OAQ General Source Data Application GSD-10 Insignificant Activities {51596}

GSD-10 ­ Insignificant Activities ­ INSTRUCTIONS Microsoft Word version of GSD-10 Adobe PDF version of GSD-10 The purpose of GSD-10 (State Form 51596) is to identify all trivial and insignificant activities in operation at the source. GSD-10 is required for all air permit applications submitted to IDEM, OAQ. For the purposes of this form, the term "source" refers to the plant as a whole and NOT to the individual emissions units. Indiana's Part 70 permit program regulations require that an applicant list insignificant activities in the application. Insignificant activities are defined in 326 IAC 2-7-1(20). The definition includes the exemption levels specified in 326 IAC 2-1-1 and the following: < 0.6 ton/year or < 3.29 lb/day -- Lead (Pb) < 25 lb/day -- Carbon Monoxide (CO) The exemption levels under 326 IAC 2-1-1 are as follows: < 5 lb/hour or < 25 lb/day -- Particulate Matter (PM) < 10 lb/hour or < 50 lb/day -- Sulfur dioxide (SO2) < 5 lb/hour or < 25 lb/day -- Nitrogen oxides (NOx) < 3 lb/hour or < 15 lb/day -- Volatile organic compounds (VOC) If you have any questions, contact the Air Permit Reviewer of the Day (PROD) at (317) 233-0178 or 1-800-451-6027 extension 3-0178 (toll free call within Indiana). Part A: Trivial Activities Part A identifies all trivial activities in operation at the source. Items 1 through 17 are defined as trivial activities in paragraph 40 of Section 1 of Rule 7 from Article 2 of Title 326 of the Indiana Administrative Code (326 IAC 2-7-1(40)). Detailed information concerning the emissions of these activities is not required; however, detailed emissions information must be provided upon request by the department. Indicate which activities are present by checking the appropriate box. Part B: Insignificant Activities Part B identifies all insignificant activities in operation at the source. Items 18 through 47 are defined as insignificant activities in 326 IAC 2-7-1(21). Detailed information concerning the emissions of these activities is not required; however, detailed emissions information must be provided upon request by the department. Indicate which activities are present by checking the appropriate box. Part C: Insignificant Laboratory, Research, and Educational Activities Part C identifies insignificant activities in operation at the source as defined in 326 IAC 2-7-1(21), paragraph (D), (E), or (F). For items 48 through 50, identify any "other activities" in operation at the source, and provide a brief description. Part D: Other Insignificant Activities Part D identifies all other insignificant activities in operation at the source (as defined in 326 IAC 2-7-1(21), paragraphs (A) and (B) as those activities with potential uncontrolled emissions equal to or less than the specified thresholds) that are not identified above in Parts A, B, or C. For item 51, identify any "other activities" in operation at the source, and provide a brief description. Part E: Insignificant Activities with HAP Emissions Part E identifies all trivial and insignificant activities in operation at the source that have the potential to emit hazardous air pollutants (HAP). These activities may or may not be identified above in Parts A, B, or D. Activities listed in Part C above, need not be listed in this section. For items 52 through 53, identify any "Insignificant HAP Activities" in operation at the source, provide a description of the insignificant activity, including identification of the HAPs emitted and any applicable requirements, and provide a brief description. American LegalNet, Inc. www.FormsWorkflow.com For a complete list of HAPs, please refer to the United States Environmental Protection Agency's (US EPA) Air Toxics Website (ATW) original list of HAPs and list of modifications to the HAPs. You may rely on MSDS sheets, product labels, other manufacturer's information, or other technical and scientific judgement for identification of HAPs. Insignificant activities that are part of a multi-step process line shall be reported as such and the source shall include a description of the function and components of the process line. Insignificant activities that perform equivalent functions shall be grouped and the function and number of the units shall be included in the application. An applicant may wish to provide the information above on a separate sheet(s) and label GSD-10(a), Insignificant Activities, if additional space is needed. Part F: Specifically Regulated Insignificant Activities Part F identifies all specifically regulated insignificant activities. Examples of specifically regulated activities that may have insignificant emissions include boilers, process heaters, any activity regulated under a federal rule such as MACT or BACT, etc. If you are not sure if an emissions unit would be considered a specifically regulated insignificant activity, contact the PROD for additional guidance. 54. Unit ID: Provide the identification number for each emissions unit that qualifies as a specifically regulated insignificant activity. The identification numbers listed on this form should correspond to the emissions unit identified on the Plant Layout and Process Flow diagrams. 55. Stack / Vent ID: Provide the identification number for each stack or vent that has the potential to emit air pollutants to the atmosphere. The identification numbers listed on this form should correspond to the stacks and vents identified on the Plant Layout and Process Flow diagrams. 56. Pollutant: For each specifically regulated insignificant activity identified, list each criteria pollutant or hazardous air pollutant emitted to the atmosphere during normal operation. If there are multiple pollutants for an activity, use a new row for each pollutant. 57. Actual Emissions: For each emissions unit specific pollutant identified, provide the actual emissions level based on normal operating conditions (i.e., actual hours of operation, using control equipment, etc.) in standard units and also in tons per year (tpy). Since the units will vary depending on the process, appropriate units must be included or the application process may be stopped. The standard units used for this form should correspond to the units used on form CD-01, Facility/Unit Compliance Status. The annual emissions level should be calculated using data from the previous year of operation and should correspond to the emissions reported on the Annual Emission Statement (if required). It is important to provide an estimate of actual