Form C4 "Control Device (Cyclone, Multicyclone, or Other Mechanical)" - North Carolina

What Is Form C4?

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

Form Details:

  • Released on September 22, 2016;
  • The latest edition provided by the North Carolina Department of Environmental Quality;
  • 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 C4 by clicking the link below or browse more documents and templates provided by the North Carolina Department of Environmental Quality.

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Download Form C4 "Control Device (Cyclone, Multicyclone, or Other Mechanical)" - North Carolina

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FORM C4
CONTROL DEVICE (CYCLONE, MULTICYCLONE, OR OTHER MECHANICAL)
C4
REVISED 09/22/16
NCDEQ/Division of Air Quality - Application for Air Permit to Construct/Operate
CONTROL DEVICE ID NO:
CONTROLS EMISSIONS FROM WHICH EMISSION SOURCE ID NO(S):
EMISSION POINT (STACK) ID NO(S):
POSITION IN SERIES OF CONTROLS
NO.
OF
UNITS
OPERATING SCENARIO:
_______ OF _______
P.E. SEAL REQUIRED (PER 2Q .0112)?
YES
NO
DESCRIBE CONTROL SYSTEM :
POLLUTANT(S) COLLECTED:
BEFORE CONTROL EMISSION RATE (LB/HR):
CAPTURE EFFICIENCY:
%
%
%
%
CONTROL DEVICE EFFICIENCY:
%
%
%
%
CORRESPONDING OVERALL EFFICIENCY:
%
%
%
%
EFFICIENCY DETERMINATION CODE:
TOTAL AFTER CONTROL EMISSION RATE (LB/HR):
PRESSURE DROP (IN. H
0):
______ MIN
______ MAX
2
o
o
INLET TEMPERATURE (
F):
OUTLET TEMPERATURE (
F):
______ MIN
______ MAX
______ MIN
______ MAX
3
INLET AIR FLOW RATE (ACFM):
BULK PARTICLE DENSITY (LB/FT
):
3
POLLUTANT LOADING RATE (GR/FT
):
SETTLING CHAMBER
CYCLONE
MULTICYCLONE
LENGTH (INCHES):
INLET VELOCITY (FT/SEC):
CIRCULAR
RECTANGLE
NO. TUBES:
WIDTH (INCHES):
DIMENSIONS (INCHES) See instructions
IF WET SPRAY UTILIZED
DIAMETER OF TUBES:
HEIGHT (INCHES):
H:
Dd:
LIQUID USED:
HOPPER ASPIRATION SYSTEM?
VELOCITY (FT/SEC.):
W:
Lb:
FLOW RATE (GPM):
YES
NO
NO. TRAYS:
De:
Lc:
MAKE UP RATE (GPM):
LOUVERS?
NO. BAFFLES:
D:
S:
YES
NO
TYPE OF CYCLONE:
CONVENTIONAL
HIGH EFFICIENCY
OTHER
DESCRIBE MAINTENANCE PROCEDURES:
PARTICLE SIZE DISTRIBUTION
SIZE
WEIGHT %
CUMULATIVE
(MICRONS)
OF TOTAL
%
DESCRIBE INCOMING AIR STREAM:
0-1
1-10
10-25
25-50
50-100
>100
TOTAL = 100
DESCRIBE ANY MONITORING DEVICES, GAUGES, TEST PORTS, ETC:
ON A SEPARATE PAGE, ATTACH A DIAGRAM OF THE RELATIONSHIP OF THE CONTROL DEVICE TO ITS EMISSION SOURCE(S):
Attach Additional Sheets As Necessary
FORM C4
CONTROL DEVICE (CYCLONE, MULTICYCLONE, OR OTHER MECHANICAL)
C4
REVISED 09/22/16
NCDEQ/Division of Air Quality - Application for Air Permit to Construct/Operate
CONTROL DEVICE ID NO:
CONTROLS EMISSIONS FROM WHICH EMISSION SOURCE ID NO(S):
EMISSION POINT (STACK) ID NO(S):
POSITION IN SERIES OF CONTROLS
NO.
OF
UNITS
OPERATING SCENARIO:
_______ OF _______
P.E. SEAL REQUIRED (PER 2Q .0112)?
YES
NO
DESCRIBE CONTROL SYSTEM :
POLLUTANT(S) COLLECTED:
BEFORE CONTROL EMISSION RATE (LB/HR):
CAPTURE EFFICIENCY:
%
%
%
%
CONTROL DEVICE EFFICIENCY:
%
%
%
%
CORRESPONDING OVERALL EFFICIENCY:
%
%
%
%
EFFICIENCY DETERMINATION CODE:
TOTAL AFTER CONTROL EMISSION RATE (LB/HR):
PRESSURE DROP (IN. H
0):
______ MIN
______ MAX
2
o
o
INLET TEMPERATURE (
F):
OUTLET TEMPERATURE (
F):
______ MIN
______ MAX
______ MIN
______ MAX
3
INLET AIR FLOW RATE (ACFM):
BULK PARTICLE DENSITY (LB/FT
):
3
POLLUTANT LOADING RATE (GR/FT
):
SETTLING CHAMBER
CYCLONE
MULTICYCLONE
LENGTH (INCHES):
INLET VELOCITY (FT/SEC):
CIRCULAR
RECTANGLE
NO. TUBES:
WIDTH (INCHES):
DIMENSIONS (INCHES) See instructions
IF WET SPRAY UTILIZED
DIAMETER OF TUBES:
HEIGHT (INCHES):
H:
Dd:
LIQUID USED:
HOPPER ASPIRATION SYSTEM?
VELOCITY (FT/SEC.):
W:
Lb:
FLOW RATE (GPM):
YES
NO
NO. TRAYS:
De:
Lc:
MAKE UP RATE (GPM):
LOUVERS?
NO. BAFFLES:
D:
S:
YES
NO
TYPE OF CYCLONE:
CONVENTIONAL
HIGH EFFICIENCY
OTHER
DESCRIBE MAINTENANCE PROCEDURES:
PARTICLE SIZE DISTRIBUTION
SIZE
WEIGHT %
CUMULATIVE
(MICRONS)
OF TOTAL
%
DESCRIBE INCOMING AIR STREAM:
0-1
1-10
10-25
25-50
50-100
>100
TOTAL = 100
DESCRIBE ANY MONITORING DEVICES, GAUGES, TEST PORTS, ETC:
ON A SEPARATE PAGE, ATTACH A DIAGRAM OF THE RELATIONSHIP OF THE CONTROL DEVICE TO ITS EMISSION SOURCE(S):
Attach Additional Sheets As Necessary