Free 52544.pdf - Indiana

OAQ PROCESS INFORMATION APPLICATION PI-04: Hot or Cold Mix Asphalt Plants
State Form 52544 (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 hot or cold asphalt production process. Complete one form for each process unit (or group of identical process units). This is a required form. Detailed instructions for this form are available online at

www.idem.IN.gov/permits/air/apps/instructions/pi04instructions.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: Hot or Cold Mix Asphalt Plant Process Information Part A identifies the asphalt production process. If there are multiple units that are identical in nature, capacity, use, and installation date, you may use one form to summarize the data for the identical process units. 1. Unit ID: 3. How many (identical) units are identified in this form? 4. Type of Asphalt Processing Unit:
(check all that apply)

2.

Installation Date:
(actual or anticipated)

One Batch

More than one Drum (specify):
Counter-flow Parallel

(specify number)

:

Other (specify):

5. Plant Capacity: 6. Heat Input Rate of Burner: 7. Fuel Used:

tons/hour MMBtu/hour Natural Gas Only Other ­ Attach completed PI-02F form.

PART B: Raw Materials Part B identifies all raw materials used in this process. 8. Raw Material 9. Maximum Throughput (tons/hr)

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Indiana Department Of Environmental Management Office Of Air Quality State Form 52544 (R / 1-07)

Process Information ­ Asphalt Plants FORM PI-04 Page 2 of 3

PART C: Emulsified (Cutback) Asphalt Information Part C identifies the use of emulsified (cutback) asphalt. 10. Will emulsified (cutback) asphalt be used? Yes: Complete this section. 11. Emulsifying Agent Components:
Attach MSDS for each.

No: Proceed to the next section. 12. Weight % VOC 13. Weight % HAP 14. Maximum Usage: lb/hr lb/hr lb/hr lb/hr lb/hr lb/hr 15. Duration of Addition:
BATCH PLANTS ONLY

seconds seconds seconds seconds seconds seconds

PART D: Emission Factors Part D identifies all emission factors used to calculate air emissions from this process. 16. Air Pollutant Carbon Monoxide (CO) Lead (Pb) Nitrogen Oxides (NOX) Particulate Matter (PM) Particulate Matter less than 10m (PM10) Particulate Matter less than 2.5m (PM2.5) Sulfur Dioxide (SO2) Volatile Organic Compounds (VOC) Hazardous Air Pollutant (HAP) (specify): Other (specify): Other (specify): 17. Emission Factor
value units

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

AP-42 AP-42 AP-42 AP-42 AP-42 AP-42 AP-42 AP-42 AP-42 AP-42 AP-42

Other Other Other Other Other Other Other Other Other Other Other

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Indiana Department Of Environmental Management Office Of Air Quality State Form 52544 (R / 1-07)

Process Information ­ Asphalt Plants FORM PI-04 Page 3 of 3

PART E: Control Technology Part E identifies the methods used to control emissions from this process. 19. 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. Other (specify): Cyclone ­ Attach CE-03. ­ Attach CE-10.

20. Control Techniques: Identify all control techniques used for this process.

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

PART F: Federal Rule Applicability Part F identifies any federal rules that apply to the process. 22. Is a New Source Performance Standard (NSPS) applicable to this process unit? Attach a
completed FED-01 for each rule that applies.

Yes

No

40 CFR Part 60, Subpart I 40 CFR Part 60, Subpart

Hot Mix Asphalt Facilities
(Specify):

23. Is a National Emission Standard for Hazardous Air Pollutants (NESHAP) applicable to this process unit? Attach a completed FED-01 for each rule that applies. 40 CFR Part 61, Subpart 40 CFR Part 63, Subpart
(Specify): (Specify):

Yes

No

24. 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.