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INSTRUCTIONS FOR COMPLETING AN AIR POLLUTION CONTROL PERMIT APPLICATION Nine forms are provided for use when applying for an Air Pollution Control Permit. These are as follows: Air Pollution Control Permit Application Form 4500-1 A. Facility and Project Identification B. Fuel Burning Equipment C. Air Pollution Control Equipment D. Printing, Painting and Coating Operations F. Facility Plot Plan I. Incineration P. Miscellaneous Processes T. Storage Tanks S. Stack Identification General — All applications should include a Form 4500-1A and Form 4500-1F identifying the applicant and the air pollution sources for which Air Pollution Control Permits are required. For each air pollution source, the appropriate Form 4500-1B, 1D, 1I, 1P or 1T should be completed to describe the source. For each stack exhausting the air pollution source(s), Form 4500-1S should be completed to provide stack parameters and emissions data, if available. Finally, for each piece of control equipment used to reduce air pollution emissions, Form 4500-IC shculd be completed. All forms, except the Facility and Project Identification Form, request an identification number for each source, stack, and control device included in the application. These identification numbers should be arbitrarily assigned by the applicant, but should remain consistent throughout the application. For example, a coal-fired boiler equipped with a baghouse fabric filter collector could be assigned an identification number B-1. This number will appear on Form 4500-1B: Fuel Burning Equipment, Form 4500-1S: Stack Identification, and Form 4500-1C: Air Pollution Contr::l Equipment completed for this boiler. The collector could be assigned the identification number C- ., which should then appear on the same forms 1B, 1C, and 1S. The stack venting the boiler and baghouse could then be assigned the identification number S-1 which would then appear on all three forms 1B, 1C, and 1S completed as well for this boiler, stack, and control device. AIR POLLUTION CONTROL PERMIT APPLICATION FORM 4500-1A: SOURCE AND PROJECT IDENTIFICATION One For:n 4500-IA should be included with each application. Item 1 — Provide full business name and address of corporation, company, association, society, firm, partnership, individual, or political subdivision of the state submitting the application. Item 2 — Street address where the air pollution sources are or will be located. Item 3 — Provide a short statement such as, "lead-acid battery manufacture", or "sulfite paper mill," the standard industrial classification (SIC) code for the facility where the source will be located, and the Facility Identification (FID) Number which appears on the annual DNR NR 101 emissions inventory reports. Item 4 — Self explanatory. Item 5 — Individual to contact for additional information concerning the air pollution sources during the permitting process. Item 6 — Individual legally responsible for operation of the permitted air pollution sources. Item 7 — This plot plan should be provided on paper appropriate for the detail required. Item 8 — Self explanatory. Item 9 — This description should be concise and qualitative. More specific design or operation parameters should be provided on the appropriate application forms. Include the cost of any new projects. Item 10 — Self explanatory. Item 11 — Self explanatory.