Form C5 "Application for Air Permit to Construct/Operate - Control Device (Adsorber)" - North Carolina

What Is Form C5?

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 C5 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 C5 "Application for Air Permit to Construct/Operate - Control Device (Adsorber)" - North Carolina

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FORM C5
CONTROL DEVICE (ADSORBER)
C5
REVISED 09/22/16
NCDEQ/Division of Air Quality - Application for Air Permit to Construct/Operate
AS REQUIRED BY 15A NCAC 2Q .0112, THIS FORM MUST BE SEALED BY A PROFESSIONAL ENGINEER (P.E.) LICENSED IN NORTH CAROLINA.
CONTROL DEVICE ID NO:
CONTROLS EMISSIONS FROM WHICH EMISSION SOURCE ID NO(S):
EMISSION POINT ID NO(S):
POSITION IN SERIES OF CONTROLS
NO. ______ OF ______ UNITS
OPERATING SCENARIO:
_____ OF _____
DESCRIBE CONTROL SYSTEM:
POLLUTANT(S) COLLECTED:
BEFORE CONTROL EMISSION RATE (LB/HR):
CAPTURE EFFICIENCY:
%
%
%
%
CONTROL DEVICE EFFICIENCY:
%
%
%
%
CORRESPONDING EFFICIENCY:
%
%
%
%
EFFICIENCY DETERMINATION CODE:
TOTAL EMISSION RATE (LB/HR):
INLET AIR FLOW RATE (ACFM):
PRESSURE DROP (IN. H
O):
______ MIN
______ MAX
WARNING ALARM?
YES
NO
2
o
o
INLET TEMPERATURE (
F):
OUTLET TEMPERATURE (
F):
______ MIN
______ MAX
______ MIN
______ MAX
SIZE OF COMPARTMENTS (FT)
HEIGHT:
LENGTH:
WIDTH:
DIAMETER:
METHOD OF ADSORPTION:
ONE-PASS REGENERATIVE
ONE-PASS NONREGENERATIVE
OTHER:
RECIRCULATING
TYPE OF ADSORPTION MATERIAL:
NUMBER OF COMPARTMENTS:
REGENERATIVE METHOD:
DISCARDED
CHEMICAL
THERMAL (DRY HEAT)
OTHER:
THERMAL (STEAM)
REGENERATIVE SCHEDULE
MAX. TIME FOR DESORPTION:
LENGTH OF TIME TO MAX. SATURATION:
HOW ARE EMISSIONS CONTROLLED DURING REGENERATION? (Attach additional sheets as necessary.):
VOLATILE CONCENTRATIONS (PPMV)
ENTERING UNIT:
LEAVING UNIT:
RELATIVE HUMIDITY OF AIR STREAM ENTERING UNIT (%):
ORIENTATION OF BEDS:
BREAKTHROUGH CAPACITY (LB. VAPOR/LB. ADSORBENT):
BREAKTHROUGH ALARM?
YES
NO
CYCLE TIME:
DESCRIBE MAINTENANCE PROCEDURES:
DESCRIBE ANY FIRE DETECTION DEVICES AND ANY MEANS OF FIRE SUPPRESSION:
DESCRIBE ANY MONITORING DEVICES, GAUGES, TEST PORTS, ETC:
DESCRIBE HOW REGENERATION CYCLE IS INITIATED (e.g. - fixed time, ppm monitor, 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 C5
CONTROL DEVICE (ADSORBER)
C5
REVISED 09/22/16
NCDEQ/Division of Air Quality - Application for Air Permit to Construct/Operate
AS REQUIRED BY 15A NCAC 2Q .0112, THIS FORM MUST BE SEALED BY A PROFESSIONAL ENGINEER (P.E.) LICENSED IN NORTH CAROLINA.
CONTROL DEVICE ID NO:
CONTROLS EMISSIONS FROM WHICH EMISSION SOURCE ID NO(S):
EMISSION POINT ID NO(S):
POSITION IN SERIES OF CONTROLS
NO. ______ OF ______ UNITS
OPERATING SCENARIO:
_____ OF _____
DESCRIBE CONTROL SYSTEM:
POLLUTANT(S) COLLECTED:
BEFORE CONTROL EMISSION RATE (LB/HR):
CAPTURE EFFICIENCY:
%
%
%
%
CONTROL DEVICE EFFICIENCY:
%
%
%
%
CORRESPONDING EFFICIENCY:
%
%
%
%
EFFICIENCY DETERMINATION CODE:
TOTAL EMISSION RATE (LB/HR):
INLET AIR FLOW RATE (ACFM):
PRESSURE DROP (IN. H
O):
______ MIN
______ MAX
WARNING ALARM?
YES
NO
2
o
o
INLET TEMPERATURE (
F):
OUTLET TEMPERATURE (
F):
______ MIN
______ MAX
______ MIN
______ MAX
SIZE OF COMPARTMENTS (FT)
HEIGHT:
LENGTH:
WIDTH:
DIAMETER:
METHOD OF ADSORPTION:
ONE-PASS REGENERATIVE
ONE-PASS NONREGENERATIVE
OTHER:
RECIRCULATING
TYPE OF ADSORPTION MATERIAL:
NUMBER OF COMPARTMENTS:
REGENERATIVE METHOD:
DISCARDED
CHEMICAL
THERMAL (DRY HEAT)
OTHER:
THERMAL (STEAM)
REGENERATIVE SCHEDULE
MAX. TIME FOR DESORPTION:
LENGTH OF TIME TO MAX. SATURATION:
HOW ARE EMISSIONS CONTROLLED DURING REGENERATION? (Attach additional sheets as necessary.):
VOLATILE CONCENTRATIONS (PPMV)
ENTERING UNIT:
LEAVING UNIT:
RELATIVE HUMIDITY OF AIR STREAM ENTERING UNIT (%):
ORIENTATION OF BEDS:
BREAKTHROUGH CAPACITY (LB. VAPOR/LB. ADSORBENT):
BREAKTHROUGH ALARM?
YES
NO
CYCLE TIME:
DESCRIBE MAINTENANCE PROCEDURES:
DESCRIBE ANY FIRE DETECTION DEVICES AND ANY MEANS OF FIRE SUPPRESSION:
DESCRIBE ANY MONITORING DEVICES, GAUGES, TEST PORTS, ETC:
DESCRIBE HOW REGENERATION CYCLE IS INITIATED (e.g. - fixed time, ppm monitor, 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