Form MO780-1889 "Application for Authority to Construct, Permit by Rule Notification - Printing Operations" - Missouri

What Is Form MO780-1889?

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

Form Details:

  • Released on March 1, 2007;
  • The latest edition provided by the Missouri Department of Natural Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form MO780-1889 by clicking the link below or browse more documents and templates provided by the Missouri Department of Natural Resources.

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Download Form MO780-1889 "Application for Authority to Construct, Permit by Rule Notification - Printing Operations" - Missouri

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APCP USE ONLY
CHECK NO.
CHECK RECEIVED (MM/DD/YY)
MISSOURI DEPARTMENT OF NATURAL RESOURCES
AIR POLLUTION CONTROL PROGRAM
CHECK DATE (MM/DD/YY)
APPLICATION FOR AUTHORITY TO CONSTRUCT
$
CHECK AMOUNT
PERMIT BY RULE NOTIFICATION
PROJECT NO.
PERMIT NO.
PRINTING OPERATIONS
SECTION A: GENERAL NOTIFICATION INFORMATION – ALL NOTIFICATIONS MUST BE ACCOMPANIED BY A $700 FEE.
SECTION A-1: GENERAL INSTALLATION INFORMATION
1.
INSTALLATION NAME
2. FIPS
3.
PLANT NO.
4.
INSTALLATION STREET ADDRESS
5.
INSTALLATION MAILING ADDRESS
CITY –
ZIP CODE
MO
STATE
6.
COUNTY NAME
7.
1/4, of 1/4, of SECTION TOWNSHIP RANGE
8.
PARENT COMPANY
9.
PARENT COMPANY MAILING ADDRESS
10. C
ITY
STATE
ZIP CODE
11.
INSTALLATION CONTACT PERSON
12.
CONTACT PERSON’S TITLE .
13.
CONTACT PERSON’S MAILING ADDRESS
15. INSTALLATION CONTACT TELEPHONE NO.
16. INSTALLATION CONTACT FAX NO.
Ext.
17. INSTALLATION CONTACT E-MAIL ADDRESS
18. PROJECTED DATE TO COMMENCE CONSTRUCTION
19. PROJECT DATE OF OPERATION STARTUP
SECTION A-2: INSTALLATION DESCRIPTION
20.
SECTION A-3: CERTIFICATION STATEMENT
I certify that I have personally examined and am familiar with the information in this application and believe that the information submitted is accurate and
complete. I am aware that making a false statement or misrepresentation in this application is grounds for denying or revoking this permit.
21. SIGNATURE OF RESPONSIBLE OFFICIAL
22. DATE
23. TYPE OR PRINT NAME OF RESPONSIBLE OFFICIAL
24. RESPONSIBLE OFFICIAL’S TELEPHONE
NUMBER
Ext.
25. TITLE OF RESPONSIBLE OFFICIAL
MO 780-1889 (03-07) PAGE 1
APCP USE ONLY
CHECK NO.
CHECK RECEIVED (MM/DD/YY)
MISSOURI DEPARTMENT OF NATURAL RESOURCES
AIR POLLUTION CONTROL PROGRAM
CHECK DATE (MM/DD/YY)
APPLICATION FOR AUTHORITY TO CONSTRUCT
$
CHECK AMOUNT
PERMIT BY RULE NOTIFICATION
PROJECT NO.
PERMIT NO.
PRINTING OPERATIONS
SECTION A: GENERAL NOTIFICATION INFORMATION – ALL NOTIFICATIONS MUST BE ACCOMPANIED BY A $700 FEE.
SECTION A-1: GENERAL INSTALLATION INFORMATION
1.
INSTALLATION NAME
2. FIPS
3.
PLANT NO.
4.
INSTALLATION STREET ADDRESS
5.
INSTALLATION MAILING ADDRESS
CITY –
ZIP CODE
MO
STATE
6.
COUNTY NAME
7.
1/4, of 1/4, of SECTION TOWNSHIP RANGE
8.
PARENT COMPANY
9.
PARENT COMPANY MAILING ADDRESS
10. C
ITY
STATE
ZIP CODE
11.
INSTALLATION CONTACT PERSON
12.
CONTACT PERSON’S TITLE .
13.
CONTACT PERSON’S MAILING ADDRESS
15. INSTALLATION CONTACT TELEPHONE NO.
16. INSTALLATION CONTACT FAX NO.
Ext.
17. INSTALLATION CONTACT E-MAIL ADDRESS
18. PROJECTED DATE TO COMMENCE CONSTRUCTION
19. PROJECT DATE OF OPERATION STARTUP
SECTION A-2: INSTALLATION DESCRIPTION
20.
SECTION A-3: CERTIFICATION STATEMENT
I certify that I have personally examined and am familiar with the information in this application and believe that the information submitted is accurate and
complete. I am aware that making a false statement or misrepresentation in this application is grounds for denying or revoking this permit.
21. SIGNATURE OF RESPONSIBLE OFFICIAL
22. DATE
23. TYPE OR PRINT NAME OF RESPONSIBLE OFFICIAL
24. RESPONSIBLE OFFICIAL’S TELEPHONE
NUMBER
Ext.
25. TITLE OF RESPONSIBLE OFFICIAL
MO 780-1889 (03-07) PAGE 1
SECTION B: SPECIAL CONDITIONS FOR PRINTING OPERATIONS
Construction and operation of this new air pollution source is subject to the special conditions listed below. These special conditions are
based on the authority granted to the Missouri Air Pollution Control Program by the Missouri Air Conservation Law (specifically RSMo.
643.075) and by the Missouri Rules listed in Title 10, Division 10 of the Code of State Regulations (specifically 10 CSR 10-6.062
“Construction Permits by Rule”).
Please indicate by marking the appropriate box as to whether or not the emission source complies with the rule listed in the applicable
emission limit or standard. If any of the applicable emission source boxes are checked no, your source is not eligible for a printing operation
permit by rule.
This Permit By Rule applies only to Printing Operations constructed after October 31, 2003.
EMISSION
APPLICABLE EMISSION
SPECIAL CONDITION
SOURCE
METHOD OF COMPLIANCE
LIMIT OR STANDARD
COMPLIES?
The uncontrolled emission of volatile organic
compounds (VOCs) from inks and solvents
Determined through proper record keeping.
(including, but not limited to, those used for
Worksheets A, B, and C (or equivalent) shall be
printing, cleanup, or make-up) shall not exceed
used to demonstrate compliance with this condition.
forty (40) tons per twelve (12)-month period, rolled
These records shall be maintained for not less than
monthly, for all printing operations of the property.
five (5) years, and they shall be immediately
YES
The emissions shall be calculated using a material
available to any Missouri Department of Natural
10 CSR 10-6.062(3)(B)1.A.
balance that assumes that all of the VOCs in the
Resources personnel upon request. The operator
NO
inks and solvents used are directly emitted to the
shall report to the Air Pollution Control Program’s
atmosphere.
Enforcement Section, P.O. Box 176, Jefferson City,
Missouri, 65102, no later than ten (10) days after the
end of the month during which these conditions are
exceeded.
Determined through proper record keeping.
Worksheets A, B, and C (or equivalent) shall be
The uncontrolled emission of hazardous air
used to demonstrate compliance with this condition.
pollutants shall not exceed ten (1) tons per twelve
These records shall be maintained for not less than
YES
(12)-month period, rolled monthly, for all printing
five (5) years, and they shall be immediately
10 CSR 10-6.062(3)(B)1.B.
operations on the property. The emissions shall be
available to any Missouri Department of Natural
calculated using a material balance that assumes
Resources personnel upon request. The operator
NO
that all hazardous air pollutants used are directly
shall report to the Air Pollution Control Program’s
emitted to the atmosphere.
Enforcement Section, P.O. Box 176, Jefferson City,
Missouri, 65102, no later than ten (10) days after the
end of the month during which these conditions are
exceeded.
YES
Copying and duplicating equipment employing the
10 CSR 10-6.062(3)(B)1.C.
xerographic method are exempt from sub-
Proper work practice.
paragraphs 10 CSR 10-6.062(3)(B)1D-G.
NO
Printing presses covered by this section shall not
utilize heat set, thermo set, or oven-dried inks.
YES
Heated air may be used to shorten drying time,
provided the temperature does not exceed one
10 CSR 10-6.062(3)(B)1.D.
Proper work practice.
hundred ninety-four degrees Fahrenheit (194°F).
NO
Screen printing operations requiring temperatures
greater than one hundred ninety-four degrees
YES
Fahrenheit (194°F) to set the ink are exempt from
10 CSR 10-6.062(3)(B)1.E.
Proper work practice.
subparagraph 10 CSR 10-6.062(3)(B)1.D.
NO
YES
The facility shall not be located in an ozone
10 CSR 10-6.062(3)(B)1.F.
Proper work practice.
nonattainment area.
NO
Determined through proper record keeping.
Worksheets A, B, and C (or equivalent) shall be
used to demonstrate compliance with this condition.
These records shall be maintained for not less than
Record keeping. The operator shall maintain
five (5) years, and they shall be immediately
YES
records of ink and solvent usage and shall be kept
available to any Missouri Department of Natural
10 CSR 10-6.062(3)(B)1.G.
in sufficient detail to show compliance with
Resources personnel upon request. The operator
subparagraphs 10 CSR 10-6.062(3)(B)1.A. and
NO
shall report to the Air Pollution Control Program’s
1.B.
Enforcement Section, P.O. Box 176, Jefferson City,
Missouri, 65102, no later than ten (10) days after the
end of the month during which these conditions are
exceeded.
MO 780-1889 (03-07) PAGE 2
SECTION C: OTHER POTENTIALLY APPLICABLE REQUIREMENTS
This section is intended to identify regulations that may apply to this installation. There may be others not listed that apply. To determine rule
applicability and specific standards please consult the appropriate sections in the Code of Federal Regulations (CFR) and Code of State
Regulations (CSR) for the full text of the applicable requirements.
Please Note: This permit allows you to construct and operate your air contaminant source(s), but in no way relieves you of your obligation to
comply with all applicable provisions of the Missouri Air Conservation Law, regulations of the Missouri Department of Natural Resources, and
other applicable federal, state, and local laws and ordinances.
REGULATION OR CONSTRUCTION
APPLICABLE EMISSION LIMIT OR
METHOD OF COMPLIANCE
PERMIT REFERENCE
STANDARD
Shall not conduct, cause, permit or allow a
10 CSR 10-2.100, 10-3.030, or 10-
salvage operation, the disposal of trade
Any person intending to engage in open burning
4.090, 10-5.070 Open Burning
wastes or burning of refuse by open
shall submit a request to the Director.
Restrictions
burning.
No person may cause, permit or allow the
emission of odorous matter in
concentrations and frequencies or for
durations that odor can be perceived when
10 CSR 10-2.070, 10-3.090 or 10-
No odor violations noted, if and when scentometer
air is diluted to 1:7 volumes of odorous to
4.070, Restriction of Emission of Odors
readings are taken.
odor-free air for 2 separate trails not less
than 15 minutes apart with-in 1 hour.
No person shall emit odorous matter as to
10 CSR 10-5.160 Control of Odors in
No odor violations noted, if and when scentometer
cause objectionable odors unless within
the Ambient Air
readings are taken.
the limits established by this rule.
Shall not commence construction or
modification of any installation subject to
In the event of a malfunction, which results in
this rule; begin operation after construction
10 CSR 10-6.050, Start-up, Shutdown
excess emissions that exceed 1 hour, the permittee
or modification; or begin operation of any
and Malfunction Conditions
shall implement corrective action and submit
installation which has been shut down
reports.
longer than 5 years without first obtaining a
permit.
The permittee shall comply with all
applicable requirements identified in the
The permittee shall submit an annual compliance
operating permit (OP); file for timely
certification in accordance with the regulation. The
10 CSR 10-6.065, Operating Permits
renewal of this OP; and retain a copy of
permittee shall maintain a current equipment list on-
the OP on-site and make available to any
site with the date of installation of the equipment.
MDNR personnel upon request.
10 CSR 10-6.110, Submission of
Submittal of Emission Inventory
The permittee shall complete and submit an EIQ in
Emission Data, Emission Fees and
Questionnaire (EIQ) and emission fees by
accordance with 10 CSR 10-6.110.
Process Information
frequency noted in 10 CSR 10-6.110.
MO 780-1889 (03-07) PAGE 3
MISSOURI DEPARTMENT OF NATURAL RESOURCES
AIR POLLUTION CONTROL PROGRAM
APPLICATION FOR AUTHORITY TO CONSTRUCT PERMIT BY RULE NOTIFICATION
PRINTING OPERATIONS
WORKSHEET A: MONTHLY VOC TRACKING RECORD
COMPANY NAME
ADDRESS
THIS SHEET COVERS THE MONTH OF
IN THE YEAR
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
COLUMN 5
Amount of
VOC Content
Material Used (Name, Type)
Material Used
Density (lbs/gal)
VOC Emissions (Tons)
(Weight %)
(gallons)
(a) Total VOC Emissions Calculated for this Month in Tons:
(b) 11-Month VOC Emissions Total from Previous Month’s Worksheet, in Tons:
(c) Current 12-month Total of VOC Emissions in Tons: [(a) + (b) = (c)]
INSTRUCTIONS
Choose appropriate VOC calculation method for units reported:
(a) Summation of [Column 5] in Tons;
(b) The sum of VOC emissions from the last consecutive 11 months from the previous year;
(c) Running 12-month total of VOC emissions = VOC emissions reported for this month (a) + the last consecutive 11 months from the
previous year (b). A 12-Month VOC emissions total (c) of less than 40.0 tons indicates compliance.
MO 780-1889 (03-07)
WORKSHEET A
PAGE 4
MISSOURI DEPARTMENT OF NATURAL RESOURCES
AIR POLLUTION CONTROL PROGRAM
APPLICATION FOR AUTHORITY TO CONSTRUCT PERMIT BY RULE NOTIFICATION
PRINTING OPERATIONS
WORKSHEET B: MONTHLY COMBINED HAPs TRACKING RECORD
COMPANY NAME
ADDRESS
THIS SHEET COVERS THE MONTH OF
IN THE YEAR
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
COLUMN 5
Amount of
Density
HAP Content
Material Used (Name, HAP CAS #)
Material Used
HAP Emissions (Tons)
(pounds/gal)
(Weight %)
(gallons)
(a) Total HAP Emissions Calculated for this Month in Tons:
(b) 11-Month HAP Emissions Total from Previous Months Worksheet in Tons:
(c) Current 12-month Total of HAP Emissions in Tons: [(a) + (b) = (c)]
INSTRUCTIONS
Choose appropriate HAP calculation method for units reported:
(a) Summation of [Column 5] in Tons;
(b) The sum of combined HAP emissions from the last consecutive 11 months from the previous year;
(c) Running 12-month total of HAP emissions = HAP emissions reported for this month (a) + the last consecutive 11 months from the
previous year (b). A 12-Month HAP emissions total (c) of less than 25.0 tons indicates compliance.
MO 780-1889 (03-07)
WORKSHEET B
PAGE 5