Free 52535.pdf - Indiana

OAQ PROCESS INFORMATION APPLICATION PI-02A: Combustion Unit Summary
State Form 52535 (R / 1-07)

INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT

IDEM ­ Office of Air Quality ­ Permits Branch 100 N. Senate Ave., MC 61-53 Indianapolis, IN 46204-2251 Telephone: (317) 233-0178, or Toll Free: 1-800-451-6027 x30178 (within Indiana) Facsimile Number: (317) 232-6749 www.idem.IN.gov/permits/air/index.html

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The purpose of this form is to summarize all of the combustion process units. Detailed instructions for this form are available online at www.idem.IN.gov/permits/air/apps/instructions/pi02Ainstructions.doc . All information submitted to IDEM will be made available to the public unless it is submitted under a claim of confidentiality. Claims of confidentiality must be made at the time the information is submitted to IDEM, and must follow the requirements set out in 326 IAC 17.1-4-1. Failure to follow these requirements exactly will result in your information becoming a public record, available for anyone to inspect and photocopy.

Form ID PI-02A PI-02B PI-02C PI-02D PI-02E PI-02F PI-02G PI-02H

Form Title Combustion Unit Summary Boilers & Process Heaters Turbines & Internal Combustion Engines Incinerators & Combustors Kilns Fuel Use Emission Factors Federal Rule Applicability

Guidance on when to submit the form Complete once for each application. Complete once for each boiler or process heater. Complete once for each turbine or internal combustion engine. Complete once for each incinerator or combustor. Complete once for each kiln. Complete once for each emissions unit that burns fuel other than natural gas. Complete once for each emissions unit. Complete once for each emissions unit.

Summary of Combustion Units This table summarizes all the combustion units at the source. If there are multiple combustion units that are identical in nature, capacity, and use, you may use one row to summarize the identical units. 1. Combustion Unit Type 2. Number of Identical Units 3. Unit ID(s) 4. Date of Installation or Modification
(actual or anticipated)

5. Heat Input Rate of each unit
(MMBtu/hr)

6. Emergency / Back-Up Unit? Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No No No

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