DHEC Form 2069 "South Carolina Clean Air Interstate Rule (Cair) Permit Application Form" - South Carolina

What Is DHEC Form 2069?

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

Form Details:

  • Released on January 1, 2016;
  • The latest edition provided by the South Carolina Department of Health and Environmental Control;
  • 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 DHEC Form 2069 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Environmental Control.

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Download DHEC Form 2069 "South Carolina Clean Air Interstate Rule (Cair) Permit Application Form" - South Carolina

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Office of Environmental Quality Control
Bureau of Air Quality
South Carolina Clean Air Interstate Rule (CAIR)
Permit Application Form
Please Refer to Instructions Before Completing this Form
Use Tab Key to Access the Next Field in the Form
FACILITY INFORMATION
Facility Name:
Existing State Air Permit Number:
-
Federal Employer Identification No.:
State Air Permit Expiration Date:
ORIS Code / Facility Code:
EPA (AIRS) Facility Identification No.:
PURPOSE OF APPLICATION
New Permit
Permit Modification
Permit Renewal
Change in Authorized Account Representative
CAIR FACILITY AUTHORIZED ACCOUNT REPRESENTATIVES
Account Representative:
Mailing Address:
City:
State:
Zip Code:
E-mail Address:
Phone No. (
)
-
Fax No. (
)
-
Alternate:
Mailing Address:
City:
State:
Zip Code:
E-mail Address:
Phone No. (
)
-
Fax No. (
)
-
AFFECTED EMISSION UNIT CAIR PROGRAM APPLICABILITY
(List all affected emission units and indicate to which CAIR programs each unit is subject to.)
Emission
NO
Ozone
X
Description of Emission Unit
NO
Annual
SO
X
2
Unit ID
Season
AUTHORIZED ACCOUNT REPRESENTATIVE SIGNATURE
Certification: I have read the "South Carolina Clean Air Interstate Rule (CAIR) Standard Requirements" document. I am authorized
to make this submission on behalf of the owners and operators of the source or units for which the submission is made. I certify
under penalty of law that I have personally examined, and am familiar with, the statements and information submitted in this
document and all its attachments. Based on my inquiry of those individuals with primary responsibility for obtaining the
information, I certify that the statements and information are to the best of my knowledge and belief true, accurate, and complete.
I am aware that there are significant penalties for submitting false statements and information or omitting required statements
and information, including the possibility of fine or imprisonment.
Authorized Account Representative Signature
Title/Position
Date
Alternate Account Representative Signature
Title/Position
Date
DHEC 2069 (01/2016)
Office of Environmental Quality Control
Bureau of Air Quality
South Carolina Clean Air Interstate Rule (CAIR)
Permit Application Form
Please Refer to Instructions Before Completing this Form
Use Tab Key to Access the Next Field in the Form
FACILITY INFORMATION
Facility Name:
Existing State Air Permit Number:
-
Federal Employer Identification No.:
State Air Permit Expiration Date:
ORIS Code / Facility Code:
EPA (AIRS) Facility Identification No.:
PURPOSE OF APPLICATION
New Permit
Permit Modification
Permit Renewal
Change in Authorized Account Representative
CAIR FACILITY AUTHORIZED ACCOUNT REPRESENTATIVES
Account Representative:
Mailing Address:
City:
State:
Zip Code:
E-mail Address:
Phone No. (
)
-
Fax No. (
)
-
Alternate:
Mailing Address:
City:
State:
Zip Code:
E-mail Address:
Phone No. (
)
-
Fax No. (
)
-
AFFECTED EMISSION UNIT CAIR PROGRAM APPLICABILITY
(List all affected emission units and indicate to which CAIR programs each unit is subject to.)
Emission
NO
Ozone
X
Description of Emission Unit
NO
Annual
SO
X
2
Unit ID
Season
AUTHORIZED ACCOUNT REPRESENTATIVE SIGNATURE
Certification: I have read the "South Carolina Clean Air Interstate Rule (CAIR) Standard Requirements" document. I am authorized
to make this submission on behalf of the owners and operators of the source or units for which the submission is made. I certify
under penalty of law that I have personally examined, and am familiar with, the statements and information submitted in this
document and all its attachments. Based on my inquiry of those individuals with primary responsibility for obtaining the
information, I certify that the statements and information are to the best of my knowledge and belief true, accurate, and complete.
I am aware that there are significant penalties for submitting false statements and information or omitting required statements
and information, including the possibility of fine or imprisonment.
Authorized Account Representative Signature
Title/Position
Date
Alternate Account Representative Signature
Title/Position
Date
DHEC 2069 (01/2016)
**INCOMPLETE APPLICATIONS WILL BE RETURNED**
DHEC 2069 (01/2016)
South Carolina Department of Health and Environmental Control
Office of Environmental Quality Control
Bureau of Air Quality
South Carolina Clean Air Interstate Rule (CAIR) Standard Requirements
Please be advised that an affected CAIR facility is also subject to the requirements of South Carolina Regulation
61-62.96, Nitrogen Oxides (NO
) Budget Trading Program.
X
(a) Permit Requirements.
(1) The CAIR designated representative of each CAIR NO
source, CAIR SO
source, and CAIR NO
Ozone
X
2
X
Season source (as applicable) required to have a Title V operating permit, and each CAIR NO
unit, CAIR SO
unit,
X
2
and CAIR NO
Ozone Season unit (as applicable) required to have a Title V operating permit at the source shall:
X
(i) Submit to the South Carolina Department of Health and Environmental Control (Department)
a complete CAIR permit application under §96.122, §96.222, and §96.322 (as applicable) of 40 CFR part 96 in
accordance with the deadlines specified in §96.121, §96.221, and §96.321 (as applicable) of 40 CFR part 96; and
(ii) Submit in a timely manner any supplemental information that the Department determines
is necessary in order to review a CAIR permit application and issue or deny a CAIR permit.
(2) The owners and operators of each CAIR NO
source, CAIR SO
source, and CAIR NO
Ozone Season
X
2
X
source (as applicable) required to have a Title V operating permit and each CAIR NO
unit, CAIR SO
unit, and CAIR
X
2
NO
Ozone Season unit (as applicable) required to have a Title V operating permit at the source shall have a CAIR
X
permit issued by the Department under subpart CC, CCC, and CCCC (as applicable) of 40 CFR part 96 for the
source and operate the source and the unit in compliance with such CAIR permit.
(3) Except as provided in subpart II, III, and IIII (as applicable) of 40 CFR part 96, the owners and operators
of a CAIR NO
source, CAIR SO
source, and CAIR NO
Ozone Season source (as applicable) that is not otherwise
X
2
X
required to have a Title V operating permit and each CAIR NO
unit, CAIR SO
unit, and CAIR NO
Ozone Season
X
2
X
unit (as applicable) that is not otherwise required to have a Title V operating permit are not required to submit a
CAIR permit application, and to have a CAIR permit, under subpart CC, CCC, and CCCC (as applicable) of 40 CFR
part 96 for such CAIR NO
source, CAIR SO
source, and CAIR NO
Ozone Season source (as applicable) and such
X
2
X
CAIR NO
unit, CAIR SO
unit, and CAIR NO
Ozone Season unit (as applicable).
X
2
X
(b) Monitoring, reporting, and recordkeeping requirements.
(1) The owners and operators, and the CAIR designated representative, of each CAIR NO
source, CAIR
X
SO
source, and CAIR NO
Ozone Season source (as applicable) and each CAIR NO
unit, CAIR SO
unit, and CAIR
2
X
X
2
NO
Ozone Season unit (as applicable) at the source shall comply with the monitoring, reporting, and
X
recordkeeping requirements of subparts HH, HHH, and HHHH (as applicable) of 40 CFR part 96.
(2) The emissions measurements recorded and reported in accordance with subparts HH, HHH, and
HHHH (as applicable) of 40 CFR part 96 shall be used to determine compliance by each CAIR NO
source, CAIR
X
SO
source, and CAIR NO
Ozone Season source (as applicable) with the CAIR NO
emissions limitation, CAIR SO
2
X
X
2
emissions limitation, and CAIR NO
Ozone Season emissions limitation (as applicable) under paragraph (c) of
X
§96.106, §96.206, and §96.306 (as applicable).
(c) Nitrogen oxides emissions requirements.
DHEC 2069 (01/2016)
(1) As of the allowance transfer deadline for a control period, the owners and operators of each CAIR
NO
source and each CAIR NO
unit at the source shall hold, in the source's compliance account, CAIR NO
X
X
X
allowances available for compliance deductions for the control period under §96.154(a) in an amount not less
than the tons of total nitrogen oxides emissions for the control period from all CAIR NO
units at the source, as
X
determined in accordance with subpart HH of 40 CFR part 96.
(2) A CAIR NO
unit shall be subject to the requirements under paragraph (c)(1) of §96.106 for the control
X
period starting on the later of January 1, 2009 or the deadline for meeting the unit's monitor certification
requirements under §96.170(b)(1), (2), or (5) and for each control period thereafter.
(3) A CAIR NO
allowance shall not be deducted, for compliance with the requirements under paragraph
X
(c)(1) of §96.106, for a control period in a calendar year before the year for which the CAIR NO
allowance was
X
allocated.
(4) CAIR NO
allowances shall be held in, deducted from, or transferred into or among CAIR NO
X
X
Allowance Tracking System accounts in accordance with subparts FF, GG, and II of 40 CFR part 96.
(5) A CAIR NO
allowance is a limited authorization to emit one ton of nitrogen oxides in accordance with
X
the CAIR NO
Annual Trading Program. No provision of the CAIR NO
Annual Trading Program, the CAIR permit
X
X
application, the CAIR permit, or an exemption under §96.105 and no provision of law shall be construed to limit
the authority of the State or the United States to terminate or limit such authorization.
(6) A CAIR NO
allowance does not constitute a property right.
X
(7) Upon recordation by the Administrator under subpart EE, FF, GG, or II of 40 CFR part 96, every
allocation, transfer, or deduction of a CAIR NO
allowance to or from a CAIR NO
source's compliance account is
X
X
incorporated automatically in any CAIR permit of the source that includes the CAIR NO
unit.
X
(d) Sulfur dioxide emissions requirements.
(1) As of the allowance transfer deadline for a control period, the owners and operators of each CAIR
SO
source and each CAIR SO
unit at the source shall hold, in the source's compliance account, a tonnage
2
2
equivalent of CAIR SO
allowances available for compliance deductions for the control period under §96.254(a)
2
and (b) not less than the tons of total sulfur dioxide emissions for the control period from all CAIR SO
units at
2
the source, as determined in accordance with subpart HHH of 40 CFR part 96.
(2) A CAIR SO
unit shall be subject to the requirements under paragraph (c)(1) of §96.206 for the control
2
period starting on the later of January 1, 2010 or the deadline for meeting the unit's monitor certification
requirements under §96.270(b)(1), (2), or (5) and for each control period thereafter.
(3) A CAIR SO
allowance shall not be deducted, for compliance with the requirements under paragraph
2
(c)(1) of §96.206, for a control period in a calendar year before the year for which the CAIR SO
allowance was
2
allocated.
(4) CAIR SO
allowances shall be held in, deducted from, or transferred into or among CAIR SO
Allowance
2
2
Tracking System accounts in accordance with subparts FFF, GGG, and III of 40 CFR part 96.
(5) A CAIR SO
allowance is a limited authorization to emit sulfur dioxide in accordance with the CAIR SO
2
2
Trading Program. No provision of the CAIR SO
Trading Program, the CAIR permit application, the CAIR permit, or
2
an exemption under §96.205 and no provision of law shall be construed to limit the authority of the State or the
United States to terminate or limit such authorization.
(6) A CAIR SO
allowance does not constitute a property right.
2
(7) Upon recordation by the Administrator under subpart FFF, GGG, or III of 40 CFR part 96, every
allocation, transfer, or deduction of a CAIR SO
allowance to or from a CAIR SO
source's compliance account is
2
2
incorporated automatically in any CAIR permit of the source that includes the CAIR SO
unit.
2
DHEC 2069 (01/2016)
(e) Nitrogen oxides ozone season emissions requirements.
(1) As of the allowance transfer deadline for a control period, the owners and operators of each CAIR
NO
Ozone Season source and each CAIR NO
Ozone Season unit at the source shall hold, in the source's
X
X
compliance account, CAIR NO
Ozone Season allowances available for compliance deductions for the control
X
period under §96.354(a) in an amount not less than the tons of total nitrogen oxides emissions for the control
period from all CAIR NO
Ozone Season units at the source, as determined in accordance with subpart HHHH of
X
40 CFR part 96.
(2) A CAIR NO
Ozone Season unit shall be subject to the requirements under paragraph (c)(1) of §96.306
X
for the control period starting on the later of May 1, 2009 or the deadline for meeting the unit's monitor
certification requirements under §96.370(b)(1), (2), (3) or (7) and for each control period thereafter.
(3) A CAIR NO
Ozone Season allowance shall not be deducted, for compliance with the requirements
X
under paragraph (c)(1) of §96.306, for a control period in a calendar year before the year for which the CAIR NO
X
Ozone Season allowance was allocated.
(4) CAIR NO
Ozone Season allowances shall be held in, deducted from, or transferred into or among
X
CAIR NO
Ozone Season Allowance Tracking System accounts in accordance with subparts FFFF, GGGG, and IIII
X
of 40 CFR part 96.
(5) A CAIR NO
allowance is a limited authorization to emit one ton of nitrogen oxides in accordance with
X
the CAIR NO
Ozone Season Trading Program. No provision of the CAIR NO
Ozone Season Trading Program, the
X
X
CAIR permit application, the CAIR permit, or an exemption under §96.305 and no provision of law shall be
construed to limit the authority of the State or the United States to terminate or limit such authorization.
(6) A CAIR NO
allowance does not constitute a property right.
X
(7) Upon recordation by the Administrator under subpart EEEE, FFFF, GGGG, or IIII of 40 CFR part 96,
every allocation, transfer, or deduction of a CAIR NO
Ozone Season allowance to or from a CAIR NO
Ozone
X
X
Season source's compliance account is incorporated automatically in any CAIR permit of the source.
(f) Excess emissions requirements.
If a CAIR NO
source emits nitrogen oxides during any control period in excess of the CAIR NO
emissions
X
X
limitation, then:
(1) The owners and operators of the source and each CAIR NO
unit at the source shall surrender the
X
CAIR NO
allowances required for deduction under §96.154(d)(1) and pay any fine, penalty, or assessment or
X
comply with any other remedy imposed, for the same violations, under the Clean Air Act or applicable State law;
and
(2) Each ton of such excess emissions and each day of such control period shall constitute a separate
violation of this subpart, the Clean Air Act, and applicable State law.
If a CAIR SO
source emits sulfur dioxide during any control period in excess of the CAIR SO
emissions
2
2
limitation, then:
(1) The owners and operators of the source and each CAIR SO
unit at the source shall surrender the
2
CAIR SO
allowances required for deduction under §96.254(d)(1) and pay any fine, penalty, or assessment or
2
comply with any other remedy imposed, for the same violations, under the Clean Air Act or applicable State law;
and
(2) Each ton of such excess emissions and each day of such control period shall constitute a separate
violation of this subpart, the Clean Air Act, and applicable State law.
If a CAIR NO
Ozone Season source emits nitrogen oxides during any control period in excess of the CAIR
X
DHEC 2069 (01/2016)