/ Bureau of Air Quality
Title V Operating Permit Application
Insignificant Activity Equipment Instructions
Page 1 of 2

PURPOSE FOR FORM:

The information in this form will identify and list all insignificant activity equipment / sources.

ITEM BY ITEM INSTRUCTIONS:

Additional tables or rows may be added to this form as needed.

A. Application Identification

Please provide the information requested in this table.

1. SC Air Permit Number: The existing South Carolina Air Permit Number assigned by the Bureau of Air Quality. This number can be found on an existing permit.

2. Application Date: Please ensure that the Application Date is the same on all of the forms and required information submitted in this Title V Operating Permit application package.

3. Facility Name: The business name used to identify the commercial or industrial facility at the physical location.

B. South Carolina Air Pollution Control Regulations and Standards

1. Insignificant Activity (IA) Equipment ID: List the Equipment ID of the Insignificant Activity.

2. Insignificant Activity Equipment Description: List the number that corresponds to the item(s) listed on the Insignificant Activity, Section B List (if applicable) and provide a general description of the Insignificant Activity Equipment. For example; 2 million BTU/hr natural gas fired boiler.

3. Construction Permit ID / Approval Date: Enter the existing SC Air Construction Permit Number. Or, enter the approval date if the equipment was exempted from the construction permit process. Some emission units may have not received a construction permit due to installation date prior to promulgation of SC Regulation 61-62. Enter the installation date (along with a comment explaining) in this case. Finally, if equipment was exempted during the renewal of an existing operating permit due to changes in regulations, enter the operating permit renewal date.

4. On SC Insignificant Activities List: Insignificant equipment is listed in the SC approved Insignificant Activities List or in SC regulation 62.70.5(c). Emissions from insignificant activity equipment are included when determining whether a facility is subject to an applicable air regulation (such as PSD, title V, or MACT standards). The South Carolina approved Insignificant Activities List is included as Attachment A, or contact your permit writer. Indicate (yes or no) whether the IA Unit ID is listed on the SC Insignificant Activities List. If equipment is on the SC Insignificant Activities List, Section B, then skip items 5 and 6 and complete item 7; emissions do not have to be quantified. If the equipment is not on the “B” list, then complete items 5, 6 and 7 and include emissions in the Facility Wide Totals form.

·  SC Insignificant Activities List (SC IA), Section A: do not include these sources in the title V application. Emissions from these sources do not need to be quantified.

·  SC IA, Section B: list these sources in the Insignificant Activity Equipment form. These emissions do not need to be quantified in the Facility Wide Totals form or the Insignificant Activity Equipment form. Please note that all insignificant activities, including those from Section B, should be included in facility wide total emissions for determining major source status for title V; major source status for title III; and any other applicable regulation.

·  Insignificant Activities not on the SC IA List (Section A or B): these emissions must be less than 5 tons per year uncontrolled PTE for criteria pollutants or less than 1000 lb/yr of any pollutant listed in SC Regulation 61-62.5, Standard 8. Emissions from these sources need to be quantified in Forms F & G. Please note that all insignificant activities, including those from Section B, should be included in facility wide total emissions for determining major source status for title V; major source status for title III; and any other applicable regulation.

5. Pollutant(s): Specify all pollutants emitted from the source.

6. Emission Rate: Specify the uncontrolled maximum emission rate on a lb/hr basis or TPY depending on de minimus rate units.

7. De Minimus Rate: State the de minimus rate listed in SC Regulation 61-62.70.5(c).

DHEC Form # 2944 (09/2013)