Laserfiche WebLink
State of Wisconsin CONTROL EQUIPMENT <br /> Department of Natural Resources AIR POLLUTION CONTROL PERMIT APPLICATION <br /> Section 144.391,Wisconsin Statutes <br /> Form 4500.1C Rev. 12-86 <br /> 1. Facility Name <br /> 2. This data is for control equipment MC <br /> 3. Which will exhaust through stack(s)IS ,(Use M from appropriate Form 4500-1S.) <br /> 4. And will reduce emissions from source(s)(Use M from appropriate Form 4500-1B, 1D, 1I, 1P,or 1T.) <br /> MB MI MT <br /> MD MP <br /> 5. Type of control equipment(check r appropriate item and provide the specification identified in the instructions on the back). <br /> ❑ Settling Chamber ❑ Scrubber(specify) <br /> ❑ Cyclone ❑ Adsorption <br /> ❑ Multiple-Cyclone ❑ Condensation(specify) <br /> ❑ Filter(s) ❑ Incineration <br /> ❑ Electrostatic Precipitator ❑ Water Wall <br /> ❑ Baghouse ❑ Other(specify) <br /> • <br /> 6. Attach a blueprint or diagram of this equipment. <br /> 7. Manufacturer and model number 8. Operating pressure drop range(inches w.g.) <br /> 9. Maximum inlet gas flow rate(ACFM) 10. Maximum inlet gas temperature(°F) <br /> 11. List pollutant(s)to be controlled by this equipment and the expected control efficiency for each pollutant. <br /> Inlet Pollutant Hood Capture <br /> Pollutant Concentration Efficiency,(%), Efficiency(%) <br /> (gr/acf or ppm) if appropriate <br /> 12. Attach sufficient documentation to verify the stated capture and control efficiency for this equipment. This may include actual design <br /> calculations or emission tests verifying the effectiveness of this equipment for this specific air pollution control application. Provide <br /> equipment performance guarantees,if available. <br /> 13. Attach a malfunction prevention and abatement plan for this control equipment. <br /> This plan should include: <br /> A. An identification of the individual(s),by name and title,responsible for inspecting,maintaining and repairing the air <br /> pollution control device. <br /> B. The maximum intervals for inspection and routine maintenance. <br /> C. A description of the items or conditions that will be inspected. <br /> D. A listing of materials and spare parts that will be maintained in inventory. <br /> E. An identification of the source and air pollution control equipment operation variables that will be monitored in order to <br /> detect a malfunction or failure; the correct operating range of these variables;and a description of the method of <br /> monitoring or surveillance procedures or a reference to specific pages containing this information in manuals or other <br /> documents kept by the owner or operator. <br /> 14. Discuss how collected effluent will be handled for reuse or disposal. <br /> SEE INSTRUCTIONS ON REVERSE SIDE <br />