Form DEEP-NSR-APP-206 Attachment E206 "Metal Plating or Surface Treatment Operations Supplemental Application Form" - Connecticut

What Is Form DEEP-NSR-APP-206 Attachment E206?

This is a legal form that was released by the Connecticut Department of Energy and Environmental Protection - a government authority operating within Connecticut. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on March 29, 2013;
  • The latest edition provided by the Connecticut Department of Energy and Environmental Protection;
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  • Fill out the form in our online filing application.

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Attachment E206: Metal Plating or Surface Treatment Operations Supplemental Application Form
DEEP USE ONLY
Applicant Name:
App. No.:
Unit No.:
Complete this form in accordance with the
instructions
(DEEP-NSR-INST-206) to ensure the proper handling of your application. Print or type unless
otherwise noted.
Complete a separate form for each distinct processing line.
Questions? Visit the
Air Permitting
web page or contact the Air Permitting Engineer of the Day at 860-424-4152.
Part I: General Tank Information
Process Description:
Is this unit subject to Title 40 CFR Part 60, NSPS?
No
Yes, Subpart
Is this unit subject to Title 40 CFR Part 63, MACT?
No
Yes, Subpart
NOTE: This table should list information for all tanks (chemical and non-chemical) used in the subject process line, including water tanks.
Maximum Operating
Tank
Tank
Construction
Schedule
Tank Size
Subunit
Tank Function
Contents of Tank
Temp.
Surface
Date
(gallons)
o
Number
(
F)
Area
hrs/day
hrs/yr
Check here if additional sheets are necessary, and label and attach them to this sheet.
Bureau of Air Management
DEEP-NSR-APP-206
1 of 3
Rev. 03/29/13
Attachment E206: Metal Plating or Surface Treatment Operations Supplemental Application Form
DEEP USE ONLY
Applicant Name:
App. No.:
Unit No.:
Complete this form in accordance with the
instructions
(DEEP-NSR-INST-206) to ensure the proper handling of your application. Print or type unless
otherwise noted.
Complete a separate form for each distinct processing line.
Questions? Visit the
Air Permitting
web page or contact the Air Permitting Engineer of the Day at 860-424-4152.
Part I: General Tank Information
Process Description:
Is this unit subject to Title 40 CFR Part 60, NSPS?
No
Yes, Subpart
Is this unit subject to Title 40 CFR Part 63, MACT?
No
Yes, Subpart
NOTE: This table should list information for all tanks (chemical and non-chemical) used in the subject process line, including water tanks.
Maximum Operating
Tank
Tank
Construction
Schedule
Tank Size
Subunit
Tank Function
Contents of Tank
Temp.
Surface
Date
(gallons)
o
Number
(
F)
Area
hrs/day
hrs/yr
Check here if additional sheets are necessary, and label and attach them to this sheet.
Bureau of Air Management
DEEP-NSR-APP-206
1 of 3
Rev. 03/29/13
Part II: Chemical Surface Preparation Only
Note: This table should list those tanks from Part I that use chemicals for surface preparation.
Subunit
Max. Hourly
Max. Yearly
Tank
Type of Material Being Processed
Number
Make-up Rate
Make-up Rate
Amperage
Part III: Non-Chemical Surface Preparation Only
Note: This table should list those tanks from Part I that used in non-chemical surface preparation
Max. Hourly
Compressor
Subunit
Quantity of
Wet Abrasive
Enclosure
Number of
Maximum
Type of Abrasive
Type of Material
Number
Abrasive Used
(%)
(Yes/No)
Nozzles
Capacity
Being Processed
(lb/hr)
(acfm @ psig)
Bureau of Air Management
DEEP-NSR-APP-206
2 of 3
Rev. 03/29/13
Part IV: Attachments
Please check the attachments being submitted as verification that all applicable attachments have been submitted with this application form. When
submitting such documents, please label the documents as indicated in this Part (e.g., Attachment E206-A, etc.) and be sure to include the applicant’s
name.
Process Information and Flow Diagram – Submit a process flow diagram indicating all related equipment, air pollution control
Attachment E206-A:
equipment and stacks, as applicable. Identify all materials entering and leaving each such device indicating quantities and
parameters relevant to the proper operation of the device. Indicate all monitoring devices and controls. REQUIRED
Attachment E206-B: Material Safety Data Sheet(s) – Submit a Material Safety Data Sheet for each product used in a tank by this unit. REQUIRED
Bureau of Air Management
DEEP-NSR-APP-206
3 of 3
Rev. 03/29/13
Page of 3