ERC Form – 1

Emission Reduction Credit (ERC)

Generation Notification and Deposit Form

Please complete and return to:

Ohio Environmental Protection Agency

Division of Air Pollution Control (DAPC)

Attn: ERC Banking Program

Lazarus Government Center

P.O. Box 1049

Columbus, Ohio 43216-1049

If you need assistance with this form, please consult “ERC Form – 1 Instructions” or contact your District Office or Local Air Agency. A copy of this form can be found at www.epa.state.oh.us

I. Facility Information
A. Facility ID#:
B. Legal Facility Name:
C. Owner/Operator of Facility:
D. Street Address:
E. City: / F. State: / G. Zip Code:
H. County:
I. Facility Description:
II. Contact Information
A. Contact Name: / B. Telephone:
C. Mailing Address:
D. City: / E. State: / F. Zip Code:
G. Email:
III. Technical Contact Information (if different from contact information)
A. Contact Name: / B. Telephone:
C. Mailing Address:
D. City: / E. State: / F. Zip Code:
G. Email:
IV. ERC Transaction Contact Information (if different from contact information)
The information below will be posted on the Ohio EPA website as the ERC transaction contact.
A. Contact Name: / B. Telephone:
C. Facility/Company Name:
D. Mailing Address:
E. City: / F. State: / G: Zip Code:
H. Email:

ERC Form – 1

Emission Reduction Credit (ERC)

Generation Notification and Deposit Form

V. ERC Deposit Request (check all that apply) See instructions.
Deposit verified ERC(s)
Pollutant / PM 2.5 / SO2 / NOx / VOC / Other:______
Total amount requested in (TPY)
Deposit un-verified ERC(s)
Pollutant / PM 2.5 / SO2 / NOx / VOC / Other:______
Total amount requested in (TPY)
Verify un-verified ERC(s) and deposit as verified ERC(s) (check only if un-verified ERC(s) are in banking system)
Pollutant / PM 2.5 / SO2 / NOx / VOC / Other:______
Total amount requested in (TPY)
VI. Intended Use (please note: indicating an ‘intended use’ is not legally binding)
Netting Offsetting Trading
Emission Reduction Activity
VII. Emission Reduction Activity (please choose one) See instructions.
Permanent Shutdown
A. Permanent Shutdown Date of shutdown:
Does this apply to the entire facility? Yes No
Permanent Reduction (non-shutdown)
B. Permanent curtailment Date of reduction:
of operating hours / Current operating hours: Reduced operating hours:
C. Permanent curtailment Date of reduction:
of production / Current production: Reduced production:
D. Addition of air pollution Date of reduction:
control device(s) Description:
E. Technologies, materials, Date of reduction:
processes/process equipment Description:
F. Other Date of reduction:
Description:
G. Has any emission reduction previously been used for any of the following? (see instructions)
Used for a netting applicability determination that was relied upon in issuing a NA NSR or PSD permit
Used for offseting in issuing a nonattainment NSR permit
None of the above
If you checked the used for netting and/or offset box(es), please indicate which emission units are involved and provide an explanation as an attachment.
Identified emission unit(s):
H. Is the reduction above (B through F) permanent and federally enforceable? Yes No
If yes, identify the federally enforceable permit #
issuance date .
VIII. Time Period Used for ERC Calculation (you may only use one time period per emission reduction activity)
A. What 24-month consecutive period are you using to calculate your actual emissions? See instructions.
Start date: ____ / (mm/dd/yyyy)
End date: ____ / (mm/dd/yyyy)
If the selected 24-month period is not immediately preceding the reduction activity you must submit a rationale for why you are chooseing an alternate time period, as an attachment.
B. List your current permit information:
permit type (s):
permit #(s):
IX. Other Trading Programs
Is your facility banking or transferring emission reductions with any other trading programs? (e.g., NOx SIP Call, CAIR or Acid Rain Program.) Yes No
List applicable trading programs you are or will be participating in:

To finish this form, please complete one of the appropriate calculation tables below as indicated in the instructions.

Along with the calculation tables, you must submit supporting information as an attachment for your ERC calculations which should include:

1.  Equations used to calculate your 24 month baseline period for each emission unit and pollutant, based on actual emissions in A) lbs per hour or, B) tons per month or, C) tons per year.

2.  Include a rationale if you are choosing an alternate 24 month consecutive time period that is not immediately preceding the reduction activity.

3.  Provide an explanation on why you chose your quantification method for calculating emissions calculation methodology. Indicate if your ERC calculation is the same as your fee emission reports and if the emission calculation method you used is the best available calculation method that would result in the most accurate results. (E.g., Continuous emissions monitoring (CEMS), stack testing, calculations using process and control equipment, mass balance calculation, emissions factors, or other)

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X. Permanent Shutdown ERC Calculation Table for VERIFIED Reductions (Emission Reduction Activity A only)

ACTUAL EMISSIONS (TPY) (24-month period average)
Attach documentation to demonstrate the data calculations for each value represented in this 24-month period. Attach additional tables as necessary.
ACTUAL EMISSIONS (TPY) (24-month period average) / Quantification Method for Calculating Emissions:*
EU ID / PM 2.5 / SO2 / VOC / NOx / Other______/ If calculation methods are the same for all EU’s, list once on the bottom row.
24-month Average Actual Emissions

*Choose from one of the following: Continuous emissions monitoring (CEMS), stack testing, calculations using process and control equipment, mass balance calculation, emissions factors, or other (please explain ‘other’)

XI. NON-Shutdown ERC Calculation Table for VERIFIED Reductions (Emission Reduction Activity B through F only)

ACTUAL EMISSIONS (TPY) (24-month period average)

Emission Reduction Activity:** .
Attach documentation to demonstrate the data calculations for each value represented in this 24-month period. Attach additional tables as necessary.
Pollutants Emission Reduction Calculation – (See instructions)
Emission Unit ID / SO2 / PM 2.5 / VOC / NOx / Quantification Method for Calculating Emissions*
Pre-Actual Emissions (tpy) / Post-Allowable/ Potential Emissions (tpy) / Creditable Emission Reduction (tpy) / Pre-Actual Emissions (tpy) / Post-Allowable/ Potential Emissions (tpy) / Creditable Emission Reduction (tpy) / Pre-Actual Emissions (tpy) / Post-Allowable/
Potential Emissions (tpy) / Creditable Emission Reduction (tpy) / Pre-Actual Emissions (tpy) / Post-Allowable/
Potential Emissions (tpy) / Creditable Emission Reduction (tpy)
TOTAL / SO2 / PM 2.5 / VOC / NOx

*Choose from one of the following: Continuous emissions monitoring (CEMS), stack testing, calculations using process and control equipment, mass balance calculation, emissions factors, or other (please explain ‘other’)

**Choose from one of the following: (B) Permanent curtailment of operating hours (C) Permanent curtailment of production/operating rates (D) Air pollution control device (E) New technologies, processes or process equipment modifications (F) Other.

XII. Emission Estimation Table for UN-VERIFIED Reductions from Individual Emission Units 24-MONTH AVERAGE

Attach additional tables as necessary.
ACTUAL EMISSIONS (TPY) ESTIMATION
(24-month period average) / Basis for Estimating Emissions:* / Emission Reduction Activity:**
EU ID / PM 2.5 / SO2 / VOC / NOx / Other / If calculation methods and/or ER Activity is the same for all EU’s, list once on the bottom row.
TOTAL ACTUAL EMISSIONS ESTIMATION

*Choose from one of the following: Fee emissions report, calculations using process and control equipment, mass balance calculation, emissions factors, or other

**Choose from one of the following: (A) Permanent shutdown, (B) Perm. curtailment of operation hours (C) Permanent curtailment of production/operating rates (D) Air pollution control device (E) New technologies, processes or process equipment modifications (F) Other. (You may use the corresponding letter to indicate each Emission Reduction Activity in the worksheet.)

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XIII. Legal Authorization

I,

am certifying that the information entered in this notification is correct to the best of my knowledge and belief. I am legally authorized to transfer verified ERC(s) to another owner in the future and will meet the requirements of OAC Chapter 3745-31 and OAC Chapter 3745-111 when participating in the ERC banking program for the purpose of offsets.
Signature:

Title:

Date:

Additional Persons with Legal Authority
Name
Title

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