BACT 01A Background Search Existing BACT Determinations {49554}

Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01a Background Search - Existing BACT Determinations 1/2000 BACKGROUND SEARCH - EXISTING BACT DETERMINATIONS Facility: Unit ID: Pollutant: Complete all five tables of this form to provide more detailed information regarding the five determinations listed on Table C of FORM BACT-01 ANALYSIS OF BEST AVAILABLE CONTROL TECHNOLOGY. A. Source City State Regulatory Authority Permit Date Issued Facility Capacity (specify units) BACT Determination Compliance Achieved? (Yes/No) Method of Compliance Determination Actions Taken for Noncompliance Baseline Emissions Rate (specify units) Post-BACT Emissions Rate (specify units) Emissions Reduction Potential (%) Cost Effectiveness ($/ton removed) Reference Refer to Chapter B of the ANew Source Review (NSR) Workshop Manual@ (Draft edition, October 1990). SOURCE 1 BACT-01a Page 1 of 5 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01a Background Search - Existing BACT Determinations 1/2000 Background Search - Existing BACT Determinations (continued) Facility: Unit ID: Pollutant: B. Source City State Regulatory Authority Permit Date Issued Facility Capacity (specify units) BACT Determination Compliance Achieved? (Yes/No) Method of Compliance Determination Actions Taken for Noncompliance Baseline Emissions Rate (specify units) Post-BACT Emissions Rate (specify units) Emissions Reduction Potential (%) Cost Effectiveness ($/ton removed) Reference SOURCE 2 Refer to Chapter B of the ANew Source Review (NSR) Workshop Manual@ (Draft edition, October 1990). BACT-01a Page 2 of 5 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01a Background Search - Existing BACT Determinations 1/2000 Background Search - Existing BACT Determinations (continued) Facility: Unit ID: Pollutant: C. Source City State Regulatory Authority Permit Date Issued Facility Capacity (specify units) BACT Determination Compliance Achieved? (Yes/No) Method of Compliance Determination Actions Taken for Noncompliance Baseline Emissions Rate (specify units) Post-BACT Emissions Rate (specify units) Emissions Reduction Potential (%) Cost Effectiveness ($/ton removed) Reference SOURCE 3 Refer to Chapter B of the ANew Source Review (NSR) Workshop Manual@ (Draft edition, October 1990). BACT-01a Page 3 of 5 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01a Background Search - Existing BACT Determinations 1/2000 Background Search - Existing BACT Determinations (continued) Facility: Unit ID: Pollutant: D. Source City State Regulatory Authority Permit Date Issued Facility Capacity (specify units) BACT Determination Compliance Achieved? (Yes/No) Method of Compliance Determination Actions Taken for Noncompliance Baseline Emissions Rate (specify units) Post-BACT Emissions Rate (specify units) Emissions Reduction Potential (%) Cost Effectiveness ($/ton removed) Reference SOURCE 4 Refer to Chapter B of the ANew Source Review (NSR) Workshop Manual@ (Draft edition, October 1990). BACT-01a Page 4 of 5 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01a Background Search - Existing BACT Determinations 1/2000 Background Search - Existing BACT Determinations (continued) Facility: Unit ID: Pollutant: E. Source City State Regulatory Authority Permit Date Issued Facility Capacity (specify units) BACT Determination Compliance Achieved? (Yes/No) Method of Compliance Determination Actions Taken for Noncompliance Baseline Emissions Rate (specify units) Post-BACT Emissions Rate (specify units) Emissions Reduction Potential (%) Cost Effectiveness ($/ton removed) Reference SOURCE 5 Refer to Chapter B of the ANew Source Review (NSR) Workshop Manual@ (Draft edition, October 1990). BACT-01a Page 5 of 5 American LegalNet, Inc. www.FormsWorkflow.com