list)

a7. If yes to a4, provide the date when the control device selected in
a6 was installed or last upgraded/modified (whichever date is most
recent)? (year)____

a8. If yes to a4, was the prior control device removed or added to in
order to comply with DDDDD?

    () removed

    () added to 

a9. Is the control device used as a common control device for more than
one combustion unit? 

() Not common

() Common, list names of units affected by this control in comments
section below: ___________

Below is an example table from the answer key for how one might answer
questions a1-a9 on the control devices installed on a particular
combustion unit. In this case, a fabric filter was replaced an existing
ESP to comply with the vacated DDDDD standard, and a venturi scrubber
was installed in 1992. The fabric filter is a common control device
shared with two engines.

Example

Answer Only if a4 was ‘Yes’

	a1.

	a2.

	a3.

	a4. 	a5.	a6.	a7. 	a8.	a9.

Fabric Filter	2005	N	Y	2005	ESP	1988	Removed	Two reciprocating engines 

Venturi Scrubber	1992	N	Y

	Not Common

b. Is oxygen or carbon monoxide used for boiler/process heater
combustion air trim control? (select one)

() oxygen 

() carbon monoxide

() neither

Please classify any tune-up practices performed on this combustion unit
along with the corresponding frequency (i.e., daily, monthly, quarterly,
semiannually, annually, every two years, every five years or longer).
Tune-up practices include activities that involve checking the unit’s
combustion processes and adjusting as needed:

() using the scheduled tune-up and procedures provided by the boiler
manufacturer

() Inspection and cleaning, as necessary, of fire-side and water-side
surfaces. 

() Inspecting, cleaning and/or reconditioning of fuel systems. 

() Checking all electrical and combustion control systems. 

() Testing of exhaust gases (CO, CO2, other) as necessary to calculate
combustion efficiency and make necessary adjustments to the combustion
system. Indicate what level the CO is adjusted to: _______________ 

() Inspection and repair of all valves (relief, safety, hydraulic,
pneumatic, etc.). 

() Inspection and repair of refractories. 

() Cleaning and inspecting fan housing, blades, and inlet screens. 

() Cleaning/reconditioning and inspecting the feedwater system. 

Please classify any good combustion practices performed on this
combustion unit, along with the corresponding frequency (i.e., daily,
monthly, quarterly, semiannually, annually, every two years, every five
years or longer) of each practice:

() Using up to date operating procedures, training, recordkeeping

() Maintenance knowledge (including training on applicable equipment and
procedures)

() Maintenance practices including maintenance procedures and
recordkeeping

() Fuel/air ratio periodic checks

() Automatic O2/CO trim control systems

() Monitoring furnace residence time and temperature

() Fuel quality and proper fuel handling (including monitoring quality,
periodic sampling and analysis, fuel supplier certification, if used) 

() Proper liquid atomization

() Proper fuel distribution in the combustion zone

() Combustion air distribution based on observations with periodic or
continuous adjustments

() fly ash reinjection

() combustion of drier fuel

() better fuel distribution in firebox

() co-firing

() low NOx burners

4. Stack

a. Does combustion unit emit through its own stack? (Y/N) (If no, answer
question b below)

b. List quantity and category of all other combustion units venting to
this common stack: (example: 2 coal fired boilers venting to common
stack)

 _____________________________________

Part II.C Fuels/Materials burned in the Combustion Unit

You will be asked to enter each fuel/material combusted in the
combustion unit in the following order:

Start-up* fuel/material

Individual and co-fired fuels/material combusted during normal operation

Additional fuels/materials combusted on an intermittent basis

Additional Fuels/Materials that are not routinely combusted

Facility Name:  (pass through facility name on each page)      Combustor
ID: (pass through combustor ID on each page)

1. If start-up* fuel is different than normal fuel, please answer
question 1 parts a, b, and c, otherwise proceed to question 2:

a. Select fuel/material from drop-down menu (if other is selected on
drop-down menu provide a space to explain other)

b. Number of start-ups per year ________

c. Typical length of time for start-up (hours) _______ 

2.  Fuels/Materials Combusted During Normal Operation:

Please complete the table below in the answer key for each fuel stream
combination fired in the combustion unit. A new fuel stream combination
ID should be entered when there is a change in the types of fuels that
make up the fuel stream. A new fuel stream ID should not be entered when
there is a variation in the feed rates of different fuels that make up
the fuel stream. The variation among individual fuel feed rates is
captured by providing the maximum and annual or season average for a
combination of fuel types.  In the example below, this boiler has two
fuel combinations: 2,500 hours per year the boiler fires a combination
of bituminous coal, switchgrass, and #2 fuel oil. The switchgrass is
fired seasonally, and when it is no longer fired, the boiler operates at
a lower rate using bituminous coal and #2 fuel oil. 

Fuel Stream Combination ID	Fuel/Material	Is fuel/material fed directly
to combustion unit or fed to a gasifier located upstream (G)	Is this
fuel/material used seasonally (S)* or annually (A)?	Hours used per year
Heat Input

(mmBtu/hr)	Permitted Limit

Question 

2a	2b	2c	2d	2e	Max

2f	Annual or Seasonal Average*

2g	Design Capacity

2h	Value 

2i	Units

2j

Example:

	1	Bituminous Coal	B	A	2500	100	80	200	100	ton/day

1	#2 Fuel Oil	B	A	2500	30	25	100	25	Gallons per minute

1	Switchgrass 	B	S	2500	100	75	150	175	ton/day

2	Bituminous Coal	B	A	5900	150	100	200	100	ton/day

2	#2 Fuel Oil	B	A	5900	30	25	100	25	Gallons per minute

3.   Fuels/Materials NOT Routinely Combusted 

Please complete the table below in the answer key. This table is similar
to question 2 above, however it applies to fuels/materials NOT routinely
fired in the combustion unit. An example response is shown below.

Fuel Stream Combination ID	Fuel/Material	Is fuel/material fed directly
to combustion unit or fed to a gasifier located upstream (G)	Describe
Conditions for Fuel Use	Hours used per year	Heat Input

(mmBtu/hr)	Permitted Limit

3a.	3b.	3c.	3d.	3e.	Max

3f.	Annual or Seasonal Average*

3g.	Design Capacity

3h..	Value

3i.	Units

3j.

Example:

	1	Wood: Pellets	B	Switchgrass unavailable during seasonal operation 
200	100	80	150	120	ton/day

4. Do you have an emission test report available for this unit? (EPA is
not requesting actual test reports at this time; however we reserve the
right to request actual copies in the future.)  Y/N

5. If yes to question 5 above, please list where the available test
report occured:

	() dedicated control device, dedicated stack

	() common control device, dedicated stack

() dedicated control device, common stack

() common control device, common stack

6.  Do you have another combustion unit you need to add to this survey? 
Y/N  (If Yes, re-start at part II.B, otherwise proceed to part II.D)

Part II.D Emission Data from Combustion Device

Provide the results of the most recent stack test data for each of the
pollutants listed in the emission test spreadsheet by completing and
e-mailing the Excel spreadsheet linked below to   HYPERLINK
"mailto:help@xxx.com"  help@xxx.com .  EPA is not requesting actual test
reports at this time; however we reserve the right to request actual
copies in the future.  EPA will also accept other supporting emission
test data to document any earlier   SEQ CHAPTER \h \r 1 emission tests
on the unit with similar controls and fuels.  You may also submit a
spreadsheet of any other information available relative to trials or
tests of emission control methods or R&D efforts.  The Agency is
requesting these data only as they may already be available; no
additional sampling or analyses are required to provide these data.
[INSERT LINK to EMISSIONS TEST SPREADSHEET]

Provide the daily averages of continuous emissions monitor (CEM) data
for NOx, SO2, CO, O2, CO2, and opacity, if available for the most recent
30 days of operation, and the highest single data point within the most
recent calendar year of CEM data.  You should exclude data from the
averages if they are from periods of start-up, shutdown, or
malfunctions. You can submit this data by completing the CEM data
spreadsheet and e-mailing it to help@xxx.com. [INSERT LINK to CEM TEST
SPREADSHEET]

Provide a summary of permitted or regulatory emission limits, if
applicable to your unit for each pollutant listed in the Permitted and
Regulatory Emission Limit Worksheet. If the unit does not have a limit
for a given unit, you may leave this entry blank. You can submit this
data by completing the permitted and regulatory spreadsheet and
e-mailing it to help@xxx.com. [INSERT LINK to PERMITTED REGULATORY LIMIT
SPREADSHEET]

Part III: Fuel/Material Data

If available, provide the results of the most recent fuel/materials
analysis for all fuels and materials (excluding natural gas) combusted
on-site in combustion units. Use the fuel categories from the list
below, when available. Select the ‘other’ fuel description only if
the fuel burned at this unit is not on the list. If ‘other’ is
selected please provide a brief name for this fuel.  Select the most
descriptive name as possible.  For example, "landfill gas (LFG)" is more
useful than "waste-gas"; "bituminous coal" or "anthracite coal" is more
useful than "coal".  

Please e-mail an electronic copy of the fuel analysis to   HYPERLINK
"mailto:help@xxx.com"  help@xxx.com  . The fuel analysis should be
formatted according to the linked Excel spreadsheet below. Please
identify the fuel name, facility name, and combustor ID consistently
with how you answered Parts I and II.  You may also provide a summary of
any earlier fuel analyses, as long as these are representative of
fuels/materials still used in the boiler/process heater. 

Facility Name:  (pass through facility name on each page)

1. Fuel/Material Description (select from list and be consistent with
selections made in Section II.B. Question 2) 

2. Where does fuel/material originate?

() On-site*

() Off-site

() Both (i.e., some bark from on-site combined with some bark generated
off-site)

3. Is fuel/material analysis available? (Y/N)

If you have a fuel/material analysis available, please complete the Fuel
Analysis Excel spreadsheet to   HYPERLINK "mailto:help@xxx.com" 
help@xxx.com  for each individual fuel.

4. Do any of your boilers burn another fuel/material? Y/N  

If yes, repeat questions 1-3 for each fuel/material combusted in a
process heater or boiler.  

Part IV – Data from each Incinerator Unit*

Complete this section for each incinerator* at your facility. If you do
not have any incinerators at your facility, you are done with the
survey. Please review your answers and submit your response to EPA by
the deadline listed in the Section 114 letter.

1. Unit-Data

a.     Combustion device ID: ______

b.    Unit Design Information (check all that apply):  

() single batch fed

() starved air

() fixed hearth

() rotary hearth		

() intermittent batch fed	

() excess air

() rotary kiln	

() moving grate

() continuously fed

() single chamber

() multi-chamber/afterburner

() spreader stoker	

() other:	

c.  Manufacturer:  
____________________________________________________________

d.  Model Number: 
___________________________________________________________

e.  Installation Date:  
_________________________________________________________

f.  Dates/descriptions of major renovations: 
_______________________________________

g. Design Capacity (tons waste per day):
__________________________________________

h1. Typical Hours Operated, Per Year:  _________________ 

h2. Per day:  ___________________

2.  Air Pollution Control Device and Equipment Modifications Information

Repeat this section for each control device or equipment modification
made to the incinerator.

(a)  Is your incinerator equipped with an air pollution control device
(e.g. wet scrubber, fabric filter, electrostatic precipitator)?  If yes,
please specify the type and provide any details as specified below for
each control device:  

a1. Type: 
___________________________________________________________________

a2. Year Installed: 
____________________________________________________________

a3. Manufacturer: 
_____________________________________________________________

a4. Model No.:
_______________________________________________________________

	a5. Percent of incinerator operating time that control device is
operated:  _________________ %

	a6. Control device air flow capacity (typically in acfm): 
______________________________

	a7. Date control device(s) were last modified, repaired, or rebuilt: 
______________________

	a8. Annual hours of control device downtime for repairs and
maintenance:  _______________

a9. Is control device shared with other equipment? (Y/N) If yes, please
identify the other equipment that is routed to the same control device: 
________________________________________________________________________
___

b1. What were the installed capital costs of the control device? ($,
year)____________________

b2. What are the annual operating costs?($,
year)___________________________________

(c)  If your unit is equipped with a control device, please list the
applicable operating parameters:  c1. Wet scrubber pressure drop (in.
H2O):  ___________

  	c2. Fabric filter air-to-cloth ratio:  __________________

	c3. Other:  _____________________________________ 

c.  If you have made modifications to the incinerator(s) to reduce
emissions:

c1. When were the modifications
made?_______________________________________

		c2. Briefly describe the type of
modifications?_________________________________

c3. Do you have information on the costs of the modifications? Y/N
_________ 

 (If you answered “Yes”, please attach copy of cost information)

	

3. Waste Segregation or Recycling Practices

a.  Does the facility currently employ waste segregation or recycling
practices that reduce the volume of waste being incinerated? Y/N (if no,
skip to question 4)

b.  When were waste segregation practices begun? (month, year)
____________________________

c.  What types of materials are segregated from the waste stream?
(please check all that apply)

() paper/cardboard

() glass

() plastics  	

() batteries 

() fluorescent light bulbs

() other metal containing materials (please list)  

____________________________________

() other chlorine containing materials (please list)  

__________________________________

() other (please list)

__________________________________

 

d.  What is done with the materials that are segregated from the waste
stream?
________________________________________________________________________
__

e.  Estimate the current cost of your waste segregation/recycling
program (please indicate whether cost estimate is on an annual basis,
monthly basis, or other).

________________________________________________________________________
__ 

f.  Do you have any emissions test data that would show the effects of
segregating materials from the waste stream (e.g., test data before and
after waste segregation practices began)?  Y/N

If yes, please attach complete copies of the test reports and any
analyses of the impact of waste segregation on emissions.

4. Emission Test Data

a.   Has emissions testing ever been conducted on this unit(s): Y/N
_______

b.   If so, please provide complete copies of the test reports that
document all emission testing that has been conducted in the last 10
years.  You may provide electronic versions of the test reports in lieu
of attaching paper copies.

5. Do you have another incinerator unit you need to add to this survey? 
Y/N  (If Yes, repeat part IV for another unit. Otherwise you are done
with the survey. Please review your answers and submit your response to
EPA by the deadline listed in the Section 114 letter).

Draft Definitions for Questionnaire

Definitions:

1. For purposes of this survey, combustion units are the following
devices:

Boiler means an enclosed device using controlled flame combustion and
having the primary purpose of recovering thermal energy in the form of
steam or hot water. Waste heat boilers are excluded from this
definition.

Process heater means an enclosed device using controlled flame, that is
not a boiler, and the unit’s primary purpose is to transfer heat
indirectly to a process material (liquid, gas, or solid) or to a heat
transfer material for use in a process unit, instead of generating
steam. Process heaters are devices in which the combustion gases do not
directly come into contact with process materials. Process heaters do
not include units used for comfort heat or space heat, food preparation
for on-site consumption, or autoclaves.

Any other combustion unit combusting non-fossil fuel/material whether
covered under another MACT standard or not. 

Incinerator refers to a combustion unit with the primary purpose of
destroying matter and/or reducing the volume of the materials and is
neither a boiler or process heater. 

2. Small gas-fired boilers or process heaters mean boilers or process
heaters that have a heat input capacity less than 10 mmBtu/hr that: (1)
burn natural gas, propane, liquefied petroleum gas (LPG), or refinery
gas not combined with any other fuels; (2) if a unit burns distillate
liquid fuel only during periods of gas curtailment, gas supply
emergencies, or for periodic testing of liquid fuel and the periodic
testing of liquid fuel does not to exceed a combined total of 48 hours
during any calendar year, this unit is still a gas-fired boiler for the
purpose of this survey.

3. On-site means the fuel/material generated from a process located at
the facility.  Off-site means either a raw material or other material
generated from a process not located at the same facility as the
combustion unit.

4. Major sources are those plant sites with the potential to emit 10
tons per year (tpy) of any one hazardous air pollutant (HAP) or 25 tpy
of a combination of HAPs.  Section 112(b) of the Clean Air Act
Amendments contains the list of HAPs.

5. Small Entity is defined as follows:

(1) for  Private Businesses it is determined for each NAICS of the
owning entity based on number of employees and/or company revenue.
Please see   HYPERLINK
"http://www.sba.gov/idc/groups/public/documents/sba_homepage/serv_sstd_t
ablepdf.pdf" 
http://www.sba.gov/idc/groups/public/documents/sba_homepage/serv_sstd_ta
blepdf.pdf  to evaluate the small entity status of your facility;

(2) for local government entities, such as a city, county, town, school
district or special district with a population of less than 50,000; and

(3) for not-for-profits an organization that is independently owned and
operated and is not dominant in its field.

6. Solid fuel fired units are any boilers or process heaters that fire
solid fuel alone or in conjunction with other fuel types

7. Seasonal operation indicates an operating pattern that varies heat
input demand depending on time of year, but follows the same pattern
annually. 

8. Seasonal average is the mean value of number (emission rate or
operating parameter) over an entire operating season.  For example, if
bagasse is fired 120 days per year, 24 hours per day, the seasonal
average heat input rate would be the average of all the heat input rates
during the 120 day period. 

9. Start-up means the setting in operation of an affected combustion
unit for any purpose. Start-up fuel does not apply to stabilization
fuels. You should include stabilization fuels as part of your response
to questions II.C.2 and II.C.3.

 

10. Non-fossil or other fuel/material is defined as any material that is
not coal, fuel oil, or natural gas, or derived from coal (i.e., waste
coal, coal refuse (culm, gob, coal tar), oil, or natural gas.  For
illustrative purposes only, EPA has provided a detailed (though not
extensive) list of non-fossil fuels. This definition or list does not
represent or imply any regulatory definition of non-fossil fuel. 

Non-Fossil Fuel/Material

Acetone: New and Used Solvent	Glycerol Distillation Byproduct	Red oil
(steam stripper steam condensate, incl terpenes, terpenoids, methanol,
TRS)

Agricultural Residue	Hardboard Dust	Refuse

Agricultural Residue: Corn Fiber	Hardboard Residues	Refuse derived fuel
(RDF)

Agricultural Residue: Corn Gluten Feed	Heavy Recycle	Reinjection char

Agricultural Residue: Corn Mill Dryer Off-gas	High Caustic Fuel
Reprocessed oil

Agricultural Residue: Corn Starch Residue	Hog fuel: Hardwood	Resin Solid

Agricultural Residue: Corn Stover	Hog fuel: Softwood	Restaurant oils &
greases

Agricultural Residue: Cotton And Corn	Hog fuel: Urban	Sander Dust

Agricultural Residue: Cotton Gin Residue	Hydro Pulper Refuse	Sawdust

Agricultural Residue: Cotton Stalks	Industrial Plastics	Sawmill scrap

Agricultural Residue: Cottonseed Hulls	Ink Solvents	Scrap X-Ray Film

Agriculture Residue: Almond Shells	Knots and Knotter Rejects	Screen
rejects

Agriculture Residue: Almond Tree Prunings	Laminate Production Scrap Dust
Sewage gas

Agriculture Residue: Barley dust and chaff	Lamination Finishing Plant
Residue	Sewage Sludge

Agriculture Residue: Barley Needles	Lamination Plant Residue	Shredded
cloth

Agriculture Residue: Fruit Pits	Landfill Gas	Silvicultural wood

Agriculture Residue: Nut Shells	Latex Paint Water	Sludge

Agriculture Residue: Oat Hulls	Light weight Asphalt	Solid paraffin

Agriculture Residue: Olive cake	Lignin	Solvents

Agriculture Residue: Olive kernel	Liquefied Chicken Fat	Spent Coffee
Grounds

Agriculture Residue: Orchard Prunings	Log yard Cleanup	Spent Oxide

Agriculture Residue: Pecan hulls	Low carbonate corn fiber (LCCF)
Stripper condensate

Agriculture Residue: Post harvest biomass residues	Lumber Refuse (hogged
pallet boards/other non-treated scrap)	Sulfur Free Organic Byproduct

Agriculture Residue: Rice Hulls	Malt Sprouts	Sunwax- Diatomaceous earth
with sunflower oil wax

Agriculture Residue: Soybean Hulls	Manure	Tall oil, tall oil derivatives

Agriculture Residue: Straw	Manure, bedding and yard residues	Tallow

Agriculture Residue: Straw	Mechanical Pulp Mill Rejects	Tar

Agriculture Residue: Sunflower Hulls	Medium Density Fiber Board Sander
Dust	Tire Chips

Agriculture Residue: Sunflower husks	Medium Density Fiber Board Trim
(some with water based primer)	Tire Derived Fuel (TDF)

Agriculture Residue: Sunflower Pellets	Mill feed	Tires (whole)

Agriculture Residue: Switchgrass	Mill trash	Toluene

Agriculture Residue: Wheat fiber (WF)	Mixed liquid residues	Toluene

Alcohol: Ethanol	Mixed wood residues	Turkey brood woodwaste

Alcohol: Solvent	Neutralene	Turpentine

Animal Fats	Noncondensable Gas (includes stripper offgas)	Used Alcohol

Bagasse	Nonhalogenated Solvent	Used #6 Oil

Bio liquids	Nonhazardous byproduct solvent	Used Gear Oil

Biogas (Excluding Sewage Sludge)	Oil Booms	Used hydraulic oil

Biomass	Oil Residues/excesses/byproducts -- #6, asphalts	Used Lube Oil

Bitumen	Oil Seed (Rape, Canola, Corn, Beans)	Used Motor Oil

Black Liquor	Oil Spill cleanup Residues	Used Oil

Blast Furnace Gas	Oily rags	Used thermal oil

Blond Fiber	Old Corrugate Cardboard (OCC) scraps	Vegetable oil

Boiler ash	Old corrugated container rejects	Virgin Hydraulic Scrap

Cardboard	Oriented strand board trim/dry residuals	Waste Derived Liquid
Fuel

Carpet Scrap	Other biomass	Wastewater Treatment Residuals

Char	Other: Please Explain	Wax and cellophane wrapper and packaging
trimmings

Coal Tar Oil	Paint Rags	Wood

Coal Tar plus soil	Paint residues	Wood: Bark

Coating Residues	Palm oil plantation byproducts (palm kernel exfoliate,
fiber, shell, EFB)	Wood: Briquettes

Coating Sludge	Paper	Wood: char

Coke Oven Gas	Paper broke	Wood: Chips

Composite Water	Paper Byproducts: knots and paper fines	Wood: chips- old

Compressed Paper	Paper cores	Wood: Hardwood chipping and residues

Construction/Demolition Derived Material	Paper- office waste	Wood:
Hardwood pellets (hammer-milled, dried, pelletized - sold as fuel)

Cotton Stalks	Paper wrapper and packaging trimmings	Wood: Hogged Bark

Crankcase Oil	Particle Board sander dust	Wood: Laminated

Deinking residuals	Particle Board trim	Wood: Mixed

Dewatered combustible residues	Paunch Manure	Wood: Pallets

Diaper scraps	Peat	Wood: Pellets

Digester Gas	Petroleum Distillation Solvent	Wood: Pitch

Distiller Grains (DG)	Petroleum Refining Scrap Oil	Wood: Pitch/wood
waste

Distiller Grains Stillage (DGS)	Pine tar	Wood: Plywood trim

Distiller Wet Grains (DWG)	Poultry litter	Wood: Shavings

Dried Distiller Grains with Solubles (DDGs)	Process derived liquid fuel
Wood: Silvicultural

Dry Distiller Grains (DDG)	Process Gas	Wood: unadulterated hardwood

Engineered Wood Plant Scrap	Pulp liquor	Wood: unadulterated softwood

Envirofuel Pellets	Pulp Mill Gas	Wood: waste-clean

Filters	Railroad Ties	Wood: Whole Tree Chips

Foam Residues	Railroad Ties Chipped	Wood: Whole tree chips/harvest
residue

Fuel cubes (paper diaper clippings/refuse)	Reclaimed Ink Solvent	Wood:
chips- fines

Fuel Oil Solids (tank clean out residue)	Recovered Gaseous Butane	Woodex
Pellets

Fume Filter Oil	Rectified methanol	Woodworking residuals (cabinet mfg)

Gluten fee pellets

Yellow grease (used cooking oils- sold as commercial fuel)

The public reporting and recordkeeping burden for this collection of
information is estimated to average 24.2 hours per response.  Send
comments on the Agency's need for this information, the accuracy of the
provided burden estimates, 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
correspondence.  Do not send the completed survey to this address.

ICR No. 2286.01

OMB Control No. TBD