TITLE V INFORMATION Instructions for Form E1

Form E1 contains general information on the Title V facility being permitted. One Form E1 and all subsequent “E” forms (E2 through E4) must be completed for each Title V permit application.

MAJOR FOR TITLE V BY CATEGORY OR EMISSION LEVEL - Indicate if your facility is major for Title V by category or emission level. 40 CFR 70.2 and MCAPCO 1.5502 define a major facility by either category (type of facility) or emission level. Indicate whether your facility is major by category or emission level as defined in MCAPCO 1.5502.

EMISSION LEVEL - If the facility is major by emission level, list the pollutants for which the facility exceeds the emission rate established for a major facility as defined in 40 CFR 70.2 or as designated by the EPA. Also, indicate the rate (including units) at which the pollutant(s) is/are being emitted by your facility.

CATEGORY - If the facility is major for a category, indicate the category(ies) which apply(ies) to your facility as designated by the EPA.

MAXIMUM ACHIEVABLE CONTROL TECHNOLOGIES (MACTs) - Indicate all promulgated MACTs or pending MACTs as listed in 40 CFR Part 63, for which your facility is subject or will be subject.

PERMIT SHIELD - All regulations in the permit application will be subject to a permit shield. List here any additional regulations for which you are requesting a shield and explain. A permit shield is clearly defined in MCAPCO 1.5512.


SECTION E

TITLE V INFORMATION

IF YOUR FACILITY IS CLASSIFIED AS “MAJOR” FOR TITLE V ACCORDING TO MCAPCO Reg. 1.5502 AND/OR 40 CFR 70.2, INDICATE IF:
YOUR FACILITY IS MAJOR BY EMISSION LEVEL / YOUR FACILITY IS MAJOR BY CATEGORY
IF YOUR FACILITY IS MAJOR BY EMISSION LEVEL, COMPLETE THE FOLLOWING:
POLLUTANT(S) FOR WHICH THE FACILITY IS MAJOR




/ POLLUTANT EMISSION RATE (Specify units)





IF YOUR FACILITY IS MAJOR BY CATEGORY, INDICATE THE CATEGORY(IES) (Explain if necessary)
IF YOUR FACILITY IS OR WILL BE SUBJECT TO A CURRENT OR FUTURE MAXIMUM ACHIEVABLE CONTROL TECHNOLOGY (MACT), SPECIFY THE MACT (Explain if necessary)
LIST ANY ADDITIONAL REGULATIONS THAT ARE REQUESTED TO BE INCLUDED IN THE PERMIT SHIELD AND PROVIDE AN EXPLANATION FOR THE REQUESTED SHIELD.
REGULATION




/ EXPLANATION





Mecklenburg County Air Quality – Permit Application Page 1 E1 Form, Rev. 03/05