intent to issue air emission permit for part 70 ... · screen printing, space heaters, spraying and...

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www.pca.state.mn.us 651-296-6300 800-657-3864 TTY 651-282-5332 or 800-657-3864 Available in alternative formats aq-f4-mg00 Draft < > Page 1 of 5 MG-00 Part 70 Manufacturing General Permit Qualifications Review List Air Quality Permit Program Doc Type: Permit Application Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions. Facility Information a) AQ Facility ID No.: b) Agency Interest ID No.: c) Facility Name: The following list of questions will help you to determine if you qualify for the (reissued) manufacturing general air emission permit. This application is for new and existing blasting, cleaning, cutting, fiberglassing, grinding, painting/coating, and fossil fuel combustion facilities. The general permit contains limitations to keep the potential-to-emit for Volatile Organic Compounds (VOCs) below 250 tons per year, and the potential-to-emit for all other criteria pollutants below 100 tons per year. Complete the following questions to determine if your facility qualifies for this general permit. If you do not qualify for this general permit, you must submit a permit application for a Part 70 or State permit before you make a change to your facility. I. Permit Restrictions I-1. Does your facility have any emissions units other than the following process operations and emission units? Abrasive blasting, adhesive, bag houses, boilers, burn-off ovens, casting, catalytic or thermal afterburners, cleaning (including acid cleaning, degreasers, general cleanup with solvents), dip tanks, fabric filters, fuel storage, furnaces, injection molding, internal combustion engines (generators), lamination, mixing, molding, ovens, resin and gel coating, sanding, screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint booths, and/or any of the insignificant activities listed in Minn. R. 7007.1300 and/or conditionally insignificant activities listed in Minn. R. 7008. Yes; your facility does not qualify for this general permit. No; go to question I-2. I-2. Does your stationary source (facility) belong to one of the 28 Prevention of Significant Deterioration (PSD) source categories listed: a) coal cleaning plants (with thermal dryers); b) kraft pulp mills; c) portland cement plants; d) primary zinc smelters; e) iron and steel mills; f) primary aluminum ore reduction plants; g) primary copper smelters; h) municipal incinerators capable of charging more than 250 tons of refuse per day; i) hydrofluoric, sulfuric, or nitric acid plants; j) petroleum refineries; k) lime plants; l) phosphate rock processing plants; m) coke oven batteries; n) sulfur recovery plants; o) carbon black plants (furnace process); p) primary lead smelters; q) fuel conversion plants; r) sintering plants; s) secondary metal production plants; t) chemical process plants; u) fossil-fuel boilers (or combination thereof) totaling more than 250 million BTU per hour heat input; v) petroleum storage and transfer units with a total storage capacity exceeding 300,000 barrels; w) taconite ore processing plants; x) glass fiber processing; y) charcoal production plants; z) fossil fuel-fired steam electric plants of more than 250 million British thermal units per hour heat input? Yes; your facility does not qualify for this general permit. No; go to question I-3. I-3. Since August 7, 1980, have actual emissions of VOCs ever exceeded 250 tons per year? Yes; your facility does not qualify for this general permit. No; go to question I-4.

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Page 1: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats

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MG-00 Part 70 Manufacturing General Permit

Qualifications Review List Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

The following list of questions will help you to determine if you qualify for the (reissued) manufacturing general air emission permit. This application is for new and existing blasting, cleaning, cutting, fiberglassing, grinding, painting/coating, and fossil fuel combustion facilities. The general permit contains limitations to keep the potential-to-emit for Volatile Organic Compounds (VOCs) below 250 tons per year, and the potential-to-emit for all other criteria pollutants below 100 tons per year.

Complete the following questions to determine if your facility qualifies for this general permit. If you do not qualify for this general permit, you must submit a permit application for a Part 70 or State permit before you make a change to your facility.

I. Permit Restrictions

I-1. Does your facility have any emissions units other than the following process operations and emission units?

Abrasive blasting, adhesive, bag houses, boilers, burn-off ovens, casting, catalytic or thermal afterburners, cleaning (including acid cleaning, degreasers, general cleanup with solvents), dip tanks, fabric filters, fuel storage, furnaces, injection molding, internal combustion engines (generators), lamination, mixing, molding, ovens, resin and gel coating, sanding, screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint booths, and/or any of the insignificant activities listed in Minn. R. 7007.1300 and/or conditionally insignificant activities listed in Minn. R. 7008.

Yes; your facility does not qualify for this general permit. No; go to question I-2.

I-2. Does your stationary source (facility) belong to one of the 28 Prevention of Significant Deterioration (PSD) source categories listed:

a) coal cleaning plants (with thermal dryers);

b) kraft pulp mills;

c) portland cement plants;

d) primary zinc smelters;

e) iron and steel mills;

f) primary aluminum ore reduction plants;

g) primary copper smelters;

h) municipal incinerators capable of charging more than 250 tons of refuse per day;

i) hydrofluoric, sulfuric, or nitric acid plants;

j) petroleum refineries;

k) lime plants;

l) phosphate rock processing plants;

m) coke oven batteries;

n) sulfur recovery plants;

o) carbon black plants (furnace process);

p) primary lead smelters;

q) fuel conversion plants;

r) sintering plants;

s) secondary metal production plants;

t) chemical process plants;

u) fossil-fuel boilers (or combination thereof) totaling more than 250 million BTU per hour heat input;

v) petroleum storage and transfer units with a total storage capacity exceeding 300,000 barrels;

w) taconite ore processing plants;

x) glass fiber processing;

y) charcoal production plants;

z) fossil fuel-fired steam electric plants of more than 250 million British thermal units per hour heat input?

Yes; your facility does not qualify for this general permit. No; go to question I-3.

I-3. Since August 7, 1980, have actual emissions of VOCs ever exceeded 250 tons per year?

Yes; your facility does not qualify for this general permit. No; go to question I-4.

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I-4. Do you use painting or coating materials that contain lead?

Yes; your facility does not qualify for this general permit. No; go to question I-5. N/A; no painting or coating materials are used at the facility. Go to question I-5.

I-5. Do you have any boiler at your facility with a maximum design heat input capacity greater than or equal to 10 MMBtu/hr?

Yes; your facility does not qualify for this general permit. No; go to question I-6. N/A; there are no boilers at the facility. Go to question I-6.

I-6. Do you have any stationary internal combustion engines (ICE) at your facility?

Yes; go to question I-6a. No; go to question I-7.

I-6a. The following are the only allowable stationary ICE types with this general permit:

- Existing (constructed before June 12, 2006), 100 ≤ Hp ≤ 300, non-emergency, compression ignition (CI) engines

- Existing (constructed before June 12, 2006), < 500 Hp, emergency, CI engines

- New (model year 2014 or later), < 500 Hp, non-emergency, CI engines with displacement less than 30 liters per cylinder

- New (model year 2014 or later), < 500 Hp, emergency, CI engines with displacement less than 30 liters per cylinder

- New (model year 2014 or later), < 500 Hp, fire pump, CI engines with displacement less than 30 liters per cylinder

Are all of the stationary internal combustion engines at your facility included in the list above?

Yes; go to question I-7 No; there is (are) stationary internal combustion engine(s) at my facility other than those listed above. Your facility

does not qualify for this general permit.

I-7. Do you use any fuels other than distillate oil (diesel), natural gas, LPG, biodiesel or gasoline in stationary combustion sources?

Yes; facility uses other fuels than those listed above. Your facility does not qualify for this general permit. No; and facility uses distillate fuel in stationary combustion sources. Go to question I-7a. No; and facility does not use distillate fuel. Go to question I-8.

I-7a. Will you accept a permit condition to limit any distillate oil used in stationary combustion sources to ultralow sulfur fuel (less than or equal to 15 ppm sulfur)?

Yes; go to question I-8. No; your facility does not qualify for this general permit.

I-8. Do you have pollution control equipment to control particulate matter emissions from booths for abrasive blasting, sanding, and non fiberglass spraying/coating operations that achieves greater than or equal to 85% control efficiency for particulate matter (PM/PM10/PM2.5)?

Yes; go to question I-9. No; go to question I-8a.

N/A; there are no booths for abrasive blasting, sanding, and non fiberglass spraying/coating operations at the facility. Go to question I-9.

I-8a. Will you install particulate control equipment that achieves greater than or equal to 85% control efficiency for PM/PM10/PM2.5 within 60 days of permit issuance?

Yes; go to question I-9. No; your facility does not qualify for this general permit.

I-9. Have you ever performed an air toxics review?

Yes; go to question I-9a. No; go to question I-10.

I-9a. Did the air toxics review result in permit conditions?

Yes; your facility does not qualify for this general permit. No; go to question I-10.

I-10. Do you use trichloroethylene (TCE) in your facility, or do you have plans to use TCE in the future?

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No; go to question 1-11.

Yes. Do you agree to discontinue TCE use within 6 months of issuance of the permit?

No; your facility does not qualify for this general permit.

Yes; go to question 1-11.

I-11. Have you been asked to perform an ambient air quality assessment to demonstrate that your facility does not cause a violation of ambient air quality standards?

Yes; the assessment must be completed before you know if facility qualifies for the general permit. When the ambient air quality assessment is complete, go on to question I-11a.

No; go to question I-12.

I-11a. In performing the ambient air quality assessment, did your assessment results in any required permit limits or conditions?

Yes; your facility does not qualify for this general permit. No; go to question I-12.

I-12. Will you accept permit conditions to limit potential to emit of each of the following pollutants?

I-12a. Will you accept a permit condition to limit your facility’s total emissions of this pollutant…

to less than… based on a 12-month rolling sum? Yes No

Particulate Matter (PM/PM10/PM2.5 PTE) 100 tons Volatile Organic Compounds (VOC PTE) 250 tons Nitrogen Oxides (NOx PTE) 100 tons Carbon Monoxide (CO PTE) 100 tons Hazardous Air Pollutants (HAP PTE) 100 tons

I-12b. Did you mark Yes for every pollutant limit above?

Yes; go to question I-13. No; your facility does not qualify for this general permit.

I-13. Do you have any Liquid Petroleum or Volatile Organic Liquid Storage Vessels (storage tanks) at your facility?

Yes; go to question I-13a. No; go to section II. Applicable Requirements.

I-13a. The following are the only allowable volatile organic liquid storage vessels types with this general permit:

- Storage tanks constructed before July 23, 1984;

- Storage tanks constructed after July 23, 1984 but smaller than 75 cubic meters;

- Storage tanks constructed after July 23, 1984 between 75 and 151 cubic meters and storing a liquid with a maximum true vapor pressure less than 27.6 kPa.

Are all of the volatile organic liquid storage vessels (including petroleum liquid storage vessels) at your facility included in the list above?

Yes; go to section II. Applicable Requirements. No; there is (are) volatile organic liquid storage vessel(s) at my facility other than those listed above. Your facility

does not qualify for this general permit.

II. Applicable Requirements

You must complete form MG-09 (and all forms referenced within) and use it to help you answer the questions in this section. Some items are reserved in this section to maintain numbering correspondence with form MG-09.

II-1. Are any of the emission units at your facility subject to a NESHAP standard other than those allowed in this general permit?

II-1a. [reserved]

II-1b. Are any of the emission units at your facility subject to a 40 CFR pt. 63 NESHAP standard other than:

- 40 CFR pt. 63, Subpart T (halogenated solvent cleaning machines); or - 40 CFR pt. 63, Subpart MMMM (process surface coating for miscellaneous metals parts and products); or - 40 CFR pt. 63, Subpart PPPP (surface coating of plastic parts and products); or - 40 CFR pt. 63, Subpart WWWW (reinforced plastic composites production); or - 40 CFR pt. 63, Subpart ZZZZ (reciprocating internal combustion engines); or - 40 CFR pt. 63, Subpart DDDDD (industrial/commercial/institutional boilers and process heaters)?

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National Emission Standards for Hazardous Air Pollutant (NESHAP) standards can be found at http://www.ecfr.gov/cgi-bin/text-idx?tpl=/ecfrbrowse/Title40/40tab_02.tpl, Part 63.

Yes; your facility does not qualify for this general permit. No; go to question II-1c.

II-1c. Are any of the emission units at your facility subject to requirements of case-by-case MACT under Section 112(g)?:

Yes; your facility does not qualify for this general permit. No; go to question II-2.

II-2. Are any of the emission units at your facility subject to a 40 CFR pt. 61 NESHAP standard?

Yes; your facility does not qualify for this general permit. No; go to question II-3.

II-3. Are any of the emission units at your facility subject to NSR/PSD major source requirements or BACT-equivalent emission reductions? You must complete form MG-09c as well as form MG-09 before answering this question.

Yes; your facility does not qualify for this general permit. Unknown; your facility does not qualify for this general permit. No; go to question II-4.

II-4. Are any of the emission units at your facility subject to any New Source Performance Standards (NSPS) other than:

- 40 CFR pt. 60, Subpart Kb (volatile organic liquid storage vessels [including petroleum liquid storage vessels] for which construction, reconstruction, or modification commenced after July 23, 1984); or

- 40 CFR pt. 60, Subpart IIII (compression ignition internal combustion engines)?

If you have modified (as defined in 40 CFR 60.14), reconstructed (as defined in 40 CFR 60.15) or constructed the emission source described in a particular subpart of 40 CFR pt. 60, on or after the effective date listed in the subpart, your facility may subject to the requirements of that subpart. NSPS Subparts can be found at http://www.ecfr.gov/cgi-bin/text-idx?tpl=/ecfrbrowse/Title40/40tab_02.tpl, Part 60.

Yes; your facility does not qualify for this general permit. No; go to question II-5.

II-5. Is your facility subject to Acid Rain Program under Title IV (40 CFR § 72, 40 CFR § 73; and 1990 Clean Air Act, as amended, §§ 401-416)? If you are unsure, use forms MG-09 and MG-09E for help determining the applicability of this regulation.

Yes; your facility does not qualify for this general permit. No; go to question II-8.

II-6. [reserved]

II-7. [reserved]

II-8. Are any of the emission units at your facility subject to CAM?

II-8a. Are any of the controlled emission units at your facility subject to CAM?:

Yes; go to question II-8b. No; go to Section III. Compliance Status.

II-8b. Of the controlled emission units at your facility that are subject to CAM, are any not covered by a CAM Plan attached to form MG-09H?:

Yes, I have CAM-subject units that are not covered by a CAM Plan in Form MG-09H; your facility does not qualify for this general permit

No, every CAM-subject unit at my facility is covered by one of the CAM Plans in Form MG-09H; go to Section III. Compliance Status.

II-9. [reserved]

II-10. [reserved]

II-11. [reserved]

III. Compliance Status

You will not be able to determine definitively if you qualify for this general permit until you complete a compliance

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certification. After completing the compliance certification form, MG-06, return to question III-1.

III-1. Is your facility in compliance with all applicable requirements?

Yes; your facility qualifies for this general permit. Done with this form. No; go to question III-2. III-2. Is your facility in compliance with all applicable requirements except that:

- you do not have a permit; and/or - you are not currently in compliance with NSPS or NESHAP requirements?

Yes; go to question III-2a. No; your facility does not qualify for this general permit.

III-2a. If your facility is not currently in compliance with NSPS requirements, will you agree to permit conditions that will bring your facility into compliance? The compliance schedule as required for storage tanks, and compression ignition internal combustion engines subject to NSPS are listed below:

For storage tanks (Kb): Update recordkeeping within 30 days of permit issuance.

For CI RICE (IIII): Submit initial notification report within 60 days of permit issuance.

Yes; go to question III-2b. No; your facility does not qualify for this general permit. NA – source is currently in compliance with all applicable NSPS requirements; go to question III-2b.

III-2b. If your facility is currently not in compliance with NESHAP requirements, will you agree to permit conditions that will bring your facility into compliance?

The compliance schedule consists of submittal of the initial notification report within 30 days of permit issuance for the following NESHAPs: Reinforced Plastic Composites Production (WWWW), Plastic Parts Surface Coating (PPPP), Surface Coating of Miscellaneous Metal Parts and Products (MMMM), Reciprocating Internal Combustion Engines (ZZZZ), Industrial/Commercial/Institutional Boilers and Process Heaters (DDDDD), and Halogenated Solvent Cleaning Machines (T).

Yes; your facility qualifies for this general permit. No; your facility does not qualify for this general permit. NA – source is currently in compliance with all applicable NESHAP requirements; your facility qualifies for this general permit.

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MG-01 Part 70 Manufacturing General Permit

Facility Information Air Quality Permit Program

Doc Type: Permit Application Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

1) Facility Location

Street Address:

City: County: Zip code:

Note: If the facility is or will be located within the city limits of Minneapolis, attach a map showing the exact location.

Mailing Address:

City: State: Zip code:

2) Corporate/Company Owner

Name:

Mailing Address:

City: State: Zip code:

Owner Classification: Private Local Govt. State Govt. Federal Govt. Utility

3) Corporate/Company Operator (if different than owner)

Name:

Mailing Address:

City: State: Zip code:

4) Co-permittee (if applicable)

Name:

Mailing Address:

City: State: Zip code:

5) Legally responsible official for this permit/facility

Mr/Ms: Phone:

Title: Fax:

At (check one): Owner Address Operator Address Emission Facility Address

Other (specify):

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6) Contact person for this permit

Mr/Ms: Phone:

Title: Fax:

At (check one): Owner Address Operator Address Emission Facility Address

Other (specify):

E-mail address:

7) All billings for annual fees should be addressed to

Mr/Ms: Phone:

Title: Fax:

At (check one): Owner Address Operator Address Emission Facility Address

Other (specify):

8) Standard Industrial Classification (SIC) Code and description for the facility, and North American Industry Classification System (NAICS) code and description:

Primary: /

Secondary (if applicable): /

Tertiary (if applicable): /

Primary NAICS code: /

9) Primary product produced (or activity performed) at the facility is:

10) Facility is: Stationary Portable

11) Check the one that applies best to your facility:

New facility planned or under construction

Existing facility, currently operating under Air Emission Permit No.:

Existing facility, but have never had an Air Emission Permit issued by the MPCA

12) Is environmental review required (either an Environmental Assessment Worksheet [EAW] or an Environmental Impact Statement [EIS]) for this facility? Call the Minnesota Environmental Quality Board (EQB) or more information at 651-201-2476.

No Yes Note: If you answered “Yes” to this question, you may also be required to perform an Air Emissions Risk Assessment (AERA). Please call 800-657-3864 or 651-296-6300.

13) Are you (or will you be, if this is a new facility) required to submit a Toxics Release Inventory (Form R) under SARA Title 313 for this facility? Contact the Minnesota Emergency Planning and Community Right-to-Know Act (EPCRA) Program for more information at 651-201-7400.

No Yes, but we are not required to prepare a pollution prevention plan under Minn. Stat. § 115D.07;

Yes, and we have been required to prepare a pollution prevention plan and have submitted the most recently required progress report to the Minnesota EPCRA Program under Minn. Stat. § 115D.08.

Yes, but a progress report has not been submitted because: (fill in reason below)

14) Is this facility within 50 miles of another state or the Canadian border?

Yes (specify which ones) No

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15) Brief description of the facility or proposed facility to be permitted (attach additional sheet if necessary):

16) Are you proposing any alternative operating or emissions trading scenarios in this application (see Minn. R. 7007.0800, subp. 10 and 11)?

No Yes

If yes, attach a description of your proposal, including a statement on how the proposal will meet all applicable requirements (in particular, please address federal New Source Review requirements, if applicable). See Form GI-09C.

17) Person preparing this permit application:

Mr. Ms.

Title:

Phone: Fax: Date:

E-mail address

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MG-02 Part 70 Manufacturing General Permit

Process Flow Diagram Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

1) Please identify and diagram all process equipment below.

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MG-03 Part 70 Manufacturing General Permit

Building Information and Stack/Vent Diagram Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details report labeled “Buildings, General” showing any necessary edits and with all missing information filled in. Additional buildings can be added below.

1a) 1b) 1c) 1d) 1e)

Bldg ID No.

Length (ft.)

Width (ft.)

Roof height from ground (ft.) Description/comments

2) Facility and Stack/Vent Diagram:

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MG-04 Part 70 Manufacturing General Permit Stack/Vent Information

Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details report labeled “Stack/Vent, General” showing any necessary edits and with all missing information filled in. Additional stacks can be added below.

1a. Stack/Vent ID number

1b. Stack/Vent Operator’s Description

1c Height of Opening from Ground (feet)

1d. Inside Diameter (feet)

Length (feet)

Width (feet)

1e. Design Flow Rate (cubic feet/minute)

1f. Exit Gas Temp (°F)

1g. Flow Rate/Temp Information Source

1h. Discharge Direction

1i. Status

1j. Removal Date (mm/dd/yyyy)

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MG-05A1 Part 70 Manufacturing General Permit

Pollution Control Equipment Information for Fabric Filters Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details reports labeled “Treatment,” showing any necessary edits and with all missing information filled in. Additional fabric filters can be added below.

1a) 1b) 1c) 1d) 1e) 1f) 1g) 1h) 1i) 1j) Control equip ID no.

TREA type code Description Manufacturer

Model number

Installation date

(MM/DD/YY) Pollutants controlled

Capture efficiency

Destruct/ collect

efficiency

Removal daate

(MM/DD/YY)

☐ 016 Fabric Filter (T>250 °F), high temp

☐ 017 Fabric Filter (180°F <T<250 °F), med temp

☐ 018 Fabric Filter (T<180 °F), low temp

PM ☐ 100% ☐ 80% 99%

PM10 ☐ 100% ☐ 80% 93%

PM2.5 ☐ 100% ☐ 80% NA%

☐ 016 Fabric Filter (T>250 °F), high temp

☐ 017 Fabric Filter (180°F <T<250 °F), med temp

☐ 018 Fabric Filter (T<180 °F), low temp

PM ☐ 100% ☐ 80% 99%

PM10 ☐ 100% ☐ 80% 93%

PM2.5 ☐ 100% ☐ 80% NA%

☐ 016 Fabric Filter (T>250 °F), high temp

☐ 017 Fabric Filter (180°F <T<250 °F), med temp

☐ 018 Fabric Filter (T<180 °F), low temp

PM ☐ 100% ☐ 80% 99%

PM10 ☐ 100% ☐ 80% 93%

PM2.5 ☐ 100% ☐ 80% NA%

☐ 016 Fabric Filter (T>250 °F), high temp

☐ 017 Fabric Filter (180°F <T<250 °F), med temp

☐ 018 Fabric Filter (T<180 °F), low temp

PM ☐ 100% ☐ 80% 99%

PM10 ☐ 100% ☐ 80% 93%

PM2.5 ☐ 100% ☐ 80% NA%

☐ 016 Fabric Filter (T>250 °F), high temp

☐ 017 Fabric Filter (180°F <T<250 °F), med temp

☐ 018 Fabric Filter (T<180 °F), low temp

PM ☐ 100% ☐ 80% 99%

PM10 ☐ 100% ☐ 80% 93%

PM2.5 ☐ 100% ☐ 80% NA%

Page 13: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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MG-05A2 Part 70 Manufacturing General Permit

Pollution Control Equipment Information for Wall or Panel Filters Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details reports labeled “Treatment,” showing any necessary edits and with all missing information filled in. Additional wall filters can be added below.

1a) 1b) 1c) 1d) 1e) 1f) 1g) 1h) 1i) 1j)

Control equip ID number

TREA type code Description Manufacturer Model number

Installation date (mm/dd/yyyy)

Pollutants controlled

Capture efficiency

Destruct/collect efficiency

Removal daate (MM/DD/YY)

58 Wall or Panel filter PM 100% 80% 85%

PM10 100% 80% 85%

PM2.5 100% 80% 85%

58 Wall or Panel filter PM 100% 80% 85%

PM10 100% 80% 85%

PM2.5 100% 80% 85%

58 Wall or Panel filter PM 100% 80% 85%

PM10 100% 80% 85%

PM2.5 100% 80% 85%

58 Wall or Panel filter PM 100% 80% 85%

PM10 100% 80% 85%

PM2.5 100% 80% 85%

Page 14: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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MG-05A3 Part 70 Manufacturing General Permit

Pollution Control Equipment Information for Catalytic Oxidizers Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

If you already hold a permit, include a copy of the AQ SI details reports labeled “Treatment,” showing any necessary edits and with all missing information filled in. Additional catalytic oxidizers can be added below.

1a) 1b) 1c) 1d) 1e) 1f) 1g) 1h) 1i) 1j)

Control Equip ID No.

TREA Type Code

Description Manufacturer Model No. Installation date

(mm/dd/yyyy)

Pollutants Controlled

Capture Efficiency

Destruction Efficiency Removal date

(mm/dd/yyyy)

109

019

020

Catalytic Oxidizer

Catalytic afterburner w/o

heat exchanger

Catalytic afterburner

w/heat exchanger

VOC 80%

100%

94%

109

019

020

Catalytic Oxidizer

Catalytic afterburner w/o

heat exchanger

Catalytic afterburner

w/heat exchanger

VOC 80%

100%

94%

Page 15: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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109

019

020

Catalytic Oxidizer

Catalytic afterburner w/o

heat exchanger

Catalytic afterburner

w/heat exchanger

VOC 80%

100%

94%

109

019

020

Catalytic Oxidizer

Catalytic afterburner w/o

heat exchanger

Catalytic afterburner

w/heat exchanger

VOC 80%

100%

94%

Page 16: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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MG-05A4 Part 70 Manufacturing General Permit

Pollution Control Equipment Information for Thermal Oxidizers Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

If you already hold a permit, include a copy of the AQ SI details reports labeled “Treatment,” showing any necessary edits and with all missing information filled in. Additional thermal oxidizers can be added below.

1a) 1b) 1c) 1d) 1e) 1f) 1g) 1h) 1i) 1j)

Control Equip ID No.

TREA Type Code

Description Manufacturer Model No. Installation date

(mm/dd/yyyy)

Pollutants Controlled

Capture Efficiency

Destruction Efficiency Removal date

(mm/dd/yyyy)

131

021

022

Thermal Oxidizer

Direct flame afterburner w/o heat exchanger

Direct flame afterburner w/heat exchanger

VOC 80%

100%

97%

131

021

022

Thermal Oxidizer

Direct flame afterburner w/o heat exchanger

Direct flame afterburner w/heat exchanger

VOC 80%

100%

97%

131

021

022

Thermal Oxidizer

Direct flame afterburner w/o heat exchanger

Direct flame afterburner w/heat exchanger

VOC 80%

100%

97%

Page 17: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-mg05a4 • draft <> Page 2 of 2

131

021

022

Thermal Oxidizer

Direct flame afterburner w/o heat exchanger

Direct flame afterburner w/heat exchanger

VOC 80%

100%

97%

131

021

022

Thermal Oxidizer

Direct flame afterburner w/o heat exchanger

Direct flame afterburner w/heat exchanger

VOC 80%

100%

97%

Page 18: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-mg05b1 • draft <> Page 1 of 1

MG-05B1 Part 70 Manufacturing General Permit Emission Unit Information for Boilers

Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details report labeled “Emission Units 2,” showing any necessary edits and with all missing information filled in. Additional boilers can be added below.

1) Fill in a column in the table below for each boiler. Form MG-05F Emission Source Association must also be submitted whenever this form is required.

1a) Emission Unit ID No.

1b) Emission Unit Type Boiler Boiler Boiler Boiler

1c) Emission Unit Operator’s Description

1d) Manufacturer

1e) Model No.

1f) Max Design Capacity Units: / Units: / Units: / Units: /

1g) Commence Construction Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1h) Initial Startup Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1i) Modification or Reconstructed Date (MM/DD/YYYY)

1j) Firing Method Not coal burning Not coal burning Not coal burning Not coal burning

1k) Engine Use NA NA NA NA

1l) Engine Displacement NA NA NA NA

1m) SIC Code

1n) Status

1o) Removal Date

Page 19: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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MG-05B2 Part 70 Manufacturing General Permit Emission Unit Information for Ovens

Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

If you already hold a permit, include a copy of the AQ SI details report labeled “Emission Units 2,” showing any necessary edits and with all missing information filled in. Additional ovens can be added below.

1) Fill in a column in the table below for each oven. Form MG-05F Emission Source Association must also be submitted whenever this form is required.

1a) Emission Unit ID No.

1b) Emission Unit Type Dryer/Oven – direct fired

Dryer/Oven – indirect fired

Dryer/Oven – unknown firing

Dryer/Oven – direct fired

Dryer/Oven – indirect fired

Dryer/Oven – unknown firing

Dryer/Oven – direct fired

Dryer/Oven – indirect fired

Dryer/Oven – unknown firing

Dryer/Oven – direct fired

Dryer/Oven – indirect fired

Dryer/Oven – unknown firing

1c) Emission Unit Operator’s Description

1d) Manufacturer

1e) Model No.

1f) Max Design Capacity Units: / Units: / Units: / Units: /

1g) Commence Construction Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1h) Initial Startup Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1i) Modification or Reconstructed Date (MM/DD/YYYY)

1j) Firing Method Not coal burning Not coal burning Not coal burning Not coal burning

1k) Engine Use NA NA NA NA

1l) Engine Displacement NA NA NA NA

1m) SIC Code

1n) Status

Page 20: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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1o) Removal Date

Page 21: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-mg05b3 • draft <> Page 1 of 1

MG-05B3 Part 70 Manufacturing General Permit Emission Unit Information for Furnaces

Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details report labeled “Emission Units 2,” showing any necessary edits and with all missing information filled in. Additional furnaces can be added below.

1) Fill in a column in the table below for each furnace. Form MG-05F Emission Source Association must also be submitted whenever this form is required.

1a) Emission Unit ID No.

1b) Emission Unit Type Furnace Furnace Furnace Furnace

1c) Emission Unit Operator’s Description

1d) Manufacturer

1e) Model No.

1f) Max Design Capacity Units: / Units: / Units: / Units: /

1g) Commence Construction Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1h) Initial Startup Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1i) Modification or Reconstructed Date (MM/DD/YYYY)

1j) Firing Method Not coal burning Not coal burning Not coal burning Not coal burning

1k) Engine Use NA NA NA NA

1l) Engine Displacement NA NA NA NA

1m) SIC Code

1n) Status

1o) Removal Date

Page 22: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-mg05b4 • draft <> Page 1 of 2

MG-05B4 Part 70 Manufacturing General Permit

Emission Unit Information for Stationary Internal Combustion Engines Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details report labeled “Emission Units 2,” showing any necessary edits and with all missing information filled in. Additional engines can be added below.

1) Fill in a column in the table below for each internal combustion engine. Form MG-05F Emission Source Association must also be submitted whenever this form is required.

1a) Emission Unit ID No.

1b) Emission Unit Type Engine Engine Engine Engine

1c) Emission Unit Operator’s Description

1d) Manufacturer

1e) Model No.

1f) Max Design Capacity Units: / Units: / Units: / Units: /

1g) Commence Construction Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1h) Initial Startup Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1i) Modification or Reconstructed Date (MM/DD/YYYY)

1j) Firing Method Compression ignition Compression ignition Compression ignition Compression ignition

1k) Engine Use emergency/blackstart

limited use (<100 hours/year)

<24 hours/year

unlimited use fire pump

emergency/blackstart

limited use (<100 hours/year)

<24 hours/year

unlimited use fire pump

emergency/blackstart

limited use (<100 hours/year)

<24 hours/year

unlimited use fire pump

emergency/blackstart

limited use (<100 hours/year)

<24 hours/year

unlimited use fire pump

1l) Engine Displacement liter/cylinder liter/cylinder liter/cylinder liter/cylinder

Page 23: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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1m) SIC Code

1n) Status

1o) Removal Date

Page 24: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-mg05b5 • draft <> Page 1 of 2

MG-05B5 Part 70 Manufacturing General Permit

Emission Unit Information for Booths: Abrasive Blasting and/or Sanding Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details report labeled “Emission Units 1,” showing any necessary edits and with all missing information filled in. Additional equipment can be added below.

1) Fill in a column in the table below for each abrasive blasting or sanding booth. Form MG-05F Emission Source Association must also be submitted whenever this form is required.

1a) Emission Unit ID No.

1b) Emission Unit Type ☐ Abrasive Equipment

☐ Sanding Equipment

☐ Abrasive Equipment

☐ Sanding Equipment

☐ Abrasive Equipment

☐ Sanding Equipment

☐ Abrasive Equipment

☐ Sanding Equipment

1c) Emission Unit Operator’s Description

1d) Manufacturer

1e) Model No.

1f) Max Design Capacity Units: / Units: / Units: / Units: /

1g) Commence Construction Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1h) Initial Startup Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1i) Modification or Reconstructed Date (MM/DD/YYYY)

1j) Firing Method NA NA NA NA

1k) Engine Use NA NA NA NA

1l) Engine Displacement NA NA NA NA

1m) SIC Code

1n) Status

Page 25: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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1o) Removal Date

Page 26: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-mg05b6 • draft <> Page 1 of 1

MG-05B6 Part 70 Manufacturing General Permit

Emission Unit Information for Booths: Spraying/Coating (non Fiberglassing) Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details report labeled “Emission Units 1,” showing any necessary edits and with all missing information filled in. Additional non-fiberglass spraying/coating equipment can be added below.

1) Fill in a column in the table below for each non-fiberglass spray/coating booth. Form MG-05F Emission Source Association must also be submitted whenever this form is required.

1a) Emission Unit ID No.

1b) Emission Unit Type Spray booth Spray booth Spray booth Spray booth

1c) Emission Unit Operator’s Description

1d) Manufacturer

1e) Model No.

1f) Max Design Capacity Units: / Units: / Units: / Units: /

1g) Commence Construction Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1h) Initial Startup Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1i) Modification or Reconstructed Date (MM/DD/YYYY)

1j) Firing Method NA NA NA NA

1k) Engine Use NA NA NA NA

1l) Engine Displacement NA NA NA NA

1m) SIC Code

1n) Status

1o) Removal Date

Page 27: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-mg05b7 • draft <> Page 1 of 2

MG-05B7 Part 70 Manufacturing General Permit Emission Unit Information for Fiberglass

Operations (spraying/coating, molding, casting lamination) Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details report labeled “Emission Units 1,” showing any necessary edits and with all missing information filled in. Additional fiberglass operations can be added below.

1) Fill in a column in the table below for each fiberglass operation. Form MG-05F Emission Source Association must also be submitted whenever this form is required.

1a) Emission Unit ID No.

1b) Emission Unit Type ☐ Molding Equipment

☐ Spraying Equipment

☐ Casting Equipment

☐ Molding Equipment

☐ Spraying Equipment

☐ Casting Equipment

☐ Molding Equipment

☐ Spraying Equipment

☐ Casting Equipment

☐ Molding Equipment

☐ Spraying Equipment

☐ Casting Equipment

1c) Emission Unit Operator’s Description

1d) Manufacturer

1e) Model No.

1f) Max Design Capacity Units: / Units: / Units: / Units: /

1g) Commence Construction Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1h) Initial Startup Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1i) Modification or Reconstructed Date (MM/DD/YYYY)

1j) Firing Method NA NA NA NA

1k) Engine Use NA NA NA NA

1l) Engine Displacement NA NA NA NA

1m) SIC Code

Page 28: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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1n) Status

1o) Removal Date

Page 29: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-mg05b8 • draft <> Page 1 of 1

MG-05B8 Part 70 Manufacturing General Permit Emission Unit Information for Dip Tanks

Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details report labeled “Emission Units 1,” showing any necessary edits and with all missing information filled in. Additional dip tanks can be added below.

1) Fill in a column in the table below for each dip tank. Form MG-05F Emission Source Association must also be submitted whenever this form is required.

1a) Emission Unit ID No.

1b) Emission Unit Type Dip tank Dip tank Dip tank Dip tank

1c) Emission Unit Operator’s Description

1d) Manufacturer

1e) Model No.

1f) Max Design Capacity Units: / Units: / Units: / Units: /

1g) Commence Construction Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1h) Initial Startup Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1i) Modification or Reconstructed Date (MM/DD/YYYY)

1j) Firing Method NA NA NA NA

1k) Engine Use NA NA NA NA

1l) Engine Displacement NA NA NA NA

1m) SIC Code

1n) Status

1o) Removal Date

Page 30: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-mg05b9 • draft <> Page 1 of 2

MG-05B9 Part 70 Manufacturing General Permit

Emission Unit Information for Cleaning Machines (Degreasers) Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details report labeled “Emission Units 1,” showing any necessary edits and with all missing information filled in. Additional degreasers can be added below.

Remember, that if you use trichloroethylene (TCE), you must cease to use and emit emissions of TCE six months after the Part 70 Manufacturing General Permit is issued or apply for a different permit.

1) Fill in a column in the table below for each degreaser. Form MG-05F Emission Source Association must also be submitted whenever this form is required.

1a) Emission Unit ID No.

1b) Emission Unit Type ☐ Degreaser

☐ Cleaning Equipment

☐ Degreaser

☐ Cleaning Equipment

☐ Degreaser

☐ Cleaning Equipment

☐ Degreaser

☐ Cleaning Equipment

1c) Emission Unit Operator’s Description

1d) Manufacturer

1e) Model No.

1f) Max Design Capacity Units: / Units: / Units: / Units: /

1g) Commence Construction Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1h) Initial Startup Date (MM/DD/YYYY)

to be determined

to be determined

to be determined

to be determined

1i) Modification or Reconstructed Date (MM/DD/YYYY)

1j) Firing Method NA NA NA NA

1k) Engine Use NA NA NA NA

1l) Engine Displacement NA NA NA NA

1m) SIC Code

Page 31: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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1n) Status

1o) Removal Date

Page 32: Intent to Issue Air Emission Permit for Part 70 ... · screen printing, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint

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aq-f4-mg05c • draft <> Page 1 of 2

MG-05C Part 70 Manufacturing General Permit Tank Information

Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: If you already hold a permit, include a copy of the AQ SI details reports labeled “Aboveground Storage Tanks, General” and “Underground Storage Tanks, General” showing any necessary edits and with all missing information filled in. Additional tanks can be added below.

1) Fill in a column in the table below for each petroleum or volatile organic compound (VOC) storage tank. Form MG-05F Emission Source Association must also be submitted whenever this form is required. If multiple copies of this table are used, indicate which number this page is over the total number of pages (e.g., 1/3, or page 1 of 3, etc.):

1a) Tank ID number

1b) Description

1c) Product(s) stored

1d) Specific product

1e) Interior height (ft.)

1f) Interior diameter (ft.)

1g) Capacity (gals.)

1h) Construction type

1i) Number of columns (column-supported only)

1j) Support type (floating roof only)

1k) Deck type (floating roof only)

1l) Seal type (floating roof only)

1m) Maximum true vapor pressure (psia)

1n) Date installed or constructed (mm/dd/yyy)

to be determined

to be determined

to be determined

1o) Status

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1p) Removed date

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MG-05D Part 70 Manufacturing General Permit Fugitive Emission Source Information

Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

If you already hold a permit, include a copy of the AQ SI details report labeled “Fugitive Sources,” showing any necessary edits and with all missing information filled in. Additional fugitive sources can be added below.

1) Fill in a column in the table below for each unpaved road.

1a) 1b) 1c) 1d) 1e) 1f) 1g) 1h) Fugitive

Source ID No.

Fugitive Source Type

Description of Fugitive Emission Source Year

Installed (YYYY)

Pollutant(s) Emitted

Status Removal Date (MM/DD/YYYY)

Control Equip ID No.

Unpaved Road PM, PM10, PM2.5

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MG-05F Part 70 Manufacturing General Permit Emission Source Associations

Air Quality Permit Program

Doc Type: Permit Application

Instructions on page 3

a) AQ Facility ID number: b) Agency Interest ID number:

c) Facility name:

If the facility currently holds an air emission permit, provide edits to the information the MPCA currently has in the database, on the AQ SI details report labeled “SI-SI relationships.” Complete any fields marked “null.” If you need to add additional relationships, add them to the table below.

1a) 1b) 1c) 1d) 1e) 1f) 1g) 1h) 1i) 1j) 1k) 1l)

Source ID number

% Flow Relationship

TREA ID number

Start date (mm/dd/yyyy)

End date (mm/dd/yyyy)

% Flow Relationship

STRU ID number

Start date (mm/dd/yyyy)

End date (mm/dd/yyyy) Comments

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

is controlled by sends to

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Examples --

The first association below will read, “100% of flow from EQUI 4 is controlled by TREA 2.”

The second association below reads, “100% of flow from EQUI 4 is controlled by TREA 3 and sends to STRU 3.”

The third association below reads, “100% of flow from EQUI 5 is controlled by TREA 5 and sends to STRU 4,” and indicates that STRU 4 is the main stack for EQUI 5.

The fourth association below indicates that STRU 5 is a bypass for EQUI 5.

The fifth association below reads, “100% of flow from TANK 6 sends to STRU 6.”

The sixth and seventh associations below indicate that there are two parallel stack/vents for EQUI 7 and 50% of emissions are vented through each during normal operation. STRU 7 is the main stack or vent and STRU 8 is the parallel stack or vent. Any additional stacks or vents listed afterward for EQUI 7 would also be parallel stacks or vents.

The eighth association below indicates that FUGI 1 is not controlled and does not have a stack/vent.

3a) 3b) 3c) 3d) 3e) 3f) 3g) 3h) 3i) 3j) 3k) 3l)

Source ID number

% Flow Relationship

CE ID number

Start date (mm/dd/yyyy)

End date (mm/dd/yyyy)

% Flow Relationship

S/V ID number

Start date (mm/dd/yyyy)

End date (mm/dd/yyyy) Comments

EQUI 4 100 is controlled by TREA 2 1/1/2012 sends to TREA 2 is a cyclone. Its emissions flow to TREA 3

EQUI 4 100 is controlled by TREA 3 1/1/2012 100 sends to STRU 3 1/1/2012

EQUI 5 100 is controlled by TREA 5 1/1/2012 100 sends to STRU 4 1/1/2012 STRU 4 is the main stack.

EQUI 5 0 is controlled by 0 sends to STRU 5 1/1/2012 STRU 5 is a bypass.

TANK 6 0 is controlled by 100 sends to STRU 6 1/1/2012 TANK 6 is not controlled and vents to STRU 6.

EQUI 7 0 is controlled by 50 sends to STRU 7 1/1/2012 STRU 7 is parallel to STRU 8

EQUI 7 0 is controlled by 50 sends to STRU 8 1/1/2012 STRU 8 is parallel to STRU 7

FUGI 1 is controlled by NA sends to NA FUGI 1 does not have controls and does not have a stack/vent.

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MG-06 Part 70 Manufacturing General Permit

Qualifications Compliance Certification Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name: All Air Permit applicants are required to give a description of the compliance status of the stationary source. Please note, indicating non-compliance in this form will not necessarily result in enforcement action.

1a) Applicable Requirement

1b) Compliance Status On the Date of Application (Check One)

1c) Briefly Describe the Non-Compliance (If You Checked Non-Compliance in the Previous Column)

1d) How Did You Determine if You Were In or Out of Compliance? (Monitoring, Reporting, Recordkeeping and/or Operation and Maintenance Methods)

1e) Compliance Status On the Day You Receive Your Permit (Check One)

Standards of Performance for Volatile Organic Liquid Storage Vessels (Including Petroleum Liquid Storage Vessels) for Which Construction, Reconstruction, or Modification Commenced after July 23, 1984 (40 CFR pt. 60, subp. Kb and Minn. R. 7011.1520)

Compliance Non-Compliance* Not Applicable

*If you checked Non-Compliance, you must agree to the compliance schedule in Form MG-00 in order to be eligible for this permit.

Compliance Non-Compliance Not Applicable

Standards of Performance for Compression Ignition Internal Combustion Engines (40 CFR pt. 60, subp. IIII and Minn. R. 7011.2305)

Compliance Non-Compliance* Not Applicable

*If you checked Non-Compliance, you must agree to the compliance schedule in Form MG-00 in order to be eligible for this permit.

Compliance Non-Compliance Not Applicable

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1a) Applicable Requirement

1b) Compliance Status On the Date of Application (Check One)

1c) Briefly Describe the Non-Compliance (If You Checked Non-Compliance in the Previous Column)

1d) How Did You Determine if You Were In or Out of Compliance? (Monitoring, Reporting, Recordkeeping and/or Operation and Maintenance Methods)

1e) Compliance Status On the Day You Receive Your Permit (Check One)

National Emission Standards for Hazardous Air Pollutants (40 CFR pt. 63, subp. T, Minn. R. 7011.7200)

Compliance Non-Compliance* Not Applicable

*If you checked Non-Compliance, you must agree to the compliance schedule in Form MG-00 in order to be eligible for this permit.

Compliance Non-Compliance Not Applicable

National Emission Standards for Hazardous Air Pollutants (40 CFR pt. 63, subp. MMMM; Minn. R. 7011.8090)

Compliance Non-Compliance* Not Applicable

*If you checked Non-Compliance, you must agree to the compliance schedule in Form MG-00 in order to be eligible for this permit.

Compliance Non-Compliance Not Applicable

National Emission Standards for Hazardous Air Pollutants (40 CFR pt. 63, subp. PPPP; Minn. R. 7011.8130)

Compliance Non-Compliance* Not Applicable

*If you checked Non-Compliance, you must agree to the compliance schedule in Form MG-00 in order to be eligible for this permit.

Compliance Non-Compliance Not Applicable

National Emission Standards for Hazardous Air Pollutants (40 CFR pt. 63, subp. WWWW; Minn. R. 7011.7800)

Compliance Non-Compliance* Not Applicable

*If you checked Non-Compliance, you must agree to the compliance schedule in Form MG-00 in order to be eligible for this permit.

Compliance Non-Compliance Not Applicable

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1a) Applicable Requirement

1b) Compliance Status On the Date of Application (Check One)

1c) Briefly Describe the Non-Compliance (If You Checked Non-Compliance in the Previous Column)

1d) How Did You Determine if You Were In or Out of Compliance? (Monitoring, Reporting, Recordkeeping and/or Operation and Maintenance Methods)

1e) Compliance Status On the Day You Receive Your Permit (Check One)

National Emission Standards for Hazardous Air Pollutants (40 CFR pt. 63, subp. ZZZZ; Minn. R. 7011.8150)

Compliance Non-Compliance* Not Applicable

*If you checked Non-Compliance, you must agree to the compliance schedule in Form MG-00 in order to be eligible for this permit.

Compliance Non-Compliance Not Applicable

National Emission Standards for Hazardous Air Pollutants (40 CFR pt. 63, subp. DDDDD)

Compliance Non-Compliance* Not Applicable

*If you checked Non-Compliance, you must agree to the compliance schedule in Form MG-00 in order to be eligible for this permit.

Compliance Non-Compliance Not Applicable

Air Quality Emission Fees (Minn. R. 7002.0025)

Compliance Non-Compliance

Check Compliance here unless you have an overdue emission fee bill (including late fees.)

Compliance Non-Compliance

Check Compliance here unless you have an overdue emission fee bill that you have not paid and do not intend to pay by the time you get a permit.

Minnesota and National Ambient Air Quality Standards (Minn. R. 7009.0010 - 7009.0080)

Compliance Non-Compliance Unknown

You may only check Unknown if your facility has never modeled ambient air impacts or done ambient air testing.

Compliance Non-Compliance Unknown

You may only check Unknown if your facility has never modeled ambient air impacts or done ambient air testing.

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1a) Applicable Requirement

1b) Compliance Status On the Date of Application (Check One)

1c) Briefly Describe the Non-Compliance (If You Checked Non-Compliance in the Previous Column)

1d) How Did You Determine if You Were In or Out of Compliance? (Monitoring, Reporting, Recordkeeping and/or Operation and Maintenance Methods)

1e) Compliance Status On the Day You Receive Your Permit (Check One)

Air Emission Permits (Minn. R. 7007.0050 - 7007.1850)

Compliance

You may check Compliance if you are in compliance with all state and federal permitting requirements (including the requirement to obtain a state permit and/or permit amendment(s) under Minnesota's prior air permitting rules), and you have submitted a complete permit application by the deadline listed in Minn. R. 7007.0350.

Non-Compliance

Check Non-Compliance if any of the above conditions are not true.

Compliance

You may check Compliance here if, by applying for and obtaining a permit, you have satisfied all state and federal permitting requirements that apply to your facility.

Non-Compliance

Preventing Particulate Matter from Becoming Airborne (Minn. R. 7011.0150)

Compliance Non-Compliance

Check Non-Compliance if you have received an order or a permit condition from the MPCA to control fugitive dust and you are not complying with either permit or the order.

Compliance Non-Compliance

Check Non-Compliance here if you are not complying with either the permit or the order, and do not intend to comply by the time you get your permit.

Performance Tests (Minn. R. 7017.2000)

Compliance Non-Compliance Not Applicable

Check Not Applicable if you have never conducted an air emission performance test.

Compliance Non-Compliance Not Applicable

Check Not Applicable if you will not conduct an air emission performance test before you get your permit.

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1a) Applicable Requirement

1b) Compliance Status On the Date of Application (Check One)

1c) Briefly Describe the Non-Compliance (If You Checked Non-Compliance in the Previous Column)

1d) How Did You Determine if You Were In or Out of Compliance? (Monitoring, Reporting, Recordkeeping and/or Operation and Maintenance Methods)

1e) Compliance Status On the Day You Receive Your Permit (Check One)

Emission Inventory (Minn. R. 7019.3000 - 7019.3010)

Compliance Non-Compliance

Check Non-Compliance if the MPCA has sent an emission inventory form to you to fill out and you didn't fill it out and return it.

Compliance Non-Compliance

Noise Pollution Control (Minn. R. 7030.0010 - 7030.0080)

Compliance Non-Compliance

Check Compliance if noise pollution has never been tested for your facility.

Compliance Non-Compliance

Check Compliance if noise pollution has never been tested for your facility.

Standards of Performance for Stationary Internal Combustion Engines (Minn. R. 7011.2300)

Compliance Non-Compliance Unknown Not Applicable

You may only check Unknown if you have never done opacity or emissions testing at your facility.

Compliance Non-Compliance Unknown Not Applicable

You may only check Unknown if you have never done opacity or emissions testing at your facility.

Standards of Performance for Industrial Process Equipment (Minn. R. 7011.0700 - 7011.0735)

Compliance Non-Compliance Unknown Not Applicable

You may only check Unknown if you have never done opacity or emissions testing at your facility.

Compliance Non-Compliance Unknown Not Applicable

You may only check Unknown if you have never done opacity or emissions testing at your facility.

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1a) Applicable Requirement

1b) Compliance Status On the Date of Application (Check One)

1c) Briefly Describe the Non-Compliance (If You Checked Non-Compliance in the Previous Column)

1d) How Did You Determine if You Were In or Out of Compliance? (Monitoring, Reporting, Recordkeeping and/or Operation and Maintenance Methods)

1e) Compliance Status On the Day You Receive Your Permit (Check One)

Any condition included in your most recent Air Emission Permit (only if your most recent air emission permit was an individual operating permit)

List below:

Compliance Non-Compliance Not Applicable

Compliance Non-Compliance Not Applicable

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MG-07 Part 70 Manufacturing General Permit

Facility Emissions Summary Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Emissions By Source Table

If multiple copies of this table are used, indicate which number this page is over the total number of pages (e.g., 1/3, or pg 1 of 3):

1a) Tempo SI ID No.: 1a) Tempo SI ID No.: 1a) Tempo SI ID No.:

1b) 1c) 1d) Potential 1e) 1b) 1c) 1d) Potential 1e) 1b) 1c) 1d) Potential 1e)

Pollutant name CAS #

Lbs per Hr

Unc tpy

Lim tpy

Actual tpy

Pollutant name CAS #

Lbs per Hr

Unc tpy

Lim tpy

Actual tpy

Pollutant name CAS #

Lbs per Hr

Unc tpy

Lim tpy

Actual tpy

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Emissions summary table

If multiple copies of this table are used, indicate which number this page is over the total number of pages (e.g., 1/3, or pg 1 of 3):

2a) 2b) Potential (tpy) 2c) Actual 2a) 2b) Potential (tpy) 2c) Actual

Pollutant name Unrestricted Limited tons/year Pollutant name Unrestricted Limited tons/year

3) Application is being submitted on a compact disc (CD), and the editable calculation spreadsheet(s) are included on the CD. Application is being submitted on paper only and editable calculation spreadsheet(sare included on an enclosed CD.

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MG-09 Part 70 Manufacturing General Permit

Facility Applicable Requirements Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Federal and State Requirements This form and its attachments will help you to determine the federal and state requirements with which your facility must comply. The form was simplified to help you fill out the Part 70 Manufacturing General Permit Qualifications Form MG-00.

This form asks questions to find out if your facility is subject to specific federal and state regulations. To assist you in filling out this form, there are nine attachments, forms MG-09A through MG-09I. This form will direct you to each of the attachments as necessary, which will help you determine if your facility is subject to these regulations. When you are directed to an attachment, complete it as required, but always return to this MG-09 Requirements Form.

1) National Emission Standards for Hazardous Air Pollutants (NESHAP for Source Categories, 40 CFR pt. 63)

1a) To determine if any requirements for the National Emission Standards for Hazardous Air Pollutants (NESHAP) for Source Categories (40 CFR pt. 63) apply to your facility, you must complete the attached Form MG-09A.

1b) After completing Form MG-09A, check one of the following boxes, then answer question II-1b on form MG-00:

Yes, my facility is currently subject to NESHAP for Source Categories requirements.

No, my facility is not currently subject to NESHAP for Source Categories requirements.

1c) After completing form MG-09A, check one of the following boxes, then answer question II-1c on form MG-00:

Yes, my facility is subject to requirements of case-by-case MACT under Section 112(g)(2)(B).

No, my facility is not subject to requirements of case-by-case MACT under Section 112(g)(2)(B).

2) National Emission Standards for Hazardous Air Pollutants (NESHAP; 40 CFR pt. 61)

2a) To determine if any of the National Emission Standards for Hazardous Air Pollutants (NESHAP) (40 CFR pt. 61) apply to your facility, you must complete the attached Form MG-09B.

2b) After completing Form MG-09B, check one of the following boxes, then answer question II-2 on form MG-00:

Yes, my facility is subject to pt. 61 NESHAP requirements

No, my facility is not subject to pt. 61 NESHAP requirements.

3) New Source Review – Nonattainment and Prevention of Significant Deterioration (NSR, New Source Review, 40 CFR pt. 51 and 52)

3a) Did you construct, make any physical change in (as defined in 40 CFR § 51.165 and 52.21) or change in the method of operation (as defined in 40 CFR § 51.165 or 52.21) of your facility since August 7, 1980?

Yes, go to Form MG-09C.

No, go to question 3b and answer No.

3b) After completing the above question (and Form MG-09C if necessary) check one of the following boxes:

Yes, my facility is subject to NSR requirements. Mark Yes on Form MG-00 question II-3.

Unknown. You may only check this box if directed to do so from MG-09C.

Mark Unknown on Form MG-00 question II-3.

No, my facility is not subject to NSR requirements until I make a qualifying change. Mark No on Form MG-00 question II-3.

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4) Standards of Performance for New Stationary Sources (NSPS, New Source Performance Standards, 40 CFR 60)

4a) Is your facility a Sulfuric Acid Plant?

Yes, you may be subject to this regulation; complete the attached Form MG-09D. You cannot qualify for this general permit if you are subject to this regulation.

No, go to question 4b.

4b) Have you constructed, modified (as defined in 40 CFR § 60.14), or reconstructed (as defined in 40 CFR § 60.15) your emission facility, or any portion thereof, after August 17, 1971?

Yes, you may be subject to this regulation; complete the attached Form MG-09D.

No, go to question 4c.

4c) After completing the above questions (and the attachment if necessary) check one of the following boxes (mark No for question 4c if you marked No for both 4a and 4b, or if you were directed by Form MG-09D to mark No for this question):

Yes, my facility (or a portion of it) is subject to NSPS requirements.

No, my facility is not subject to NSPS requirements.

Answer question II-4 on Form MG-00.

5) Acid Rain Program under Title IV (40 CFR § 72, 40 CFR § 73; and 1990 Clean Air Act, as amended, §§ 401-416)

These requirements are for power utilities with a generating capacity of more than 25 megawatts and are not applicable to stationary sources covered by the general permit. If you need further assistance determining whether you are subject to this regulation, use the attached form MG-09E.

6) Stratospheric Ozone Protection (1990 Clean Air Act, as amended, § 601-618)

6a) To determine if this federal regulation applies to your facility, you must complete the attached Form MG-09F.

6b) After completing Form MG-09F, check one of the following boxes:

Yes, my facility is subject to this requirement.

No, my facility is not subject to this requirement.

7) Risk Management Plans for Chemical Accidental Release Prevention (40 CFR pt. 68, § 112(r) of the Clean Air Act Amendments)

7a) Section 112(r) of the Clean Air Act requires facilities that produce, process, store or use any of the substances listed on Form MG-09G, in amounts greater than the listed thresholds, to develop and implement a risk management plan for accidental releases.

7b) Determine if you produce, process, store or use any of the substances listed on Form MG-09G, and check one of the following boxes:

Yes, my facility does produce, process, store or use one or more of the substances listed on Form MG-09G, in amounts exceeding the listed thresholds.

No, my facility does not produce, process, store or use any of the substances listed on Form MG-09G, in amounts exceeding the listed thresholds.

8) Compliance Assurance Monitoring (CAM, 40 CFR pt. 64)

8a) To determine if the CAM regulations apply to your facility, you must complete the attached Form MG-09H.

8b) After completing Form MG-09H, check one of the following boxes:

Yes, my facility is subject to CAM requirements.

No, my facility is not subject to CAM requirements.

9) Minnesota State Air Quality Rules

9a) To determine which Minnesota State rules you may be subject to, go to Form MG-09I.

9b) Whether permitted or not, every business and activity in Minnesota is subject to the rules listed in Table 9:

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Table 9 List of Applicable Minnesota State Air Quality Rules

Title of the Rule Applicable Minnesota Rules Part What the Content of the Rule is:

Air Quality Emission Fees Parts 7002.0025 - 7002.0085 Requires facilities to pay emission fees every year within 30 days of MPCA billing.

Air Emission Permits Parts 7007.0050 - 7007.3010 Outlines when an air emission permit is required and procedures for obtaining one.

Minnesota and National Ambient Air Quality Standards

Parts 7009.0010 - 7009.0080 No one is allowed to emit any of the limited pollutants in such a manner that ambient levels of the pollutant are higher than the maximum level.

Applicability of Standards of Performance

Parts 7011.0010, and 7011.0050 Indicates that facilities must comply with all applicable state air pollution rules.

Circumvention Part 7011.0020 States that no one may conceal or dilute emissions which would otherwise violate a federal or state air pollution control rule.

Control Equipment Parts 7011.0060 - 7011.0080 Outlines requirements for control equipment if required.

Emission Standards for Visible Air Contaminants

Parts 7011.0100 - 7011.0120 Outlines restrictions against emitting opaque smoke from facilities.

Preventing Particulate Matter from Becoming Airborne

Parts 7011.0150 States that no person shall cause particulate matter to become airborne if it can be avoided with listed preventative measures.

Continuous Monitors Parts 7017.1002 - 7017.1220 Outlines requirements for continuous monitoring systems.

Performance Tests Parts 7017.2001 - 7017.2060 Outlines procedures and methods for emissions and performance testing if required.

Notifications Part 7019.1000 Requires facilities to notify the MPCA of shutdowns and breakdowns.

Emission Inventory Part 7019.3000

Parts 7019.3020 – 7019.3100

Requires facilities to submit an Emission Inventory Report by April 1 every year.

Outlines calculation methods for Emission Inventory Reports.

Motor Vehicles Parts 7023.0100 - 7023.0120

Parts 7030.1000 – 7030.1060

Outlines restrictions against emitting opaque smoke from motor vehicles, trains, boats, construction equipment and stationary internal combustion engines.

Outlines noise limits for motor vehicles.

Noise Pollution Control Parts 7030.0010 - 7030.0080 Sets noise standards in decibels which cannot be exceeded.

10) Prevention of Significant Deterioration: Increment (1990 Clean Air Act, as amended, §§ 109 and 160-169(B))

This requirement will not be applicable to this general permit.

11) Federal Ozone Measures for the Control of Emissions from Certain Sources (1990 Clean Air Act, as amended, Section 183(e), and 40 CFR Part 59)

11a) Rules have been promulgated under the above section of the Clean Air Act regulating VOCs from consumer or commercial products that emit volatile organic compounds. Does your facility manufacture: (check all that apply)

Autobody refinishing coatings containing VOCs

Household consumer products containing VOCs

Architectural coatings containing VOCs

Aerosol coatings containing VOCs

Portable fuel containers

My facility does not manufacture any of the above. Go to question 12.

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11b) If you checked any boxes in question 11a review the regulations at http://www.epa.gov/ttn/atw/183e/gen/183epg.html to determine whether your facility may be subject to any rules that are adopted under § 183(e) requiring emission reductions. After reviewing the regulations, check one of the following boxes.

Yes, my facility is subject to consumer and commercial products regulation under section 183(e). Go to question 11c.

No, my facility is not subject to consumer and commercial products regulation under section 183(e). Go to question 12.

11c) Check the box that best describes your source’s compliance status with regards to applicable 183(e) requirements on the date of application, then go on to question 12.

Compliance.

Non-Compliance. Describe non-compliance condition below:

12) You have completed the Applicable Requirements form.

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MG-09A Part 70 Manufacturing General Permit

Requirements: NESHAP for Source Categories (40 CFR pt. 63)

Air Quality Permit Program

Doc Type: Permit Application

National Emission Standards for Hazardous Air Pollutants (NESHAP) Requirements for Source Categories

(40 CFR pt. 63)

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Applicable Requirement Determination

1) Read through Table A, the list of Hazardous Air Pollutants (HAP) and check one of the following:

No, my facility does not and will not have the potential to emit any pollutants from the list and is not subject to these requirements for NESHAP. Done with this form. Return to Form MG-09 and mark No for questions 1b and 1c.

Yes, my facility does emit one or more pollutants from the list. Go to question 2.

2) Is your facility a major source of HAP? Answer questions 2a and 2b to determine this.

2a) Does your facility have the potential to emit 10 tons per year or more of any single pollutant listed in Table A?

Yes, my facility is a major source of HAP emissions, go to question 3.

No, go to question 2b.

2b) Does your facility have the potential to emit 25 tons per year or more of all the pollutants listed in Table A?

Yes, my facility is a major source of HAP emissions, go to question 3.

No, my facility is not a major source of HAP emissions. Go to question 5.

3) The attached Table B is a list of NESHAPS for Source Categories and important dates associated with each of them. Does your facility have equipment that fits any of the source categories?

Yes, check the appropriate box(s) below, indicating the applicable subpart(s), then go to question 4:

Halogenated Solvent Cleaning (40 CFR pt. 63, subp. T)

Surface Coating of Miscellaneous Metal Parts and Products (40 CFR pt. 63, subp. MMMM)

Surface Coating of Plastic Parts and Products (40 CFR pt. 63, subp. PPPP)

Reinforced Plastic Composites Production (40 CFR pt 63, subp. WWWW)

Stationary Compression Ignition Reciprocating Internal Combustion Engines (40 CFR pt. 63, subp. ZZZZ). Indicate engine type below.

Existing (constructed before June 12, 2006), Non-Emergency Stationary CI Internal Combustion Engines, 100 < brake Hp < 300

Existing (constructed before June 12, 2006), Emergency (defined in 40 CFR section 63.6675) Stationary CI Internal Combustion Engines, < 500 brake Hp

New (model year 2014 or later), Stationary CI Internal Combustion Engines, < 500 brake Hp

Industrial, Commercial, and Institutional Boilers and Process Heaters (40 CFR pt. 63, subp. DDDDD)

Any other major source category – this facility is not eligible for this general permit

No, go to question 5.

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4) If you answered yes to question 3, please read all the applicable sections of 40 CFR pt. 63 (i.e., those that you checked in question 3) to determine all applicable requirements in each of the NESHAP for Source Categories. When you return to Form MG-09, answer “YES” to question 1b. Then continue to question 5 on this form.

5) Is your source subject to case-by-case MACT standards?

5a) Does your facility have HAP-emitting units that are not included in any category listed in Table B?

Yes, you are not eligible for this general permit. Apply for an individual Part 70 permit.

No, go to question 5b.

5b) Was your source subject to case-by-case MACT standards issued through an individual permit under section 112(g) of the Clean Air Act?

Yes, you are not eligible for this general permit. Apply for an individual Part 70 permit.

No, mark No on question 1c of form MG-09 and No on question II-1c on form MG-00

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Table A Hazardous Air Pollutants

75070 Acetaldehyde 60355 Acetamide 75058 Acetonitrile 98862 Acetophenone 53963 2-Acetylaminofluorene 107028 Acrolein 79061 Acrylamide 79107 Acrylic acid 107131 Acrylonitrile 107051 Allyl chloride 92671 4-Aminobiphenyl 62533 Aniline 90040 o-Anisidine 1332214 Asbestos 71432 Benzene (including benzene from gasoline) 92875 Benzidine 98077 Benzotrichloride 100447 Benzyl chloride 92524 Biphenyl 117817 Bis (2-ethylhexyl) phthalate (DEHP) 542881 Bis (chloromethyl) ether 75252 Bromoform 106990 1,3-Butadiene 156627 Calcium cyanamide 133062 Captan 63252 Carbaryl 75150 Carbon disulfide 56235 Carbon tetrachloride 463581 Carbonyl sulfide 120809 Catechol 133904 Chloramben 57749 Chlordane 7782505 Chlorine 79118 Chloroacetic acid 532274 2-Chloroacetophenone 108907 Chlorobenzene 510156 Chlorobenzilate 67663 Chloroform 107302 Chloromethyl methyl ether 126998 Chloroprene 1319773 Cresols/Cresylic acid (isomers and mixture) 95487 o-Cresol 108394 m-Cresol 106445 p-Cresol 98828 Cumene 94757 2,4-D, salts and esters 3547044 DDE 334883 Diazomethane 132649 Dibenzofurans 96128 1,2-Dibromo-3-chloropropane 84742 Dibutylphthalate 106467 1,4-Dichlorobenzene(p) 91941 3,3'-Dichlorobenzidene 111444 Dichloroethyl ether (Bis(2-chloroethyl)ether) 542756 1,3-Dichloropropene 62737 Dichlorvos

111422 Diethanolamine 121697 N,N-Diethyl aniline (N,N- Dimethylaniline) 64675 Diethyl sulfate 119904 3,3-Dimethoxybenzidine 60117 Dimethyl aminoazobenzene 119937 3,3-Dimethyl benzidine 79447 Dimethyl carbamoyl chloride 68122 Dimethyl formamide 57147 1,1 Dimethyl hydrazine 131113 Dimethyl phthalate 77781 Dimethyl Sulfate 534521 4,6-Dintro-o-cresol, and salts 51285 2,4-Dinitrophenol 121142 2,4-Dinitrotoluene 123911 1,4-Dioxane (1.4-Diethyleneoxide) 122667 1,2-Diphenylhydrazine 106898 Epichlorohydrin (1-Chloro-2,3-epoxypropane) 106887 1,2-Epoxybutane 140885 Ethyl acrylate 100414 Ethyl benzene 51796 Ethyl carbamate (Urethane) 75003 Ethyl chloride (Chloroethane) 106934 Ethylene dibromide (Dibromoethane) 107062 Ethylene dichloride (1,2- Dichloroethane) 107211 Ethylene glycol 151564 Ethylene imine (Aziridine) 75218 Ethylene oxide 96457 Ethylene thiourea 75343 Ethylidene dichloride (1,1-Dichloroethane) 50000 Formaldehyde 76448 Heptacholor 118741 Hexachlorobenzene 87683 Hexachlorobutadiene 77474 Hexachlorocyclopentadiene 67721 Hexachloroethane 822060 Hexamethylene-1,6-diisocyanate 680319 Hexamethylphosphoramide 110543 Hexane 302012 Hydrazine 7647010 Hydrochloric acid 7664393 Hydrogen flouride (hydrofluoric acid) 123319 Hydroquinone 78591 Isophorone 58899 Lindane (all isomers) 108316 Maleic anhydride 67561 Methanol 72435 Methoxychlor 74839 Methyl bromide (Bromomethane) 74873 Methyl chloride (Choromethane) 71556 Methyl chloroform (1,1,1-Trichloroethane) 60344 Methyl hydrazine 74884 Methyl iodide (Iodomethane) 108101 Methyl isobutyl ketone (Hexone) 624839 Methyl isocyanate 80626 Methyl methacrylate

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1634044 Methyl tert butyl ether 101144 4,4-Methylene bis (2-chloroaniline) 75092 Methylene chloride (Dichloromethane) 101688 Methlene diphenyl diisocyanate (MDI) 101779 4,4'-Methylenedianiline 91203 Naphthalene 98953 Nitrobenzene 92933 4-Nitrobiphenyl 100027 4-Nitrophenol 79469 2-Nitropropane 684935 N-Nitroso-N-methylurea 62759 N-Nitrosodimethylamine 59892 N-Nitosomorpholine 56382 Parathion 82688 Pentachloronitrobenzene (Quintobenzene) 87865 Pentachlorophenol 108952 Phenol 106503 p-Phenylenediamine 75445 Phosgene 7803512 Phosphine 7723140 Phosphorus 85449 Phthalic anhydride 1336363 Polychlorinated biphenyls (Aroclors) 1120714 1,3-Propane sultone 57578 beta-Propiolactone 123386 Propionaldehyde 114261 Propoxur (Baygon) 78875 Propylene dichloride (1,2-Dichloropropane) 75569 Propylene oxide 75558 1,2-Propylenimine (2-Methyl aziridine) 91225 Quinoline 106514 Quinone 100425 Styrene 96093 Styrene Oxide 1746016 2,3,7,8-Tetrachlorodibenzo-p-dioxin 79345 1,1,2,2-Tetrachloroethane 127184 Tetrachloroethylene (Perchloroethylene) 7550450 Titanium tetrachloride 108883 Toluene 95807 2,4-Toluene diamine 584849 2,4-Toluene diisocyanate 95534 o-Toluidine 8001352 Toxaphene (chlorinated camphene) 120821 1,2,4-Trichlorobenzene 79005 1,1,2-Trichloroethane 79016 Trichloroethylene 95954 2,4,5-Trichlorophenol 88062 2,4,6-Trichlorophenol 121448 Triethylamine 1582098 Trifluralin 540841 2,2,4-Trimethylpentane

108054 Vinyl acetate 593602 Vinyl bromide 75014 Vinyl chloride 75354 Vinylidene chloride (1,1-Dichloroethylene) 1330207 Xylenes (isomers and mixtures) 95476 o-Xylenes 108383 m-Xylenes 106423 p-Xylenes 0 Antimony compounds 0 Arsenic compounds (inorganic including arsine) 0 Beryllium compounds 0 Cadmium compounds 0 Chromium compounds 0 Cobalt compounds 0 Coke oven emissions 0 Cyanide compounds 1

0 Glycol ethers 2 0 Lead compounds 0 Manganese compounds 0 Mercury compounds 0 Mineral fibers 3 0 Nickel compounds 0 Polycyclic organic matter 4 0 Radionuclides (including radon) 5 0 Selenium compounds Note: For all listings above which contain the word “compounds” and for glycol ethers, the following applies: Unless otherwise specified, these listings are defined as including any unique chemical substance that contains the named chemical (i.e., antimony, arsenic, etc.) as part of that chemical’s infrastructure. 1 X'CN where X = H' or any other group where a formal dissociation may occur. For example KCN or Ca(CN)2 2 Glycol ethers include mono- and di- ethers of ethylene glycol, diethylene glycol, and triethylene glycol R-(OCH2CH2)n-OR’ where

n = 1, 2, or 3

R = alkyl C7 or less; or

R = phenyl or alkyl substituted phenyl;

R’ = H or alkyl C7 or less; or

OR’ consisting of carboxylic acid ester, sulfate, phosphate, nitrate, or sulfonate.

Glycol ethers do no include ethylene glycol monobutyl ether (EGBE, 2-Butoxyethanol, CAS Number 111-76-2).

3 Includes mineral fiber emissions from facilities manufacturing glass, rock, or slag fibers (or other mineral derived fibers) of average diameter 1 micron or less. 4 Includes organic compounds with more than one benzene ring, and which have a boiling point greater than or equal to 100°C. 5 A type of atom which spontaneously undergoes radioactive decay.

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Table B

Source Categories

Categories of Major Sources

Subpart

Rule Promulgation

Date or Scheduled

Promulgation Date

Compliance Date for Existing Sources

(if applicable)

Acetyl resins production (Generic MACT) YY 6/29/99 6/29/02 Acrylic fibers/Modacrylic fibers production (Generic MACT) YY 6/29/99 6/29/02 Acrylonitrile-butadiene-styrene production (Polymers and Resins IV) JJJ 9/12/96 7/31/97 Aerospace Industry GG 9/1/95 9/1/98 Alkyd resins production (Misc. Organic Chemical Production and Processes (MON))

FFFF 11/10/03 05/10/08

Amino resins production (Polymers and Resins III) OOO 1/20/00 1/20/03 Ammonium sulfate production (MON) FFFF 11/10/03 05/10/08 Asphalt/coal tar application - metal pipes MMMM 1/2/04 1/2/07 Asphalt Processing and Asphalt Roofing Manufacturing LLLLL 4/29/03 5/1/06 Auto and Light Duty Truck Surface Coating IIII 4/26/04 4/26/07 Benzyltrimethylammonium chloride production (MON) FFFF 11/10/03 05/10/08 Boat Manufacturing VVVV 8/22/01 8/22/04 Brick and Structural Clay Products Manufacturing JJJJJ 5/16/03 5/16/06 Butadiene-furfural cotrimer (R-11) production (Pesticide Active Ingredient Production)

MMM 6/23/99 12/23/03

Butyl rubber production (Polymers and Resins I) U 9/5/96 4/23/12 Captafol production (Pesticide Active Ingredient Production) MMM 6/23/99 12/23/03 Captan production (Pesticide Active Ingredient Production) MMM 6/23/99 12/23/03 Carbon Black Production (Generic MACT) YY 7/12/02 7/12/05 Carboxymethylcellulose production (Cellulose Production Manufacturing)

UUUU 6/11/02 6/11/05

Carbonyl sulfide production (MON) FFFF 11/10/03 05/10/08 Cellophane production (Cellulose Production Manufacturing)

UUUU 6/11/02 6/11/05

Cellulose ethers production (Cellulose Production Manufacturing)

UUUU 6/11/02 6/11/05

Cellulose food casing manufacturing (Cellulose Production Manufacturing)

UUUU 6/11/02 6/11/05

Cellulosic sponge manufacturing (Cellulose Production Manufacturing)

UUUU 6/11/02 6/11/05

Clay Ceramics Manufacturing KKKKK 5/16/03 5/16/06 Chelating agents production (MON) FFFF 11/10/03 05/10/08 Chlorinated paraffins production (MON) FFFF 11/10/03 05/10/08 4-chloro-2-methyl acid production (Pesticide Active Ingredient Production)

MMM 6/23/99 12/23/03

Chloroneb production (Pesticide Active Ingredient Production) MMM 6/23/99 12/23/03 Chlorothalonil production (Pesticide Active Ingredient Production) MMM 6/23/99 12/23/03 Chromic acid anodizing (Chromium Electroplating) N 1/25/95 1/25/97 Coke Ovens: Charging, Top Side, and Door Leaks L 10/27/93 Varies Coke Ovens: Pushing, Quenching and Battery Stacks CCCCC 4/13/03 4/14/06 Combustion (Gas) Turbines YYYY 3/5/04 3/5/07 Commercial dry cleaning (Perc) transfer machines M 9/22/93 9/23/96 Commercial Sterilization Facilities O 12/6/94 12/6/98

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Categories of Major Sources

Subpart

Rule Promulgation

Date or Scheduled

Promulgation Date

Compliance Date for Existing Sources

(if applicable)

Cyanide Chemicals Manufacturing (Generic MACT) YY 7/12/02 7/12/05 Dacthal ™ production (Pesticide Active Ingredient Production) MMM 6/23/99 12/23/03 Decorative chromium electroplating (Chromium Electroplating) N 1/25/95 1/25/96 4,6,-dinitro-o-cresol production (Pesticide Active Ingredient Production)

MMM 6/23/99 12/23/03

Engine Test Cells/Stands PPPPP 5/27/03 5/27/03 Epichlorohydrin elastomers production(Polymers and Resins I) U 9/5/96 4/23/12 Epoxy resins production (Polymers and Resins II) W 3/8/95 3/3/98 Ethylene-propylene rubber production (Polymers and Resins I) U 9/5/96 4/23/12 Ethylidene norbomene production (MON) FFFF 11/10/03 05/10/08 Explosives production (MON) FFFF 11/10/03 05/10/08 Ethylene Processes (Generic MACT) YY 7/12/02 7/12/05 Fabric Printing, Coating, & Dyeing OOOO 5/29/03 5/29/06 Ferroalloys Production XXX 5/20/99 5/20/01 Fiberglass Mat Production (wet formed) HHHH 4/11/02 4/11/05 Flexible Polyurethane Foam Fabrication Operations MMMMM 4/14/03 4/14/04 Flexible Polyurethane Foam Production III 10/7/98 10/8/01 Friction Products Manufacturing QQQQQ 10/18/02 10/18/05 Fume Silica Production (Hydrochloric Acid Production) NNNNN 4/17/03 4/17/06 Gasoline distribution (Stage 1) R 12/14/94 12/15/97 Halogenated solvent cleaners (Degreasing Organic Cleaners) T 12/2/94 12/2/97 Hard chromium electroplating (Chromium Electroplating) N 1/25/95 1/25/97 Hazardous Waste Combustion Parts 63, 261,

and 270 9/30/99 9/30/03

Hazardous Organic NESHAP (Synthetic Organic Chemical Manufacturing Industry)

F,G 4/22/94 5/14/01 H 4/22/94 5/12/99 I 4/22/94 5/12/98

Hydrazine production (MON) FFFF 11/10/03 05/10/08 Hydrochloric acid production NNNNN 4/17/03 4/17/06 Hydrogen Fluoride Production (Generic MACT) YY 6/29/99 6/29/02 Hypalon TM production (Polymers and Resins I) U 9/5/96 7/31/97 Industrial Dry Cleaning (Dry Cleaning) M 9/22/93 9/23/96 Industrial Cooling Towers Q 9/8/94 3/8/95 Institutional, Commercial, & Institutional Boilers & Process Heaters (Industrial Combustion Coordinating Rule)

DDDDD 1/31/13 1/31/16

Integrated Iron and Steel Manufacturing FFFFF 5/20/03 5/20/06 Iron and Steel Foundries EEEEE 4/22/04 4/22/07 Large Appliance Surface Coating NNNN 7/23/02 7/23/05 Leather Finishing Operation TTTT 2/27/02 2/27/05 Lime Manufacturing AAAAA 1/5/04 1/5/07

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Categories of Major Sources

Subpart

Rule Promulgation

Date or Scheduled

Promulgation Date

Compliance Date for Existing Sources

(if applicable)

Magnetic Tape EE 12/15/94 12/15/96 Maleic anhydride copolymers production (MON) FFFF 11/10/03 05/10/08 Manufacture of paints, coating and adhesives (MON) FFFF 11/10/03 05/10/08 Marine Vessel Loading Operations Y 9/19/95 9/19/99 Mercury cell Chlor-Alkali plants IIIII 12/19/03 12/19/06 Metal Can Surface Coating KKKK 11/13/03 11/13/06 Metal Coil Surface Coating SSSS 6/10/02 6/10/05 Metal Furniture Surface Coating RRRR 5/23/03 5/23/06 Methyl cellulose production (Cellulose Production Manufacturing)

UUUU 6/11/02 6/11/05

Methyl methacrylate-acrylonitrile-butadiene-styrene production (Polymers and Resins IV)

JJJ 9/12/96 7/31/97

Methyl methacrylate-butadiene-styrene terpolymers production (Polymers and Resins IV)

JJJ 9/12/96 7/31/97

Mineral Wool Production DDD 6/1/99 6/1/02 Miscellaneous Coating Manufacturing HHHHH 12/11/03 12/11/06 Miscellaneous Metal Parts and Products Surface Coating MMMM 1/2/04 1/2/07 Municipal Solid Waste Landfills AAAA 1/16/03 1/16/04

Refer to NESHAP

Natural gas transmission and storage HHH 6/17/99 6/17/02 Neoprene production (Polymers and Resins I) U 9/5/96 4/23/12 Nitrile butadiene rubber prod. (Polymers and Resins I) U 9/5/96 4/23/12 Nitrile resins production (Polymers and Resins IV) JJJ 9/12/96 7/31/97 Non-nylon polyamides production (Polymers and Resins I) W 3/8/95 3/3/98 Nutritional Yeast Manufacture CCCC 5/21/01 5/21/04 Off-site Waste Recovery Operations DD 7/1/96 2/1/00 Oil and natural gas production HH 6/17/99 6/17/02 Organic liquids distribution (non-gasoline) EEEE 2/3/04 2/3/07 Oxybisphenoxarsine (OBPA)/1,3-diisocyanate production (MON) FFFF 11/10/03 05/10/08 Paper and other web surface coating JJJJ 12/4/02 12/4/05 Petroleum refineries - catalytic cracking (fluid and other) units, catalytic reforming units, sulfur plant units, and associated bypass lines

UUU 4/11/02 4/11/05

Petroleum refineries - Other sources not distinctly listed CC 8/18/95 8/18/98 Pharmaceuticals production GGG 9/21/98 9/21/01 Phenolic resins production (Polymers and Resins III) OOO 1/20/00 1/20/03 Phosphate fertilizers production BB 6/10/99 6/10/02 Phosphoric acid manufacturing AA 6/10/99 6/10/02 Photographic chemicals production (MON) FFFF 11/10/03 05/10/08 Phthalate plasticizers production (MON) FFFF 11/10/03 05/10/08 Plastic parts and products surface coating PPPP 4/19/04 4/19/07 Plywood & composite wood products (formerly Plywood and Particle Board Manufacturing)

DDDD 7/30/04 10/1/07

Polyether polyols production PPP 6/1/99 6/1/02 Polybutadiene rubber production (Polymers and Resins I) U 9/5/96 7/31/97 Polycarbonates production (Generic MACT) YY 6/29/99 6/29/02 Polyester resins production (MON) FFFF 11/10/03 05/10/08

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Categories of Major Sources

Subpart

Rule Promulgation

Date or Scheduled

Promulgation Date

Compliance Date for Existing Sources

(if applicable)

Polyethylene terephthalate production (Polymers and Resins IV) JJJ 9/12/96 7/31/97 Polymerized vinylidene chloride production (MON) FFFF 11/10/03 05/10/08 Polymethyl methacrylate resins production (MON) FFFF 11/10/03 05/10/08 Polystyrene production (Polymers and Resins IV) JJJ 9/12/96 7/31/97 Polysulfide rubber production (Polymers and Resins I) U 9/5/96 7/31/97 Polyvinyl acetate emulsions production (MON) FFFF 11/10/03 05/10/08 Polyvinyl alcohol production (MON) FFFF 11/10/03 05/10/08 Polyvinyl butyral production (MON) FFFF 11/10/03 05/10/08 Polyvinyl chloride and copolymers production J 7/10/02 7/10/02 Portland cement manufacturing LLL 6/14/99 6/10/02 Primary aluminum production LL 10/7/97 10/7/99 Primary copper smelting QQQ 6/12/02 6/12/05 Primary lead smelting TTT 6/4/99 5/4/01 Primary magnesium refining TTTTT 10/10/03 10/11/04 Printing/publishing surface coating KK 5/30/96 5/30/99 Process heaters (Industrial Combustion Coordinating Rule) DDDDD 9/13/04 9/13/07 Publicly owned treatment works VVV 10/26/99 10/26/02 Pulp and paper production (non-combust) MACT I S 4/15/98 4/15/01 Pulp and paper production (combust) (Kraft, soda, sulfite) MACT II MM 1/12/01 1/12/04 Pulp and paper production (non-chemical) MACT III S 4/15/98 4/16/01 Quaternary ammonium compounds production (MON) FFFF 11/10/03 05/10/08 Rayon production (Cellulose Production Manufacturing)

UUUU 6/11/02 6/11/05

Reciprocating Internal Combustion Engines ZZZZ 6/15/04 6/15/07 Refractory Products Manufacturing SSSSS 4/16/03 4/17/06 Reinforced plastic composites production WWWW 4/21/03 4/21/06 Rubber chemicals manufacturing (MON) FFFF 11/10/03 05/10/08 2,4- salts and esters production (Pesticide Active Ingredient Production)

MMM 6/23/99 12/23/03

Secondary aluminum production RRR 3/23/00 3/24/03 Secondary lead smelting X 6/23/95 6/23/97 Semiconductor manufacturing BBBBB 5/22/03 5/22/06 Shipbuilding and ship repair surface coating II 12/15/95 12/16/96 Site remediation GGGGG 10/8/03 10/9/06 Sodium pentachlorophenate production (Pesticide Active Ingredient Production)

MMM 6/23/99 12/23/03

Spandex production (Generic MACT) YY 7/12/02 7/12/05 Stationary combustion turbines YYYY 3/5/04 3/5/07 Steel pickling – HCL process CCC 6/22/99 6/22/01 Styrene-acrylonitrile production (Polymers and Resins IV) JJJ 9/12/96 7/31/97 Styrene-butadiene rubber and latex prod. (Polymers and Resins I) U 9/5/96 7/31/97 Symmetrical tetrachloropyridine production (MON) FFFF 11/10/03 05/10/08

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Categories of Major Sources

Subpart

Rule Promulgation

Date or Scheduled

Promulgation Date

Compliance Date for Existing Sources

(if applicable)

Taconite iron ore processing RRRRR 10/30/03 10/30/06 Tetrahydrobenzaldehyde manufacture (formerly butadiene dimers production)

F 5/12/98 5/12/01

(Rubber) Tire manufacturing XXXX 7/9/02 7/11/05 Tordon TM acid production (Pesticide Active Ingredient Production)

MMM 6/23/99 12/23/03

Vegetable oil production – solvent extraction GGGG 4/12/01 4/12/04 Wood building products (surface coating) QQQQ 5/28/03 5/28/06 Wood furniture (surface coating) JJ 12/7/95 11/21/97 Wool fiberglass manufacturing NNN 6/14/99 6/14/02

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MG-09B Part 70 Manufacturing General Permit

Requirements: NESHAP (40 CFR pt. 61) Air Quality Permit Program

Doc Type: Permit Application

National Emission Standards for Hazardous Air Pollutants Requirements for Source Categories

(NESHAP, 40 CFR pt. 61)

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Applicable Requirement Determination

1) Part 61 National Emission Standards for Hazardous Air Pollutant Sources (NESHAPS) were the regulations in existence before the 1990 Clean Air Act Amendments. They apply only to air emission sources listed in Table C (attached) that emit the pollutants listed. Table C contains:

- a pollutant;

- a facility description;

- a Minnesota Rules reference;

- a Code of Federal Regulation 40 part 61 (40 CFR 61) subpart reference.

2) Read through Table C. If your facility emits any of the listed pollutants, and your facility type, process or equipment matches those associated with the pollutant, a Part 61 NESHAP may apply to you. To determine if a standard applies to your facility, refer to the corresponding 40 CFR 61 subpart(s) and Minnesota Rules listed and read the requirements in detail.

3) After reviewing the NESHAP reference list and reading the corresponding 40 CFR 61 subpart(s) check one of the following boxes:

NO, my facility is not subject to Part 61 NESHAP requirements; go to Form MG-09 question 2b.

YES, my facility (or a portion of it) is subject to Part 61 NESHAP requirements. The facility is not eligible for this general permit.

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Table C

National Emission Standards for Hazardous Air Pollutants

Pollutant Facility or Emission Unit Type Minn. Rules 40 CFR 61 Subpart

Radon Underground Uranium Mines; Department of Energy Facilities; Phosphogypsum Stacks; and Facilities Processing or Disposing of Uranium Ore and Tailings

7011.9960 B, Q, R, T, W

Beryllium Beryllium Extraction Plants; Ceramic Plants, Foundries, Incinerators, Propellant Plants, and Machine Shops that Process Beryllium Containing Material; and Rocket Motor Firing Test Sites

7011.9940 C, D

Mercury Mercury Ore Processing; Manufacturing Processes Using Mercury Chloralkali Cells; and Sludge Incinerators

7011.9950 E

Vinyl Chloride Ethylene Dichloride Manufacturing Via Oxygen, HCl and Ethylene; Vinyl Chloride Manufacturing; and Polyvinyl Chloride Manufacturing

7011.9980 F

Radio-Nuclides Department of Energy; Nuclear Regulatory Commission Licensed Facilities; Other Federal Facilities; and Elemental Phosphorus Plants

7011.9970 H, I, K

Benzene Fugitive Process, Storage, and Transfer Equipment Leaks; Coke By-Product Recovery Plants; Benzene Storage Vessels; Benzene Transfer Operations; and Benzene Waste Operations

7011.9930 J, L, Y, BB, FF

Asbestos* Asbestos Mills; Roadway Surfacing with Asbestos Tailings; Manufacture of Products Containing Asbestos; Demolition; Renovation; and Spraying and Disposal of Asbestos Waste

7011.9920 -7011.9927

M

Inorganic Arsenic Glass Manufacturer; Primary Copper Smelter; Arsenic Trioxide and Metallic Arsenic Production Facilities

7011.9910 N, O, P

Volatile Hazardous Air Pollutants (Vhap)

Pumps, Compressors, Pressure Relief Devices, Connections, Valves, Lines, Flanges, Product Accumulator Vessels, etc. in VHAP Service (As of 11/30/94 only vinyl chloride and benzene are regulated by 40 CFR 61, subp. V)

7011.9990 V

*If you are only subject to 40 CFR §61.145 (subp. M Standard for Demolition and Renovation), because you are doing asbestos abatement, you do not need a Minnesota Air Emission Permit, but you must contact the Minnesota Department of Health at 612-627-5097 and the asbestos team at the Minnesota Pollution Control Agency at 612-297-8685 before beginning any abatement activity.

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MG-09C Part 70 Manufacturing General Permit

Requirements: New Source Review (40 CFR pt. 52.21) Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Applicable Requirement Determination

Throughout this form you are asked for the Potential to Emit (PTE) of your facility or of changes to your facility. The PTE values in most cases are defined as the maximum uncontrolled PTE of the emission facility. In some cases, PTE calculations may reflect factors such as control equipment or permit limitations, but only if proof is given that such factors were provisions of a federally enforceable permit issued to the facility.

For applicants that are permitted under the most recent Part 70 Manufacturing General Permit or Part 70 Fiberglass General Permit, your PTE calculations may reflect those required control equipment and permit limitations in these permits that you are subject to.

1) Is your facility defined as one of the following?

(Some SIC Code(s) applying to specific categories are given in parentheses)

Coal Cleaning Plants-With Thermal Dryers Kraft Pulp Mills (2611, 2621)

Portland Cement Plants (3241) Primary Zinc Smelters (3339)

Iron and Steel Mills (332X) Primary Aluminum Ore Reduction Plants (3334)

Primary Copper Smelters (3331) Municipal Incinerators Capable of Charging More Than 250 Tons of Refuse per Day

Hydrofluoric Acid Plants (2819, 2899) Sulfuric Acid Plants (2819)

Nitric Acid Plants (2873) Petroleum Refineries (2911)

Lime Plants (3274) Phosphate Rock Processing Plants (1475)

Coke Oven Batteries (3312) Sulfur Recovery Plants (2819)

Carbon Black Plants (Furnace Process, 2895) Primary Lead Smelters (3339)

Fuel Conversion Plants Sintering Plants (Processing of fine grain materials into coarser lumps – performed primarily on ores).

Secondary Metal Production Plants (334X) Chemical Process Plants (28XX)

Fossil-Fuel Boilers (or combination thereof) totaling more than 250 MMBtu/hr

Petroleum Storage & Transfer Units, Total Storage Capacity over 300,000 Barrels

Taconite Ore Processing Plants (1011) Glass Fiber Processing Plants

Charcoal Production Plants (2819, 2861) Fossil Fuel-Fired Steam Electric Plants of more than 250 MMBtu/hr

Yes, my facility is classified as one of the 28 sources listed above. This facility does not qualify for this general permit.

No, my facility is not classified as one of the 28 sources listed above; go to question 2.

A source that is not included in one of the 28 categories listed above is a major source if potential emissions of any regulated pollutant are 250 tpy or higher.

2) In the Tables 2.1 and 2.2, enter the current PTE (in tons per year) of your entire facility for each pollutant shown, then continue to question 3. (“Current PTE” means the PTE of your facility prior to receiving the permit for which you are now applying. If you currently hold an air emissions permit, this means the emissions allowed under that permit,)

PM = total particulate matter PM10 = particulate matter with an aerodynamic diameter of 10 microns or less SO2 = sulfur dioxide PM2.5 = particulate matter with an aerodynamic diameter of 2.5 microns or less NOX = nitrogen oxides VOC = volatile organic compounds

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CO = carbon monoxide Pb = lead

H2S = hydrogen sulfide

CO2 = carbon dioxide CH4= methane

N2O = nitrous oxide HFC = Hydrofluorocarbons

SF6 = sulfur hexafluoride PFC = Perfluorocarbons

Mass sum of Greenhouse Gases (GHGs) = CO2 + CH4 + N2O + HFC + PFC + SF6

CO2e = carbon dioxide equivalent, based on global warming potential of each GHG; refer to the Minnesota Pollution Control Agency (MPCA) website at http://www.pca.state.mn.us/ktqh126f.

Table 2.1: “Traditional” New Source Review (NSR) Pollutants

PM10

(includes PM2.5)

PM2.5

PM (includes

PM2.5 & PM10)

SO2

NOX

VOC

CO

Pb

Fluorides

Sulfuric Acid Mist

H2S

Total reduced sulfur

(includes H2S)

Reduced sulfur compounds

(includes H2S)

Ozone- depleting

substances

Table 2.2: Greenhouse Gas (GHG) Pollutants

CO2 CH4 N2O HFC PFC SF6 Mass Sum of GHGs CO2e

Use the following thresholds for regulated pollutants for the rest of this form:

Threshold Regulated Pollutant

100 tpy PM10/PM2.5, SO2, CO, Lead

250 tpy Any other regulated pollutant

3) Is the current PTE of your facility above the threshold for any regulated pollutant?

Yes, go to question 5. No, go to question 4.

4) Since August 7, 1980, has the PTE of your facility ever exceeded the threshold for any regulated pollutant?

Yes, go to question 5. No, my facility is not subject to NSR until I make a qualifying change, go to Form MG-09, question 3b and check No.

Done with this form.

Note: If you do not know what the PTE of your facility has been in the past, it is sufficient for the purposes of this question only to use the following formula to roughly estimate PTE:

Again, this formula cannot be used for any other purpose. This is only a screening test for this general permit; it does not represent the required PTE calculation method for any other air permitting purpose.

5) Since August 7, 1980, have the actual emissions from your facility ever exceeded the threshold value for any regulated pollutant?

Yes, you cannot qualify for this general permit. You must apply for an individual Part 70 permit.

No, my facility is allowed to accept federally enforceable permit limitations to limit potential emissions to the thresholds included in the general permit. If this is the first air emissions permit ever issued to an existing source, you may be required to achieve BACT-equivalent emission reductions. Go to form MG-09 Requirements, question 3b and check Unknown.

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MG-09D Part 70 Manufacturing General Permit

Requirements: NSPS 40 CFR pt. 60 Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Applicable Requirement Determination

NSPS are federal rules that define limits, testing and monitoring for certain specific emission units. These standards are proposed and promulgated in the Federal Register and published in the Code of Federal Regulations, title 40 part 60 (40 CFR pt. 60). Table D lists the standards promulgated through June 2019. The Minnesota Pollution Control Agency (MPCA) will update this form periodically to include New Source Performance Standards (NSPS) requirements. However, Table D may not be complete if a new NSPS has been promulgated since this form was last revised. The table contains:

a brief emission source description;

a corresponding 40 CFR 60 subpart reference;

an effective date for all performance standards promulgated as of June 2019.

Note: The best way to keep up-to-date on NSPS regulations is through the U.S. Environmental Protection agency’s webpage (http://www.epa.gov) or the Federal Register since there can be a significant time lag between the date when a standard is proposed or promulgated and when it is finally published in the Code of Federal Regulations.

Please read through the emission sources in Table D. If you have modified (as defined in 40 CFR § 60.14), reconstructed (as defined in 40 CFR § 60.15) or constructed the described emission source on or after the effective date listed in the table, your facility may be subject to the requirements of 40 CFR pt. 60. Generally, reconstruction means that the cost of a repair exceeds 50 percent of what it would cost to install a new emission unit. If you have had an extensive and expensive repair, it may count as a reconstruction.

If you know or suspect standards may apply to your facility you must refer to the corresponding 40 CFR pt. 60 subpart and read the requirements in detail to make a final determination. Note: the general provisions found in 40 CFR pt. 60, subp. A, apply to all facilities subject to NSPS requirements.

1) The attached Table D is a list of NSPS for Source Categories and important dates associated with each of them. Does your facility have equipment that fits any of the source categories?

Yes, check the appropriate box(s) below, indicating the applicable subpart(s), mark Yes on Form MG-09 question 4c, then go to question 2:

Volatile Organic Liquid Storage Vessels (including petroleum liquid storage vessels) for which construction, reconstruction, or modification commenced after July 23, 1984 (40 CFR pt. 63, subp. Kb)

Stationary Compression Ignition (CI) Internal Combustion Engines (40 CFR pt. 60, subp. IIII). Indicate engine type below.

New Non-Emergency Stationary CI Internal Combustion Engines, < 500 brake Hp, with displacement < 30 liters per cylinder

New Emergency Stationary CI Internal Combustion Engines, < 500 brake Hp, with displacement < 30 liters per cylinder

New Fire pump Stationary CI Internal Combustion Engines, < 500 brake Hp, with displacement < 30 liters per cylinder

Any other source category – this facility is not eligible for this general permit

No, done with this form. Return to Form MG-09 and mark No on question 4c.

2) The following page lists information needed to identify your facility's emission sources subject to NSPS. Complete the group of questions for all emission equipment subject to NSPS, attaching additional pages if necessary.

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Table D

Standards of Performance for New Stationary Sources Performance standards promulgated as of May 2014

Source categories subject to federal performance standards

40 CFR 60 Subpart

Effective date constructed, modified, or reconstructed

Fossil-Fuel Fired Steam Generators >250MMBtu D After: 08/17/71

Electric Utility Steam Generators >250MMBtu Da After: 09/18/78

Industrial-Commercial-Institutional Steam Generators >100MMBtu

Db After: 06/19/84

Small Industrial-Commercial-Institutional Steam Generators >10MMBtu but <100MMBtu

Dc After: 06/09/89

Solid Waste Incinerators E, CCCC, DDDD,

EEEE, FFFF

After: 08/17/71

Sewage Sludge Incinerators LLLL, MMMM After: 10/14/10

Hospital/Medical/Infections Waste Incinerators Ec, Ce Initial Construction or Modification

Municipal Waste Combustors Ea, Eb, Cb

Initial Construction

Modification or Reconstruction After 12/20/89

Small Municipal Waste Combustors AAAA,

BBBB

Initial Construction

Modification or Reconstruction After 6/6/2001

Municipal Solid Waste Landfills Cc, Cf, WWW, XXX

Initial construction

Portland Cement Plants F After: 08/17/71

Nitric Acid Plants G, Ga After: 08/17/71

Sulfuric Acid Plants H, Cd After: 08/17/71

Asphalt Concrete Plants I* After: 06/11/73

Petroleum Refineries J, Ja Varies

Storage Vessels for Petroleum Liquids K,Ka After: 06/11/73

Volatile Organic Liquid Storage Vessels (Including Petroleum Liquids)

Kb After: 07/23/84

Secondary Lead Smelters L After: 06/11/73

Secondary Brass and Bronze Production Plants M After: 06/11/73

Basic Oxygen Process Furnaces N After: 06/11/73

Basic Oxygen Process Steelmaking Facilities Na, N After: 01/20/83

Sewage Treatment Plants O After: 06/11/73

Primary Copper Smelters P After: 10/16/74

Primary Zinc Smelters Q After: 10/16/74

Primary Lead Smelters R After: 10/16/74

Primary Aluminum Reduction Plants S After: 10/23/74

Phosphate Fertilizer Industry T,U,V,W,X After: 10/22/74

Coal Preparation and Processing Plants Y Varies

Ferroalloy Production Facilities Z After: 10/21/74

Steel Plants AA, AAa After: 10/21/74

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Source categories subject to federal performance standards

40 CFR 60 Subpart

Effective date constructed, modified, or reconstructed

Kraft Pulp Mills BB, BBa After: 09/24/76

Glass Manufacturing Plants CC After: 06/15/79

Grain Elevators DD After: 08/03/78

Surface Coating of Metal Furniture EE After: 11/28/80

Stationary Gas Turbines GG, KKKK After: 10/03/77

Lime Manufacturing Plants HH After: 05/03/77

Lead-Acid Battery Manufacturing Plants KK After: 01/14/80

Metallic Mineral Processing Plants LL After: 08/24/82

Automobile and Light-Duty Truck Surface Coating Operations MM After: 10/05/79

Phosphate Rock Plants NN After: 09/21/79

Ammonium Sulfate Manufacture PP After: 02/04/80

Graphic Arts Industry: Publication Rotogravure Printing QQ After: 08/28/80

Pressure Sensitive Tape and Label Surface Coating Operations

RR After: 12/30/80

Industrial Surface Coating: Large Appliances SS After: 12/24/80

Metal Coil Surface Coating TT After: 01/05/81

Asphalt Processing and Asphalt Roofing Manufacture UU Varies

Equipment Leaks of VOC in the Synthetic Organic Chemicals Manufacturing Industry (SOCMI)

VV, VVa After: 01/05/81

Beverage Can Surface Coating Industry WW After: 11/26/80

Bulk Gasoline Terminals XX After: 12/17/80

New Residential Wood Heaters * AAA After: 07/01/88

Rubber Tire Manufacturing Industry BBB After: 01/20/83

VOC Emissions from the Polymer Manufacturing Industry DDD After: 09/30/87

Flexible Vinyl and Urethane Coating and Printing FFF After: 01/18/83

Equipment Leaks of VOC in Petroleum Refineries GGG, GGGa After: 01/04/83

Synthetic Fiber Production Facilities HHH After: 11/23/82

VOC Emissions from the Synthetic Organic Chemical Manufacturing Industry (SOCMI) Air Oxidation Unit Processes

III After: 10/21/83

Petroleum Dry Cleaners JJJ After: 12/14/82

Onshore Natural Gas Processing: VOC Equipment Leaks and SO2 Emissions

KKK, LLL After: 01/20/84

VOC Emissions from Synthetic Organic Chemical Manufacturing Industry (SOCMI) Distillation Operations

NNN After: 12/30/83

Nonmetallic Mineral Processing Plants (Including Sand and Gravel Processing)

OOO After: 08/31/83

Wool Fiberglass Insulation Manufacturing Plants PPP After: 02/07/84

VOC Emissions from Petroleum Refinery Wastewater Systems QQQ After: 05/04/87

VOC Emissions from the Synthetic Organic Chemical Manufacturing Industry (SOCMI) Reactor Processes

RRR After: 6/29/90

Magnetic Tape Coating Facilities SSS After: 01/22/86

Industrial Surface Coating: Surface Coating of Plastic Parts for Business Machines

TTT After: 01/08/86

Calciners and Dryers in Mineral Industries UUU After: 04/23/86

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Source categories subject to federal performance standards

40 CFR 60 Subpart

Effective date constructed, modified, or reconstructed

Polymeric Coating of Supporting Substrates Facilities VVV After: 04/30/87

Stationary Compression Ignition Internal Combustion Engines IIII Varies

Spark Ignition Internal Combustion Engines JJJJ Varies Crude Oil and Natural Gas Production, Transmission, and Distribution OOOO,

OOOOa

After: 08/23/11

Residential Hydronic Heaters and Forced Air Furnaces QQQQ

After: 5/15/15 (manufacture date)

Greenhouse Gas Emissions for Electric Generating Units TTTT

After: 8/18/14

Emission Guidelines for Greenhouse Gas Emissions and Compliance Times for Electric Utility Generating Units UUUU

On or befor: 1/8/14

* According to Minn. Rules Pt. 7007.0300, subp. 1(B), "any stationary source that would be required to obtain a permit solely because it is subject to Code of Federal Regulations, title 40, part 60, subp. AAA" is exempt from permitting.

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MG-09E Part 70 Manufacturing General Permit Requirements:

Acid Rain (40 CFR pt. 72) Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Applicable Requirement Determination

Utilities and other facilities which combust fossil fuel and generate electricity for wholesale or retail sale may be subject to acid rain program requirements, including the requirement to hold an acid rain permit under 40 CFR 72. Utilities designated as "Phase I" or "Phase II" sources will need to apply for an acid rain permit. Other facilities that may be permitted include certain new units that began commercial operation on or after November 15, 1990, and existing units that increase electric generation from less than 25 megawatts to 25 megawatts or more. Certain cogeneration units, qualifying facilities, independent power facilities, and solid waste incinerators may need to apply for an acid rain permit. Subject facilities must fill out the Phase II Permit Application Forms developed by U. S. Environmental Protection Agency (EPA).

New utility units with an electricity-generating capacity not greater than 25 megawatts and that burn only fuels with sulfur content of 0.05 percent or less by weight may be exempted from acid rain requirements. If you qualify for this exemption, fill out the New Unit Exemption Form. You may also apply for an exemption of retired utility units; to do this, follow the procedures outlined in 40 CFR 72.8.

For additional information, please refer to the acid rain applicability definition at 40 CFR 72.6.

Facilities may petition EPA for an acid rain applicability determination. Petitions must conform to EPA requirements and should be sent by the facility's certifying official to the EPA address shown at http://www.epa.gov/airmarkets/business/forms.html.

If you are subject to the Acid Rain Program, or qualify for an exemption from the Acid Rain Program, you are not eligible for this general permit.

1) After reviewing the above Applicable Requirement Determination information, check one of the following:

NO, the Acid Rain rules do not apply to my facility; if you were directed to this form from Form MG-00, return there at question II-5; if you were directed to this form from Form MG-09, return there at question 5.

YES, the Acid Rain rules do apply to my facility; if you were directed to this form fromForm MG-00, return there at question II-5; if you were directed to this form from Form MG-09, return there at question 5.

Done with form MG-09E.

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MG-09F Part 70 Manufacturing General Permit Requirements:

Stratospheric Ozone Protection (40 CFR pt. 82) Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Applicable Requirement Determination

The 1990 Clean Air Act Amendments, Sections 601-618 and federal regulations located in 40 CFR pt. 82 regulate ozone depleting substances and require a phase out of their use. Review the attached list of ozone depleting chemicals, Tables F.1 and F.2.

1) After reviewing Tables F.1 and F.2, check one of the following:

NO, my facility does not manufacture, sell, distribute or use any chemicals from the list, and the 1990 Clean Air Act, as amended, §§ 601-618 do not apply to my facility; return to Form MG-09, question 6b.

YES, my facility does manufacture, sell, distribute or use one or more of the chemicals from the list. Read sections 601-608 of the 1990 Clean Air Act Amendments and 40 CFR pt. 82 to determine all the requirements that apply to your facility, then go to question 2.

2) Indicate below which chemicals you manufacture, sell, distribute or use; whether the chemical is Class I or Class II; and what chemical your facility will be using to replace the phased out chemical. Include additional pages if necessary:

2a) 2b) 2c) 2d) Chemical

Name: Class Type:

CAS Number:

Replacement Chemical (after phase out):

3) Return to Form MG-09, question 6b.

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Table F.1 Class I Ozone Depleting Chemicals

1. Group I: Chemical CAS Number CFCl3-Trichlorofluoromethane (CFC-11) 75-69-4

CF2Cl2-Dichlorodifluoromethane (CFC-12) 75-71-8

C2F3Cl2-Trichlorotrifluoroethane (CFC-113) 76-13-1

C2F4Cl3-Dichlorotetrafluoroethane (CFC-114) 76-14-2

C2F5Cl-Monochloropentafluoroethane (CFC-115) 76-15-3

All isomers of the above chemicals

2. Group II: Chemical CAS Number CF2ClBr-Bromochlorodifluoromethane (Halon-1211) 421-01-2

CF3Br-Bromotrifluoroethane (Halon-1301) 75-63-8

C2F4Br2-Dibromotetrafluoroethane (Halon-2402) 124-73-2

All isomers of the above chemicals

3. Group III: Chemical CAS Number CF3Cl-Chlorotrifluoromethane (CFC-13) 75-72-9

C2FCl5 (CFC-111) 954-56-3

C2F2Cl4 (CFC-112) 76-12-0

C3FCl7 (CFC-211) 422-78-6

C3F2Cl6 (CFC-212) 3182-26-1

C3F3Cl5 (CFC-213) 2354-06-5

C3F4Cl4 (CFC-214) 29255-31-0

C3F5Cl3 (CFC-215) 4259-43-2

C3F6Cl2 (CFC-216) 661-97-2

C3F7Cl (CFC-217) 422-86-6

All isomers of the above chemicals

4. Group IV: Chemical CAS Number CCl4-Carbon Tetrachloride 56-23-5

5. Group V: Chemical CAS Number C2H3Cl3 -1,1,1 Trichloroethane (Methyl chloroform) 71-55-6

All isomers of the above chemical except 1,1,2-trichloroethane 79-00-5

6. Group VI: Chemical CAS Number CH3Br - Bromomethane (Methyl Bromide) 74-83-9

7. Group VII: Chemical CAS Number CHFBr2

CHF2Br (HBFC-22B1)

CH2FBr

C2HFBr4

C2HF2Br3

C2HF3Br2

C2HF4Br

C2H2FBr3

C2H2F2Br2

C2H2F3Br

C2H3FBr2 358-97-4

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7. Group VII: Chemical CAS Number C2H3F2Br

C2H4FBr

C3HFBr4

C3HF2Br3

C3HF3Br4

C3HF4Br3

C3HF5Br2

C3HF6Br

C3H2FBr5

C3H2F2Br4

C3H2F3Br3

C3H2F4Br2

C3H2F3Br

C3H3FBr4

C3H3F2Br3

C3H3F3Br2

C3H3F4Br

C3H4FBr3

C3H4F2Br2

C3H4F3Br

C3H5FBr2

C3H5F2Br

C3H6FBr

8. Group VIII: CH2BrCl (Chlorobromomethane)

Table F.2 Class II Ozone Depleting Chemicals

Chemical CAS Number

HCFC-21 CHFCl2 - dichlorofluoromethane 75-43-4

HCFC-22 CHF2Cl - chlorodifluoromethane 75-43-6

HCFC-31 CH2ClF - chlorofluoromethane 593-70-4

HCFC-121 C2HFCl4 - tetrachlorofluoroethane 354-14-3

HCFC-122 C2HF2Cl3 - trichlorodifluoroethane 354-21-2

HCFC-123 C2HF3Cl2 - dichlorotrifluoroethane 306-83-2

HCFC-124 C2HClF4 - chlorotetrafluoroethane 2837-89-0

HCFC-131 C2H2FCl3 - trichlorofluoroethane 359-28-4

HCFC-132b C2H2F2Cl2 - dichlorodifluoroethane 1649-08-7

HCFC-133a C2H2F3Cl - chlorotrifluoroethane 75-88-7

HCFC-141b C2H3FCl2 - dichlorofluoroethane 1717-00-6

HCFC-142b C2H3ClF2 - chlorodifluoroethane 75-68-3

HCFC-151 C2H4ClF - 1-chloro-1-fluoroethane 1615-75-4

HCFC-221 C3HCl6F - hexachlorofluoropropane 422-26-4

HCFC-222 C3HF2Cl5 - pentachlorodifluoropropane 422-49-1

HCFC-223 C3HF3Cl4 - tetrachlorotrifluoropropane 422-52-6

HCFC-224 C3HF4Cl3 - trichlorotetrafluoropropane 422-54-8

HCFC-225ca C3HF5Cl2 - dichloropentafluoropropane 422-56-0

HCFC-225cb C3HF5Cl2 - dichloropentafluoropropane 507-55-1

HCFC-226 C3HF6Cl - chlorohexafluoropropane 431-87-8

HCFC-231 C3H2FCl5 - pentachlorofluoropropane 421-94-3

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Table F.2 Class II Ozone Depleting Chemicals

Chemical CAS Number

HCFC-232 C3H2F2Cl4 - tetrachlorodifluoropropane 460-89-9

HCFC-233 C3H2F3Cl3 - trichlorotrifluoropropane 7125-84-0

HCFC-234 C3H2F4Cl2 - dichlorotetrafluoropropane 425-94-5

HCFC-235 C3H2F5Cl - chloropentafluoropropane 460-92-4

HCFC-241 C3H3FCl4 - tetrachlorofluoropropane 666-27-3

HCFC-242 C3H3F2Cl3 - trichlorodifluoropropane 460-63-9

HCFC-243 C3H3F3Cl2 - dichlorotrifluoropropane 460-69-5

HCFC-244 C3H3F4Cl - chlorotetrafluoropropane 134190-50-4

HCFC-251 C3H4FCl3 - trichlorofluoropropane 421-41-0

HCFC-252 C3H4F2Cl2 - dichlorodifluoropropane 819-00-1

HCFC-253 C3H4ClF3 - chlorotrifluoropropane 460-35-5

HCFC-261 C3H5FCl2 - dichlorofluoropropane 420-97-3

HCFC-262 C3H5F2Cl - chlorodifluoropropane 421-02-3

HCFC-271 C3H6FCl - chlorofluoropropane 430-55-7

All isomers of the above chemicals

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MG-09G Part 70 Manufacturing General Permit

Requirements: Risk Management Plans for Chemical Accidental Release Prevention (40 CFR pt. 68)

Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Applicable Requirement Determination

If you produce, process, store or use any of the substances, in excess of the threshold listed in the following table, you may be subject to the requirements under Section 112(r) of the Clean Air Act and 40 CFR Part 68. After reviewing Table G, return to form MG-09 Requirements, question 7b.

Table G List of Regulated Toxic Substances and Threshold Quantities for Accidental Release Prevention

Chemical Name CAS No. Threshold Quantity (lbs)

Acrolein [2-Propenal] 107-02-8 5,000

Acrylonitrile [2-Propenenitrile] 107-13-1 20,000

Acrylyl chloride [2-Propenoyl chloride] 814-68-6 5,000

Allyl alcohol [2-Propen-1-ol] 107-18-6 15,000

Allylamine [2-Propen-1-amine] 107-11-9 10,000

Ammonia (anhydrous) 7664-41-7 10,000

Ammonia (conc 20% or greater) 7664-41-7 20,000

Arsenous trichloride 7784-34-1 15,000

Arsine 7784-42-1 1,000

Boron trichloride [Borane, trichloro-] 10294-34-5 5,000

Boron trifluoride [Borane, trifluoro-] 7637-07-2 5,000

Boron trifluoride compound with methyl ether (1:1) [Boron, trifluoro[oxybis[metane]]-, T-4- 353-42-4 15,000

Bromine 7726-95-6 10,000

Carbon disulfide 75-15-0 20,000

Chlorine 7782-50-5 2,500

Chlorine dioxide [Chlorine oxide (ClO2)] 10049-04-4 1,000

Chloroform [Methane, trichloro-] 67-66-3 20,000

Chloromethyl ether [Methane, oxybis[chloro-] 542-88-1 1,000

Chloromethyl methyl ether [Methane, chloromethoxy-] 107-30-2 5,000

Crotonaldehyde [2-Butenal] 4170-30-3 20,000

Crotonaldehyde, (E)- [2-Butenal, (E)-] 123-73-9 20,000

Cyanogen chloride 506-77-4 10,000

Cyclohexylamine [Cyclohexanamine] 108-91-8 15,000

Diborane 19287-45-7 2,500

Dimethyldichlorosilane [Silane, dichlorodimethyl-] 75-78-5 5,000

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Table G List of Regulated Toxic Substances and Threshold Quantities for Accidental Release Prevention

Chemical Name CAS No. Threshold Quantity (lbs)

1,1-Dimethylhydrazine [Hydrazine, 1,1-dimethyl-] 57-14-7 15,000

Epichlorohydrin [Oxirane, (chloromethyl)-] 106-89-8 20,000

Ethylenediamine [1,2-Ethanediamine] 107-15-3 20,000

Ethyleneimine [Aziridine] 151-56-4 10,000

Ethylene oxide [Oxirane] 75-21-8 10,000

Fluorine 7782-41-4 1,000

Formaldehyde (solution) 50-00-0 15,000

Furan 110-00-9 5,000

Hydrazine 302-01-2 15,000

Hydrochloric acid (conc 30% or greater) 7647-01-0 15,000

Hydrocyanic acid 74-90-8 2,500

Hydrogen chloride (anhydrous) [Hydrochloric acid] 7647-01-0 5,000

Hydrogen fluoride/Hydrofluoric acid (conc 50% or greater) [Hydrofluoric acid] 7664-39-3 1,000

Hydrogen selenide 7783-07-5 500

Hydrogen sulfide 7783-06-4 10,000

Iron, pentacarbonyl- [Iron carbonyl (Fe(CO)5), (TB-5-11)-] 13463-40-6 2,500

Isobutyronitrile [Propanenitrile, 2-methyl-] 78-82-0 20,000

Isopropyl chloroformate [Carbonochloridic acid, 1-methylethyl ester] 108-23-6 15,000

Methacrylonitrile [2-Propenenitrile, 2-methyl-] 126-98-7 10,000

Methyl chloride [Methane, chloro-] 74-87-3 10,000

Methyl chloroformate [Carbonochloridic acid, methylester] 79-22-1 5,000

Methyl hydrazine [Hydrazine, methyl-] 60-34-4 15,000

Methyl isocyanate [Methane, isocyanato-] 624-83-9 10,000

Methyl mercaptan [Methanethiol] 74-93-1 10,000

Methyl thiocyanate [Thiocyanic acid, methyl ester] 556-64-9 20,000

Methyltrichlorosilane [Silane, trichloromethyl-] 75-79-6 5,000

Nickel carbonyl 13463-39-3 1,000

Nitric acid (conc 80% or greater) 7697-37-2 15,000

Nitric oxide [Nitrogen oxide (NO)] 10102-43-9 10,000

Oleum (Fuming Sulfuric acid) [Sulfuric acid, mixture with sulfur trioxide] 8014-95-7 10,000

Peracetic acid [Ethaneperoxoic acid] 79-21-0 10,000

Perchloromethylmercaptan [Methanesulfenyl chloride, trichloro-] 594-42-3 10,000

Phosgene [Carbonic dichloride] 75-44-5 500

Phosphine 7803-51-2 5,000

Phosphorus oxychloride [Phosphoryl chloride] 10025-87-3 5,000

Phosphorus trichloride [Phosphorous trichloride] 7719-12-2 15,000

Piperidine 110-89-4 15,000

Propionitrile [Propanenitrile] 107-12-0 10,000

Propyl chloroformate [Carbonochloridic acid, propylester] 109-61-5 15,000

Propyleneimine [Aziridine, 2-methyl-] 75-55-8 10,000

Propylene oxide [Oxirane, methyl-] 75-56-9 10,000

Sulfur dioxide (anhydrous) 7446-09-5 5,000

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Table G List of Regulated Toxic Substances and Threshold Quantities for Accidental Release Prevention

Chemical Name CAS No. Threshold Quantity (lbs)

Sulfur tetrafluoride [Sulfur fluoride (SF4), (T-4)-] 7783-60-0 2,500

Sulfur trioxide 7446-11-9 10,000

Tetramethyl lead [Plumbene, tetramethyl-] 75-74-1 10,000

Tetranitromethane [methane, tetranitro-] 509-14-8 10,000

Titanium tetrachloride [Titanium chloride (TiCl4) (T-4)-] 7550-45-0 2,500

Toluene 2,4-diisocyanate [Benzene, 2,4-diisocyanato-1-methyl-] 584-84-9 10,000

Toluene 2,6-diisocyanate [Benzene, 1,3-diisocyanato-2-methyl-] 91-08-7 10,000

Toluene diisocyanate (unspecified isomer) [Benzene, 1,3-diisocyanatomethyl-] 26471-62-5 10,000

Trimethylchlorosilane [Silane, chlorotrimethyl-] 75-77-4 10,000

Vinyl acetate monomer [Acetic acid ethenyl ester] 108-05-4 15,000

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MG-09H Part 70 Manufacturing General Permit

Requirements: Compliance Assurance Monitoring (40 CFR pt. 64)

Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Applicable Requirement Determination

The Compliance Assurance Monitoring (CAM) rule applies to certain emission units at facilities required to obtain a Part 70 permit.

In general, CAM applies to emission units meeting the following criteria:

1. The emission unit is subject to an emission limit or standard (including limits and standards in Minnesota Rules contained in the State Implementation Plan) for an air pollutant regulated by Part 70;

2. Compliance with the applicable limit or standard is achieved through the use of add-on control equipment; and

3. The emission unit has pre-controlled potential emissions of the applicable regulated air pollutant that are equal to or greater than 100 percent of the Part 70 major source level for that pollutant (in tons per year).

For exemptions, see Table H-3.

Use of continuous emissions monitoring system (CEMS), continuous opacity monitoring system (COMS), or predictive emission monitoring system (PEMS) does not qualify as an exemption to the CAM rule. However, §64.3(d) states that use of a CEMS, COMS, or PEMS meets the requirements of CAM.

CAM applicability is determined on a pollutant-by-pollutant basis for each “pollutant specific emissions unit” (PSEU), defined at 40 CFR § 64.1 as “an emissions unit considered separately with respect to each regulated air pollutant.”

For purposes of CAM submittal requirements, a “Large PSEU” is an emissions unit with potential controlled emissions equal to or greater than 100% of the major source threshold amount for a given regulated pollutant.

o “Major source threshold amount” means 100 tons per year of particulate matter smaller than ten microns in aerodynamic diameter (PM10), sulfur dioxide (SO2), nitrogen oxides (NOX), volatile organic compounds (VOC), carbon monoxide (CO), or lead; 10 tons per year of any hazardous air pollutant (HAP); or 25 tons per year of any combination of HAPs.

o The levels may be different in current or future nonattainment areas. Refer to 40 CFR § 70.2 under the definition of “major source” for further detail.

“Other PSEUs” are those units whose uncontrolled potential emissions may be equal to or greater than 100 percent of the major source threshold amount, but controlled emissions are less than that threshold.

If you are applying for the first time for a Part 70 permit, after determining the uncontrolled and controlled potential emissions of the emissions units, answer question 1a, then consider questions 2 and 3 for each large pollutant specific emissions unit, as defined above. If you are applying for a renewal of an existing Part 70 permit, answer question 1b, then proceed as directed.

1a) If you are applying for the first time for a Part 70 permit, do you have Large PSEUs, as defined above?

Yes, go to question 2

No, I am applying for the first time for a Part 70 permit and my facility has no Large PSEUs. Done with this form.

Not Applicable – I already have a Part 70 permit. Go to question 1b.

1b) If you are permitted under the most recent Part 70 Manufacturing General Permit or Low-Emitting Facility (LEF) General Permit (you are applying for renewal of an existing Part 70 permit), check the appropriate box below:

CAM applicability has already been determined for all Large PSEUs and all Other PSEUs, and there have been no changes affecting CAM applicability since the most recent MPCA-approved General Permit CAM Plan. Check the box(es) next to the CAM Plan(s) below that applies to units at your facility and submit this form.

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CAM applicability has been determined for some but not all PSEUs at the facility. Or CAM applicability has changed since the most recent determination. After determining the uncontrolled and controlled potential emissions of the emissions units, the following questions must be considered for each pollutant specific emissions unit (large and other) for which CAM applicability must be determined. Check the box(es) next to the CAM Plan(s) below that applies to units at your facility.

Note: Because CAM applies only to units that are controlled by add-on control equipment or practices, the following questions need to be answered, and Tables H-1 and H-2 completed, only for units which are controlled by add-on control technologies. Uncontrolled units may be ignored under the CAM requirements.

2) Is the unit subject to an emission limitation or standard, specified in either a rule or permit, for the pollutant(s) controlled by the add-on control technologies? For existing emission units included in an existing permit, check your current permit to see if there are any emission limits specified for the emission unit.

Yes, the emission unit is subject to an emission limitation or standard. Go on to question 3.

No, the emission unit is not subject to CAM. Record the EQUI ID number (from Form MG-05B) and reason CAM doesn’t apply (no applicable emission limitation or standard) in Table H-2. Repeat question 2 for next emission unit.

3) There are some exemptions allowed by the rule. Review the list of exemptions in Table H-3, then check the applicable box below and follow the instructions provided.

The emission unit(s) does/do not fall under any of the exemptions in Table H-3 and is therefore subject to CAM. List the emission unit in Table H-1 and repeat questions 2 and 3 for the next emissions unit that is controlled by an add-on control technology. When each emission unit has been considered, go on to complete the rest of Table H-1 and Table H-2, and submit this form with box(es) checked next to the applicable CAM Plan(s) below.

The emission unit(s) is/are exempt from CAM under one of the exemptions listed in Table H-3. List the emission unit(s) in Table H-2 and specify the applicable exemption. Repeat questions 2 and 3 for the next emissions unit that is controlled by an add-on control technology. When each emission unit has been considered, go on to complete the rest of Tables H-1 and H-2.

Table H-1. Controlled Emission Units Subject to CAM

EQUI ID No. Emission Unit Description

TREA ID No.

Description of Control Equipment

Pollutant(s) which are subject to CAM

Table H-2. Controlled Emission Units Not Subject to CAM

EQUI ID No. Emission Unit Description Reason Not Subject to CAM

(Duplicate this page as needed to complete Tables H-1 and H-2.)

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Table H-3. CAM Rule Exemptions

For additional information, please refer to the CAM rule at 40 CFR pt. 64.

Additional information, including a Technical Guidance Document that includes examples, is available on the Internet at http://www.epa.gov/ttn/emc/cam.html.

The CAM rule does not apply to the following emissions limitations or standards:

Units subject to emission limitations or standards proposed by U. S. Environmental Protection Agency (EPA) after November 15, 1990, pursuant to section 111 or 112 of the Clean Air Act. In situations where some portions of a facility operate control devices in order to comply with emission standards issued prior to November 15, 1990, only those portions of the facility must comply with the requirements of the CAM rule.

Situations where continuous compliance monitoring is already specified in an operating permit. The CAM rule exempts the Permittee from additional monitoring requirements and directs the Permittee to use the continuous compliance monitoring data to fulfill the CAM rule monitoring and certification requirements.

While use of continuous emissions monitoring system (CEMS), continuous opacity monitoring system (COMS), or predictive emission monitoring system (PEMS) may meet the requirements of CAM, and may exempt the Permittee from additional monitoring requirements beyond the continuous compliance monitoring, the use of a CEMS, COMS, or PEMS does not qualify as an exemption to the CAM rule. If you are meeting the requirements of CAM for an emission unit through the use of a CEMS, COMS, or PEMS, that emission unit should be listed in Table H-1.

Stratospheric ozone protection requirements

Acid Rain Program requirements

Emission limitations or standards that apply solely under an emissions trading program

Municipally-owned utility peak-shaving units where

the unit is exempt from all Acid Rain Program monitoring requirements, and

the unit operates for the sole purpose of providing electricity during periods of peak electrical demand or emergency situations, and

the unit will be operated consistent with that purpose throughout the permit term, and

emissions from the unit are less than 50 percent of the amount required for the source to be classified as a major source, based on an average of the last 3 years, and are expected to remain so.

CAM Plans

The next section contains CAM Plans for those units to which CAM may apply under the Part 70 Manufacturing General Permit.

4) Check the box(es) next to the CAM Plan(s) below that applies to units at your facility.

If you have listed units in Table H-1 that are not covered by any of the attached CAM plans, then you do not qualify for this general permit and must apply for an individual permit.

CAM Plan for HEPA and Other Wall Filters Controlling PM and PM10 from Spray Booths [Other PSEU]

CAM Plan for Fabric Filters/Baghouses controlling PM and PM10 from Spray Booths [Other PSEU]

CAM Plan for Fabric Filters/Baghouses controlling PM and PM10 from Abrasive Blasting [Other PSEU]

CAM Plan for Catalytic Oxidizers Controlling VOC from Spray Booths, Molding, Casting, Lamination, Mixing or Cleaning [Large PSEU]

CAM Plan for Thermal Oxidizers Controlling VOC from Spray Booths Molding, Casting, Lamination, Mixing or Cleaning & Burn-off Ovens [Large PSEU]

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CAM Plan for Wall or Panel Filters Controlling PM and PM10 from Spray Booths [Other PSEU]

1. Applicability

1.1. Process/Emission Unit: Spray Booth [Other PSEU]

1.2. Control Technology: HEPA and other Wall Filters

1.3. Pollutant: Particulate Matter (PM, PM10)

2. Monitoring Approach Description

Indicators Monitored Visually inspect the condition of the filters.

Rationale for Monitoring Approach

If there are any holes, saturation, tears or alignment in the filter, these indicate there is little or no particulate removal.

Monitoring Methods Location

Adhere to the Operation and Maintenance Plan for the filters and take corrective action as soon as possible (within 24 hours of discovery) to eliminate any problem associated with the filters.

Analytical Devices Required

Train staff on the operation and monitoring of the filters and troubleshooting. Also, train and require staff to respond to indications of malfunctioning equipment and, including indicators of abnormal operation.

Data Acquisition and Measurement System Operation

Frequency of Measurement: Once each operating day, visually inspect the condition of each filter with respect to alignment, saturation, tears, holes, and any other matter that may affect the filter’s performance.

Reporting units: daily check of the condition of the filter.

Recording process: Records are maintained of all inspections and maintenance activities performed. Operators record activities maintenance log sheets, initial and date.

Data Requirements The baseline is determined by the facility’s historical records of the condition of the filter with respect to alignment, saturation, tears, holes, and any other matter that may affect the filter’s performance.

QA/QC Procedures Operate and maintain each filter in accordance with the Operation and Maintenance Plan and while taking into account the manufacturer’s specifications.

3. Justification

Compliance testing is not necessary for the owner or operator to establish operating ranges so that excursion from the operating ranges can be addressed prior to potential emission exceedance. Monitoring based on the Minnesota Standards of Performance for Control Equipment is adequate to have a reasonable assurance of compliance (daily and periodic inspections, corrective actions, O & M, and hood design records) and to ensure that control equipment continues to operate properly and achieve the desired PM control efficiency.

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CAM Plan for Fabric Filters/Baghouses Controlling PM and PM10 from Spray Booths [Other PSEU]

1. Applicability

1.1. Process/Emission Unit: Spray Booth [Other PSEU]

1.2. Control Technology: Fabric Filters

1.3. Pollutant: Particulate Matter (PM, PM10)

2. Monitoring Approach Description

Indicators Monitored Pressure Drop and Visible Emissions (VE)

Rationale for Monitoring Approach

Decrease in pressure drop indicative of bag failure;

Increase in pressure drop indicative of fabric blinding or decreased permeability;

A change in VE observations indicates process change, changes in fabric filter’s efficiency, or leaks.

Monitoring Methods Location

Measure across the inlet and outlet of each compartment of the fabric filter.

RM 22 (VE) requirements.

Analytical Devices Required

Pressure transducers, differential pressure gauges, manometers, other methods and/or alternative instrumentation as appropriate.

Trained observer using visible/no visible emissions observation techniques (RM 22-like)

Data Acquisition and Measurement System Operation

Frequency of Measurement: Record pressure drop once every 24 hours when in operation, or recorded continuously on strip chart and daily VE checks as weather permits.

Reporting units: Inches of water column (in w.c). and visible/no visible emissions.

Recording process: Record the time and date of each visible emission inspection and pressure drop reading, and whether or not any visible emissions were observed, and whether or not the observed pressure drop was within the range specified.

If the pressure drop is outside the required operating range and VE emission are observed, the owner or operator will follow the Operation and Maintenance plan for the fabric filter and take corrective action within 24 hours of discovery. Keep a record of the type and date of any corrective action taken for each filter.

Data Requirements The facility’s historical records on pressure drop measurements determine the baseline.

No data are needed for visible emissions.

QA/QC Procedures Calibrate, maintain and operate instrumentation using the procedures that take into account the manufacturer’s recommendations and initial training of observer per RM 22.

3. Justification

Compliance testing is not necessary for the owner or operator to establish operating ranges so that excursion from the operating ranges can be addressed prior to potential emission exceedance. Monitoring based on the Minnesota Standards of Performance for Control Equipment is adequate to have a reasonable assurance of compliance (daily and periodic inspections, corrective actions, O & M, and hood design records) and to ensure that control equipment continues to operate properly and achieve the desired PM control efficiency.

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CAM Plan for Fabric Filters/Baghouses Controlling PM and PM10 from Abrasive Blasting [Other PSEU]

1. Applicability

1.1. Process/Emission Unit: Abrasive Blasting Booth

1.2. Control Technology: Fabric Filters

1.3. Pollutant: Particulate Matter (PM, PM10)

2. Monitoring Approach Description

Indicators Monitored Pressure Drop and Visible Emissions (VE)

Rationale for Monitoring Approach

Decrease in pressure drop indicative of bag failure;

Increase in pressure drop indicative of fabric blinding or decreased permeability;

A change in VE observations indicates process change, changes in fabric filter’s efficiency, or leaks.

Monitoring Methods Location

Measure across the inlet and outlet of each compartment of the fabric filter.

Method 22 (VE) requirements.

Analytical Devices Required

Pressure transducers, differential pressure gauges, manometers, other methods and/or alternative instrumentation as appropriate.

Trained observer using visible/no visible emissions observation techniques (Method 22-like)

Data Acquisition and Measurement System Operation

Frequency of Measurement: Record pressure drop once every 24 hours when in operation, or recorded continuously on strip chart and daily VE checks as weather permits.

Reporting units: Inches of water column (in w.c). and visible/no visible emissions.

Recording process: Record the time and date of each visible emission inspection and pressure drop reading, and whether or not any visible emissions were observed, and whether or not the observed pressure drop was within the range specified.

If the pressure drop is outside the required operating range and VE emission are observed, the owner or operator will follow the Operation and Maintenance plan for the fabric filter and take corrective action within 24 hours of discovery. Keep a record of the type and date of any corrective action taken for each filter.

Data Requirements The facility’s historical records on pressure drop measurements determine the baseline.

No data are needed for visible emissions.

QA/QC Procedures Calibrate, maintain and operate instrumentation using the procedures that take into account the manufacturer’s recommendations and initial training of observer per RM 22.

3. Justification

Compliance testing is not necessary for the owner or operator to establish operating ranges so that excursion from the operating ranges can be addressed prior to potential emission exceedance. Monitoring based on the Minnesota Standards of Performance for Control Equipment is adequate to have a reasonable assurance of compliance (daily and periodic inspections, corrective actions, O & M, and hood design records) and to ensure that control equipment continues to operate properly and achieve the desired PM control efficiency.

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CAM Plan for Catalytic Oxidizers Controlling VOC from Spray Booths Molding, Casting, Lamination, Mixing or Cleaning [Large PSEU]

1. Applicability

1.1 Process/Emission Unit: Spray Booth, Molding, Casting, Lamination, Mixing or Cleaning

1.2 Control Technology: Catalytic Oxidizer

1.3 Pollutant: Volatile Organic Compounds (VOCs)

2. Monitoring Approach Description

Indicators Monitored Catalyst bed inlet temperature and catalyst activity.

Rationale for Monitoring Approach

Catalyst bed inlet temperature: Indicates whether the gas flowing into catalyst bed is of sufficient temperature to initiate oxidation.

Catalyst activity: Determines conversion efficiency of catalyst; indicates that catalyst is not poisoned or masked beyond operational range.

Monitoring Methods Location

Catalyst bed inlet and outlet temperature: Preheat chamber outlet and catalyst bed inlet.

Catalyst activity: Sample of catalyst.

Analytical Devices Required

Temperature: Thermocouples, or alternative methods/instrumentation as appropriate for specific gas stream.

Catalyst activity: Qualified laboratory (e.g. catalyst manufactures) for determining activity of catalyst sample.

Data Acquisition and Measurement System Operation

Frequency of Measurement: Once every 15 minutes or recorded continuously on strip chart or data acquisition system.

Reporting Units: Degrees Fahrenheit (º F)

Recording process: Operators log data manually, or recorded automatically on strip chart or data acquisition system.

Catalyst activity: Annual analyses of catalyst sample.

Data Requirements The facility’s historical records on catalyst bed inlet and outlet temperature measurements.

Catalyst activity: Laboratory results of conversion efficiency.

QA/QC Procedures Calibrate, maintain and operate instrumentation using the procedures that take into account the manufacturer’s recommendations and specifications.

3. Justification

Compliance testing is not necessary for the owner or operator to establish operating ranges so that excursion from the operating ranges can be addressed prior to potential emission exceedance. Monitoring based on the Minnesota Standards of Performance for Control Equipment is adequate to have a reasonable assurance of compliance (daily and periodic inspections, corrective actions, O & M, and hood design records) and to ensure that control equipment continues to operate properly and achieve the desired VOC control efficiency.

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CAM Plan for Thermal Oxidizers Controlling VOC from Spray Booths Molding, Casting, Lamination, Mixing or Cleaning & Burn-off Ovens [Large PSEU]

1. Applicability

1.4 Process/Emission Unit: Spray Booth, Spray Booths, Molding, Casting, Lamination, Mixing or Cleaning, and Burn-off Oven

1.5 Control Technology: Thermal Oxidizer

1.6 Pollutant: Volatile Organic Compounds (VOCs)

2. Monitoring Approach Description

Indicators Monitored Combustion chamber temperature and annual burner inspections.

Rationale for Monitoring Approach

Combustion chamber temperature: Proper temperature range is related to good performance.

Annual burner inspection: Maintain proper operation and efficiency.

Monitoring Methods Location

Combustion chamber temperature: Outlet of combustion chamber.

Annual burner inspection: At the burner.

Analytical Devices Required

Combustion chamber temperature: Thermocouples or alternative methods/instrumentation as appropriate for specific gas stream.

Annual burner inspection: None

Data Acquisition and Measurement System Operation

Frequency of Measurement:

Combustion chamber temperature: Once every 15 minutes or recorded continuously on strip chart or data acquisition system.

Annual burner inspection: Annually

Reporting Units:

Combustion chamber temperature: Degrees Fahrenheit (º F)

Annual burner inspection: None

Recording process:

Combustion chamber temperature: Operators log data manually, or recorded automatically on strip chart or data acquisition system.

Annual burner inspection: Operators log data manually.

Data Requirements The facility’s historical records on combustion chamber temperature measurements and burner inspection.

QA/QC Procedures Calibrate, maintain and operate instrumentation using the procedures that take into account the manufacturer’s recommendations and specifications.

3. Justification

Compliance testing is not necessary for the owner or operator to establish operating ranges so that excursion from the operating ranges can be addressed prior to potential emission exceedance. Monitoring based on the Minnesota Standards of Performance for Control Equipment is adequate to have a reasonable assurance of compliance (daily and periodic inspections, corrective actions, O & M, and hood design records) and to ensure that control equipment continues to operate properly and achieve the desired VOC control efficiency.

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MG-09I Part 70 Manufacturing General Permit

Requirements: State Rules Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

Applicable Requirement Determination

1) Minnesota Air Pollution Episodes (Minn. R. 7009.1000-7009.1110)

1a) After your facility is permitted, will your facility be allowed to emit more than 250 tons per year of any one of the following pollutants: particulate matter, sulfur dioxide, nitrogen oxides, ozone [volatile organic compounds], carbon monoxide, or non-methane hydrocarbons?

Yes, my facility is subject to the Minn. R. 7009.1000-7009.1110. (Do not select this option. This general permit has limits keeping your allowable emissions of each of these pollutants below 250 tons per year.)

No, my facility is not subject to the Minn. R. 7009.1000-7009.1110; go to question 2

2) Minnesota Standards of Performance for Stationary Sources (Minn. R. ch. 7011)

2a) Does your facility have any equipment that meets the following definition?

"A furnace, boiler or other combustion equipment in Minnesota which burns fossil fuel for the purpose of producing steam, hot water, hot air, or other hot liquid, gas, or solid, where the smoke doesn't have direct contact with the heated medium for which another standard of performance has not been promulgated."

Yes, my facility is subject to Minn. R. 7011.0500-7011.0551 Standards of Performance for Indirect Heating Fossil-Fuel Burning Equipment. List the units subject to this rule in Table I-1 below.

Read the rule to determine the specific requirements that apply to each subject unit (“new” or “existing” as defined in the rule). Then go on to question 2b.

No, my facility is not subject to Minn. R. 7011.0500-7011.0551. Go to question 2b.

2b) Is your facility type or process equipment found in Table I-3? This table contains only state-specific requirements; it does not include state rules that incorporate federal rules by reference.

Yes, my facility or process equipment may be subject to the rule associated with it in Table I-3. Read the associated rule to see if it applies. Then go to item 2c.

No, none of the Minnesota Rules listed in Table I-3 apply to my facility. Go to question 3.

2c) After reading through question 2a, Table I-3, and any rule that may apply to your facility or equipment, list the Minnesota standards that do apply to your air emission source(s) in Table I-1 below.

Again, Table I-3 includes only state-specific requirements; it does not include state rules that incorporate federal rules by reference. You do not need to list state rules that incorporate federal rules by reference.

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Table I-1: Equipment Subject to Minnesota Standards of Performance

EQUI ID Number

Minnesota Rule Part that Applies

What the Rule Part Applies to (Whole facility or Specific Piece of Equipment)

(Duplicate This Table As Needed)

3) Standards of Performance for Industrial Process Equipment (Minn. R. 7011.0700 - 7011.0735)

3a) Do you have any industrial process equipment on-site that is not regulated by any other Standard of Performance (NSPS or MN Rules Standard of Performance)? If you have any equipment/emission source that is not listed in Table I-1 above or is subject to NSPSs other than those on Form MG-09D question 1, then the answer to this question is YES.

Yes. Equipment not regulated by another MN Standard of Performance or NSPS is subject to the Industrial Process Equipment Rule. List these individual units in Table I-2, indicating whether the equipment was or was not in operation before July 9, 1969. Then go to item 3b.

No, my equipment is not subject to this rule; skip to item 5.

3b) Opacity Standard

(Note: Opacity is a measure of visible emissions or how much of the view is obscured by stack emissions. The emissions causing opacity are often smoke or dust.)

For industrial process equipment which was in operation before July 9, 1969, the equipment shall not exhibit greater than 20 percent opacity, except that a maximum of 60 percent opacity shall be permissible for four minutes in any 60 minute period and a maximum of 40 percent opacity shall be permissible for four additional minutes in any 60 minute period.

For industrial process equipment which was not in operation before July 9, 1969, the equipment shall not exhibit greater than 20 percent opacity.

Go to 3c.

3c) For each emission unit you listed in Table I-2, indicate whether or not it was in operation before July 9, 1969.

For those units which were in operation before July 9, 1969: If the unit is controlled by control equipment which is at least 99% efficient, complete Table I-2 by checking the box labeled “Collection Efficiency > 99%.” These units are considered to be in compliance with the remaining requirements of this rule.

Are there units listed in Table I-2 for which you are not able to check “Collection Efficiency > 99%” (either because they were not in operation before July 9, 1969, or because they are not controlled with a collection efficiency greater than 99%)?

Yes; go to question 3d.

No, all units listed in Table I-2 are considered to be in compliance due to the collection efficiency of the control equipment they have; skip to item 5.

3d) Has it been demonstrated that the operation of the entire facility in compliance with all ambient air quality standards? This is typically shown through some level of computer dispersion modeling

Yes. Go to question 3e.

No. Skip to item 3i.

3e) Is the facility located outside of the seven county Minneapolis-St. Paul metropolitan region?

Yes. Go to question 3f

No. Skip to item 3i.

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3f) Is the facility located outside of the city of Duluth?

Yes. Go to question 3g.

No. Skip to item 3i.

3g) Is the facility located at least 1/4 mile from any residence or public roadway?

Yes. Go to question 3h.

No. Skip to item 3i.

3h) Answer this question individually for each remaining unit listed in Table I-2 (those which were not identified in question 3c as being controlled by control equipment having a control efficiency of 99% (as applicable)). Does the industrial process equipment have particulate control equipment with a collection efficiency of at least 85%?

Yes, the unit is considered to be in compliance with the remaining requirements of this rule. For each unit for which you can answer “yes” to question 3h, complete Table I-2 by checking the box labeled “Outside MSP & Duluth, ¼ mile from roads/residences, collection efficiency > 85%.”

No. For each unit for which you answered “No” to question 3h, complete Table I-2 as described in item 3i.

3i) Complete Table I-2 for all remaining industrial process equipment listed:

Those existing units not identified in question 3c as being controlled by control equipment having a control efficiency of 99%

Those not identified in question 3h as being “outside MSP & Duluth, ¼ mile from roads/residences, collection efficiency > 85%”

Use Table I-4 to determine the particulate limit in either pounds per hour (lb/hr) or grains per dry standard cubic foot (gr/dscf). Then go to item 5 (follows Table I-2).

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Table I-2: Equipment Subject to Industrial Process Equipment Rule

Equipment Subject to Industrial Process Equipment Rule (list EQUI ID No(s))

Applicable Particulate Limit

In operation before July 9, 1969

Not in operation before July 9, 1969

Collection Efficiency > 99% Outside MSP & Duluth, ¼ mile from

roads/residences, collection efficiency > 85% gr/dscr lb/hr

In operation before July 9, 1969

Not in operation before July 9, 1969

Collection Efficiency > 99% Outside MSP & Duluth, ¼ mile from

roads/residences, collection efficiency > 85% gr/dscr lb/hr

In operation before July 9, 1969

Not in operation before July 9, 1969

Collection Efficiency > 99% Outside MSP & Duluth, ¼ mile from

roads/residences, collection efficiency > 85% gr/dscr lb/hr

In operation before July 9, 1969

Not in operation before July 9, 1969

Collection Efficiency > 99% Outside MSP & Duluth, ¼ mile from

roads/residences, collection efficiency > 85% gr/dscr lb/hr

In operation before July 9, 1969

Not in operation before July 9, 1969

Collection Efficiency > 99% Outside MSP & Duluth, ¼ mile from

roads/residences, collection efficiency > 85% gr/dscr lb/hr

In operation before July 9, 1969

Not in operation before July 9, 1969

Collection Efficiency > 99% Outside MSP & Duluth, ¼ mile from

roads/residences, collection efficiency > 85% gr/dscr lb/hr

In operation before July 9, 1969

Not in operation before July 9, 1969

Collection Efficiency > 99% Outside MSP & Duluth, ¼ mile from

roads/residences, collection efficiency > 85% gr/dscr lb/hr

In operation before July 9, 1969

Not in operation before July 9, 1969

Collection Efficiency > 99% Outside MSP & Duluth, ¼ mile from

roads/residences, collection efficiency > 85% gr/dscr lb/hr

4) Return to Form MG-09, item 9b.

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Table I-3: Minnesota Standards of Performance for Stationary Sources *

Facility or Equipment Type Associated Minnesota Rule Direct Heating Equipment 7011.0600 through 7011.0625

Concrete Manufacturing Plants 7011.0850 through 7011.0865

Stage One Vapor Recovery 7011.0870

Hot Mix Asphalt Plants 7011.0900 through 7011 0925

Bulk Agricultural Commodity Facilities (Grain Elevators) 7011.1000 through 7011.1015

Coal Handling Facilities 7011.1100 through 7011.1140

Incinerators (waste combustors) 7011.1201 through 7011.1285

Sewage Sludge Incinerators 7011.1300 through 7011.1325

Petroleum Refineries 7011.1400 through 7011.1430

Liquid Petroleum and VOC Storage Vessels 7011.1500 through 7011.1515

Sulfuric Acid Plants 7011.1600 through 7011.1630

Nitric Acid Plants 7011.1700 through 7011.1725

Brass and Bronze Plants 7011.1900 through 7011.1915

Iron and Steel Plants 7011.2000 through 7011.2015

Inorganic Fibrous Materials 7011.2100 through 7011.2105

Stationary Internal Combustion Engine (Generators) 7011.2300

Municipal Solid Waste Landfills 7011.3500 through 7011.3505

Asbestos 7011.9921 through 7011.9927

* This table does NOT include Minnesota Rules which incorporate federal NSPS and/or NESHAP by reference.

Table I-4: Instructions for determining your particulate limit

Minnesota has a State rule for the concentration of particulate matter that may be in your exhaust stream. The unit of the standard is grains per dry standard cubic foot. You need to convert your actual exhaust flow to dry standard cubic feet per minute to find the emission limit from the rule.

Sources subject to this rule are required to meet the emission limits established at all times. These limits will vary depending on operating conditions. To determine compliance at any point in time (i.e. for a stack test), follow the steps below:

1. Determine the amount of dry material (subtract any water or moisture content) in pounds per hour that is processed by your equipment.

2. Use Table I-4.1 to determine your allowed emission rate based on process weight rate. If your process weight rate falls between two values on the table, interpolate or extrapolate using the equation:

E 3.59P

2000

0.62

for P < 60,000 lbs/hour; and:

0.16

2000

P31.71E

for P > 60,000 lbs/hour

where:

E = emission rate in lbs/hour; and

P = process weight rate in lbs/hour

3. If your process equipment is vented to the atmosphere, determine the airflow through your stack. Correct to 68 F and 14.7 psi, and correct to remove any moisture in the gas stream to obtain the air flow in dry standard cubic feet per minute (dscfm).

4. Use Table I-4.2 to determine your allowed concentration in grains per dry standard cubic foot (gr/dscf). Interpolate using the equation:

c 1.7627 V 0.3241

where:

c = concentration in gr/dscf,

V = gas volume in dscfm

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5. Determine which of the two emission rates calculated above is less stringent. To convert a concentration (calculated in step 4) to an emission rate (calculated in step 2), use the following equation:

E = c V60

7000

where:

E = emission rate in lbs/hour;

c = concentration in gr/dscf,

V = gas volume in dscfm

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Table I-4.1: Allowed Emission Rate Based on Process Weight Rate

Table I-4.2: Allowed Concentration

Process Rate (lbs/hour)

Emission Rate (lbs/hour)

Source Gas Volume (dscfm)

Concentration (gr/dscf)

100 0.55 7,000 or less 0.100

500 1.53 8,000 0.096

1,000 2.25 9,000 0.092

5,000 6.34 10,000 0.089

10,000 9.73 20,000 0.071

20,000 14.99 30,000 0.062

60,000 29.60 40,000 0.057

80,000 31.19 50,000 0.053

120,000 33.28 60,000 0.050

160,000 34.85 80,000 0.045

200,000 36.11 100,000 0.042

400,000 40.35 120,000 0.040

1,000,000 46.72 140,000 0.038

160,000 0.036

180,000 0.035

200,000 0.034

300,000 0.030

400,000 0.027

500,000 0.025

600,000 0.024

800,000 0.021

1,000,000 or more 0.020

Regardless of the allowable emission rates calculated from Tables I-4.1 and I-4.2, no process equipment is allowed to emit more than 0.30 grains per standard cubic foot of exhaust gas.

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MGCD-05 Part 70 Manufacturing General Permit Compliance Plan for Control Equipment

Air Quality Permit Program

Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

1) Fabric Filters (control codes 016, 017, 018)

Complete the following information for each fabric filter

TREA ID Number:

Control Efficiency Basis (for capture and control efficiencies listed on Form MG-05A1)

Pressure Drop (inches of water column)

Bag leak detector in use?

Subject to CAM?

For an “Other” PSEU?

Control Equipment Rule Yes No Yes No Other

NA

Control Equipment Rule Yes No Yes No Other

NA

Control Equipment Rule Yes No Yes No Other

NA

Control Equipment Rule Yes No Yes No Other

NA

Control Equipment Rule Yes No Yes No Other

NA

Control Equipment Rule Yes No Yes No Other

NA

Control Equipment Rule Yes No Yes No Other

NA

Control Equipment Rule Yes No Yes No Other

NA

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2) Panel/Wall Filters (control codes 058)

Complete the following information for each wall or panel filter.

TREA ID Number:

Control Efficiency Basis (for capture and control efficiencies listed on Form MG-05A2) Subject to CAM? For an “Other” PSEU?

Control Equipment Rule Yes No Other NA

Control Equipment Rule Yes No Other NA

Control Equipment Rule Yes No Other NA

Control Equipment Rule Yes No Other NA

Control Equipment Rule Yes No Other NA

Control Equipment Rule Yes No Other NA

Control Equipment Rule Yes No Other NA

Control Equipment Rule Yes No Other NA

3) Catalytic Oxidation (control code 019, 020, 109)

Complete the following information for each catalytic oxidizer.

TREA ID Number:

Control Efficiency Basis (for capture and control efficiencies listed on Form MG-05A3)

Catalyst Bed Reactivity (units)

Inlet and Outlet Temperatures (degrees F)

Subject to CAM?

For a “Large” or “Other” PSEU?

Control Equipment Rule Inlet:

Outlet:

Yes

No

Large Other

NA

Control Equipment Rule Inlet:

Outlet:

Yes

No

Large Other

NA

Control Equipment Rule Inlet:

Outlet:

Yes

No

Large Other

NA

Control Equipment Rule Inlet:

Outlet:

Yes

No

Large Other

NA

Control Equipment Rule Inlet:

Outlet:

Yes

No

Large Other

NA

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4) Thermal Oxidation (control code 021, 022, 131)

Complete the following information for each thermal oxidizer.

TREA ID Number:

Control Efficiency Basis (for capture and control efficiencies listed on Form MG-05A4)

Combustion Temperature (degrees F)

Inlet and Outlet Temperatures (degrees F)

Residence Time (seconds)

Subject to CAM?

For a “Large” or “Other” PSEU?

Control Equipment Rule Inlet:

Outlet:

Yes

No

Large Other

NA

Control Equipment Rule Inlet:

Outlet:

Yes

No

Large Other

NA

Control Equipment Rule Inlet:

Outlet:

Yes

No

Large Other

NA

Control Equipment Rule Inlet:

Outlet:

Yes

No

Large Other

NA

Control Equipment Rule Inlet:

Outlet:

Yes

No

Large Other

NA

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MG‐CK Part 70-Manufacturing General Permit application requirements

Air Quality Permit Program

Doc Type: Permit Application

Instructions on page 3

a) AQ Facility ID number: b) Agency Interest ID number:

c) Facility name:

Minn. R. 7007.0600 describes what a complete permit application must include. The items in the following list constitute a complete application. Please complete the following to verify that you have included all the needed forms and information.

Included Not included Form When required

SCP-01 Submittal Cover Page Always

MG-00 Qualifications Review List Always

MG-CK Part 70 Manufacturing General Permit Application Requirements Always

MGCR-02 Hood Evaluation and Certification When facility includes control equipment not a total enclosure, except when the equipment is not yet constructed.

MGIA-01 Insignificant Activities List When the facility includes insignificant activities

MG-01 Facility Information Always

MG-02 Process Flow Diagram Always

Separate Flow Diagram When not drawn directly on MG-02

MG-03 Building Information and Stack/Vent Diagram Always

Buildings, General (facility-specific AQ SI details report, obtained from Minnesota Pollution Control Agency (MPCA))

Always for a currently permitted facility (even if not marked-up)

Separate Building and Stack/Vent diagram When not drawn directly on MG-03

MG-04 Stack/Vent Information Always

Stack/Vent, General (facility-specific AQ SI details report, obtained from MPCA) Always for a currently permitted facility (even if not marked-up)

MG-05A1 Pollution Control Equipment Information for Fabric Filters When facility includes fabric filters

MG-05A2 Pollution Control Equipment Information for Wall Filters When facility includes wall filters

MG-05A3 Pollution Control Equipment Information for Catalytic Oxidizers When facility includes catalytic oxidizers

MG-05A4 Pollution Control Equipment Information for Thermal Oxidizders When facility includes thermal oxidizers

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Included Not included Form When required

AQ SI details reports with SI category Treatment (facility-specific AQ SI details reports, obtained from MPCA) Always for a currently permitted facility (even if not marked-up)

MG-05B1 Emission Unit Information for Boilers When facility includes boilers

MG-05B2 Emission Unit Information for Ovens When facility includes ovens

MG-05B3 Emission Unit Information for Furnaces When facility includes furnaces

MG-05B4 Emission Unit Information for Stationary Internal Combustion Engines When facility includes stationary internal combustion engines

MG-05B5 Emission Unit Information for Abrasive Blasting or Sanding Booths When facility includes abrasive blasting or sanding booths

MG-05B6 Emission Unit Information for Non-Fiberglass Spraying/Coating Booths When facility includes non-fiberglass coating operations

MG-05B7 Emission Unit Information for Fiberglass Operations When facility includes fiberglass operations

MG-05B8 Emission Unit Information for Dip Tanks When facility includes dip tanks

MG-05B9 Emission Unit Information for Degreasers When facility includes degreasers

Emission Units 1 (facility-specific AQ SI details report, obtained from MPCA) Always for a currently permitted facility (even if not marked-up)

Emission Units 2 (facility-specific AQ SI details report, obtained from MPCA) Always for a currently permitted facility (even if not marked-up)

MG-05C Tank Information Always for a currently permitted facility with tanks

Aboveground Storage Tanks, General (facility-specific AQ SI details report, obtained from MPCA) Always for a currently permitted facility with tanks (even if not marked-up)

Underground Storage Tanks, General (facility-specific AQ SI details report, obtained from MPCA) Always for a currently permitted facility with tanks (even if not marked-up)

MG-05D Fugitive Emission Source Information Always for a currently permitted facility with fugitive sources

Fugitive Sources (facility-specific AQ SI details report, obtained from MPCA) Always for a currently permitted facility with fugitive sources (even if not marked-up)

MG-05F Emission Source Associations Always

SI – SI relationships (facility-specific AQ SI details report, obtained from MPCA and printed on non-white paper)

Always (even if not marked-up)

MG-07 Facility Emissions Summary Always

Electronic spreadsheet containing all calculations Always – submit CD with application

MG-09 Requirements Form Always

MG-09A NESHAP for Source Categories (40 CFR. Pt. 63) Always

MG-09B NESHAP (40 CFR pt. 61) Always

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Included Not included Form When required

MG-09C New Source Review (40 CFR pt. 52.21) Always

MG-09D NSPS (40 CFR pt. 60) Always

MG-09E Acid Rain (40 CFR pt. 72) Always

MG-09F Stratospheric Ozone Protection (40 CFR pt. 82) Always

MG-09G Risk Management Plan for Accidental Chemical Release Prevention (40 CFR pt. 68) Always

MG-09H Compliance Assurance Monitoring (40 CFR pt. 64) Always

MG-09I State Rules Always

MG-06 Compliance Certifications Always

MGCD-05 Compliance Plan for Control Equipment If the facility has control equipment

Instructions for form CK‐01‐R 1a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility Identification (ID) number. This is the first eight digits of the permit number for all permits issued under the

operating permit program. If you don’t know this number, leave this line blank.

1b) Agency Interest ID number -- Fill in your Agency Interest ID number. This is an ID number assigned to your facility through the Tempo database. If you don’t know this number, leave this line blank.

2) Facility name -- Enter your facility name.

3) Complete each line of the table by checking the appropriate box, indicating that the specified form or attachment is included or not included in the application.

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MG-CMP Part 70 Manufacturing General Permit Compliance Management Plan

Air Quality Permit Program

Doc Type: Permit Application

Facility Information

Complete this section of this form only once for the facility.

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

MPCA Use Only

Date Received:

Staff Reviewer:

Date Reviewed:

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

1) Reporting Period:

This form is to be submitted within 60 days after the permit is issued to your facility.

Applicable Emissions Limitations and/or Control Requirements

Repeat this table or include extra sheets as necessary to include all emission units on site and update as necessary throughout the duration of the permit to include new equipment. Specify the operation(s) and/or equipment which constitute this emission unit or group units listed in the following table along with applicable rules and/or requirements and the applicable emissions limitations and/or control measures. Emissions from this unit or group shall not exceed the listed limitations, and the listed control measures shall be used.

Emission Source ID

No.

Operations and / or

Equipment

Applicable Rules / Requirements

Applicable Emissions Limitations / Control

Measures

Monitoring, Record Keeping and/ or Testing

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MGCR-02 Part 70 Manufacturing

General Permit Hood Evaluation and Certification

Air Quality Permit Program

Doc Type: Permit Application Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

2) Emission Unit (EQUI) No(s):

3) Emission Unit Characteristics:

4) Pollutant(s) emitted:

5) Is there a recommended hood design for this application in the Industrial Ventilation Manual referenced in the instructions?

Yes, go to question 6.

No, go to question 18.

6) Edition of the Manual referenced:

7) Page No(s):

8) Attach a separate page with a drawing of recommended and actual hood dimensions; indicate if the recommended dimensions are minimum or maximum or constrained in some other way.

Recommended Actual units units

9) Capture Velocity

10) Hood Air Flow

min max

11) Hood Face Velocity

12) Slot Velocity

13) Plenum Velocity

min max

14) Duct Velocity

min max

15) Fan Rotation Speed

16) Fan Power Draw

17) Attach a separate page showing the capture velocity test plan on a drawing or a sketch.

18) If the hood design does not conform to the recommendations of the Manual, or if there is no recommended design for this application, describe your plans to determine the hood capture efficiency below:

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Hood Certification

This certification must be signed by a responsible official and submitted with any application for which the applicant wants to claim a capture efficiency for pollutant-collecting hoods as described in the instructions for the MG-05A forms by having the design of the hood evaluated by qualified personnel. The permitted capture efficiency for certified hoods is 80%.

Emission Unit (EQUI) ID No.(s)

Control Equipment (TREA) ID

No.(s)

Hood Capture Efficiency

Pollutant(s) Controlled

80%

I certify under penalty of law that the aforementioned hood(s) has (have) been evaluated under my direction or supervision by qualified personnel and that, to the best of my knowledge and belief, the (each) hood conforms to the design and operating practices recommended in "Industrial Ventilation - A Manual of Recommended Practices, American Conference of Governmental Industrial Hygienists," current edition.

Authorized Representative

Print name: Title:

Signature: Date (mm/dd/yyyy):

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MGCR‐04 Part 70 Manufacturing General Permit

Annual compliance certification report Air Quality Permit Program 

Doc Type: Compliance Certification

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

Forward To: Air Quality Compliance Tracking Coordinator Minnesota Pollution Control Agency 520 Lafayette Road North Saint Paul, Minnesota 55155-4194

a) AQ Facility ID number: b) Agency Interest ID number:

c) Facility name:

1) This certification report covers the period of January 1 – December 31, (year)

2) Has the 12-month rolling sum of actual emissions been calculated for each pollutant by the last day of each month during this reporting period?

No. Report the deviation on the Deviations Reporting Form (DRF), if you have not ready done so, and continue to number 3.

Yes. Continue to number 3.

3) Have the facility’s actual emissions remained below the 90 tons per year for PM10, NOx, CO, SO2, and Pb and 240 tons per year for Volatile Organic Compounds (VOCs) thresholds during the reporting period?

No. The facility is no longer eligible for the Manufacturing General Permit, and must apply for an individual permit consistent with Minn. R. 7007.0500. Report the deviation on a DRF, if you have not already done so, and continue to number 4.

Yes. Continue to number 4.

4) If you facility is subject to process specific rules ( such as New Sources Performance Standards, and National Emission Standards for Hazardous Air Pollutants) has the facility maintained compliance with those rules during the reporting period?

No. Report the deviation on the DRF, if you have not already done so, and continue to number 5.

Yes. Continue to number 5.

5) Has the facility maintained an updated Compliance Management Plan as described in the Manufacturing General Permit?

No. Report the deviation on the DRF, if you have not already done so, and continue to number 6.

Yes. Continue to number 6.

6) Did the facility submit an Equipment Inventory List Report by January 30 for the previous calendar year?

No. Report the deviation on the DRF, if you have not already done so, and continue to number 7.

Yes. Continue to number 7.

7) Did the facility submit an Annual Emissions Inventory Report by April 1 for the pervious calendar year?

No. Report the deviation on the DRF, if you have not already done so, and continue to number 8.

Yes. Continue to number 8.

8) If the facility had any deviations from permit requirements during the reporting period, did the facility submit the appropriate DRF?

No. Report the deviation on the DRF, if you have not already done so, and continue to number 9.

Yes. Continue to number 9.

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9) On the next page, list all DRFs that were submitted to the Minnesota Pollution Control Agency (MPCA) for the reporting period. Include DFRs that are being sent with this certification. Attached additional pages if necessary. Continue to the Certification.

Reports that were submitted to the MPCA and which included deviations  Check here if no deviations have been reported. Only list reports which included deviations.

Type of deviation report Period covered by report Date of cover letter accompanying report

Certification I certify under penalty of law that I have reviewed this facility’s compliance status with respect to all permit conditions for the above specified calendar year. I have determined, to the best of my knowledge, that this facility has been in continuous compliance with all permit conditions with the exception of those requirements listed in the above deviations report(s) which have been submitted to the Air Quality Compliance Tracking Coordinator at the MPCA:

Permittee Responsible Official: Co-Permittee Responsible Official (if applicable)

Mr./Ms. Mr./Ms.

Title: Title:

Signature: Signature:

Date (mm/dd/yyyy): Date (mm/dd/yyyy):

Note: The individual signing must meet the definition of “responsible official” in Minn. R. 7007.0100, subp. 21.

General information about deviation and compliance reporting If you have a Part 70 Manufacturing General Permit (MGP), you must use the “Deviation reporting forms” (DRF) to report any deviations (noncompliance with a permit condition or applicable requirement). Regardless of whether any deviations occurred at your facility, MGP Permittees must submit a “Part 70 Manufacturing General Permit - Annual compliance certification report” (MGCR-04) by January 30 of each year for the previous calendar year. Permittees must submit DRFs semi-annually even if no deviations occurred during the half-year. The DRFs are due before July 30 for the period of January 1 to June 30 and before January 30 for the period of July 1 to December 31.

Deviation reporting forms (DRF-1 and DRF-2) and the Part 70 Manufacturing General Permit - Annual compliance certification report (MGCR-04) must be used unless the MPCA approves another format.

DRF-1 is the form you should use to report deviations recorded by your facility’s continuous monitoring systems (CMS). If you have a CMS where the data is recorded continuously (e.g., using a strip chart recorder or a computer), you must DRF-1 from the MPCA general compliance form.

DRF-2 is the form you should use to report deviation recorded by periodic monitoring systems or deviations identified through recordkeeping (e.g., fuel use records). Periodic monitoring systems are systems in which the data collected is not recorded continuously (e.g., a temperature monitor where the data is recorded manually or recorded every 15 minutes).

MGCR-04 is the form that you must use to report your compliance status for each year.

Please be sure that a responsible official, as defined in Minn. R. 7007.0100, subp. 21, signs all reports. Print the official’s name and indicate his or her title. Mail the form to the address(s) listed on the bottom of the form.

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MG-EIL Part 70 Manufacturing General Permit Equipment Inventory List

Air Quality Permit Program

Doc Type: Permit

Date of this revision (mm/dd/yyyy):

a) AQ Facility ID No.: b) Agency Interest ID No.:

c) Facility Name:

1) Facility equipment.

Type of Equipment (EQUI, TREA, STRU)

Serial Number

Manufacturer Date of construction/ reconstruction

(MM/DD/YY)

Date of Installation

(MM/DD/YY)

Which NSPS is the unit subject to? (if subject, attach a copy of the notifications)

Which NESHAP is the unit subject to? (if subject, attach a copy of the notifications)

Did you re-evaluate to determine if your actual emissions will remain below the thresholds in the permit?

Did you re-evaluate to determine if you still qualify for this permit?

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Handbook and  application instructions 

Part 70 Manufacturing General Permit Air Quality Permit Program 

Doc Type: Permit Application

Introduction 

Who may qualify for this General Permit?

This General Permit is intended for a facility which manufacturers a product from metal or plastic or possibly other materials. The facility typically will have the following types of equipment which produce air pollutants:

abrasive blasting adhesive bag houses boilers burn-off ovens casting catalytic or thermal afterburners cleaning (including acid cleaning, degreasers, general

cleanup with solvents) dip tanks fabric filters fuel storage furnaces injection molding internal combustion engines (generators) lamination

mixing molding ovens resin and gel coating sanding screen printing space heaters spraying and coating activities stenciling storage tanks wall/panel filters water wash paint booths any of the insignificant activities listed in Minn.

R.7007.1300 and/or conditionally insignificant activities listed in Minn. R. 7008

The facility must have or plan to install particulate emission control devices for all spray painting and coating operations and must comply with the Control Equipment Performance Standard, Minn. R. 7007.0060 - 7007.0080 for those control devices.

The facility must control fugitive emissions by application of water on exposed surfaces.

The facility must be able to comply with the permit conditions which limit potential-to-emit (PTE) volatile organic compounds (VOC) to less than 250 tons per year and all other criteria pollutants to less than 100 tons per year.

The facility must have a Compliance Management Plan, which is site specific.

The facility must comply with the Compliance Assurance Monitoring Plan, if applicable.

The facility must be in compliance with all applicable requirements except the following:

The facility may be in noncompliance with the requirement to have a permit if the issuance of this general permit resolves the noncompliance.

If the facility is subject to 40 CFR pt. 60, subp. Kb and/or 40 CFR pt. 60, subp. IIII, and has not complied with the reporting or testing requirements, the facility may be issued this general permit if it will comply with the compliance schedule in the general permit.

If the facility is subject to 40 CFR pt. 63, subp. T, DDDDD, MMMM, PPPP, WWWW, and/or ZZZZ, and has not complied with the initial notification, the facility may be issued this general permit if it will comply with the compliance schedule in the general permit.

Who does not qualify for this General Permit?

The facility may not have any emission units or activities which are not included in the list above.

The facility may not have any emission units which are subject to a Standard of performance for New Stationary Sources, 40 CFR pt. 60, other than 40 CFR pt. 60, subp. Kb, for liquid storage tanks, and subp. IIII, for stationary compression ignition (CI) internal combustion engines.

If the NSPS subp. IIII applies, the engines must fit in one of the following categories:

existing, non-emergency CI engines, 100 < brake Hp < 300; existing, emergency CI engines, brake Hp < 500; and new CI engines, brake Hp < 500.

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If the NSPS subp. Kb applies, the tank must have a capacity less than 151 cubic meters, and store a liquid with a maximum true vapor pressure less than 27.6 kPa.

The facility may not be subject to any National Emission Standard for Hazardous Air Pollutants (NESHAP) other than the following subparts of 40 CFR pt. 63:

halogenated solvent cleaning machines (subp. T); industrial, commercial and institutional boilers and process heaters (subp. DDDDD); surface coating of miscellaneous metal parts and products (subp. MMMM); surface coating of plastic parts and products (subp .PPPP); reinforced plastic composites production (subp. WWWW); and internal combustion engines (subp. ZZZZ).

A facility which becomes subject to determining a case-by-case MACT (maximum achievable emission limit) under Section 112(g) of the federal Clean Air Act is not eligible for this permit, and must apply for an individual Part 70 permit prior to the construction or reconstruction of the major HAP emitting source/unit.

The facility may not use painting or coating materials that contain lead.

If the facility uses trichloroethylene (TCE), there must be a commitment to discontinue using TCE within 6 months of issuance of the general permit.

The facility may not be one of the following types of stationary sources:

1. Fossil fuel-fired steam electric plants of more than 250 million British thermal units per hour heat input

2. coal cleaning plants (with thermal dryers)

3. kraft pulp mills

4. portland cement plants

5. primary zinc smelters

6. iron and steel mill plants

7. primary aluminum ore reduction plants

8. primary copper smelters

9. municipal incinerators capable of charging more than 250 tons of refuse per day

10. hydrofluoric, sulfuric, and nitric acid plants

11. petroleum refineries

12. lime plants

13. phosphate rock processing plants

14. coke oven batteries

15. sulfur recovery plants

16. carbon black plants (furnace process)

17. primary lead smelters

18. fuel conversion plants

19. sintering plants

20. secondary metal production plants

21. chemical process plants

22. fossil fuel boilers (or combinations thereof) totaling more than 250 million British thermal units per hour heat input

23. petroleum storage and transfer units with a total storage capacity exceeding 300,000 barrels,

24. taconite ore processing plants

25. glass fiber processing plants

26. charcoal production plants

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Application instructions

Application forms

See the Application Forms Master List for Part 70 Manufacturing General Permit Applications for the list of necessary application forms for this general permit (form MGmaster).

Emissions calculations In addition to the required forms, detailed potential emissions calculations for a facility must be included in a permit application (required by Minn. R. 7007.0500, subp. 2). These calculations are necessary to complete form MG-07 (Facility Emissions Summary).

Detailed emission calculations must be included in the permit application in two ways:

1. Printed out in the permit application (they may be printed to PDF and included on the CD if the application is submitted electronically); and

2. In an editable spreadsheet format. This can be included on a CD with the permit application, or emailed to the Minnesota Pollution Control Agency (MPCA) upon request. In the editable spreadsheet format, all formulas/equations need to be provided in the calculated cells of the spreadsheet.

To complete emission calculations, the following webpage has detailed instructions on the MPCA website at https://www.pca.state.mn.us/air/emission-calculations.

Minnesota Rules and Federal Regulations require facilities that emit air pollutants to obtain air emission permits. Minnesota has been granted authority by the U. S. Environmental Protection Agency (EPA) to enforce the federal requirements. If you are required to obtain a permit, the MPCA will issue you one permit which will cover both state and federal requirements. The following steps guide you through Minnesota's air emission permit application process. Please call the MPCA at 651-296-6300 or 800-657-3864, if you have any questions concerning an air emission permit application.

Step 1: Decide whether or not you need an air emission permit. You need an air emission permit to construct, modify, reconstruct or operate any facility in Minnesota that has the "potential" to emit an air pollutant in an amount greater than or equal to the following:

Pollutant Threshold

Carbon Monoxide (CO) 100 tons per year

Particulate Matter smaller than 10 microns (PM10) 25 tons per year

Particulate Matter smaller than 2.5 microns (PM2.5) 100 tons per year

Particulate Matter (PM) 100 tons per year

Volatile Organic Compounds (VOC) 100 tons per year

Nitrogen Oxides (NOX) 100 tons per year

Sulfur Dioxide (SO2) 50 tons per year

Lead (Pb) 0.5 tons per year

Any single Hazardous Air Pollutant (HAP) * 10 tons per year

All Hazardous Air Pollutants combined 25 tons per year * The list of Hazardous Air Pollutants is included on form MG-09A.

Potential-to-emit (defined in Minn. R. 7005.0100, subp. 35a) is calculated assuming that your equipment is running at maximum capacity while operating at the maximum hours of operation (8760) under its physical and operational design. If you think you may need an air emission permit, you should complete an air emission application.

Important: If your facility's potential-to-emit is above the threshold levels listed above, but actual emission are much lower, you may be eligible for a simpler registration permit or capped permit. If you qualify for a registration permit or a capped permit, you will not need to fill out these application materials. Instead, shorter, simplified application materials are available. To obtain copies of registration permit application materials, contact the MPCA at 651-296-6300 or 800-657-3864. Registration permit requirements are described in Minn. R. 7007.1110 -7007.1130.

Step 2: Decide if you qualify for this general permit

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Complete form MG-00, and MG-09 Series simultaneously to determine if your facility qualifies for this general permit.

Step 3: Get the forms you need.

You must make sure that you have all of the forms necessary to fill out a complete application for your facility. To do this, refer to the Application Forms Master List for Part 70 Manufacturing General Permit Applications above. Check the list, and if you see a form listed that you do not have, go to the MPCA website at https://www.pca.state.mn.us/air/air-permit-forms-and-online-submittals.

Step 4: Fill out the forms and any additional information required.

The forms may be filled out in any order, but following the steps below may make the process easier. Please do not submit the instructions with your submittal. If a question or box does not apply to you, fill in "Not Applicable" or "NA".

1. Check the Insignificant Activities lists, form MGIA-01. Some of the equipment at your facility may not need to be included in the PTE calculation or listed in the application;

2. Complete MGCR-02, if applicable;

3. Fill out forms MG-01 through MG-05D and MG-05F, to describe your facility. You may find it useful to fill out forms MG-01, MG-02, and MG-03 simultaneously; You may find it useful to fill out forms MG-04, MG-05A, MG-05B, MG-05C, and MG-05D before completing MG-02 and MG-03;

4. Complete the Compliance Data form MG-06. On this form, you will indicate whether you are in compliance with all requirements;

5. Calculate the potential to emit for each individual emission unit (on the MPCA website at https://www.pca.state.mn.us/air/emission-calculations) and complete the facility emission summary form (MG-07);

6. Read and sign the certifications on form SCP-01; and

7. Complete the Compliance Management Plan (MG-CMP), and submit it within 60 days of permit issuance. Update the plan when applicable to reflect any change to your facility;

Step 5: Submit two copies of your application to the MPCA.

The MPCA will send an email indicating the date that your application was received. The agency will then determine whether your application is "administratively complete." If the agency finds that there is any information missing from the application, the application may be returned to you. The application will then be reviewed for technical completeness, and it may be returned to you or you may be asked to supply more information if it is found to be incomplete. The MPCA has 60 days to complete the review process before any permit issuance timelines begin, but can request additional information after the 60-day review period, if needed. If 60 days elapse before your application is reviewed, it is automatically deemed “complete”, but the MPCA may still ask for additional information at a later date.

References you may need The following references may be helpful in completing your application.

Code of Federal Regulations (CFR)

Available on the U.S. Government Publishing Office website at http://www.ecfr.gov/cgi-bin/text-idx?tpl=/ecfrbrowse/Title40/40tab_02.tpl

Minn. R. pts. 4410, 7002, 7005, 7007, 7008, 7009, 7011, 7017, 7019, 7021, 7030

Available on the MPCA website at https://www.pca.state.mn.us/air/air-rules-and-rulemaking-business

New Source Review Workshop Manual: Prevention of Significant Deterioration and Nonattainment Area Permitting - Draft October 1990.

U.S. Environmental Protection Agency, Office of Air Quality Planning and Standards Available on the EPA website at https://www.epa.gov/sites/production/files/2015-07/documents/1990wman.pdf

Air Pollution Engineering Manual, 2nd Ed.

Air and Waste Management Association. 2000. Available for purchase through several online sellers.

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EPA emission factor references 

AP-42 Compilation of Air Pollutant Emission Factors

Volume I. Stationary Point and Area Sources 5th Edition

Available online at www.epa.gov/ttn/chief/ap42/index.html.

AP-42 and its supplements compile emission factors and descriptions of the activities that product criteria pollutant emissions for most stationary point and area sources. The emissions data in the AP-42 document have been gathered from source tests, material balance studies, and engineering estimates. Volume II of AP-42 contains information on mobile source emissions.

WebFire (Web Factor Information Retrieval System)

Available online at http://cfpub.epa.gov/oarweb/index.cfm?action=fire.main

AIRS Facility Subsystem Source Classification Codes and Emission Factor List for Criteria Air Pollutants

EPA #450/4-90-003 AIRS information is also available via the Internet through the following address:

Available online at http://nepis.epa.gov/Exe/ZyPURL.cgi?Dockey=2000NAHA.TXT.

Other sources of emission factors, including hazardous air pollutants, are available online at https://www.epa.gov/air-emissions-factors-and-quantification/emissions-estimation-tools.

Instructions for form MG‐00: Manufacturing General Permit qualifications review list a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number. This is the first eight digits of the

permit number for all permits issued under the operating permit program. If your facility has never been issued a permit under this program, leave this line blank.

b) Agency Interest ID number -- Fill in your Agency Interest ID number. This is an ID number assigned to your facility through the Tempo database. If you don’t know this number, leave this line blank.

c) Facility name – Enter your Facility name.

The remaining instructions for the MG-00 form set are contained within the form.

Instructions for form MG‐09: Requirements form a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name – Enter your Facility name as on form MG-00, item c.

The remaining instructions for form MG-09 and its associated forms MG-09A through MG-09I are contained within the form.

Instructions for form MGIA‐01: Insignificant activities a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name – Enter your Facility name as on form MG-00, item c.

1) Does the facility include insignificant activities that are required to be listed? – These are the activities listed in Tables MGIA-01.2, MGIA-01.3, and MGIA-01.4 below. If the answer is “yes,” then

Check the boxes as appropriate for activities at your stationary source that are in the table provided. Provide a brief description of any activities at your stationary source. Fill out a separate row for each listed

activity. Provide enough detail in your description so it is clear how the emission unit(s) at your source meet the definition of the insignificant activity. For example, insignificant activity subpart 3(E)(1) corresponds to gasoline storage tanks with a combined total tankage capacity of not more than 10,000 gallons. If you have gasoline storage tanks that meet this definition, indicate the total capacity of your tanks to show that it is under 10,000 gallons.

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If you run out of room on the table, make additional copies of the form.

Four tables of insignificant activities are provided below.

Table MGIA-01.1, Insignificant Activities Not Required to be Listed, lists those activities that do not need to be included in your permit application.

Table MGIA-01.2, Insignificant Activities Required to be Listed; Table MGIA-01.3, Insignificant Activities Required to be Listed for Part 70 Sources; and Table MGIA-01.4, Conditionally Insignificant Activities, list those activities that must be included in your application, on form MGIA-01.

Table MGIA-01.1 Insignificant activities not required to be listed (Minn. R. 7007.1300, subp. 2)

The activities described below are not required to be listed in your permit application under Minn. R. 7007.0500, subp. 2(C)(2).

2(A). Fuel use:

1. production of hot water for on-site personal use not related to any industrial process;

2. fuel use related to food preparation by a restaurant or cafeteria; and

3. fuel burning equipment with a heat input capacity less than 19,000 Btu per hour, but only if the combined total heat input capacity of all fuel burning equipment at the stationary source with a heat input capacity less than 19,000 Btu per hour is less than or equal to 420,000 Btu per hour. For example: Facility A has ten fuel burning emission units, each with a capacity of 18,000 Btu per hour. The ten units are all an insignificant activity under this subitem, because their combined capacity is less than 420,000 Btu per hour (i.e., 10 x 18,000 Btu/hr = 180,000 Btu/hr ≤ 420,000 Btu/hr). Facility B has 31 fuel burning emission units, each with a capacity of 18,000 Btu/hr. None of the 31 units are an insignificant activity under this subitem, because their total combined capacity is greater than 420,000 Btu per hour (i.e., 31 x 18,000 Btu/hr = 558,000 Btu/hr > 420,000 Btu/hr).

2(B). Plant upkeep:

1. routine housekeeping or plant upkeep activities not associated with primary production processes at the stationary source, such as painting buildings, retarring roofs, or paving parking lots;

2. routine maintenance of buildings, grounds, and equipment;

3. use of vacuum cleaning systems and equipment for portable steam cleaning;

4. clerical activities such as operating copy machines and document printers, except operation of such units on a commercial basis;

5. janitorial activities;

6. sampling connections used exclusively to withdraw materials for laboratory analysis and testing; and

7. use of handheld aerosol spray cans for routine building and equipment maintenance.

2(C). Fabrication operations:

1. equipment used for the inspection of metal products;

2. equipment used exclusively for forging, pressing, drawing, spinning, or extruding hot or cold metals;

3. equipment used exclusively to mill or grind coatings and molding compounds where all materials charged are in paste form; and

4. mixers, blenders, roll mills, or calendars for rubber or plastics for which no materials in powder are added and in which no organic solvents, diluents, or thinners are used.

2(D). Processing operations:

1. closed tumblers used for cleaning or deburring metal products without abrasive blasting;

2. equipment for washing or drying fabricated glass or metal products, if no VOCs are used in the process, and no gas, oil, or solid fuel is burned;

3. blast cleaning operations using suspension of abrasive in water or sponge media;

4. open tumblers with a batch capacity of 1,000 pounds or less used for cleaning or deburring metal products;

5. equipment used for buffing, polishing, carving, cutting, drilling, machining, routing, sanding, sawing, surface grinding, or turning, provided that the equipment is:

a) handheld; or

b) infrequently used and not associated with the primary production processes at the stationary source; and

6. ultraviolet-light curing or disinfection processes.

2(E). Storage tanks:

1. pressurized storage tanks for anhydrous ammonia, liquid petroleum gas (LPG), liquid natural gas (LNG), or natural gas;

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2. storage tanks holding lubricating oils;

3. above and below ground fuel oil storage tanks with a combined total tankage capacity of less than 100,000 gallons;

4. gasoline storage tanks with a combined total tankage capacity of less than 2,000 gallons; and

5. storage tanks holding inorganic liquids, including water, except for acids that volatilize hazardous air pollutants or volatile organic compounds.

2(F). Drain, waste, and vent piping:

1. stacks or vents to prevent escape of sewer gases through plumbing traps, not including emissions associated with processing at wastewater treatment plants;

2. sewer maintenance access covers and shafts;

3. sludge and septage landspreading sites;

4. sludge loadout pumping operations for publicly owned treatment works with a design flow less than 5,000,000 gallons per day; and

5. odor control systems on components of publicly owned treatment works collection systems.

2(G). Residential activities: typical emissions from residential structures, not including:

1. fuel burning equipment with a total capacity of 420,000 Btu/hour or greater; and

2. emergency backup generators.

2(H). Recreational activities: use of the following for recreational purposes:

1. fireplaces;

2. barbecue pits and cookers; and

3. kerosene fuel use.

2(I). Health care activities: activities and equipment directly associated with the diagnosis, care, and treatment of patients in medical or veterinary facilities or offices, not including support activities such as power plants, heating plants, emergency generators, incinerators, or other units affected by applicable requirements as defined in Minn. R. 7007.0100, subp. 7.

2(J). Miscellaneous:

1. safety devices, such as fire extinguishers, if associated with a permitted emission source, but not including sources of continuous emissions;

2. flares to indicate danger to the public;

3. vehicle exhaust emissions from the operation of mobile sources at a stationary source;

4. purging of natural gas and liquid petroleum gas lines;

5. natural draft hoods, natural draft ventilation, comfort air conditioning, or comfort ventilating systems not designed or used to remove air contaminants generated by, or released from specific units of equipment;

6. funeral home embalming processes and associated ventilation systems;

7. use of consumer products, including hazardous substances as that term is defined in the Federal Hazardous Substances Act, where the product is used at academic and health care institutions in the same manner as normal consumer use;

8. equipment used exclusively for packaging:

a) lubricants or greases; or

b) waterborne adhesives, coatings, or binders;

9. equipment used exclusively for mixing and blending materials at ambient temperature to make waterborne adhesives, coatings, or binders;

10. equipment used for hydraulic or hydrostatic testing;

11. plasma- or laser-cutting operations using a water table;

12. blueprint copiers and photographic processes;

13. equipment used exclusively for melting or applying wax;

14. nonasbestos equipment used exclusively for bonding lining to brake shoes;

15. solvent distillation equipment with a batch capacity of 55 gallons or less; and

16. electric steam sterilizers.

2(K). Demonstration projects conducted by a teaching institution, where the sole purpose of a demonstration project is to provide an actual functional example of a process unit operation to the students or other interested parties, where actual operating hours of each emissions unit must not exceed a total of 350 hours in a calendar year and where the emissions unit is not used to dispose of waste materials.

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2(L) Commercial self-service laundries, not including dry cleaners or industrial laundries.

Table MGIA-01.2 Insignificant activities required to be listed (Minn. R. 7007.1300, subp. 3)

The activities described below must be listed in your permit application.

3(A). Fuel use: space heaters fueled by, kerosene, natural gas, or propane, but only if the combined total heat input capacity of all space heaters at the stationary source is less than or equal to 420,000 Btu per hour. A space heater is a heating unit that is not connected to piping or ducting to distribute the heat.

3(B). Infrared electric ovens and indirect heating equipment:

1. infrared electric ovens; and

2. indirect heating equipment with a heat input capacity less than 420,000 Btu per hour, but only if the total combined heat input capacity of all indirect heating equipment at the stationary source with a heat input capacity less than 420,000 Btu per hour is less than or equal to 1,400,000 Btu per hour. For example: Facility A has three furnaces, each with a capacity of 400,000 Btu per hour. The three units are all an insignificant activity to be listed under this subitem, because their combined capacity is less than 1,400,000 Btu per hour. Facility B has six furnaces, each with a capacity of 400,000 Btu per hour. None of the six units is an insignificant activity under this subitem, because their total combined capacity is greater than 1,400,000 Btu per hour.

3(C). Storage tanks:

1. gasoline storage tanks with a combined total tankage capacity of not more than 10,000 gallons; and

2. non-hazardous air pollutant VOC storage tanks with a combined total tankage capacity of not more than 10,000 gallons of non-hazardous air pollutant VOCs and with a vapor pressure of not more than 1.0 psia at 60 degrees Fahrenheit.

3(D). Emissions from a laboratory, as defined in this item. "Laboratory" means a place or activity devoted to experimental study or teaching in any science, or to the testing and analysis of drugs, chemicals, chemical compounds or other substances, or similar activities, provided that the activities described in this sentence are conducted on a laboratory scale. Activities are conducted on a laboratory scale if the containers used for reactions, transfers, and other handling of substances are designed to be easily and safely manipulated by one person. If an emission facility manufactures or produces products for profit in any quantity, it may not be considered to be a laboratory under this item. Support activities necessary to the operation of the laboratory are considered to be part of the laboratory. Support activities do not include the provision of power to the laboratory from sources that provide power to multiple projects or from sources which would otherwise require permitting, such as boilers that provide power to an entire facility.

3(E). Miscellaneous brazing, soldering, torch-cutting, or welding equipment.

3(F). Individual emissions units at a stationary source, each of which have a potential to emit the following pollutants in amounts less than:

1. 4,000 lbs/year of carbon monoxide;

2. 2,000 lbs/year each of nitrogen oxide, sulfur dioxide, particulate matter, particulate matter less than ten microns, volatile organic compounds (including hazardous air pollutant-containing VOCs), and ozone; and

3. 1,000 tons per year of CO2e.

3(G). Fugitive Emissions from unpaved entrance roads and parking lots, except from a stationary source applying for an Option D registration permit under Minn. R. 7007.1130.

Table MGIA-01.3 Insignificant activities required to be listed for part 70 sources (Minn. R. 7007.1300, subp. 4)

Part 70 permits: If you are applying for an initial part 70 permit, activities that are not listed in Table MGIA-01.1, but have potential emissions less than those in this table may be included as insignificant activities to be listed in your part 70 permit application. If you use this form for subsequent permit actions, only include existing emissions units that were identified in the original part 70 permit as insignificant activities under Minn. R. 7007.1300, subp. 4. New emissions units do not qualify under Minn. R. 7007.1300, subp. 4. as insignificant activities. Verify that existing emissions units continue to qualify.

4. Individual emissions units at a stationary source, each of which have potential emissions less than the following limits:

A. 5.7 lbs/hr of carbon monoxide or actual emissions of two tons per year of carbon monoxide;

B. 2.28 lbs/hr or actual emissions of one ton per year for particulate matter, particulate matter less than ten microns, nitrogen oxides, sulfur dioxide, and volatile organic compounds;

C. for hazardous air pollutants, emissions units with:

1. potential emissions of 25% or less of the hazardous air pollutant thresholds listed in Minn. R 7007.1300, subp. 5; or

2. combined HAP actual emissions of one ton per year unless the emissions unit emits one or more of the following HAPs: carbon tetrachloride; 1,2-dibromo-3-chloropropane; ethylene dibromide; hexachlorobenzene; polycyclic organic matter; antimony compounds; arsenic compounds, including inorganic arsine; cadmium compounds; chromium compounds; lead compounds; manganese compounds; mercury compounds; nickel compounds; selenium compounds; 2,3,7,8-tetrachlorodibenzo-p-dioxin; or dibenzofuran. If the emissions unit

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emits one or more of the HAPs listed in this subitem, the emissions unit is not an insignificant activity under this subitem; and

D. potential emissions up to 10,000 tons per year or actual emissions up to 1,000 tons per year CO2e.

Table MGIA-01.4 Conditionally insignificant activities

The activities described below must be listed in your permit application.

7008.4100 Conditionally Insignificant Material Usage. All material usage activities at the stationary source are included in the following limits:

A. VOC emissions less than 10,000 pounds in each calendar year or VOC usage less than 1,000 gallons in each calendar year; and

B. Particulate matter emissions less than 8,000 pounds each in each calendar year.

See Minn. R. 7008.4100 for recordkeeping and calculation requirements for this activity.

7008.4110 Conditionally Insignificant Mechanical Finishing Operations. All mechanical finishing operations at the stationary source are included in the following limit:

Particulate matter emissions less than 10,000 pounds in each calendar year

See Minn. R. 7008.4110 for recordkeeping requirements for this activity.

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Instructions for form MGCR‐02: Hood evaluation and certification Facility information

a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

1) Date -- Fill in the date the hood was certified.

2) Emission unit number(s). -- Fill in the emission unit number(s) for the emission unit(s) served by this hood.

3) Emission unit characteristics -- Provide a description of the type(s) of emission unit(s) controlled by this hood. If the units are identical or similar to descriptions in the Manual, use the terms in the Manual to describe the units. Describe how the pollutants are emitted from the unit, including such characteristics as the speed and direction of release and temperature compared to surrounding temperature.

4) Pollutant(s) emitted -- List the pollutants using the same names as on the MG-05A forms.

5) Is there a recommended design for this application in the Manual? -- Indicate if this type of emission unit has a recommended hood design in the Manual.

6) Edition of the Manual referenced -- Fill in the edition number of the Manual you use. Preferably this should be the latest edition, but some recent older editions may have the same design recommendations for many emission units.

7) Page number(s). -- Fill in the page numbers of the Manual you used to evaluate this hood.

8) Drawing of recommended and actual hood dimensions -- Provide a sketch of the shape and dimensions of the hood as recommended by the Manual, including numerical dimensions and a sketch of the hood as constructed and installed. Indicate on the sketch of the recommended hood if a dimension is a minimum or maximum.

9) Design capture velocity -- Fill in the capture velocity used to design this collection hood, including units. Also fill in the actual capture velocity. List the Manual pages used to justify the capture velocity on the line below the table.

10) Minimum recommended and actual air flow into hood -- Fill in the minimum air flow recommended by the Manual. In many cases this must be calculated using the capture velocity. Fill in the actual air flow for this hood. This can be based on the design for this hood or on testing. Include the units for both numbers.

11) Recommended and actual hood face velocity -- If the Manual recommends a hood face velocity, fill it in. Otherwise, fill in NA. Fill in the actual face velocity. Include the units for both numbers.

12) Recommended and actual slot velocity -- If the Manual recommends a slot velocity, fill it in. Otherwise, fill in NA. Fill in actual slot velocity. Include units.

13) Recommended and actual plenum velocity -- “Plenum velocity” most commonly refers to the case in which the air enters the hood through slots and then passes through a duct of constant cross-sectional area before entering the transition to the smaller duct that leads to the control device. The duct immediately behind the slots is the “plenum.” If the Manual recommends a plenum velocity, fill it in. Otherwise, fill in NA. Fill in the actual plenum velocity. Include the units for both numbers.

14) Recommended and actual duct velocity -- If the Manual recommends a duct velocity, fill it in. Otherwise, fill in NA. Fill in the actual duct velocity. Include the units for both numbers.

15) Fan rotation speed -- Fill in the actual fan rotation speed, including the units.

16) Fan power draw -- Fill in the actual fan power draw, including the units.

17) Show the capture velocity test plan on a drawing or a sketch. On a separate sheet, provide this information.

18) If the hood design does not conform... -- If you answer “No” to question 5, or the hood cannot be certified as meeting the Manual requirements, you cannot automatically use a capture efficiency of 80% for this hood. Following is guidance on some actions you can take to determine a capture efficiency.

You may assume a capture efficiency of 80% for a hood included in a federally enforceable permit if the hood has been evaluated and conforms with the design and operating practices recommended in the Manual. The evaluation shall be conducted by an engineer or Certified Industrial Hygienist. The Responsible Official must sign the Hood Certification Form MGCR-02 to be submitted with the application.

The results of the evaluation and a copy of the certification must be kept on site. The owner or operator must make this evaluation and certification available for examination and copying upon request of the Commissioner and must, upon request, submit these records to the Commissioner by the time specified in the request.

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Hoods that do not conform to the recommended design and operating practices in the most recent version of "Industrial Ventilation - A Manual of Recommended Practices", must be either evaluated and brought into conformity with those design and operating practices or tested in accordance with Minn. R. 7017.2001 to 7017.2060, including the requirement for a pretest meeting, and the test report reviewed and approved by the Agency, to determine a capture efficiency.

If the test shows that the capture efficiency for the hood is equal to or greater than 80%, the hood may be considered a certified hood and use a capture efficiency of 80%.

Hood certification -- For each hood to be certified, fill in the emission unit (EQUI) ID number(s) of those units served by that hood, the control equipment (TREA) ID number(s), the capture efficiency of each hood to be certified, and the pollutant(s) controlled.

Fill in 80% hood capture efficiency for certified hoods.

Emission unit (EQUI) ID number – See Forms MG-05B1 through MG-05B9.-

Control equipment (TREA) ID number -- See Forms MG-05A1 through MG-05A4.

Signature block -- this form must be signed by a responsible official as defined in Minn. R. 7007.0100, subp. 21.

Instructions for form MG‐01: Facility information a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

1) Facility location -- Fill in the facility's street address and the city and county where the facility is located. Also fill in the facility's mailing address. You may use a P.O. Box number for the mailing address, but not for the street address. If the facility is or will be located within the limits of the city of Minneapolis, include a map showing the exact location of the facility.

2) Corporate/company owner -- Fill in the owner name and mailing address. The owner receives the air emission permit from the MPCA. The owner is the "Permittee". Check the one "owner classification box" that most closely describes your facility.

3) Corporate/company operator (if different from owner) -- The operator runs the facility on a day-to-day basis. If a separate management company operates the facility, its name goes here. The operator is also a "Permittee". Fill in if applicable; if not, fill in "N/A".

4) Co-permittee (if applicable) -- If the emission facility has more than one owner, for example a partnership, then the second owner's name and address go here. Another example is two facilities, owned separately, where one facility exists to support the other; both facilities are subject to one permit and the two owners are considered co-Permittees.

5) Legally responsible official for this permit/facility -- Fill in the name, title, phone number and fax number (if applicable) of the Legally Responsible Official. For the purpose of this form, MG-01, the Legally Responsible Official must be a person meeting the criteria for signing the application (defined in Minn. R. 7007.0100, subp. 22), which is the person who performs policy or decision making functions for the company. (A delegate may be allowed in some cases. Please refer to the rule section listed above.)

Indicate which address applies to this person by checking the appropriate box.

6) Contact-person for this permit -- Fill in the name, title, phone number, fax number, and email address of the individual to whom the permit and other permitting correspondence should be sent. Indicate which address applies to this person by checking the appropriate box.

7) All billings and annual fees should be addressed to -- Fill in the name, title, phone number and fax number (if applicable) of the individual to whom the annual emissions inventory and emissions fee billing should be sent. Indicate which address applies to this person by checking the appropriate box.

8) Standard Industrial Classification (SIC) Code and description, and North American Industry Classification System (NAICS) code and description for the facility -- Fill in the primary (and secondary and tertiary if applicable) four-digit SIC code(s) for the facility. A single stationary source may have more than one SIC code; for example, if a facility makes cardboard boxes, the facility would have a primary SIC code of 2653. If the same facility also does some of its own printing on-site, it would have a secondary SIC code of 2751.

Additional SIC information may also be obtained from libraries, accounting firms or from the National Technical Information Service, 5285 Port Royal Road, Springfield, Virginia 22161 (order number PB 87-1000012).

Fill in the primary six-digit NAICS Code and description for the facility. Additional information may be obtained at NAICS website at http://www.naics.com/ or http://www.census.gov/epcd/www/naics.html.

9) Primary product produced (or activity performed) at the facility is -- Indicate the primary product or activity of your business.

10) Facility is stationary—Stationary box is pre-checked.

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11) Facility status -- Place a check-mark in the box that most closely describes your facility's permitting status.

12) Is an environmental review required (either an Environmental Assessment Worksheet (EAW) or an Environmental Impact Statement (EIS))? -- Environmental review is sometimes required prior to construction or modification of a facility. Check the MPCA’s Environmental Review web page at https://www.pca.state.mn.us/quick-links/environmental-review or call the Minnesota Environmental Quality Board at 651-201-2476 for more information. Put a check in the appropriate box of the application form.

Note: If you answered "yes" to this question and if you emit any hazardous air pollutants, you may also be required to perform an Air Emissions Risk Assessment (AERA). Go to the MPCA website at https://www.pca.state.mn.us/air/air-emissions-risk-analysis-aera or call 800-657-3864 or 651-296-6300 for more information.

13) Are you required to submit a Toxics Release Inventory (TRI) (form R) under SARA Title 313? -- Place a check in the appropriate box. With some exceptions, most facilities required to submit a TRI are also required to prepare a pollution prevention plan and submit periodic progress reports. Call the Minnesota Emergency Planning and Community Right-to-Know Act (EPCRA) Program of the Department of Public Safety at 651-201-7416, or go to their website at https://dps.mn.gov/divisions/hsem/epcra/Pages/default.aspx if you have questions about this.

14) Are you within 50 miles of another state or the Canadian border? -- Indicate if any states (other than Minnesota), or the country of Canada, are within 50 miles of the facility.

15) Brief description of the source or proposed source to be permitted -- Describe the primary business activity of your facility and which processes emit pollutants to the air.

16) Are you proposing any alternative operating or emissions trading scenarios in this application? – Box indicating no is pre-checked.

17) Person preparing this application -- Fill in the name, title, phone number, fax number, and email address of the individual filling out this permit application. Include the date of application.

Instructions for form MG‐04: Stack/Vent information a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

If the facility currently holds an air emission permit, provide edits to the information the MPCA currently has in the database, on the AQ SI details report labeled “Stack/Vent, General.” Complete any fields marked “null.” If you have additional stacks that are not on the report, add them to the table following the instructions below.

Complete the table this form for all the stacks and vents at your facility. Do not include stacks and vents that vent only from insignificant activities or which do not vent any regulated pollutant.

Regulated air pollutants include the criteria pollutants for which a national ambient air standard has been established, pollutants regulated under an NSPS, pollutants regulated under the National Emission Standards for Hazardous Air Pollutants program under Section 112 of the Clean Air Act (40 CFR pt. 61 and 40 CFR pt. 63), ozone depleting chemicals, and chemicals regulated under the accidental release program under section 112(r) of the Clean Air Act (40 CFR pt. 68).

1a) S/V ID number –Make sure each of the stacks and vents at your facility has an ID number. If you have previously received an individual or state permit, existing units will already have a number assigned; if you need to add new stack, add them as new numbers at the bottom of the list. Do not reuse numbers. Use these numbers on form MG-02, MG-03, MG-05F, and consistently throughout the application. Each stack/vent ID number must be unique.

Stacks and vents from building and room ventilation systems which are designed only to provide fresh air for the occupants or to remove heat for comfort are not required to be listed individually. All such stacks and vents for each building may be grouped under a single S/V ID number. Provide an estimate of the total air flow and temperature. In some cases, you may want to group these stacks or vents by rooms within a building. You may also list these stacks and vents individually if you wish.

Stacks or vents from buildings or room ventilation systems whose design basis is the removal of airborne contaminants must be listed individually with an estimate of air flowrate, temperature, and emission rate of each contaminant which is a regulated air pollutant.

1b) Operator’s Description -- Please provide a short description that you would use to describe the function of the stack or vent. (For example, “boiler exhaust” or “dryer emissions.”) You may also include any identifying numbers that you use for the stacks or vents (this will be separate from the number prescribed in item a).

1c) Height of opening from ground -- The height is from the top of the stack to nearest ground level.

1c) Inside diameter in ft. or length x width in ft. -- Provide the inside dimension(s) of the stack at the exit.

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1e) Design flowrate at exit and 1(f) exit gas temperature at exit (ºF) -- You must use the same source of data for both items. For instance, if you contact the manufacturer for the flowrate, have them also provide the temperature. Provide the design flowrate in actual cubic feet per minute and the temperature in degrees F corresponding to the flowrate from this stack.

1(g) Rate/temp information source -- Indicate the source of the flowrate and temperature entries separately, using the following code letters:

M – information provided by manufacturer T – information obtained through testing C – information obtained through continuous monitoring systems E – estimated

1h) Discharge direction – Provide the direction of flow of the gases exiting the stack or vent using the following codes:

U – gases exit upwards (with no cap on stack/vent) C – gases exit upwards (with a cap on stack/vent) D – gases exit downward H – gases exit horizontally

1i) Status -- Provide the status of the emission unit as either active or inactive. If status is inactive, provide a removal date.

1j) Removal Date -- If status is inactive, provide date stack/vent was removed.

Instructions for form MG‐05A: Pollution control equipment information a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

If the facility currently holds an air emission permit, provide edits to the information the MPCA currently has in the database, on the AQ SI details reports labeled with the SI category “Treatment.” Complete any fields marked “null.” If you have additional controls that are not on the report, add them to the table following the instructions below.

Note: There are four different MG-05A forms provided, one for each type of air pollution control equipment allowed for this general permit: fabric filters (MG-05A1), wall filters (MG-05A2), catalytic oxidizers (MG-05A3), and thermal oxidizers (MG-05A4). You need only complete the form(s) relevant to the control equipment operated at the facility.

1a) Control equipment (TREA) ID number -- Make sure each piece of control equipment has an ID number. If you have previously received an individual or state permit, existing units will already have a number assigned; if you need to add new device or method, add them as new numbers at the bottom of the list. Do not reuse numbers. Use these numbers on form MG-02 and consistently throughout the application. Each control equipment ID number must be unique.

1b) TREA type code -- This is prefilled for wall filters (form MG-05A2). For all other control equipment, select the appropriate code.

Fabric filters 016 Fabric Filter - High Temperature, i.e., T>250 Degrees F 017 Fabric Filter - Medium Temperature i.e., 180 F<T<250 F 018 Fabric Filter - Low Temperature, i.e., T<180 Degrees F

Catalytic oxidizers 019 Catalytic Afterburner – no heat exchanger 020 Catalytic Afterburner with heat exchanger 109 Catalytic Oxidizer

Thermal oxidizers 021 Direct flame afterburner - no heat exchanger 022 Direct flame afterburner with heat exchanger 131 Thermal Oxidizer

1c) Description -- This is prefilled for each type of control device.

1d) Manufacturer -- Fill in the name of the pollution control equipment manufacturer. Pollution control practices such as dust suppression by water spray or chemical oxidation may not use control equipment. In these cases, fill N/A for items 1d and 1e.

1e) Model number -- Fill in the manufacturer's model number for the pollution control equipment. If no control equipment is used, fill in NA.

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1f) Installation date -- Provide the date the control equipment was installed. If unknown, provide your best estimate.

1g) Pollutants Controlled -- This is prefilled for each type of control device.

1h) Capture Efficiency -- Select the capture efficiency; see Form MGCR-02.

The capture efficiency is the portion of the pollutants emitted that are routed via ducting to the control equipment (e.g., a fabric filter). For emission units in which all of the pollutants emitted are routed via ducting to a fabric filter the capture efficiency is 10%. These devices are called total enclosures. Hoods and other devices that do not completely surround the emissions from an emission unit do not capture all of the pollutants emitted and therefore have a capture efficiency that is less than 100%. The permit allows credit for 80% capture efficiency if the hood is certified.

1i) Destruction/Collection Efficiency -- This is prefilled for each type of control device.

1j) Removal date -- if the equipment is no longer at your facility, enter a removal date.

Instructions for form MG‐05B: Emission unit information a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

If the facility currently holds an air emission permit, provide edits to the information the MPCA currently has in the database, on the AQ SI details reports labeled “Emission Units 1” and “Emission Units 2.” Complete any fields marked “null.” If you have additional emission units that are not on the report, add them to the table following the instructions below.

Note: There are nine different MG-05B forms provided, one for each type of emission unit allowed for this general permit: boilers (MG-05B1), ovens (MG-05B2), furnaces (MG-05B3), stationary internal combustion engines (MG-05B4), abrasive blasting booths (MG-05B5), spraying/coating (non fiberglassing) booths (MG-05B6), fiberglass operations (MG-05B7), dip tanks (MG-05B8), and degreasers/cleaning machines (MG-05B9)..

Use this form to describe emission units other than liquid storage tanks and fugitive emission sources. Separate forms are provided for liquid storage tanks (MG-05C) and for fugitive emission sources (MG-05D).

1a) Emission unit (EQUI) ID number -- Make sure each emission unit has an ID number. If you have previously received an individual or state permit, existing units will already have a number assigned; if you need to add new units, add them using new numbers at the bottom of the list. Do not reuse numbers. Note that separate forms are provided for liquid storage tanks. Use these numbers on form MG-02 and consistently throughout the application. Each emission unit ID number must be unique.

1b) Emission unit type – this has been pre-filled.

1c) Emission unit operator's description -- Provide a description sufficient to identify this emission unit at the facility, for example, "North Boiler".

1d) Manufacturer -- For packaged and pre-assembled equipment, and for equipment completely designed by a single company and field-assembled, provide the name of the manufacturer or designer. For equipment designed and manufactured by the contractor or owner, indicate this.

1e) Model number -- For equipment which has a model number, provide the model number.

1f) Maximum design capacity -- Provide the maximum production capacity of each emission unit; for example, for a boiler, the maximum steam generation rate; for a crusher, the maximum crushing rate; for a paint spray booth, the maximum spraying rate.

Provide the material and units of measure for the number provided for capacity, such as "pounds of steam per hour" or "tons crushed per hour." Enter the material (“steam”, “energy”, etc.), numerator and denominator in the separate columns provided.

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For the material, choose from the following list:

Table entry Detail Table entry Detail

A/D Pulp Air Dried Pulp Acid Acid

Ash Ash Asphalt Asphalt

Bentonite Bentonite Blk Liq Slds Black Liquor Solids (Kraft Pulp Mill)

Board Board Can Can

Carbon Carbon Casting Casting

Chlor Dioxid Chlorine Dioxide Clothes Clothes

Coating Coating Coke Coke

Corn Corn D Pulp, Unble Dry Pulp, Unbleached

Diesel Fuel Diesel Fuel Elect Energy Electrical Energy

Ethanol Ethanol Fiber Fiber

Fuel Fuel Glue Glue

Heat Heat Hydrated Lime Hydrated Lime

Ink Ink Lead Lead

Lime Lime Limestone Limestone

Material Material Metal Metal

Natural Gas Natural Gas Ore Ore

Paint Paint Paper Paper

Pellet Pellet Product Product

Pulp Pulp RDF Refuse Derived Fuel

Resin Resin Rock Rock

Sand Sand Sawdust Sawdust

Scrap Scrap Shot Shot Material

Sludge Sludge Solvents Solvents

Steam Steam Sugar Sugar

Sulfur Sulfur Varnish Varnish

Vehicle Vehicle Voc Volatile Organic Compound

Wafer/Chip Wafer/Chip Waste Waste

Wastewater Waste Water Water Water

Yeast Yeast Current Current Applied

Energy Energy Surface Area Surface Area

Bottle Bottle Core Core

Wood Wood Meal, Blood Blood Meal

Shingles Shingles Battery Battery

Coal Coal Fiberglass Fiberglass

Waste, Solid Solid Waste Ethylene Oxi Ethylene Oxide

Grain Grain Meal, Dry Bld Dried Blood Meal

Adhesive Adhesive Bread Bread

Wood, Dried Oven Dried Wood Sludge, Dry Dry Sludge

Methane Methane Emery Emery

Core Oil Core Oil Aluminum Aluminum

Solid Solid DDGS Distillers Dried Grains With Solids

Foam Foam Log Log

Beer Beer Silicon Diox Silicon Dioxide

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For the numerator, choose from the following list:

Table entry Detail Table entry Detail Amp Ampheres Bbl Barrels Bhp Brake horsepower BRDFT Board Foot Btu British Thermal Unit Bushel Bushels

E3 Gal 1000 gallons E6 Lb Million pounds E6 Mg Million megagrams Each Each

F Degrees Farenheit Floz Fluid ounces Ft Feet Ft2 Square feet

Ft3 Cubic feet Ft3(s) Standard cubic feet Gal Gallons Gr Grains Hp Horsepower Kg Kilograms Kw Kilowatts Lb Pounds

Mbtu 1000 BTU Mcfd 1000 cubic feet per day Megagram Megagrams Mgal Million gallons

E6 Bdft Million board feet Mmbtu Million British thermal units Mw Megawatts Oz Ounces Ton English tonn (2000 U.S. Lb) Yd Yards Yd2 Square yards Yd3 Cubic Yards

Avg CFM Avg Std cubic feet per minute Acre Acres Batch Batch Cord Cord

M3 Cubic meters Cycle Cycle Hr Hours Hp-Hr Horsepower-hours In Inches Kw-Hr Killowatt-hours

Mcf Thousand cubic feet Mmcf Million cubic feet Lb Pounds Cc Cubic centimeters

Tonne Metric tons Mile Miles E6 Lb Million pounds E6 Ft2 Million square feet RPM Revolutions per minute KPA Kilopascals

E3 Lb 1000 pounds M Meters

For the denominator, choose from the following list:

Table entry Detail Table entry Detail Min Minutes Hr Hours Day Days Wk Week Mo Month Yr Years

Each Each Gal Gallons Ft2 Square feet Ft3 Cubic Feet

Ft2-Hr Square foot hours M2-Hr Square meter hours Ton English tons (2000 U. S. lbs) Lb Pounds

Batch Batch Cycle Cycle

1g) Commence construction date -- Provide the date on which installation of the unit started at the source. If unknown, provide your best estimate of the year construction commenced. For units on which construction has not been started, check the box “to be determined.”

1h) Initial startup date -- Provide the date on which operation of the emission unit started. For units for which the initial startup date has not occurred, check the box “to be determined.”

1i) Modification or reconstruction date -- Provide the date on which modification or reconstruction of the emission unit started. Modification is defined in Minn. R. 7007.0100, subp. 14, and reconstruction is defined in 40 CFR section 60.15.

1j) Firing Method – this has been pre-filled or marked as “not applicable” for all 9 forms. On form MG-05B4, check the “compression ignition” box (if you operate a spark ignition engine that is not an insignificant activity, you do not qualify for this general permit).

1k) Engine Use – for engines (Form MG-05B4) only – Select one of the choices

1l) Engine Displacement – for engines (Form MG-05B4) only – enter the engine displacement in liters per cylinder.

1m) SIC code -- Provide the SIC code for this emission unit if different from the primary SIC code for the stationary source. Otherwise leave blank. Note that most emission units will not have a SIC code for that type of unit alone.

As an example, a steam generating plant that provides process steam can be assigned its own SIC code even though it is part of a larger stationary source.

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1n) Status -- Provide the status of the emission unit as either active or inactive. If status is inactive, provide a removal date.

1o) Removal Date -- If status is inactive, provide a removal date.

Instructions for form MG‐05C: Tank information a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

If the facility currently holds an air emission permit, provide edits to the information the MPCA currently has in the database, on the AQ SI details reports labeled “Aboveground Storage Tanks, General” and “Underground Storage Tanks, General.” Complete any fields marked “null.” If you have additional tanks that are not on the report, add them to the table following the instructions below.

1a) Tank ID number -- Fill in the Tank ID number. Number all the tanks consecutively, giving each tank a unique ID number beginning with 001, 002, 003, etc. It may be helpful to group tanks according to area, process, or contents. It is important to use these ID numbers consistently throughout the permit application.

If you are adding new tanks to your permit or replacing existing tanks, it is important not to reuse previously used numbers. The new or replacement tanks must be numbered consecutively beginning with the next number after the last one used. Numbers used for removed tanks cannot be reused for new or replacement tanks.

1b) Description -- Provide a description of the tank.

1c) Product(s) stored -- List the product category for the material contained in the tank. If the tank contains a mixture, list each in a separate column (with the same tank ID shown in row a).

Group code Group description

ACHE Chemical

AOTH Other

APET Petroleum

1d) Specific product -- Based on the product category listed in row c, list the material contained in the tank from the three tables below. If the tank contains a mixture, list each individual compound in a separate column (with the same tank number in row a). After the name of the compound, list the CAS number and the approximate weight fraction of that (or groups of chemicals) contained in the tank. The “parameter code” is for internal reference and does not need to be listed.

ACHE/Chemical:

Specific product Parameter

code

Specific product Parameter

code

Specific product Parameter

code

Acetate, Ethyl VOCS0046 Hexane OORG0094 Other OORG0171

Ammonia (anhydrous) OINC0005 Hydrochloric Acid OINC0062 Phosphoric Acid INOR0134

Ammonia (aqueous) OINC0006 Hydrogen Peroxide INOR0129 Phthalic anhydride OORG0130

Chlorine INOR0040

Isobutyl alcohol

(2-methyl-1-propanol) VOCS0084

Polyethylene glycol OORG0161

DEF (diesel exhaust fluid) OORG0165

Isopropyl Alcohol SVOC0107

Potassium Hydroxide OINC0098

Dichloromethane (Methylene chloride) VOCS0005

1,2-Propanediol OORG0004

Propionic Acid OORG0133

Ethanol (Ethyl Alcohol) SVOC0090 Magnesium Chloride INOR0132 Sodium Hydroxide INOR0137

Ethylene VOCS0079 Maleic anhydride SVOC0108 Styrene VOCS0110

Ethylene glycol OORG0073 Methanol OORG0105 Sulfur INOR0015

Formaldehyde OORG0001 Methyl isobutyl ketone

(4-Methyl-2-pentanone) VOCS0091

Sulfuric Acid OINC0121

Fuel Additive OORG0166 Methylene diphenyl

diisocyanate (MDI) OORG0111

Toluene VOCS0114

Glycerin OORG0170 Muriatic Acid OINC0082 Toluene-2,4-diisocyanate OORG0142

Glycol ethers OORG0087 n-Butyl Acetate OORG0117 Urea OINC0129

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Heptane OORG0091 Nitric Acid OINC0086 Xylene VOCS0123

AOTH/Other:

Specific product Parameter

code Specific product

Parameter code

Specific product Parameter

code

Beet Extract WORG0001 Oxygen INOR0090 Vegetable and Plant Oils OINC0130

Dye OINC0040 Paper Pulp WOTH0008 Waste Oil OORG0150

Non-Contact Cooling Water OINC0143 Soybean Oil OINC0146 Water, Sour OINC0134

Other OORG0171 Steam or Water INOR0138

APET/Petroleum:

Specific product Parameter

code

Specific product Parameter

code

Specific product Parameter

code

Asphalt and Asphaltic Blends OORG0162

Ethanol Blends (E50-E89) OINC0147

Hydraulic Fluid OORG0095

Aviation Gas OORG0037 Ethanol Blends (E90-E99) OINC0043 Jet Fuel (unspecified) OINC0066

Biodiesel (B100) OORG0163 Fuel Oil #1 OORG0079 Kerosene OORG0103

Crude Oil OORG0055 Fuel Oil #2 OORG0167 Lubricating Oils OINC0145

Denatured Ethanol OORG0056 Fuel Oil #6 OORG0081 Mineral Spirits OINC0077

Diesel >B20 OORG0059 Gasoline Blends (E1-E49) OORG0168 Other OORG0171

Diesel Blends (B1-B20) OORG0060 Gasoline, Non-Oxygenated OORG0169 Propane OINC0100

Diesel Fuel OINC0038 Heating Oil OINC0059 Used Oil OORG0148

1e) Interior height (ft.) -- List the interior height of the tank, in feet. For tanks with a cone bottom, fill in the straight-wall height only.

1f) Interior diameter (ft.) -- List the interior diameter of the tank, in feet. For a tank that is not cylindrical, calculate the area of the top of the tank. Then determine the diameter of a circle with an area equal to that of the top of the tank. List that effective diameter (in feet) in this row.

1g) Capacity (gals.) -- List the maximum capacity of the tank (in gallons). The maximum capacity may be calculated by multiplying the height of the tank by the area of the top of the tank. Be sure to convert to thousands of gallons before writing in the capacity. For example, for a 40,000 gallon tank, fill in "40." If you need to convert from cubic feet to gallons, use the factor of 7.481 U.S. gallons in a cubic foot.

1h) Construction type -- Tanks are constructed in many ways. Describe the method used to fasten the seams of the tank itself (not the roof). Fill in the type of construction from the following list:

1. External floating roof, construction not specified 2. External floating roof with welded tank shell 3. External floating roof with riveted tank shell 4. Internal floating roof 5. Fixed roof 6. Pressure tank 7. Variable vapor space 8. Underground 9. Other. Attach a description to Form GI-05C on a separate sheet.

1i) Number of columns (floating roof with column-support only) -- If the tank's roof is supported by columns, list the number of columns. If no information on the number of columns in the tank can be found, refer to AP-42, Table 7.1-11. This table lists representative number of columns for internal floating roof tanks.

1j) Support type (floating roof only) -- If the tank is a floating roof, describe the type of tank support used. Fill in the number for the type of support from the following list:

1. Self-supporting fixed roof with no internal support columns 2. Column supported roof, construction type not specified 3. Column supported roof, with 9 by 7 inch built-up columns

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4. Column supported roof, with 8 inch diameter columns

1k) Deck type (floating roof only) -- If the tank has a floating roof, describe the materials and process used to construct the tank deck. Fill in the deck type from the following list:

1. Welded

2. Bolted, 5 feet wide continuous sheet construction

3. Bolted, 6 feet wide continuous sheet construction

4. Bolted, 7 feet wide continuous sheet construction

5. Bolted, 5 by 7.5 feet rectangular panel construction

6. Bolted, 5 by 12 feet rectangular panel construction

7. Bolted, details not specified

1l) Seal type (floating roof only) -- Describe the seal design used to reduce vapor loss from the floating roof tank. Fill in the seal type from the following list:

1. Mechanical (metallic shoe seal); primary seal only

2. Mechanical (metallic shoe seal); with shoe mounted secondary seal

3. Mechanical (metallic shoe seal); with rim mounted secondary seal

4. Resilient seal (nonmetallic); liquid mounted, primary seal only

5. Resilient seal (nonmetallic); with weather shield

6. Resilient seal (nonmetallic); with rim mounted secondary seal

7. Resilient seal (nonmetallic); vapor mounted, primary seal only

8. Resilient seal (nonmetallic); vapor mounted, with weather shield

9. Resilient seal (nonmetallic); vapor mounted, with rim mounted secondary seal

1m) Maximum true vapor pressure (psia) -- Provide the maximum true vapor pressure in pounds per square inch absolute.

1n) Date installed or constructed -- Provide the date that construction or installation of the tank began. For tanks that have not been installed or constructed yet, check the box “to be determined.”

1o) Status -- Provide the status of the emission unit as either active or inactive. If status is inactive, provide a removal date.

1p) Removal date -- If status is inactive, provide a removal date.

Instructions for form MG‐05D: Fugitive emissions source information a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

If the facility currently holds an air emission permit, provide edits to the information the MPCA currently has in the database, on the AQ SI details report labeled “Fugitive Sources.” Complete any fields marked “null.” If you have additional fugitive sources that are not on the report, add them to the table following the instructions below.

Fugitive emissions are air emissions outside of your building which cannot reasonably pass through a stack, chimney, vent or other equivalent opening. Examples of fugitive emission sources include sawdust piles or gravel roads. Emissions inside a building that do not pass through a stack are not fugitive emissions. These emissions should be assigned to an emission unit and building vent, and reported as stack emissions on forms MG-05B and MG-04.

1a) Fugitive source (FS) ID number –Make sure each fugitive source has an ID number. If you have previously received an individual or state permit, existing fugitive sources will already have a number assigned; if you need to add new tanks, add them using new numbers at the bottom of the list. Do not reuse numbers. Use these numbers on form MG-02, form MG-03, and consistently throughout the application. Each fugitive source ID number must be unique.

1b) Fugitive source type – This is pre-filled for unpaved roads. For other fugitive sources, choose from the following list.

Fugitive Source Types

Cooling Tower Paved Road Equipment Leaks Piles Landfill Process Emissions Material Handling/Transfer/Storage Unpaved Roads Other Vehicle Emissions

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1c) Description of the Fugitive Emission Source -- Describe the fugitive emission source in sufficient detail to identify this source at the facility, for example, coal stockpile, road from mine to North Crusher, etc.

1d) Year Installed (yyyy) -- Provide the four-digit year the fugitive source was installed or created.

1e) Pollutant(s) Emitted -- Enter the name(s) of the fugitive pollutant(s) emitted. This is pre-filled for unpaved roads.

1f) Status -- Provide the status of the emission source as either active or inactive. If status is inactive, provide a removal date.

1g) Removal Date -- If status is inactive, provide date stack/vent was removed. 1h) Control equipment (CE) ID number – The Control Equipment (TREA) ID number can be obtained from the Pollution Control

Equipment Information Form (MG-05A1-4). In general, emissions vented through control equipment are not fugitive emissions. One example of a control for fugitive emissions would be a water spray bar at the end of a conveyor used to transfer material onto an outdoor storage pile. If this does not apply, leave the Control Equipment ID number column blank.

Instructions for form MG‐05F: Emission Source Associations Use this form to describe the relationships of emission units, tanks, and fugitive sources with control equipment and stack/vents. ID numbers must be consistent throughout the application.

If the facility currently holds an air emission permit, provide edits to the information the MPCA currently has in the database, on the AQ SI details report labeled “SI-SI relationships.” Complete any fields marked “null.” If you need to add additional relationships, add them to the table following the instructions below.

All fields as directed by the form are mandatory. Situations where specific fields are not required are described in the instructions for that field. If you submit your application with blank mandatory fields or without mandatory attachments, it will be deemed incomplete and returned.

1a) Source ID number -- Provide the ID number for the emission unit (EQUI), tank (EQUI), or fugitive source (FUGI). All cells following in the same row must relate to this EQUI/FUGI. This field allows a maximum of 50 characters.

3b) % Flow -- Provide the percent flow of the emissions from the EQUI/FUGI to the TREA. (This is not the same as the capture efficiency of the control equipment nor control efficiency.) If all emissions flow to one control device/method, or to two or more control devices/methods in series, this will be 100. If the emissions stream is split and flows to two or more control devices/methods in parallel, this number will be less than 100 and you will need a separate line for each stream.

For control devices/methods operated in parallel with 100% capture efficiency (as reported on form GI-05A), the % Flow for all rows associated with the same emission unit should add up to 100. For example, if the emission stream is split and flows through two separate control devices, and the air flow to each control device is the same, you would enter “50” for the % Flow for one control equipment, and enter “50” for the % Flow for another control equipment on a new line.

3c) Relationship -- This is the relationship between the EQUI/FUGI and the control equipment (TREA). The relationship has been prefilled as “is controlled by.” The EQUI/FUGI is controlled by the TREA.

3d) CE ID number -- Provide the ID number for control equipment associated with the EQUI/FUGI listed in the same row. This is the TREA that controls the EQUI/FUGI listed in 3a) of the same row. This field allows a maximum of 50 characters.

3e) Start date -- Provide the date on which the subject item began its association with the control equipment. If the subject item is currently exhausting to the control equipment, provide the date that the subject item began exhausting to the control equipment. If the subject item is not yet exhausting to the control equipment (i.e., the subject item or the control equipment is not yet constructed and operating), provide the date that you established the association between the subject item and control equipment. If you do not know this date, provide the submittal date of this form.

3f) End date -- Provide the date on which the subject item ended its association with the control equipment. If the subject item is still associated with the control equipment, leave the date blank.

3g) % Flow -- Provide the percent flow of the emissions from the EQUI/FUGI to the STRU. If the emissions stream is split and flows to two or more stack/vents in parallel, this number will be less than 100 and you will need a separate line for each stream. If the emission unit has a bypass stack/vent, list 0% for that stack/vent and put “bypass” in the “Comments” field.

The % Flow for all rows associated with the same emission unit should add up to 100. For example, if the emission stream is split and flows through two separate stacks/vents, and the air flow to each is the same, you would enter “50” for the % Flow for one stack/vent, and enter “50” for the % Flow for another stack/vent on a new line.

3h) Relationship -- This is the relationship between the EQUI/FUGI and the stack/vent (STRU). The relationship has been prefilled as “sends to.” The EQUI/FUGI sends emissions to the STRU.

3i) S/V ID number -- Provide the ID number for a STRU associated with the EQUI listed in 3a) of the same row. This is the STRU that the EQUI listed vents to. These must be the same ID numbers as on Stack/Vent form (form GI-04) and the Process flow diagram form (form GI-02). It is important to use these ID numbers consistently throughout the application. You may enter “NA” for sources that do not have a STRU or leave this field blank. This field allows a maximum of 50 characters.

3j) Start date -- Provide the date on which the subject item began its association with the stack/vent. If the subject item is currently exhausting to the stack/vent, provide the date that the subject item began exhausting to the stack/vent. If the subject

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item is not yet exhausting to the stack/vent (i.e., the subject item or the stack/vent is not yet constructed and operating), provide the date that you established the association between the subject item and stack/vent. If you do not know this date, provide the submittal date of this form.

3k) End date -- Provide the date on which the subject item ended its association with the stack/vent. If the subject item is still associated with the stack/vent, leave the date blank.

3l) Comments -- Use this section to provide clarifications/explanations as needed, such as whether the stack/vent is parallel or a bypass, what the control device is, or, if there are multiple control devices, which TREA comes first.

Instructions for form MG‐02: Process flow diagram a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

1) Flow diagram -- To produce a complete flow diagram for your air emission permit application, start by showing all emission units except insignificant activities. Show the flow pathway of materials into each emission unit. Examples include fuel oil piping into a boiler. Show the pathway of air emissions from each emission unit to each stack or vent. If more than one emission unit are connected to a single stack, indicate this on the diagram. Show all air pollution control equipment, all fugitive emission sources, and all storage tanks, except those classified as insignificant activities. You may use this sheet or attach another drawing provided it includes all of the information requested. If you attach another drawing or additional sheets, please include the AQ Facility ID number and Facility name in the upper left hand corner of each additional sheet.

Assign an ID number to each stack/vent and to each emission unit as instructed on forms MG-04, MG-05A and MG-05B. After completing the flow diagram, you may want to complete those forms and assign the ID numbers, then return to this form to add them on the flow diagram. These ID numbers must be used consistently throughout the application.

The following figure is an example of what a process flow diagram might look like:

Instructions for form MG‐03: Stack/Vent diagram a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

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b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

If the facility currently holds an air emission permit, provide edits to the information the MPCA currently has in the database, on the AQ SI details report labeled “Buildings, General.” Complete any fields marked “null.” If you have additional buildings that are not on the report, add them to the table following the instructions below.

1) For each building at the facility, fill in a separate row of this form.

1a) Building ID number – Number the buildings consecutively beginning with 001, or with the next consecutive number following the last one listed in the report labeled “Buildings, General.” Use Tempo IDs (STRUxxx) instead of Delta IDs. Note that stack/vents also use STRU numbers. Do not reuse numbers assigned to stack/vents.

1b) Length -- Enter the maximum horizontal building dimension in feet. If the building is a cylinder, enter the diameter in feet and state that it’s cylinder in the comments section.

1c) Width -- Enter the maximum horizontal building dimension, perpendicular to the length, in feet. If the building is a cylinder, enter the diameter in feet and state that it’s cylinder in the comments section.

1d) Roof height from ground -- For buildings with flat roofs, enter the roof height above grade in feet. For buildings with sloped roofs, enter the roof peak (highest roof height) above grade in feet.

1e) Description/comments -- Enter a brief description of the building or portion thereof (e.g., boiler house, crusher building, baghouse structure, maintenance building, process line number, heating section, cooling section, etc.)

Note: Tiered buildings and groups of buildings should follow the “Guidelines for Determination of Good Engineering Practice Stack Height (Technical Support Document for the Stack Height Regulations), (Revised),” EPA-450/1-80-023R, prepared by the U.S. Environmental Protection Agency (EPA), Research Triangle Park, NC 27711. Found on the EPA website at (http://www.epa.gov/scram001/guidance/guide/gep.pdf).

2. Facility and stack/vent diagram -- Provide a plan view site diagram of the facility showing all buildings with building ID numbers. Show the location of each stack/vent, of each fugitive emission source, and each storage tank. Include an ID number for each stack/vent. These ID numbers must also be used as on the MG-04 form for stacks/vents. Include building roof height on this drawing. For buildings with a flat roof, only the roof height needs to be given. For buildings with sloping roofs, use a dashed line to indicate the peak of the roof, and provide both the height of the peak and the height of the roof at the edge. You may use this form or attach another drawing if it provides all the information required. If you attach another drawing or additional sheets, please include the AQ Facility ID number and Facility name in the upper left hand corner of each additional sheet.

The following figure is an example of what a facility and stack/vent diagram might look like:

where: SV indicates a stack or a vent and, FS indicates a fugitive source

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Instructions for form MGCD‐05: Compliance plan for control equipment a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

Fill out the appropriate table (Items 1, 2, 3, and/or 4) on the form MGCD-05 for each control device at your facility. For the control efficiency basis, you are using the values from Minn. R. 7011.0070 Table A. The column for control efficiency basis has been prefilled with “Control Equipment Rule”.

Table MGCD-05.1 is provided as guidance for operation and maintenance.

Table MGCD-05.1 Operation and maintenance plan guidelines

At a minimum, Operation and Maintenance (O&M) Plans should include the following components. If you need additional guidance on O&M Plans, the Air Quality has a guidance document commissioned by the EPA regarding this subject available for your use. Do not submit your O&M Plan with your application. You should, however, maintain your O&M Plan on site at your facility, available for review.

Pollution control equipment type O & M plans

All Types 1. Maintain and adequate inventory of parts.

2. Ensure staff training on operation and monitoring of pollution control equipment as well as troubleshooting.

3. Conduct a thorough annual inspection of control equipment. This may require shutting down operations temporarily.

4. Conduct monthly inspections of control equipment mechanical operations (moving parts) including bearings, belts, fans, etc. as well as checking nozzles for plugging.

5. Conduct quarterly inspections of control equipment structure (non-moving parts) including housings, ductwork, hoses, etc.

6. Do daily checks on monitoring equipment (pressure gauges, chart recorders, temperature meters, etc.) to ensure that they are operational.

7. Calibrate monitoring equipment annually.

8. Respond to alarms, abnormal temperatures, noise, and odors which are all signs of a malfunctioning system and record in a log the corrective action taken.

9. Address additional operation and maintenance items recommended by the

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Pollution control equipment type O & M plans manufacturer if they are not covered by items 1-8.

Baghouse

(Fabric Filter)

1. Check hopper/dust removal system with a frequency appropriate to the system. The permittee must specify this frequency in the permit application.

2. Adjust the bag cleaning frequency if the pressure drop indicates there is a problem.

3. Replace bags when the monitoring system indicates decreasing particulate removal.

4. Yearly pressure gauge calibration.

5. Items 1-9 listed for "All Types" above.

Panel/Wall Filters 1. Items 1-9 listed for "All Types" above, if applicable.

Catalytic Oxidizer 1. Sample the catalyst bed every three months for reactivity. You must report what reactivity level necessitates changing the bed with the first report you submit after permit issuance. Add to the catalyst or replace the bed as needed.

2. Annual Calibration of temperature meters.

3. Items 1-9 listed for "All Types" above, if applicable.

Thermal Oxidizer 1. Maintain a minimum combustion temperature when operating.

2. Maintain either a continuous hard copy readout of the combustion temperature or maintain a hard copy of manual readings taken at least every 15 minutes.

3. Items 1-9 listed for “All Types” above, if applicable.

Instructions for form MG‐06: Compliance certification a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

In this form, you will identify whether your facility is in compliance with state and federal requirements that apply. The requirements listed on this form are reproduced from form MG-09 and correspond to general program categories (for example, New Source Performance Standards, New Source Review). You will need to complete Form MG-09 before completing this form.

All air permit applicants are required to give a description of the compliance status of the stationary source. Please note, indicating non-compliance in this form will not necessarily result in enforcement action.

1) Fill out the grid which starts on page 1 according to the instructions below:

Start with the first requirement listed in the upper left cell and work your way across the row until you have completed each cell in that row. Then, go on to the next listed requirement and complete that row, and so on.

1a) Applicable Requirement

This column lists requirements that your air emission facility may be subject to. You should refer to these as you complete this form.

1b) Compliance status on the date of application?

A. If you determine that any of the requirements in the Requirement That is Basis of Certification column do not apply to your facility, check "Not Applicable" in the corresponding cell of the Compliance Status On the Date of Application column.

B. If you determine that any of the requirements in the Requirement That is Basis of Certification column do apply to your facility, you must determine whether your facility is in or out of compliance with each of the requirements that apply to it. To do this, you must be familiar with the specifics of each applicable requirement.

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C. If your facility is in compliance with every aspect of a requirement that applies to it, check "Compliance."

D. If your facility is out of compliance with any aspect of a requirement that applies to it, check “Non-Compliance.” If your facility was out of compliance with a requirement in the past and the non-compliance has not been resolved with appropriate corrective action (example of appropriate corrective action: if you are subject to a New Source Performance Standard, and you failed to send in a required notification, the corrective action is to send the notification in), your facility is still out of compliance and you must check “Non-Compliance.”

E. In some cases you will be given the option of checking “Unknown.” You may only check the “Unknown” box if your facility meets the criteria listed below the “Unknown” box.

1c) Briefly describe the non-compliance

A. If you checked "Not Applicable," or "Compliance" in the Compliance Status On the Date of Application column, write "Not Applicable" in the corresponding cell in this column.

B. If you checked "Non-Compliance" in the Compliance Status On the Date of Application column, you must describe what emission units or stack/vents are out of compliance and how they are out of compliance.

1d) How did you determine if you were in or out of compliance?

A. If you checked "Not-Applicable" in a cell in the Compliance Status On the Date of Application column, you should write "Not Applicable" in the corresponding cell in this column.

B. If you checked either "Compliance" or "Non-Compliance" in a cell in the Compliance Status On the Date of Application column, you must briefly describe the methods you used to determine whether you are in or out of compliance with a requirement in the corresponding cell in this column. You must include a description of monitoring, recordkeeping, test methods, and operation and maintenance procedures for air pollution control equipment. Use the compliance determination methods from your most recent permit, if you had one, or the methods in your proposed compliance plan. You may need more room than has been provided for this description. If you need more room, attach well labeled sheets to this form with the additional information.

1e) Compliance status on the day you receive your permit

A. If you checked "Not Applicable" in the Compliance Status On the Date of Application column, check "Not Applicable" in the corresponding cell in this column.

B. If you checked "Compliance" in the Compliance Status On the Date of Application column, you may check "Compliance" in the corresponding cell in this column if you will still be in compliance when your permit is issued.

C. If you checked "Non-Compliance" in the Compliance Status On the Date of Application column, you may check "Compliance" in the corresponding cell in this column if getting a permit will resolve the non-compliance (example, you are not in compliance only because you do not have a permit and you need one.) You may also check "Compliance" in the corresponding cell in this column if you will have completed the corrective action outlined in Section III of form MG-00 by the time you get your permit. Otherwise, you must check "Non-Compliance."

D. If you checked "Unknown" in the Compliance Status On the Date of Application column, follow the instructions given in the cell.

E. If you checked noncompliance for any requirement other than NSPS or NESHAP you are not eligible for this general permit. If you are in noncompliance with NSPS or NESHAP for any reason other than notifications (or recordkeeping for NSPS Kb), you are not eligible for this general permit. If you do not qualify for this general permit, you must submit a permit application for a Part 70 or State permit before you make a change to your facility.

Instructions for form MG‐07: Facility emissions summary Note: Before you can fill out form MG-07, you must complete the emission calculations. To complete emission calculations, the

following webpage has detailed instructions http://www.pca.state.mn.us/dm0rdc9. After you have completed the emission calculations, transfer the appropriate information to form MG-07.

a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

All fields as directed by the form are mandatory. If you submit your application with blank mandatory fields or attachments, it will be deemed incomplete and returned.

Instructions for emissions by source table

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1a) Tempo SI ID number -- Fill in the Tempo SI ID No. for the emission source. This number is assigned through the Tempo database and includes an SI category code followed by a several-digit number (e.g., EQUI000...). If unknown, fill in the SI category without the number. The SI category codes are as follows:

EQUI Equipment (includes Delta codes EU, MR, DAS, and TK) STRU Structure (includes Delta codes SV and BG) FUGI Fugitive (Delta code FS) TREA Treatment (Delta code CE) COMG Component Group (Delta code GP) AISI Agency Interest (similar to Delta code FC, but broader and includes all media programs)

Note regarding items 1b-1e: Fill in a separate column of the form for each emission source from which emissions are being reported. If you run out of room on the form, make additional copies of the form and indicate which number each page is over the total number of pages of the tables (e.g., 1/3, or page 1 of 3; 2/3, or page 2 of 3; etc.).

1b) Pollutant name -- Fill in the name of each pollutant being emitted from the emission source (one pollutant per row). Include all regulated pollutants, including criteria pollutants, Hazardous Air Pollutants (HAPs), and greenhouse gas (GHG) emissions (report as individual GHGs and as carbon dioxide equivalents, CO2e).

1c) Chemical Abstracts Service (CAS) number -- Provide the CAS number for HAPs in this box.

1d) Potential emissions – Calculate the potential emissions as described on the MPCA website at https://www.pca.state.mn.us/air/emission-calculations. Calculate uncontrolled/unlimited emission rates based on equipment capacity and justified emission factors, mass balance, or direct measurement of uncontrolled emissions; calculate controlled/limited emission rates by taking into account control efficiencies, rule limits, or proposed limits (if such limitations are not already federally enforceable, they must be made federally enforceable through inclusion in the permit).

In the three columns under box 1d, for each pollutant (applies to both criteria and HAPs) express each emission source's potential-to-emit in each of the following three ways:

In the left column under box 1d, report the maximum controlled emissions rate (i.e., after taking into account pollution control equipment) in pounds per hour. If the source is subject to a state rule, federal regulation, or self-imposed limit which requires the source's emissions to be lower than the maximum controlled emission rate, fill in the maximum emission rate taking into account the rule, regulation, or self-imposed limit. For example, a unit may have a maximum controlled particulate emission rate of 10 pounds per hour, but the state industrial process equipment rule may limit the emission rate from the source to 5 pounds per hour. In this case you would fill in 5 pounds per hour as your maximum controlled emission rate.

In the middle column under box 1d, report the maximum uncontrolled emissions in tons per year (using the information calculated using spreadsheets). This is most commonly the emissions calculated using equipment capacity, emission factors or mass balance, and 8760 hours of operation per year; it does not include limitations based on control efficiency, rules, or proposed limits.

In the right column under box 1d, report the limited controlled emissions in tons per year (again using the information calculated using spreadsheets). This may simply be the controlled hourly emission rate reported in the left-hand column multiplied by 8760 hours; the number may be further reduced if you are proposing conditions that limit emissions on an annual basis (such as a limit on hours of operation, or total production).

1e) Actual emissions -- Fill in the column under box 1e with each emissions source's actual emissions, in tons per year, after reading the following:

For New Source Review (NSR) Pollutants: All criteria pollutant and GHG sources must fill in their actual pollutant emissions rate, in total tons per year, reported to one place to the right of the decimal point. Note: If you have submitted an emissions inventory as required by Minn. R. 7019.3000 and 7019.3010, in the previous year, you do not have to report actual NSR pollutant and GHG emissions on form AR-07.

For HAPs: All major sources of pollutants under Minn. R. 7007.0200, subp. 2 shall provide actual emission rates, in total tons per year, or if emissions of a HAP are less than one ton per year, in pounds per year, of each HAP for the stationary source as a whole. You are not required to report HAP emissions unit-by-unit, although you may do this if this is the only or most convenient way to calculate HAP emissions. You may use the FIRE database, other U.S. Environmental Protection Agency (EPA) publications, such as AP-42, test data, material balances, or other types of engineering calculations to estimate HAP emissions. HAPs emissions estimates must be reported to four places to the right of the decimal point.

Actual emissions shall be calculated using the emission unit’s actual operating hours, production rates, and types of materials processed, stored, or combusted during the elected time period. Each facility submitting a permit application will be required to supply calculations in an editable electronic format. Information on your facility’s potential-to-emit (PTE) can provide the basis for estimating actual emissions. Emission factors and various data (if available) from performance or stack tests, continuous emission monitors, and/or raw materials testing are used in the PTE calculations. This same information is required for estimating actual emissions. For this reason, you can use the same emission factors and data to calculate both potential-to-emit and actual emissions, with some appropriate adjustments to account for actual facility operations. You can also use information and calculations for actual emissions that are different from the calculations for potential-to-emit. However, if you use calculations for actual emissions that are different from the calculations for potential-to-emit, the information used in calculating actual emissions must be included in the permit application.

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Instructions for emissions summary table

Note regarding items 2a-2c: The lower table is the emissions summary table and summarizes the upper table(s) by pollutant. Take the data from the upper table(s) and use it to fill in the lower table. Fill out 2a, 2b, and 2c for each pollutant emitted by the sources listed in the upper table(s) - this will be every source at your facility if you are applying for a first time individual permit, or just the sources associated with the proposed change if you are applying for an amendment to an existing individual permit. Duplicate the emissions summary table as many times as necessary to include all pollutants emitted at your facility or by the sources associated with the proposed change. If multiple copies of this table are used, indicate at the top of each copy which number the page is over the total number of pages (e.g. 1/3, or page 1 of 3; 2/3, or page 2 of 3; etc.).

2a) Pollutant name -- If you are applying for a first time individual permit, list each pollutant emitted at your facility in column 2a) of the table. If you are applying for an amendment to an existing individual permit, list all pollutants that could be emitted by each source associated in the proposed change. Begin by filling in all of the criteria pollutants in alphabetical order, then fill in the HAPs in alphabetical order.

2b) Potential (tpy) -- If you are applying for a first time individual permit, in each appropriate column under 2b), provide the facility-wide total annual uncontrolled potential-to-emit for each pollutant, and the total facility-wide annual limited potential-to-emit for each pollutant in tons per year (tpy). If you are applying for an amendment to an existing individual permit, in each appropriate column under 2b), provide the sum of the annual uncontrolled potential-to-emit for each pollutant emitted from all sources associated with the proposed change, and the sum of the annual limited potential-to-emit for each pollutant emitted in tpy from all of the sources associated with the proposed change.

2c) Actual (tpy) -- Provide the total actual facility-wide annual emissions for each pollutant with emissions listed in 3f. If this permit will authorize an increase in mercury emissions (construction of a new facility that will emit mercury, or modification of an existing facility resulting in additional mercury emissions), and the potential mercury emissions from the entire facility are or will be three (3) or more pounds per year, complete and submit Form HG-01, Mercury Releases to Ambient Air.

3) Editable calculation spreadsheet(s) -- Whether you are submitting the application on a CD (i.e., you are not submitting paper copies, except forms that require signatures) or if you are submitting a paper copy of the application (i.e., you are not submitting a “pdf” version of the application on a CD), you must include the calculation spreadsheet(s) on a CD. See the MCPA website https://www.pca.state.mn.us/air/emission-calculations for information on how to perform and present these calculations.

If you are submitting a paper copy of the application, you must also include a printout of the calculation spreadsheet(s). If you are submitting a “pdf” of the application, you must also include the calculation spreadsheet(s) as part of the “pdf” document.

Instructions for form MG‐EIL: Equipment inventory list Do not submit this form with the application. Use and maintain this form after the permit is issued for recordkeeping. Use this form to describe equipment that you own/operate at your facilities subject to the Air Emission Manufacturing General Permit. You may copy the form as often as you need to.

Include the revision date of the MG-EIL form in the space provided (upper-right-hand corner). Maintain all current and previous versions of form MG-EIL on site.

a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

Instructions for completing Item 1 Type of equipment - The information in this column should give a brief description of the piece of equipment, for example “9 MMBtu/hr Boiler”. Equipment to list includes: Abrasive blasting, adhesive, bag houses, boilers, brazing, burn-off ovens, casting, catalytic or thermal afterburners, cleaning (including acid cleaning, degreasers, general cleanup with solvents), dip tanks, fabric filters, fuel storage, furnaces, injection molding, internal combustion engines (generators), lamination, mixing, molding, ovens, resin and gel coating, sanding, screen printing, soldering, space heaters, spraying and coating activities, stenciling, storage tanks, wall/panel filters, water wash paint booths, and welding. Update form MG-IA, as needed, with the insignificant activities (listed in Minn. R. 7007.1300 and/or conditionally insignificant activities listed in Minn. R. 7008) that are required to be listed in a Part 70 application.

Serial number or unique ID number - Use a serial number or some other type of identification (ID) number that is unique to each piece of equipment that you list on this form. Make sure this number is one that remains consistent, and is regularly used by your company to identify equipment. For existing equipment at the time of permit issuance, use the unique ID numbers used consistently throughout the permit application. For new equipment added after permit issuance, assign a unique identifier, such as the model and serial number for each individual unit. Each ID number must be unique and used consistently to reference the equipment both on paper and at the facility.

You will need to use this number when you submit such things as testing reports to the Minnesota Pollution Control Agency (MPCA) and in the records you keep.

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Manufacturer -- Fill in the name of the equipment manufacturer.

Date of construction/reconstruction - Provide the year that the piece of equipment was constructed or reconstructed.

Commence construction date -- Provide the date on which installation of the unit started at the source. If unknown, provide your best estimate of the year construction commenced.

Date of installation - This is the year that the piece of equipment was first installed at any site that you operate. For example, if you brought an engine onto site A in 1984, moved it to site B in 1987, and then moved it to site C in 1990, you would put ‘1984’ in this column. If possible, include the month that the unit was first installed.

Which NSPS is the unit subject to? - Indicate in this column if the unit is subject to any listed New Source Performance Standards (NSPS). Otherwise, choose “none.” If the unit is subject to an NSPS, attach a copy of the notifications.

The facility may not have any emission units which are subject to a Standard of performance for New Stationary Sources, 40 CFR pt. 60, other than 40 CFR pt. 60, subp. Kb, for liquid storage tanks, and subp. IIII, for stationary compression ignition (CI) internal combustion engines.

If the NSPS subp. Kb applies, the storage tanks must fit the following category:

* Constructed, modified, or reconstructed after July 23, 1984 with storage capacity greater than or equal to 75 m3 but less than 151 m3, storing a liquid with a maximum true vapor pressure greater than or equal to 15.0 kilopascals (kPa) but less than 27.6 kPa

If the NSPS subp. IIII applies, the engines must fit in one of the following categories:

* existing, non-emergency CI engines, 100 < brake Hp < 300; * existing, emergency CI engines, brake Hp < 500; and * new CI engines, brake Hp < 500.

Which NESHAP is the unit subject to? - Indicate in this column if the unit is subject to any listed National Emission Standard for Hazardous Air Pollutants (NESHAP). Otherwise, choose “none.” If the unit is subject to a NESHAP, attach a copy of the notifications.

The facility may not have any emission units which are subject to any NESHAP other than the following found at or to be promulgated at 40 CFR pt. 63:

* halogenated solvent cleaning machines (T); * surface coating of miscellaneous metal parts and products (MMMM); * surface coating of plastic parts and products (PPPP); * reinforced plastic composites production (WWWW); * internal combustion engines (ZZZZ); and * industrial, commercial and institutional boilers and process heaters (DDDDD).

Did you re-evaluate to determine if your actual emissions will remain below the thresholds in the permit? - Provide one of the two responses available in the drop down list.

Yes - still below No - did not evaluate

Did you re-evaluate to determine if you still qualify for this permit? - Provide one of the two responses available in the drop down list.

Yes - still qualify No - did not evaluate

Instructions for form MGCR‐04: Annual compliance certification a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

The remaining instructions for MGCR-04 are contained within the form.

Instructions for form MG‐CMP: Compliance management plan Do not submit this form with the application. It is to be completed and submitted after receiving your permit, as described below.

a) AQ Facility ID number -- Fill in your Air Quality (AQ) Facility identification (ID) number as on form MG-00, item a.

b) Agency Interest ID number -- Fill in your Agency Interest ID number as on form MG-00, item b.

c) Facility name -- Enter your Facility name as on form MG-00, item c.

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Use form MG-CMP to document each emission unit at your facility. For each emission unit, select from the permit and document all applicable rules and/or requirements, associated emission limits or control measures, and the corresponding monitoring or recordkeeping. Remember to included applicable CAM limits and requirements.

Emission source ID number -- Fill in the identification number of each emission group, unit, fugitive emissions source, or tank. Obtain these numbers from form MG-04, MG-05B, MG-05C, or MG-05D, as applicable. An example of how form MG-CMP may be filled out follows below.

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Example of form MG‐CMP This form must be submitted within 60 days after permit issuance, if applicable. It need not be submitted with the permit application.

This is an example of what a completed form might look like.

Facility information

Complete this section of this form only once for the facility.

Refer to the Handbook and Application Instructions for the Part 70 Manufacturing General Permit for form instructions.

MPCA use only

Date received:

Staff reviewer:

Date reviewed:

a) AQ Facility ID number: 12345678 b) Agency Interest ID number: 555BB

c) Facility name: ABC Company

1) Reporting period: 1/1/14-12/31/14

Applicable emissions limitations and/or control requirements

Repeat this table or include extra sheets as necessary to include all emission units on site and update as necessary throughout the duration of the permit to include new equipment. Specify the operation(s) and/or equipment which constitute this emission unit or group units listed in the following table along with applicable rules and/or requirements and the applicable emissions limitations and/or control measures. Emissions from this unit or group shall not exceed the listed limitations, and the listed control measures shall be used.

Emission source ID number

Operations and/or

equipment Applicable

rules/requirements

Applicable emissions limitations/control

measures Monitoring, record keeping and/ or testing

EQUI 1

Boiler, having a nominal capacity of 9 mmBtu/hr

a. Minn. R. 7011.0515 subp. 1 and Minn. R. 7011.0550

b. Minn. R. 7011.0515, subp. 1 and Minn. 7011.0550

c. Minn. R. 7011.0515, subp. 2

d. Minn. R. 7011.0515

a. SO2: ≤ 1.6 lbs/mmBtu actual heat input using a 3-hour rolling average.

b. PM/ PM10/PM2.5: ≤ 0.4 lbs/mmBtu actual heat input using a 3-hour rolling average.

c. Opacity: ≤ 20% opacity except for one six-minute period per hour of not more than 60% opacity.

d. Burn natural gas only in this unit.

Recordkeeping: Record and maintain records of the amount of fuel combusted on a monthly basis.

The report shall be in the form of fuel bills or meter reading, or equivalent form as approved by the Commissioner

EQUI 2 Non fiberglass spray booth in a total enclosure venting to panel filters

a. Title I Condition: used to avoid classification as a major source under 40 CFR § 52.21

b. Title I Condition: used to avoid classification as a major source under 40 CFR § 52.21.

c. Minn. R. 7011.0715, sup.

a. PM/ PM10/PM2.5: included under total facility cap of 90 tpy using a 12-month rolling sum.

b. VOC emissions: included under total facility cap of 225 tpy using a 12-month rolling sum.

c. PM emissions: 0.3 grains/dry standard cubic foot of exhaust gas.

Maintain all record of PM10 emissions calculations including the 12-month rolling sum by the 15th day of each month.

Once each day, calculate and record the following for the previous day:

The weight of VOC containing materials used and the VOC content in pounds per gallon of each coating/solvent used.

By the 15th day of each month, calculate and record the following:

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Emission source ID number

Operations and/or

equipment Applicable

rules/requirements

Applicable emissions limitations/control

measures Monitoring, record keeping and/ or testing

1(A); Minn. R. 7011.0730; Minn. R. 7011.0735.

d. Minn. R. 7011.0715, subp. 1(B)

e. Minn. R. 7011.0080, Minn. R. 7011.0070, and Minn. R. 7007.0800, subps. 4 and 5

d. Opacity: ≤ 20% opacity

e. Control efficiency for PM/PM10 /PM2.5: ≥ 85% overall control efficiency

Total gallons of each coating/solvent used during the previous month;

The sum total VOC usage during the previous month and Total VOC usage 12-month rolling sum.

Operate and maintain the panel filters any time the associated emissions units are in operation.

Daily Inspections: Once each operating day, visually inspect the condition of each panel filter with respect to alignment, saturation, tears, holes and any other matter that may affect the filter's performance. Maintain a daily written record of filter inspections.

Periodic Inspections: At least once per calendar quarter, or more frequently as required by the manufacturing specification, inspect the control equipment components. Maintain a written record of these inspections.

Corrective Actions: If the filters or any of their components are found during the inspections to need repair, follow the O & M Plan for the panel filter and take corrective action as soon as possible. Keep a record of the type and date of any corrective action taken for each filter.

Operate each filter in accordance with the Operation and Maintenance (O & M) Plan. Keep copies of O & M Plan available onsite for MPCA staff to review.

Hood Certification and Evaluation: Certify this as specified in Minn. R. 7011.0072 that the control device hood conforms to the requirements listed in Minn. R. 7011.0070, subp. 1. Maintain a copy of the certification on site, as well as an annual record of fan rotation speed, fan power draw, or face velocity of each hood, or other comparable airflow indication method.

TREA 1 Panel Filter associated with spray booth EQUI 2

a. Minn. R. 7011.0080; Minn. R. 7007.0800, subps. 4, 5, 6, and 14

a. PM/PM10 control efficiency: ≥ 85 % overall control efficiency

Operation and Maintenance of Panel Filter: Operate and maintain the Panel Filter according to the control equipment manufacturer’s specifications, conduct inspections, and maintain documentation of those actions as required by Minn. R. 7011.0075, subp. 2(A) to 2(I). Keep copies of the O & M Plan available onsite for use by staff and MPCA staff.

Recordkeeping of corrective actions: if the wall filter or any of its components are found during the inspections to need repair, follow the O& M Plan for the wall filter and take corrective action as soon as possible. Keep a record of the type and date of any corrective action taken.

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Emission source ID number

Operations and/or

equipment Applicable

rules/requirements

Applicable emissions limitations/control

measures Monitoring, record keeping and/ or testing

Reporting of Corrective Actions: For all situations warranting corrective actions are deviations, report the deviations in the semiannual deviations report as required in the total facility section of this general permit. Quarterly Inspections: At least once per calendar quarter, inspect the control equipment internal and external system component, including but not limited to the refractory, heat exchanger, and electrical systems. Maintain a written record of the inspection and any corrective actions taken resulting from the inspection.

Instructions for form SCP‐01 The instructions for this form are included with the form. You are applying for a Part 70 general permit. Follow all instructions and submit all of the information requested on the form.

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MGIA‐01 Part 70 Manufacturing General Permit

insignificant activities required to be listed Air Quality Permit Program 

Doc Type: Permit Application

Refer to the Handbook and application instructions for the Part 70 Manufacturing General Permit for form instructions.

Facility information a) AQ Facility ID number: b) Agency Interest ID number:

c) Facility name:

1) Does the facility include insignificant activities that are required to be listed? Note that the insignificant activity rules at Minn. R.

7007.1300 have changed; some activities formerly considered insignificant no longer are, and those that remain insignificant may

have been renumbered. Refer to the handbook.

No. Done with this form

Yes. List them in the following table.

Rule citation Description of activities at the facility

7007.1300, subp. 3(A)

7007.1300, subp. 3(B)(1)

7007.1300, subp. 3(B)(2)

7007.1300, subp. 3(C)(1)

7007.1300, subp. 3(C)(2)

7007.1300, subp. 3(D)

7007.1300, subp. 3(E)

7007.1300, subp. 3(F)

7007.1300, subp. 3(G)

7007.1300, subp. 4

7008.4100

7008.4110

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Application Forms Master List Part 70 Manufacturing General Permit Application

Air Quality Permit Program

Doc Type: Permit Application

The following is a list of all necessary application forms for the Part 70 Manufacturing General Permit. If you see a form on this list that is needed for your facility and you do not have it, please visit the MPCA web site at www.pca.state.mn.us/air/permits/forms.html.

Miscellaneous MG-00 Qualifications Review List SCP-01 Submittal Cover Page MGCR-02 Hood Evaluation and Certification MGIA-01 Insignificant Activities List MG-CK Application Requirements

General Information Forms MG-01 Facility Information MG-02 Process Flow Diagram MG-03 Building Information and Stack/Vent Diagram MG-04 Stack/Vent Information

MG-05A1 Pollution Control Equipment Information for Fabric Filters MG-05A2 Pollution Control Equipment Information for Wall Filters MG-05A3 Pollution Control Equipment Information for Catalytic Oxidizers MG-05A4 Pollution Control Equipment Information for Thermal Oxidizers

MG-05B1 Emission Unit Information for Boilers MG-05B2 Emission Unit Information for Ovens MG-05B3 Emission Unit Information for Furnaces MG-05B4 Emission Unit Information for Stationary Internal Combustion Engines MG-05B5 Emission Unit Information for Booths: Abrasive Blasting and/or Sanding MG-05B6 Emission Unit Information for Booths: Spraying/Coating (non Fiberglassing) MG-05B7 Emission Unit Information for Fiberglass Operations (spraying/coating, molding, casting, lamination) MG-05B8 Emission Unit Information for Dip Tanks MG-05B9 Emission Unit Information for Cleaning Machines (Degreasers)

MG-05C Tank Information

MG-05D Fugitive Emission Source Information

MG-05F Emission Source Associations

MG-07 Facility Emissions Summary

MG-09 Requirements Form MG-09A NESHAP for Source Categories (40 CFR. Pt. 63) MG-09B NESHAP (40 CFR pt. 61) MG-09C New Source Review (40 CFR pt. 52.21) MG-09D NSPS (40 CFR pt. 60) MG-09E Acid Rain (40 CFR pt. 72) MG-09F Stratospheric Ozone Protection (40 CFR pt. 82) MG-09G Risk Management Plan for Accidental Chemical Release Prevention (40 CFR pt. 68) MG-09H Compliance Assurance Monitoring (40 CFR pt. 64) MG-09I State Rules

Compliance Data Forms MG-06 Compliance Certification MG-CMP Compliance Management Plan MGCD-05 Compliance Plan for Control Equipment MG-EIL Annual Equipment Inventory List

Other Part 70 Manufacturing General Permit Forms Note: These forms do not necessarily need to be submitted with your original Part 70 Manufacturing General Permit application. Please submit these forms as appropriate.

MGCR-04 Annual Compliance Certification Report GPHGBK3 Handbook and Application Instructions

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MGmaster Application Forms Master List

Other forms that Manufacturing General Permit Permittees may need to use Note: These forms are not specific to this general permit. These forms do not necessarily need to be submitted with your original Part 70 Manufacturing General Permit application. Please submit these forms as appropriate.

GP-01 General Permit Administrative Changes AQRF Air Quality Reporting Form Checklist for Routine Submittals DRF-1 Excess Emissions Reporting Form [spreadsheet] DRF-2 Deviations Identified by Periodic Monitoring Systems CS-01 Compliance Schedule Progress Report TF-Series Forms for Halogenated Solvent Cleaners 4W-01, 4M-01, 4P-01, 4Z-01 Initial Notification forms for NESHAPs