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OAQ PROCESS INFORMATION APPLICATION PI-03: Storage & Handling of Bulk Material
State Form 52543 (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

NOTES:

· · ·

The purpose of this form is to obtain detailed information about the storage and handling of bulk materials. Complete one form for each process (or group of identical processes). Use additional forms if necessary. This is a required form. Detailed instructions for this form are available online at

www.idem.IN.gov/permits/air/apps/instructions/pi03instructions.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.

PART A: Storage & Handing Information Part A identifies all process units associated with storage and handling process for bulk materials. If there are multiple process units that are identical in nature, capacity, and use, you may use one form to summarize the data. 1. Equipment /
Component Type

2. Unit ID

3. Number of
Identical Units

4. Installation
Date
(see instructions)

5. Material
Handled/ Stored

6. Maximum Materials
Throughput Rate
(tons/year)

7. Add-On Control Technology: Identify all control technologies used for this unit, and attach completed CE-01 (unless "none"). None Baghouse / Fabric Filter ­ Attach CE-02. Electrostatic Precipitator ­ Attach CE-04. Adsorber ­ Attach CE-07. Cyclone ­ Attach CE-03. Absorption / Wet Collector / Scrubber ­ Attach CE-05. Other (specify): ­ Attach CE-10.

8. Control Techniques: Identify any other air emission control options used for the process.

9. Process Limitations / Additional Information: Identify any acceptable process limitations. Attach additional information if necessary.

Continued on next page

Page 1 of 2

Indiana Department Of Environmental Management Office Of Air Quality State Form 52543 (R / 1-07)

Process Information ­ Storage & Handling of Bulk Materials FORM PI-03 Page 2 of 2

PART B: Process Material Information Part B summarizes the process material information. Provide the information in the items below for each material stored and/or handled in this process. 10. Material Handled/Stored
(from table above)

11. Method of Handling

12. Type of Storage

13. Storage Capacity
(tons)

14. Pile Acreage

15. Silt Content
(% by weight)

16. Moisture Content
(% by weight)

PART C: Emission Factors Part C identifies all emission factors used to calculate air emissions from the process units listed on this form. 17. Process Equipment & ID
(complete for all units listed in Part A of this form)

18. Air Pollutant

19. Emission Factor
value units

20. Source of Emission Factor
(if not using AP-42, include calculations)

PM PM-10

AP-42 AP-42 AP-42 AP-42 PART D: Federal Rule Applicability

Other Other Other Other

Part D identifies any federal rules that apply to the process. 21. Is a New Source Performance Standard (NSPS) applicable to this source?
If yes, attach a completed FED-01 for each rule that applies.

Yes

No

40 CFR Part 60, Subpart CC 40 CFR Part 60, Subpart DD 40 CFR Part 60, Subpart HH 40 CFR Part 60, Subpart LL 40 CFR Part 60, Subpart UU 40 CFR Part 60, Subpart OOO 40 CFR Part 60, Subpart UUU

Glass Manufacturing Plants Grain Elevators Lime Manufacturing Plants Metallic Mineral Processing Plants Asphalt Processing and Asphalt Roofing Manufacture Non-Metallic Mineral Processing Plants Calciners and Dryers in Mineral Industries Yes No

22. Is a National Emission Standard for Hazardous Air Pollutants (NESHAP) applicable to this source? If yes, attach a completed FED-01 for each rule that applies. 40 CFR Part 61, Subpart 40 CFR Part 63, Subpart
(Specify): (Specify):

23. Non-Applicability Determination: Provide an explanation if the process unit appears subject to a rule (based on the rule title or the source category), but the rule will not apply.