Nebraska
EXAMPLENotification of Compliance Status (NOCS)National Emission Standards for Hazardous Air PollutantsFor Chemical Manufacturing Area Sources40 CFR Part 63, Subpart VVVVVVSECTION I: FACILITY INFORMATION? I am subject to 40 CFR part 63, subpart VVVVVV National Emission Standards for Hazardous Air Pollutants: Area Source Standards for Chemical Manufacturing Source category and NAICS code(s)__________________________________________________Company name:______________________________________________________________Facility name (if different):_____________________________________________________Facility (physical location) address:_________________________________________________________________________________________________________________________CityStateZip CodeOwner name/title:________________________________________________________________________Owner/company address:__________________________________________________________________Owner telephone number:___________________________________Owner email address (if available):__________________________________________________________SECTION II: COMPLIANCE AND NOCS DUE DATESaPlease indicate appropriate Compliance and NOCS due dates for the facility: Type of Affected SourceCompliance DateDate NOCS is Due Existing Source? March 21, 2013? If a performance test is required to demonstration compliance, the notification must be sent before close of business on the 60th day following completion of the performance test.? If opacity or visible emission observations are required to demonstrate compliance, the notification of compliance shall be sent before close of business on the 30th day following completion of opacity or visible emission observations. (Notification may be combined as long as the due date requirement for each notification is met.) New SourceNew affected sources that started up on or before October 29, 2009:? October 29, 2009New affected sources that started up after October 29, 2009:? Upon startup of affected sourceSpecify startup date:____________aIf a title V permit is issued to the owner or operator of an affected source, the owner or operator of such source shall comply with all requirements for compliance status reports contained in the sources title V permit, including reports required under 40 CFR §63.9. After the title V permit has been issued to the owner or operator of an affected source, and each time a notification of compliance status is required, the owner or operator of such source shall submit the notification of compliance status to the appropriate permitting authority following completion of relevant compliance demonstration specified in the relevant standard.Section III: Description of Operation?This facility uses, produces, or generates a Table 1 organic HAP. ?This facility uses, produces, or generated a Table 1 metal HAP. Please list the amounts of HAP emitted by this source, reported in unites and averaging times and in accordance with the test methods specified in this standard. Which of the following types of emission sources do you have at your facility?? Batch Process Vents? Wastewater? Continues Process Vents? Transfer Operations? Halogenated Process Vents? Equipment (i.e., valves, pumps, compressors, etc.)?Storage Vessels?Heat exchange systems?Bottoms receivers and/or surge control vesselsPlease write a brief description of your operation (i.e., nature, size, design, and method of operation of the source, etc.):If you are complying with the alternative standard as specified in Table 2 to this subpart for batch process vents, you must include the information specified in 63.1258(b)(5), as applicable. You may either include the information below or as an attachment.If you are complying with the alternative standard as specified in Table 3 to this subpart for continuous process vents, you must provide the information specified in 63.1258(b)(5), as applicable. You may either provide the information below or as an attachment.If you established an operating limit for a parameter that will not be monitored continuously in accordance with §§63.11496(g)(4) and 63.2450(k)(6), provide the information as specified in §§63.11496(g)(4) and 63.2450(k)(6). You may provide the information below or as an attachment. List all transferred liquids that are reactive or resinous materials, as defined in §63.11502(b).?I am subject to 40 CFR part 63, subpart VVVVVV and another Federal standard (as described in §63.11500) and will comply with the alternative standard as specified in Table 2 to this subpart or Table 3 of this subpart. Provide a description of the alternative standard with which you will comply. The alternative standards must be at least as stringent as the corresponding requirements in this subpart VVVVVV.SECTION IV: CERTIFICATION?This facility complies with the management practices in §63.11495.?This facility complies with the requirements in §63.11496 for HAP emissions from process vents.?This facility complies with the requirements in §63.11496 and §63.11497 for surge control vessels, bottoms receivers, and storage tanks. ?This facility complies with the requirements in §63.11498 to treat wastewater streams.?This facility complies with the requirements in §63.11499 for heat exchange systems. ?I certify that my facility has complied with all the relevant standards and other requirements of 40 CFR part 63, subpart VVVVVV. ?I certify that the information presented here is true, accurate, and complete to the best of my knowledge. Name (please print):______________________________________________________________________________________________________________ Date:_______________SignatureSECTION VI. SUBMITTALSubmit the Initial Notification to one of the following offices, as appropriate: If your State has been delegated the authority for this regulation under section 112(l) of the Clean Air Act, submit the notification to your State agency found at the following link: If your state/local contact is not listed at the above link, use this link: your EPA Region has assumed the authority for this rule, submit the notification to your Regional Office of the EPA, from the list below: EPA Region I (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont) US Environmental Protection Agency 5 Post Office Square, Suite 100, Mail code: OES04-2, Boston MA 02109-3912 Attention: Air Clerk EPA Region II (New Jersey, New York, Puerto Rico, Virgin Islands), Director, Division of Enforcement and Compliance Assistance 290 Broadway, New York, NY 10007-1866 EPA Region III (Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia) Director, Air Protection Division, 1650 Arch Street, Philadelphia, PA 19103 EPA Region IV (Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee) Director, Air, Pesticides and Toxics Management Division Atlanta Federal Center, 61 Forsyth Street, Atlanta, GA 30303–3104 EPA Region V (Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin) Director, Air and Radiation Division, 77 West Jackson Blvd., Chicago, IL 60604–3507 EPA Region VI (Arkansas, Louisiana, New Mexico, Oklahoma, Texas) Director, Air, Pesticides and Toxics, 1445 Ross Avenue, Dallas, TX 75202–2733 EPA Region VII (Iowa, Kansas, Missouri, Nebraska) Director, Air and Waste Management Division, U.S. Environmental Protection Agency 901 N. 5th Street, Kansas City, KS 66101 EPA Region VIII (Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming) Director, Air and Toxics Technical Enforcement Program, Office of Enforcement, Compliance and Environmental Justice, 1595 Wynkoop Street, Denver, CO 80202-1129 EPA Region IX (Arizona, California, Hawaii, Nevada, American Samoa, Guam) Director, Air and Toxics Division, 75 Hawthorne Street, San Francisco, CA 94105 EPA Region X (Alaska, Idaho, Oregon, Washington) Director, Office of Air, Waste and Toxics, 1200 6th Ave., Suite 900, AWT-107, Seattle, WA 98101 ................
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