Form SFN61006 "Emission Unit for Title V Permit to Operate" - North Dakota

What Is Form SFN61006?

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

Form Details:

  • Released on March 1, 2019;
  • The latest edition provided by the North Dakota 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 SFN61006 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Environmental Quality.

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Download Form SFN61006 "Emission Unit for Title V Permit to Operate" - North Dakota

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EMISSION UNIT FOR TITLE V PERMIT TO OPERATE
NORTH DAKOTA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF AIR QUALITY
SFN 61006 (3-2019)
SECTION A – EQUIPMENT INFORMATION
Type of Unit or Process (rotary dryer, cupola furnace,
Emission Unit Number:
Emission Point Number:
crusher, pelletizer, engine, etc.)
Make
Model
Installation or manufacture
date
Capacity (manufacturer’s or designer’s guaranteed
Operating Capacity (specific units)
maximum)
Brief description of operation of unit or process:
Brief description of alternative operating scenario (see
Alternative Emission Point:
Section M1 & M2 to elaborate):
SECTION B –OPERATING SCHEDULE
Are you agreeing to a limit on the operating schedule for this unit?
Yes
No
Hours Per Day
Days Per Week
Weeks Per Year
Peak Production
Dates of Annual
Season (if any)
Shutdown
SECTION C – PRODUCTION RATES (THROUGHPUT LIMITS)
Are you agreeing to a limit on the production for this unit?
Yes
No (If No, show normal operating schedule.)
Process Time Frame
Specify Units
Material
Hour
Week
Year
(tons, Btu, Gal., etc)
SECTION D1 – APPLICABLE REQUIREMENTS
Generally describe all applicable requirements.
Regulations
Applicable
(i.e. SIP,
Emission
NESHAP, PSD,
Monitoring
Recordkeeping
Reporting
Testing
Standards
NSPS, etc)
Requirements
Requirements
Requirements
Requirements
(include units)
EMISSION UNIT FOR TITLE V PERMIT TO OPERATE
NORTH DAKOTA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF AIR QUALITY
SFN 61006 (3-2019)
SECTION A – EQUIPMENT INFORMATION
Type of Unit or Process (rotary dryer, cupola furnace,
Emission Unit Number:
Emission Point Number:
crusher, pelletizer, engine, etc.)
Make
Model
Installation or manufacture
date
Capacity (manufacturer’s or designer’s guaranteed
Operating Capacity (specific units)
maximum)
Brief description of operation of unit or process:
Brief description of alternative operating scenario (see
Alternative Emission Point:
Section M1 & M2 to elaborate):
SECTION B –OPERATING SCHEDULE
Are you agreeing to a limit on the operating schedule for this unit?
Yes
No
Hours Per Day
Days Per Week
Weeks Per Year
Peak Production
Dates of Annual
Season (if any)
Shutdown
SECTION C – PRODUCTION RATES (THROUGHPUT LIMITS)
Are you agreeing to a limit on the production for this unit?
Yes
No (If No, show normal operating schedule.)
Process Time Frame
Specify Units
Material
Hour
Week
Year
(tons, Btu, Gal., etc)
SECTION D1 – APPLICABLE REQUIREMENTS
Generally describe all applicable requirements.
Regulations
Applicable
(i.e. SIP,
Emission
NESHAP, PSD,
Monitoring
Recordkeeping
Reporting
Testing
Standards
NSPS, etc)
Requirements
Requirements
Requirements
Requirements
(include units)
SFN 61006 (3-2019) Page 2
SECTION D2 – IDENTIFICATION OF AIR CONTAMINANTS
Has emission unit testing been done at the facility?
Yes
No
Last Date when a
Regulation requiring frequency (NSPS,
Emission
If Program is Continuous, Give
Testing Program was
MACT, Permit Requirement-list permit
Unit ID
Approximate Testing Frequency
Completed
number)
Add additional pages if necessary
SECTION E – PRODUCTS OF UNIT OR PROCESS
Include all, even those not usable because they do not meet specifications
Hourly Process Weight
Intermittent
(Pounds Per Hour)
Operation Only
Average Annual
(Average Hours
Material
Average
Maximum
Minimum
(Specify Units)
Per Week)
SECTION F – FUELS USED
Coal (Tons/Yr)
% Sulfur
% Ash
Oil (Gal/Yr)
% Sulfur
Grade No.
Natural Gas (Thousand CF/Yr)
LP Gas (Gal/Yr)
Other (Specify)
SECTION G – STACK PARAMETERS
List each pollutant separately.
Pollutant (use
Stack Height
Stack Diameter
Gas Volume
Gas Velocity
CAS for HAPs)
(ft)
(ft at top)
(ACFM)
Exit Temp (°F)
(fps)
Stack Base UTM Coordinate X:
Stack Base UTM Coordinate Y:
SFN 61006 (3-2019) Page 3
SECTION H – ALTERNATIVE STACK PARAMETERS
List each pollutant separately.
Pollutant
(use CAS for
Stack Height
Stack Diameter
Gas Volume
Gas Velocity
HAPs)
(ft)
(ft at top)
(ACFM)
Exit Temp (°F)
(fps)
Stack Base UTM Coordinate X:
Stack Base UTM Coordinate Y:
SECTION I – AIR CONTAMINANTS EMITTED
Known or Suspected - Use emission rates after control equipment.
Amount
Basis of Estimate (AP-42, testing,
Pollutant (use CAS for HAPs)
Pounds/Hr
Tons/Yr
engineering estimate, etc)
SECTION J1 – AIR POLLUTION CONTROL EQUIPMENT
Type:
Cyclone
Multiclone
Baghouse
Electrostatic Precipitator
Wet Scrubber
Spray Dryer
None
Other – Specify:
Name of Manufacturer
Model Number
Date to Be Installed
Application:
Boiler
Kiln
Engine
Other – Specify:
Pollutants Removed
Design Efficiency (%)
SFN 61006 (3-2019) Page 4
Operating Efficiency (%)
Describe method used to determine operating efficiency:
SECTION J2 – GAS CONDITIONS
Gas Conditions
Inlet
Outlet
Gas Volume (SCFM; 68°F; 14.7 psia)
Gas Temperature (°F)
Gas Pressure (in. H
O)
2
Gas Velocity (ft/sec)
Pollutant Concentration
Unit of
Pollutant
Inlet
Outlet
(Specify pollutant and unit of
Concentration
concentration)
Pressure drop through gas cleaning device (in. H
O)
2
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