Form D1 "Application for Air Permit to Construct/Operate - Facility-Wide Emissions Summary" - North Carolina

What Is Form D1?

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 D1 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 D1 "Application for Air Permit to Construct/Operate - Facility-Wide Emissions Summary" - North Carolina

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FORM D1
FACILITY-WIDE EMISSIONS SUMMARY
D1
REVISED 09/22/16
NCDEQ/Division of Air Quality - Application for Air Permit to Construct/Operate
CRITERIA AIR POLLUTANT EMISSIONS INFORMATION - FACILITY-WIDE
EXPECTED ACTUAL
EMISSIONS
POTENTIAL EMISSIONS
POTENTIAL EMISSIONS
(AFTER CONTROLS /
(BEFORE CONTROLS /
(AFTER CONTROLS /
LIMITATIONS)
LIMITATIONS)
LIMITATIONS)
AIR POLLUTANT EMITTED
tons/yr
tons/yr
tons/yr
PARTICULATE MATTER (PM)
PARTICULATE MATTER < 10 MICRONS (PM
)
10
PARTICULATE MATTER < 2.5 MICRONS (PM
)
2.5
SULFUR DIOXIDE (SO
)
2
NITROGEN OXIDES (NOx)
CARBON MONOXIDE (CO)
VOLATILE ORGANIC COMPOUNDS (VOC)
LEAD
GREENHOUSE GASES (GHG) (SHORT TONS)
OTHER
HAZARDOUS AIR POLLUTANT EMISSIONS INFORMATION - FACILITY-WIDE
EXPECTED ACTUAL
EMISSIONS
POTENTIAL EMISSIONS
POTENTIAL EMISSIONS
(AFTER CONTROLS /
(BEFORE CONTROLS /
(AFTER CONTROLS /
LIMITATIONS)
LIMITATIONS)
LIMITATIONS)
HAZARDOUS AIR POLLUTANT EMITTED
CAS NO.
tons/yr
tons/yr
tons/yr
TOXIC AIR POLLUTANT EMISSIONS INFORMATION - FACILITY-WIDE
INDICATE REQUESTED ACTUAL EMISSIONS AFTER CONTROLS / LIMITATIONS. EMISSIONS ABOVE THE TOXIC PERMIT EMISSION RATE (TPER) IN 15A
NCAC 2Q .0711 MAY REQUIRE AIR DISPERSION MODELING. USE NETTING FORM D2 IF NECESSARY.
Modeling Required ?
TOXIC AIR POLLUTANT EMITTED
CAS NO.
lb/hr
lb/day
lb/year
Yes
No
COMMENTS:
Attach Additional Sheets As Necessary
FORM D1
FACILITY-WIDE EMISSIONS SUMMARY
D1
REVISED 09/22/16
NCDEQ/Division of Air Quality - Application for Air Permit to Construct/Operate
CRITERIA AIR POLLUTANT EMISSIONS INFORMATION - FACILITY-WIDE
EXPECTED ACTUAL
EMISSIONS
POTENTIAL EMISSIONS
POTENTIAL EMISSIONS
(AFTER CONTROLS /
(BEFORE CONTROLS /
(AFTER CONTROLS /
LIMITATIONS)
LIMITATIONS)
LIMITATIONS)
AIR POLLUTANT EMITTED
tons/yr
tons/yr
tons/yr
PARTICULATE MATTER (PM)
PARTICULATE MATTER < 10 MICRONS (PM
)
10
PARTICULATE MATTER < 2.5 MICRONS (PM
)
2.5
SULFUR DIOXIDE (SO
)
2
NITROGEN OXIDES (NOx)
CARBON MONOXIDE (CO)
VOLATILE ORGANIC COMPOUNDS (VOC)
LEAD
GREENHOUSE GASES (GHG) (SHORT TONS)
OTHER
HAZARDOUS AIR POLLUTANT EMISSIONS INFORMATION - FACILITY-WIDE
EXPECTED ACTUAL
EMISSIONS
POTENTIAL EMISSIONS
POTENTIAL EMISSIONS
(AFTER CONTROLS /
(BEFORE CONTROLS /
(AFTER CONTROLS /
LIMITATIONS)
LIMITATIONS)
LIMITATIONS)
HAZARDOUS AIR POLLUTANT EMITTED
CAS NO.
tons/yr
tons/yr
tons/yr
TOXIC AIR POLLUTANT EMISSIONS INFORMATION - FACILITY-WIDE
INDICATE REQUESTED ACTUAL EMISSIONS AFTER CONTROLS / LIMITATIONS. EMISSIONS ABOVE THE TOXIC PERMIT EMISSION RATE (TPER) IN 15A
NCAC 2Q .0711 MAY REQUIRE AIR DISPERSION MODELING. USE NETTING FORM D2 IF NECESSARY.
Modeling Required ?
TOXIC AIR POLLUTANT EMITTED
CAS NO.
lb/hr
lb/day
lb/year
Yes
No
COMMENTS:
Attach Additional Sheets As Necessary