Form DEEP-NSR-APP-212 Attachment E212 "Unit Emissions Supplemental Application Form" - Connecticut

What Is Form DEEP-NSR-APP-212 Attachment E212?

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

Form Details:

  • Released on April 25, 2013;
  • The latest edition provided by the Connecticut Department of Energy and Environmental Protection;
  • 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 printable version of Form DEEP-NSR-APP-212 Attachment E212 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Energy and Environmental Protection.

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Attachment E212: Unit Emissions Supplemental Application Form
DEEP USE ONLY
Applicant Name:
Unit No.:
App. No.:
Complete this form in accordance with the
instructions
(DEEP-NSR-INST-212) to ensure the proper handling of
your application. Print or type unless otherwise noted.
Complete a separate form for each unit.
Questions? Visit the
Air Permitting
web page or contact the Air Permitting Engineer of the Day at 860-424-4152.
Part I: Unit Emission Information
Potential Emissions at
Proposed Allowable Emissions
Maximum Capacity
Pollutant
Other Units
lb/hr
tpy
lb/hr
tpy
(specify)
Criteria Air Pollutants
PM
PM
10
PM
Total
2.5
(filterable + condensable)
SO
x
NO
x
CO
VOC
Pb
GHG
Hazardous or Other Air Pollutants
Potential Emissions Calculation Basis:
Proposed Allowable Emissions Calculation Basis:
Bureau of Air Management
DEEP-NSR-APP-212
Page 1 of 2
Rev. 04/25/13
Attachment E212: Unit Emissions Supplemental Application Form
DEEP USE ONLY
Applicant Name:
Unit No.:
App. No.:
Complete this form in accordance with the
instructions
(DEEP-NSR-INST-212) to ensure the proper handling of
your application. Print or type unless otherwise noted.
Complete a separate form for each unit.
Questions? Visit the
Air Permitting
web page or contact the Air Permitting Engineer of the Day at 860-424-4152.
Part I: Unit Emission Information
Potential Emissions at
Proposed Allowable Emissions
Maximum Capacity
Pollutant
Other Units
lb/hr
tpy
lb/hr
tpy
(specify)
Criteria Air Pollutants
PM
PM
10
PM
Total
2.5
(filterable + condensable)
SO
x
NO
x
CO
VOC
Pb
GHG
Hazardous or Other Air Pollutants
Potential Emissions Calculation Basis:
Proposed Allowable Emissions Calculation Basis:
Bureau of Air Management
DEEP-NSR-APP-212
Page 1 of 2
Rev. 04/25/13
Part II: Regulatory Standards
Enter the regulatory standard(s) and the proposed allowable emissions for each pollutant emitted by the unit
using the same units (e.g., ppmvd, lb/MMBTU, lb/hour, lb/day, etc.). More than one regulatory standard will often
apply to a unit for a particular pollutant, list all that apply. Enter the regulatory citation(s) for the standard(s).
NOTE: The applicant should be aware of any existing regulatory standard applicable to the unit and should not
propose allowable emissions in excess of the regulatory standard(s).
Regulatory
Proposed Allowable
Standard(s)
Emissions
Pollutant
Regulatory Citation(s)
(specify units)
(specify units)
Criteria Air Pollutants
PM
PM
10
PM
Total
2.5
(filterable + condensable)
SO
x
NO
x
CO
VOC
Pb
GHG
Hazardous or Other Air Pollutants
(Standards other than RCSA §22a-174-29)
Part III: Attachments
Please check the attachment 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 E212-A, etc.) and be sure to include the applicant’s name.
Attachment E212-A: Sample Calculations- Submit sample calculations used to determine all emissions
rates, excluding GHG. See Attachment E212-C for GHG emissions. REQUIRED
Attachment E212-B: RCSA section 22a-174-29 Hazardous Air Pollutants Compliance – Submit a
completed
CTMASC
spreadsheet, or equivalent, to demonstrate compliance with
RCSA section 22a-174-29. REQUIRED
Attachment E212-C: Greenhouse Gas Emissions – Submit a completed
CO
Equivalents Calculator
2
Spreadsheet, or equivalent, used to quantify Greenhouse Gas emissions, REQUIRED
Bureau of Air Management
DEEP-NSR-APP-212
Page 2 of 2
Rev. 04/25/13
Page of 2