"Application for a Permit to Operate an Asphalt Plant" - Prince Edward Island, Canada

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Application for a Permit to Operate
an Asphalt Plant
Pursuant to section 4 of the Environmental Protection Act Air
Quality Regulations
Personal information on this form is collected under Section 31(c) of the Environmental Protection Act, Air Quality Regulations, as it relates directly
to and is necessary for an application for a Permit to Operate an Asphalt Plant. If you have any questions about this collection of personal
information, you may contact the Department at 11 Kent Street, PO Box 2000, Charlottetown, PE C1A 7N8, (902-368-5830).
INSTRUCTIONS
Sections should be completed clearly and in as much detail as possible. Some sections do not have to be completed for
renewals and/or alterations to an existing operation if the information has not changed since the last application. Any
additional information requested should be securely attached to the application form and labelled with respect to the
section to which it belongs.
Section 1 – Applicants, Declaration and Contact
A. Company Information
Name of Company:
Contact Person:
Company Mailing Address:
Email:
Postal Code:
Work Phone:
Cell:
Fax:
B. Plant Information
Plant Location:
Property Tax No.:
Plant Operator:
Telephone #:
Permit Type:
New
Existing Operation (renewal)
Alteration to an Existing Operation
Plant Details:
(i)
Permanent
Mobile
Batch Mix
Continuous Mix
Drum Mix
(ii)
(iii)
Make: ___________________ Model:______________________ Year:____________
C. Declaration by Applicant
Applicant Name (Print):
Title/Position:
Signature:
Date
1
Application for a Permit to Operate
an Asphalt Plant
Pursuant to section 4 of the Environmental Protection Act Air
Quality Regulations
Personal information on this form is collected under Section 31(c) of the Environmental Protection Act, Air Quality Regulations, as it relates directly
to and is necessary for an application for a Permit to Operate an Asphalt Plant. If you have any questions about this collection of personal
information, you may contact the Department at 11 Kent Street, PO Box 2000, Charlottetown, PE C1A 7N8, (902-368-5830).
INSTRUCTIONS
Sections should be completed clearly and in as much detail as possible. Some sections do not have to be completed for
renewals and/or alterations to an existing operation if the information has not changed since the last application. Any
additional information requested should be securely attached to the application form and labelled with respect to the
section to which it belongs.
Section 1 – Applicants, Declaration and Contact
A. Company Information
Name of Company:
Contact Person:
Company Mailing Address:
Email:
Postal Code:
Work Phone:
Cell:
Fax:
B. Plant Information
Plant Location:
Property Tax No.:
Plant Operator:
Telephone #:
Permit Type:
New
Existing Operation (renewal)
Alteration to an Existing Operation
Plant Details:
(i)
Permanent
Mobile
Batch Mix
Continuous Mix
Drum Mix
(ii)
(iii)
Make: ___________________ Model:______________________ Year:____________
C. Declaration by Applicant
Applicant Name (Print):
Title/Position:
Signature:
Date
1
Section 2 – Site Information (please attach a separate sheet)
A.
Surrounding Area
Attach an 8.5" x 11" map of the area within 500 m of the land on which the asphalt plant is located or is proposed to be
located, showing:
(i)
the topography of the area, including land contours;
(ii)
the location and description of existing buildings in the area;
(iii)
the property boundaries of the plant site;
(iv)
land use of the area; and
(v)
the scale of map and direction of north.
Information attached on separate sheet
Information has not changed since last application (can be skipped
if the information is the same as previous application)
B.
Plant Layout
Attach an 8.5" x 11" site plan of the site on which the asphalt plant is located or is proposed to be located, showing:
(i)
the location of the asphalt plant and all material storage;
(ii)
the points or areas of emissions of all contaminants and their elevation;
(iii)
the location and description of all buildings on the site;
(iv)
the location of all air contaminants control equipment; and
(v)
the approximate scale of the drawing and the direction of north (an example of a site plan is provided at the end of
the application)
Information attached on separate sheet
Information has not changed since last application (can be skipped
if the information is the same as previous application)
Section 3 – Process Description
A.
General Description
Submit a brief written description of the process accompanied by a flow diagram showing the major pieces of the processing
equipment (an example of a flow diagram is provided at the end of the application).
Information attached on separate sheet
Information has not changed since last application (can be skipped
if the information is the same as previous application)
B.
Production Data
Maximum Plant Processing Capacity (include units of measure, e.g. US tons /hour): _____________________________
2
List the raw materials, chemicals, or other processing materials that are to be used:
Materials
Use/description
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
C.
Operation Schedule
Season Begins (date):
Season Ends (date):
Daily Start (hour):
Daily End (hour):
Weekly Operation (e.g. Mon-Fri):
D.
Water Supply and Waste Water
Not Required
Source of Water:
Water Source Details (well size/average demand): _______________________________________
Settling Pond:
Dimensions (width/length/depth): __________________________
Same as Last Application
E.
Waste Disposal
Describe wastes and methods proposed for disposal (e.g. pond sludge, waste oil, contaminated soil, etc.):
Waste
Disposal Method
_______________________________
________________________________________________________________
_______________________________
________________________________________________________________
_______________________________
________________________________________________________________
_______________________________
________________________________________________________________
3
Section 4 – Emission Related Information
A. Dryer Particulate Emissions
Primary Control Devices (course particles):
Expansion chamber
Skinners
Cyclone
Other: ________________________________________
Estimated reduction efficiency % (if known):__________
Manufacturer’s projected emission rate:______________
Secondary Control Devices (fine particulates):
Centrifugal Scrubbers (make/model/year): ____________________________________________________
Orifice Scrubbers (make/model/year): _______________________________________________________
Venturi Scrubbers (make/model/year): _______________________________________________________
Fabric Filter (make/model/year): ___________________________________________________________
Other (make/model/year): _________________________________________________________________
Estimated Reduction Efficiency % (if known): ____________
Manufacturer’s Projected Emission Rate: _____________
Stack Dimensions:
(i) Height Above Grade: ________________________
(ii) Diameter: ________________________________
B.
Fugitive Emissions
(i) Referring to the flow diagram examples at the end of the application, identify and describe all possible sources of fugitive
emissions (i.e. those that do not emanate through a stack, e.g. liquid asphalt tanks, hot mix asphalt concrete
conveyor/discharge system).
Source
Description
_______________________________
_____________________________________________________________
_______________________________
_____________________________________________________________
_______________________________
_____________________________________________________________
_______________________________
_____________________________________________________________
4
(ii) Describe the preventative measures (if any) that are taken to reduce the fugitive emissions identified immediately above:
Source
Preventative Measure
_______________________________
_____________________________________________________________
_______________________________
_____________________________________________________________
_______________________________
_____________________________________________________________
_______________________________
_____________________________________________________________
C.
Burner Emissions
Burner Details:
(i) Make: ___________________ Model:______________________ Year:____________
D
: ______________
(ii)
raft, Noise Control
Forced Draft
C
C
(iii)
ombustion Chamber Type
hamber-less Type
(iv) Fuel Type: ____________ Maximum Rate of Consumption (amount per unit of time): __________
D.
Monitoring Equipment
Describe any equipment designed to monitor the asphalt production process or the release of emissions (e.g. temperature,
opacity meter, etc.):
Completed applications, accompanied by the appropriate fee, can be submitted to:
Department of Environment, Water and Climate Change
Water and Air Monitoring Section
11 Kent Street, PO Box 2000
Charlottetown, PEI C1A 7N8
Phone: (902) 368-5014
Fax: (902) 368-5830
E-mail:
seledgerwood@gov.pe.ca
5
10/06/2020I