Form CAB-2 "Air or Water Pollution Control and Carbon Capture Equipment Certification Application" - Montana

What Is Form CAB-2?

This is a legal form that was released by the Montana Department of Revenue - a government authority operating within Montana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2015;
  • The latest edition provided by the Montana Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CAB-2 by clicking the link below or browse more documents and templates provided by the Montana Department of Revenue.

ADVERTISEMENT
ADVERTISEMENT

Download Form CAB-2 "Air or Water Pollution Control and Carbon Capture Equipment Certification Application" - Montana

424 times
Rate (4.6 / 5) 30 votes
CLEAR FORM
Air or Water Pollution Control and Carbon Capture
Equipment Certification Application
Date ____________________
Section A
Name __________________________________________________________________________________
Mailing Address __________________________________________________________________________
_______________________________________________________________________________________
Facility Address (if different from mailing address) _______________________________________________
_______________________________________________________________________________________
Telephone ______________________________________________________________________________
Contact Name and Phone __________________________________________________________________
Email Address ___________________________________________________________________________
Section B
Describe the type of operation conducted at the above location. ____________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Section C
1. Describe the process(es) whose emissions or discharges are or will be controlled by the facility.
____________________________________________________________________________________
____________________________________________________________________________________
2. Complete the following tables as applicable.
AIR
Emission Rate (Tons per Year (tpy) and Pounds per Hour (lb/hr))
Control Efficiency
Emission
Actual
With Facility
Without Facility
Design
(Particulates, SO
, NO
,
Performance
2
x
CO, VOC, Pb, CO
, etc.)
2
tpy
tpy
lb/hr
lb/hr
tpy
tpy
lb/hr
lb/hr
tpy
tpy
lb/hr
lb/hr
tpy
tpy
lb/hr
lb/hr
tpy
tpy
lb/hr
lb/hr
tpy
tpy
lb/hr
lb/hr
Notes: SO
– sulfur dioxide, NO
– oxides of nitrogen, CO – carbon monoxide, VOC – volatile organic
2
x
compounds, Pb – lead, CO
– carbon dioxide
2
CAB-2 Rev 07 15
CLEAR FORM
Air or Water Pollution Control and Carbon Capture
Equipment Certification Application
Date ____________________
Section A
Name __________________________________________________________________________________
Mailing Address __________________________________________________________________________
_______________________________________________________________________________________
Facility Address (if different from mailing address) _______________________________________________
_______________________________________________________________________________________
Telephone ______________________________________________________________________________
Contact Name and Phone __________________________________________________________________
Email Address ___________________________________________________________________________
Section B
Describe the type of operation conducted at the above location. ____________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Section C
1. Describe the process(es) whose emissions or discharges are or will be controlled by the facility.
____________________________________________________________________________________
____________________________________________________________________________________
2. Complete the following tables as applicable.
AIR
Emission Rate (Tons per Year (tpy) and Pounds per Hour (lb/hr))
Control Efficiency
Emission
Actual
With Facility
Without Facility
Design
(Particulates, SO
, NO
,
Performance
2
x
CO, VOC, Pb, CO
, etc.)
2
tpy
tpy
lb/hr
lb/hr
tpy
tpy
lb/hr
lb/hr
tpy
tpy
lb/hr
lb/hr
tpy
tpy
lb/hr
lb/hr
tpy
tpy
lb/hr
lb/hr
tpy
tpy
lb/hr
lb/hr
Notes: SO
– sulfur dioxide, NO
– oxides of nitrogen, CO – carbon monoxide, VOC – volatile organic
2
x
compounds, Pb – lead, CO
– carbon dioxide
2
CAB-2 Rev 07 15
WATER
Contaminant Discharge
With Facility
Without Facility
Average Monthly
Average Monthly
Concentration
Average Daily
Concentration
Average Monthly
(mg/L)
Flow (MGD)
(mg/L)
Flow (MGD)
Notes: mg/L – milligrams per liter, MGD – Million Gallons per Day
3. Describe the method or technique used to estimate the rate of emissions or discharges (attach all
calculations). _________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Section D
1. List the type and description of air or water pollution control facility for which certification is desired.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
2. Describe the purpose of each piece of equipment installed (for which certification is being sought),
including the reason for installing the equipment. _____________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
3. Mark the category for each piece of equipment installed (for which certification is being sought)t.
Replacement Equipment
Maintenance of Existing Equipment
q
q
Repair of Existing Equipment
Enhancement of Existing Equipment
q
q
New Equipment
q
4. Provide the maintenance schedule and activity (e.g., downtime, percent of utilization, etc.) for each facility
under consideration for certification. _______________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
5. Describe the final disposition of pollutants or contaminants for each facility under consideration
for certification. _______________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
2
6. What is the date that each facility under consideration for certification was placed (or is expected to be
placed) in operation/service? ____________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
7. What is the useful operating life of each facility under consideration for certification?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
8. Does (or when completed, will) each facility under consideration for certification conform to water and air
pollution control requirements or standards? ________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
9. For equipment that is used for multiple purposes, provide a detailed breakdown (by percentage) of the use
of the equipment (ARM 17.8.102). The information should differentiate the extent to which the equipment
is used for pollution control or carbon capture purposes as compared to other purposes.
____________________________________________________________________________________
____________________________________________________________________________________
10. Provide a detailed itemization of capital and operating costs for each piece of equipment under
consideration for certification in this application (ARM 17.80.103(5) and ARM 17.8.103(6)).
11. A ttach a copy of the plans, specifications and drawings of the facility for which certification is desired.
Include the cost of the facility and operating cost per month.
12. I certify that, on the date of this application, my company is in substantial compliance with all rules, laws,
orders and permit conditions applicable to the equipment that is the subject of this certification application.
Section E
Certification
I hereby certify that I have read the contents of the foregoing application and know the contents thereof, and that
the same are true and complete to the best of my knowledge, information and belief.
Applicant Signature _______________________________________________________________________
Section F
For Agency Use Only
File Number _________________________
Application and supporting data reviewed by ___________________________________________________
Recommendation ________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Mail a completed application to each of the following addresses:
Montana Department of Environmental Quality
Montana Department of Revenue
Permitting and Compliance Division
Business Tax and Valuation Bureau
1520 E Sixth Avenue
PO Box 5805
PO Box 200901
Helena, MT 59604-5805
Helena, MT 59620-0901
3
Air or Water Pollution Control and Carbon Capture Equipment
Certification Application Instructions
Section D
General Information
1. Complete a separate application for each facility for
1. Identify the type of air or water pollution control facility
which certification is desired.
or carbon capture equipment and describe in detail the
specific equipment for which certification is desired,
2. Submit one application to each of the following three
including the name of the manufacturer.
entities: 1) Department of Environmental Quality
(DEQ), Permitting and Compliance Division, PO Box
2. Describe the purpose of each piece of equipment under
200901, Helena, MT 59620-0901, 2) Department
consideration for certification, specifically focusing on
of Revenue (DOR), Business Tax and Valuation
whether the equipment is being installed a) for the
Bureau, PO Box 5805 Helena, MT 59604-5805, and
purposed of environmental benefit, b) to comply with
3) the county commissioners of the county in which
state or federal pollution control regulations, or c) for
the property is located. Call DEQ’s Permitting and
some other reason.
Compliance Division, (406) 444-4323, with specific
3. Identify the category description that best describes
questions regarding air or water pollution control
the equipment under consideration for certification
equipment.
(replacement, maintenance, repair, enhancement or
3. To be eligible to receive pollution control status for the
new).
current tax year, the application must be received by
4. Describe the type of maintenance needed or
the DEQ on or before January 1 of that year (ARM
anticipated to keep the facility operating at maximum
42.19.1203).
efficiency. Include estimated hours of downtime and
4. When necessary, attach additional sheets to furnish
whether effluent continues through these periods of
required information with the corresponding question
downtime.
number.
5. Describe the final disposition of contaminants, air or
5. Note on the application when requested information is
water, which have been removed, altered, disposed of
not applicable to the facility for which the application is
or stored by the facility.
made.
6. Give the approximate date on which the facility was
first placed (or is expected to be placed) in service and
General Instructions
effectively operated.
Section A
7. Identify the planned/estimated life efficiency for the
Complete general applicant and facility information.
equipment under consideration for certification.
Section B
8. Identify whether or not the equipment under
consideration for certification conforms to the
1. Describe the type of the operation conducted at the
applicable air quality or water quality requirements or
location or proposed location of the facility.
standards.
2. If the facility does not control or is not intended to
9. Identify the use of the equipment. For equipment that
control wastewater from the entire operation at the
has multiple purposes, provide a detailed breakdown
facility location, describe the specific processes whose
of the use of the equipment, estimating the time/value
wastewater the facility controls (or intended to control).
used for air or water pollution control and the time/
Section C
value used for other purposes.
1. Describe in detail the specific processes whose
10. Provide a detailed itemization of capital and operating
emissions or discharges the facility, equipment or
costs.
device is intended to control.
11. Provide plans, specifications and drawings of the
2. List the contaminants that are emitted from the unit
equipment for which certification is under consideration.
process and that are discharged into the outdoor
12. Identify whether or not you believe the company is in
environment. Give the rates of emissions with and
without the facility in pounds per hour and tons per
substantial compliance with all rules, laws, orders and
year for air pollution control equipment. List water
permit conditions applicable to the equipment.
pollution control equipment discharge concentrations in
Section E
milligrams per Liter (mg/L) and flows in Million Gallons
Application certification must be signed by an authorized
per Day (MGD). Indicate efficiencies for both design
representative of the company seeking certification.
and actual performance.
Section F
3. Calculations for the method, formula or theory used in
estimating rate of emissions must be attached.
Agency Review
4
Page of 4