ID07180034_Supporting_Documents_Part_2.pdf

Feather River Air Quality Management District

Application for Authority to Construct / Permit to Operate

Cover Form – all applications

541 Washington Avenue

Yuba City, CA 95991

(530) 634-7659

FAX (530) 634-7660

www.fraqmd.org

Christopher D. Brown AICP

Air Pollution Control Officer

FOR FRAQMD USE ONLY

RECEIPT #: DATE: RECEIVED BY: FACILITY ID: A/C#:

PERMIT ATC Cover (7/1/2017) Page 1 of 2 _

Filing Fee $134.00 (non-refundable and to be submitted with this application)

Additional fees will be assessed pursuant to District Rule 7.7 at an hourly rate to cover costs of assessment, processing, and evaluation of the application. Inspections of the site and Hearing Board costs are additional. These fees do not include State costs incurred pursuant to Section 44380 of the California Health and Safety Code. Fees are subject to change. If you store blank forms, please check with the District for updated information before filing.

DIRECTIONS: Please provide all information requested in this application. Fill in the information exactly as you would like it to appear on the permit (including punctuation, capitalization, and abbreviations). If applicable, please complete the associated supplemental form for each piece of equipment or process and attach it to this application. If there is no supplemental form, please describe your project and attach extra pages, as necessary. Incomplete applications will delay processing. Construction must not be started until the Authority to Construct has been issued.

SECTION I COMPANY / OWNERSHIP INFORMATION FRAQMD PERMIT # (if existing):

COMPANY NAME (as it will appear on the permit):

COMPANY CONTACT: TITLE:

PHONE: FAX: E-MAIL:

SECTION II FACILITY INFORMATION

FACILITY NAME (if different than Company Name):

FACILITY LOCATION / ADDRESS:

CITY: STATE: ZIP CODE:

ON-SITE CONTACT: TITLE:

SECTION III PERMIT TO OPERATE MAILING / BILLING INFORMATION

NOTE: THIS IS WHERE ALL ANNUAL RENEWAL INVOICES AND PERMIT RENEWALS WILL BE MAILED TO

MAILING NAME:

MAILING ADDRESS:

CITY: STATE: ZIP CODE:

MAILING CONTACT: TITLE:

SECTION IV CONTRACTOR INFORMATION (for Authority to Construct Permits)

COMPANY NAME:

MAILING ADDRESS:

CITY: STATE: ZIP CODE:

MAILING CONTACT: TITLE:

IS THE CONTRACTOR ACCEPTING BILLING FOR THE AUTHORITY TO CONSTRUCT INVOICES? Yes

Application for Authority to Construct / Permit to Operate – Cover Form

PERMIT ATC Cover (7/1/17) Page 2 of 2 _

No

SECTION V CONSTRUCTION SCHEDULE & SCOPE OF WORK

ESTIMATED START DATE: ESTIMATED COMPLETION DATE:

OR

IF THE EQUIPMENT HAS ALREADY BEEN INSTALLED, ENTER THE DATE INSTALLED:

DESCRIBE THE SCOPE OF THE WORK TO BE PERFORMED AND LIST EQUIPMENT TO BE CONSTRUCTED, MODIFIED, OR PUT

UNDER PERMIT. ATTACH FEATHER RIVER AQMD SUPPLEMENTAL FORM(S) AND SUPPORTING DOCUMENTATION AS

NECESSARY. THE DISTRICT RESERVES THE RIGHT TO REQUEST ADDITIONAL INFORMATION IF NEEDED.

SECTION VI CONFIDENTIAL INFORMATION

SECTION VII NEAREST SCHOOL

SECTION VIII APPLICANT CERTIFICATION STATEMENT

All information submitted to obtain an Authority to Construct/Permit to Operate is considered public information as defined by California Government Code section 6254.7 unless specifically marked as a trade secret by the applicant. Each document containing trade secrets must be separated from all non-privileged documents. Each document, which is claimed to contain trade secrets, must indicate each section or paragraph that contains trade secret information and must have attached a declaration stating with specificity the reason this document contains trade secret information. All emission data is subject to disclosure regardless of any claim of trade secret.

Acknowledgement (Please Initial) Are Trade Secret documents included with this application? Y N

If the emission source is within 1,000 feet of a school site and the application will result in an increase in hazardous air emissions, a public notice will be required at the expense of the applicant. (CH&S 42301.6)

"School" means any public or private school used for purposes of the education of more than 12 children in kindergarten or any of grades 1 to 12, inclusive, but does not include any private school in which education is primarily conducted in private homes. (CH&S 42301.9(a))

Pursuant to 42301.6(f) of the California Health and Safety Code, I hereby certify that the emission source(s) in this permit application:

Is within 1,000 feet of the outer boundary of a school.

(Initial appropriate box) Is not within 1,000 feet of the outer boundary of a school.

NEAREST SCHOOL AND DISTANCE (IN FEET) NAME: / FEET

Applicant agrees to defend (with legal counsel reasonably acceptable to FRAQMD), indemnify and hold harmless FRAQMD, its officers, employees, and agents, from and against any and all claims, losses, costs, damages, injuries (including injury to or death), expenses and liabilities of every kind, nature and description (including incidental and consequential damages, court costs, attorneys’ fees, litigation expenses and fees of expert consultants or expert witnesses incurred in the connection therewith and costs of investigation) that arise out of, pertain to, or relate to, directly or indirectly, in whole or in part, this permit and/or the application or issuance thereof. To the extent that FRAQMD is required to use any of its resources to respond to such claim, action, or proceeding, Applicant will reimburse FRAQMD upon demand and upon presentation of an invoice describing the work done, the time spent on such work, and the hourly rate for such work by the employee or agent of FRAQMD.

I certify under penalty of perjury under the laws of the State of California, based on information and belief formed after reasonable inquiry, that the information contained in this application, composed of the forms and attachments, is true, accurate, and complete, and that I am the responsible official.

RESPONSIBLE OFFICIAL OR AUTHORIZED AGENT SIGNATURE:

NAME (PRINTED): TITLE: DATE:

MCCL-10-01 Page 1 of 4

PLACER COUNTY APCD PERMIT TO OPERATE

110 Maple Street Auburn, California 95603

(530) 745-2330 - Fax (530) 745-2373

ISSUED TO: PERMIT NUMBER: MCCL-10-01

BEALE AIR FORCE BASE

6601 B ST BLDG 2561

9 CES/CEAN

BEALE AFB, CA 95903-1708

FACILITY LOCATION: VALID FROM:

BEALE AIR FORCE BASE 8/10/2017 - 8/9/2018

5750 MOORE RD

LINCOLN, CA 95648

Erik C. White 8/18/2017 Air Pollution Control Officer Issue Date

PROCESS DESCRIPTION: EMERGENCY GENERATOR #1 (AC-09-66A)

EQUIPMENT

No. Equipment Rating

1 Emergency Generator #1, Mfr: Cummins Inc, Model: OJB7-G3 NR3, Serial Number: 73061037, Power Rating: 250 BHP, Fuel: Diesel, Other Features: Turbocharger, Aftercooled, Generator, Mfr: Stamford, Model:

DJG-AA 2344033, Serial Number: LO90077667, Power Rating: 117 kW.

EXCP-

TOTAL RATINGS – EXCP- 1 .

OPERATING CONDITIONS

1. A non-resettable hour meter shall be installed on the engine/generator set to record the hours of operation.

2. Operation for maintenance and testing of the emergency engine and generator shall be limited to 30 hours per year.

3. Operation for other than maintenance purposes shall be limited to involuntary interruptions of electrical power.

MCCL-10-01 Page 2 of 4

RECORDKEEPING AND REPORTING

4. Reporting and Record Keeping: A monthly log shall be kept by the Owner or Operator for a period of three (3) years, and shall be made available to the District's inspector upon request. Information required for reporting to the District includes, but is not limited to:

A. The hours of operation the engine was run for maintenance and testing;

B. The hours of operation the engine was run during interruption of electrical power;

C. The hour meter reading at the start of each calendar year; and, D. Fuel records including type (CARB diesel), amount purchased, and date purchased.

EMISSIONS LIMITATIONS

5. Emissions Limitations

A. No emissions are permitted, from any source, which are a nuisance per District Rule 205, Nuisance.

B. Stack emission opacity as dark or darker than Ringelmann No. 1 (20% opacity) for a period or periods aggregating more than three (3) minutes in any one hour is prohibited and is in violation of District Rule 202, Visible Emissions.

C. The particulate emission concentration of the engine exhaust shall not exceed 0.1 grains per dry standard cubic foot of gas, at 60 degrees F, per Rule 210, Specific Contaminants.

D. The emission of sulfur compounds, calculated as sulfur dioxide (SO2) shall not exceed 0.2 percent by volume per Rule 210, Specific Contaminants.

E. The emissions from the engine shall not exceed the following rates:

POLLUTANT POUNDS/DAY

Carbon Monoxide (CO): 15.9

Nitrogen Oxides (NOx): 37.0

PM-10: 1.7

Volatile Organic Compounds (VOCs): 0.3

GENERAL CONDITIONS

6. Authorization to construct the equipment listed and as prescribed in the approved plans and specifications is hereby granted, subject to the specified permit conditions. The construction and operation of listed equipment shall be conducted in compliance with all data and specifications submitted with the application under which this permit is issued unless otherwise noted in the conditions. Deviation from the approved plans is not permissible without first securing approval for the changes from the Air Pollution Control Officer. (Rule 501)

7. This permit shall be maintained on the premises of the subject equipment. (Rule 501)

MCCL-10-01 Page 3 of 4

8. The authorized District agents shall have the right of entry to any premises on which an air pollution emission source is located for the purpose of inspecting such source, including securing samples of emissions therefrom, or any records required to be maintained therewith by the District. (Rule 402)

9. In the event of any violation of the District Rules and Regulations, the company shall take action to end such violation. (Rule 502)

10. The company shall notify the District within two hours of any upset conditions, breakdown or scheduled maintenance which cause emissions in excess of limits established by District Rules and Regulations. (Rule 404)

11. Any alteration of the subject equipment, including a change in the method of operation, shall be reported to the District. Such alterations may require an Authority to Construct Permit. (Rule 501)

12. Exceeding any of the limiting conditions is prohibited without prior application for, and the subsequent granting of a permit modification pursuant to District Rule 501, General Permit Requirements, Section 400.

13. In the event of a change of ownership, an application must be submitted to the District.

Upon any change in control or ownership of facilities constructed, operated, or modified under authority of this permit, the requirements contained in this Authority to Construct shall be binding on all subsequent owners and operators. (Rule 501)

14. Compliance of the permitted facility is required with the provisions of the "Air Toxics `Hot

Spots' Information and Assessment Act" of 1987 (Health and Safety Code Sections 44300 et seq.).

15. Title V Recordkeeping Requirements: Recordkeeping and reporting pursuant to District

Rule 511, Potential to Emit, shall be performed if the facility emissions exceed any of the following in any 12 month period:

A. 5 tons per year of a regulated air pollutant (excluding HAPs);

B. 2 tons per year of a single HAP;

C. 5 tons per year of any combination of HAPs;

D. 20 percent of any lesser threshold for a single HAP that the United States

Environmental Protection Agency (U.S. EPA) may establish by rule.

16. Title V Operating Limitations: The Owner/Operator shall file an application pursuant to

Rule 512, Request for Synthetic Minor Source Status or Rule 507, Federal Operating Permit Program if the facility emissions exceed any of the following in any 12 month period:

A. 12.5 tons of nitrogen oxides, 12.5 tons of volatile organic compounds, 50 tons of sulfur oxides, 50 tons of PM-10 or 50 tons of carbon monoxide;

B. 5 tons of a single hazardous air pollutant (HAP);

C. 12.5 tons of any combination of HAPs;

D. 50 percent of any lesser threshold for a single HAP as the U.S. EPA may establish by rule.

MCCL-10-01 Page 4 of 4

17. Performance Test Requirements: If the District finds that performance tests are required to determine compliance with District Rules and Regulations and Conditions of this Authority to Construct, reasonable written notice shall be provided to the Company.

The performance tests shall be subject to the following restrictions:

A. At least thirty (30) days prior to the actual testing, a written test plan shall be submitted to the Air Pollution Control Officer detailing the sampling methods, analytical methods or detection principles to be used. The prior written approval of the Air Pollution Control Officer is required for the use of alternate test methods.

B. The District may require, upon reasonable written notice, the conduct by the company of such emissions testing or analysis as may be deemed necessary by the District to demonstrate compliance with District Rules and Regulations and the limiting conditions of this permit.

C. Testing shall be conducted in accordance with 40 CFR 60, Appendix A, Methods, or equivalent methods approved by the State of California Air Resources Board (ARB) by reference in Title 17 of the California Administrative Code, or other methods specified by the company and approved in writing by the Air Pollution Control Officer. Independent testing contractors and analytical laboratories shall be Air Resources Board certified for the test or analysis conducted. Particulate matter testing, if requested, shall include both filterable and condensed particulate matter (e.g. Method 5 modified to include impinger catch).

D. A report of the testing shall be submitted to the District no later than sixty (60) days after the source test is performed.

18. The applicant/Permittee has an obligation to defend and indemnify the District against third party challenges in accordance with District Rule 411.

MCCL-10-02 Page 1 of 4

PLACER COUNTY APCD PERMIT TO OPERATE

110 Maple Street Auburn, California 95603

(530) 745-2330 - Fax (530) 745-2373

ISSUED TO: PERMIT NUMBER: MCCL-10-02

BEALE AIR FORCE BASE

6601 B ST BLDG 2561

9 CES/CEAN

BEALE AFB, CA 95903-1708

FACILITY LOCATION: VALID FROM:

BEALE AIR FORCE BASE 8/10/2017 - 8/9/2018

5750 MOORE RD

LINCOLN, CA 95648

Erik C. White 8/18/2017 Air Pollution Control Officer Issue Date

PROCESS DESCRIPTION: EMERGENCY GENERATOR #2 (AC-09-66B)

EQUIPMENT

No. Equipment Rating

1 Emergency Generator #2, Mfr: Cummins Inc, Model: QSB7-G3 NR3, Serial Number: N/A, Power Rating: 250 BHP, Fuel: Diesel, Other Features: Turbocharger, Aftercooled, Generator, Mfr: Onan, Model:

100DSGAA, Serial Number: N/A, Power Rating: 100 kW.

EXCP-

TOTAL RATINGS – EXCP- 1 .

OPERATING CONDITIONS

1. A non-resettable hour meter shall be installed on the engine/generator set to record the hours of operation.

2. Operation for maintenance and testing of the emergency engine and generator shall be limited to 30 hours per year.

3. Operation for other than maintenance purposes shall be limited to involuntary interruptions of electrical power.

MCCL-10-02 Page 2 of 4

RECORDKEEPING AND REPORTING

4. Reporting and Record Keeping: A monthly log shall be kept by the Owner or Operator for a period of three (3) years, and shall be made available to the District's inspector upon request. Information required for reporting to the District includes, but is not limited to:

A. The hours of operation the engine was run for maintenance and testing;

B. The hours of operation the engine was run during interruption of electrical power;

C. The hour meter reading at the start of each calendar year; and, D. Fuel records including type (CARB diesel), amount purchased, and date purchased.

EMISSIONS LIMITATIONS

5. Emissions Limitations

A. No emissions are permitted, from any source, which are a nuisance per District Rule 205, Nuisance.

B. Stack emission opacity as dark or darker than Ringelmann No. 1 (20% opacity) for a period or periods aggregating more than three (3) minutes in any one hour is prohibited and is in violation of District Rule 202, Visible Emissions.

C. The particulate emission concentration of the engine exhaust shall not exceed 0.1 grains per dry standard cubic foot of gas, at 60 degrees F, per Rule 210, Specific Contaminants.

D. The emission of sulfur compounds, calculated as sulfur dioxide (SO2) shall not exceed 0.2 percent by volume per Rule 210, Specific Contaminants.

E. The emissions from the engine shall not exceed the following rates:

POLLUTANT POUNDS/DAY

Carbon Monoxide (CO): 15.9

Nitrogen Oxides (NOx): 37.0

PM-10: 1.7

Volatile Organic Compounds (VOCs): 0.3

GENERAL CONDITIONS

6. Authorization to construct the equipment listed and as prescribed in the approved plans and specifications is hereby granted, subject to the specified permit conditions. The construction and operation of listed equipment shall be conducted in compliance with all data and specifications submitted with the application under which this permit is issued unless otherwise noted in the conditions. Deviation from the approved plans is not permissible without first securing approval for the changes from the Air Pollution Control Officer. (Rule 501)

7. This permit shall be maintained on the premises of the subject equipment. (Rule 501)

MCCL-10-02 Page 3 of 4

8. The authorized District agents shall have the right of entry to any premises on which an air pollution emission source is located for the purpose of inspecting such source, including securing samples of emissions therefrom, or any records required to be maintained therewith by the District. (Rule 402)

9. In the event of any violation of the District Rules and Regulations, the company shall take action to end such violation. (Rule 502)

10. The company shall notify the District within two hours of any upset conditions, breakdown or scheduled maintenance which cause emissions in excess of limits established by District Rules and Regulations. (Rule 404)

11. Any alteration of the subject equipment, including a change in the method of operation, shall be reported to the District. Such alterations may require an Authority to Construct Permit. (Rule 501)

12. Exceeding any of the limiting conditions is prohibited without prior application for, and the subsequent granting of a permit modification pursuant to District Rule 501, General Permit Requirements, Section 400.

13. In the event of a change of ownership, an application must be submitted to the District.

Upon any change in control or ownership of facilities constructed, operated, or modified under authority of this permit, the requirements contained in this Authority to Construct shall be binding on all subsequent owners and operators. (Rule 501)

14. Compliance of the permitted facility is required with the provisions of the "Air Toxics `Hot

Spots' Information and Assessment Act" of 1987 (Health and Safety Code Sections 44300 et seq.).

15. Title V Recordkeeping Requirements: Recordkeeping and reporting pursuant to District

Rule 511, Potential to Emit, shall be performed if the facility emissions exceed any of the following in any 12 month period:

A. 5 tons per year of a regulated air pollutant (excluding HAPs);

B. 2 tons per year of a single HAP;

C. 5 tons per year of any combination of HAPs;

D. 20 percent of any lesser threshold for a single HAP that the United States

Environmental Protection Agency (U.S. EPA) may establish by rule.

16. Title V Operating Limitations: The Owner/Operator shall file an application pursuant to

Rule 512, Request for Synthetic Minor Source Status or Rule 507, Federal Operating Permit Program if the facility emissions exceed any of the following in any 12 month period:

A. 12.5 tons of nitrogen oxides, 12.5 tons of volatile organic compounds, 50 tons of sulfur oxides, 50 tons of PM-10 or 50 tons of carbon monoxide;

B. 5 tons of a single hazardous air pollutant (HAP);

C. 12.5 tons of any combination of HAPs;

D. 50 percent of any lesser threshold for a single HAP as the U.S. EPA may establish by rule.

MCCL-10-02 Page 4 of 4

17. Performance Test Requirements: If the District finds that performance tests are required to determine compliance with District Rules and Regulations and Conditions of this Authority to Construct, reasonable written notice shall be provided to the Company.

The performance tests shall be subject to the following restrictions:

A. At least thirty (30) days prior to the actual testing, a written test plan shall be submitted to the Air Pollution Control Officer detailing the sampling methods, analytical methods or detection principles to be used. The prior written approval of the Air Pollution Control Officer is required for the use of alternate test methods.

B. The District may require, upon reasonable written notice, the conduct by the company of such emissions testing or analysis as may be deemed necessary by the District to demonstrate compliance with District Rules and Regulations and the limiting conditions of this permit.

C. Testing shall be conducted in accordance with 40 CFR 60, Appendix A, Methods, or equivalent methods approved by the State of California Air Resources Board (ARB) by reference in Title 17 of the California Administrative Code, or other methods specified by the company and approved in writing by the Air Pollution Control Officer. Independent testing contractors and analytical laboratories shall be Air Resources Board certified for the test or analysis conducted. Particulate matter testing, if requested, shall include both filterable and condensed particulate matter (e.g. Method 5 modified to include impinger catch).

D. A report of the testing shall be submitted to the District no later than sixty (60) days after the source test is performed.

18. The applicant/Permittee has an obligation to defend and indemnify the District against third party challenges in accordance with District Rule 411.

110 Maple Street, Auburn, CA 95603 • (530) 745-2330 • Fax (530) 745-2373 • www.placerair.org

Erik C. White, Air Pollution Control Officer

STATIONARY SOURCE APPLICATION INSTRUCTIONS

FEES: General Applications - Filing Fee: See Filing Fees Checklist. Note: The Engineering Analysis and other fees will be billed after a review is complete.

Gasoline Dispensing Facilities: See Filing Fees Checklist

AUTHORITY TO CONSTRUCT: Any person constructing, building, erecting, altering or replacing any article, machine, equipment or other contrivance, the use of which may cause, eliminate, reduce, or control the issuance of air contaminants, shall first obtain authorization for such construction from the Air Pollution Control Officer. An authority to construct shall remain in effect until a permit to operate the equipment is granted or denied or the application is canceled. An authority to construct shall expire no later than two years from the date of issuance, unless an extension is granted. A filing fee (See Filing Fees Charge Sheet) should accompany each application for an authority to construct and/or operating permit. Additional fees will be charged, after upon approval.

PERMIT TO OPERATE: Any person operating an article, machine, equipment or other contrivance, the use of which may cause, eliminate, reduce or control the issuance of air contaminants, shall first obtain a written permit from the Air Pollution Control Officer. No permit to operate shall be granted either by the Air Pollution Control Officer or the Hearing Board without authorization as required by District Rules and Regulations, until the information required is presented to the Air Pollution Control Officer and the equipment or process is altered, if necessary, and made to conform to the standards set forth in the Rules and Regulations, and in the California Health and Safety Code.

FORM COMPLETION: The Authority to Construct and Permit to Operate Application form must be filled out completely. One form must accompany each application for (1) authority to construct for a new or modified facility; (2) permit to operate a facility for which no application for authority to construct was required or submitted; (3) emission reduction credit due to equipment shutdown, reformulation, or installation of abatement equipment.

INFORMATION REQUIRED: An application for an authority to construct or permit to operate for a new or modified stationary source of air contaminants shall give all the information necessary to enable the Air Pollution Control Officer to make the determination that every article, machine, equipment or other contrivance, the use of which may cause, eliminate, reduce, or control the issuance of air contaminants, is so designed, controlled, and operated with such air pollution control equipment that it may be shown to operate without emitting or without causing to be emitted air contaminants in violation of the District's Rules and Regulations or of such state or federal statutes as may be enforceable by the Air Pollution Control Officer. In addition, the Air Pollution Control Officer may require such information as may be deemed necessary to describe the equipment and/or processes to be permitted.

Applicants are requested to use the Stationary Source Application Checklist to identify forms or instructions which may clarify application requirements for certain processes or category of source.

http://www.placer.ca.gov/apcd

Stationary Source Application Checklist.doc Rev. Date: 6/21/2012

110 Maple Street, Auburn, CA 95603 (530) 745-2330 Fax (530) 745-2373 www.placerair.org

STATIONARY SOURCE APPLICATION CHECKLIST

The Placer County Air Pollution Control District’s “List and Criteria for Required Application Information” gives all the information that may be requested as part of the permit application process. As an aid to applicants, this checklist identifies the minimum that is required for an application to be accepted. If the forms are not completed or the minimum required information is not provided, your application will be returned. Check the items you have completed and/or enclosed as part of the application.

1. Fees submitted with application:

General Applications - Filing Fee: See Application Filing Fees Checklist (Note: The Engineering Analysis and other fees will be billed after a review is complete.)

Gasoline Dispensing Facilities: See Application Filing Fees Checklist (Sacramento Valley Basin Control Council fee does not apply if West of Range 9E, near Clipper Gap, CA) (Minor Source, one-time charge, for new facilities and does not apply to facilities which have previously paid this fee.)

2. Authority to Construct/Permit to Operate Application Form. Complete each section of the form and sign the application.

3. Facility Map. Blueprints, diagram, or sketch, drawn roughly to scale that locates equipment and emission points on parcel, and the distance of emission sources to the property line and to the nearest off property structures.

4. Flow Diagram. Blueprint, diagram, or sketch showing the sources of air pollutants, the flow of air pollutants, control devices, and discharges to the atmosphere. (Not Applicable for Boilers, Gasoline Dispensing, Dry Cleaners, Automotive Refinishing, Graphic Arts, Wood Coating, or Engines).

5. Technical Information Forms Required. Please attach the appropriate Technical Information along with a Description of the Proposed Project.

A. Automotive Refinishing Form

B. Boilers, Steam Generators, Process Heaters, or Kilns Form

C. Concrete Batch Plant

D. Dry Cleaner Form

E. Engine Form

F. Gasoline Dispensing Facility (New, Retail, Non-Retail and Existing) Form

G. Graphic Arts Operation Form

H. Wood Coating Operation Form

I. Vapor Vacuum Extraction Form

J. For other processes, please contact the District’s Permit Engineer at 530-745-2330.

6. Air Emission Estimate. (If your project is not described in 5.A. through 5.I., provide the basis for the air emission estimate in the Authority to Construct application Box 22, and identify any toxic compounds that may be emitted to the atmosphere.)

A. Include emission factors, air pollution control device efficiencies, mass balance calculations, raw material/fuel usage, MSDS or raw material specification sheets, etc.

that support the estimate of emissions provided.

B. For air toxic compounds, identify the compounds, the emission point(s), and maximum quantity discharged per hour.

Please submit this checklist with your application. Your application will not be filed without the fees, forms, and information identified above. Once the application is accepted and filed the District will conduct a technical review of the application for completeness and process it.

http://www.placerair.org/

PLACER COUNTY AIR POLLUTION CONTROL DISTRICT

APPLICATION FILING FEES CHECKLIST

7/1/2017- 6/30/2018

Application Filing Fees Checklist 7-1-17 thru 6-30-18.doc Rev. Date: 7/1/2017

FILING & APPLICATION FEES

Rule Fee Type Fee Units Extension

601 Application for permit, permit revision, emission reduction (* for gasoline facilities see additional fees below)

$ 280.76 per application

601 Title V Initial Permit filing $ 1,283.47 per application $_______

601 Title V Permit re-opening, modification, or renewal

$ 802.17 per permit

601 Issuance of duplicate permit $ 22.46 per permit $_______

601 Synthetic Minor Source Status filing $ 553.50 per application $_______

601 Change of Ownership or Name $ 250.28 per permit (Max. $1,001.12) $_______

ADDITIONAL FEES

Rule Fee Type Fee Units Extension

601 Engineering Analysis Fees

Billed after approval of permit, based on equipment rating, or $118.97/Hour whichever is higher.

601 Minor Source Limitation fee $ 68.99 per initial source application $_______

601 Gasoline Fueling Equip. Analysis* $ 76.21 per nozzle $_______

608 Sacramento Valley Air Basin fee* $ 5.00 per permit West of Clipper Gap $_______

601 Emission Reduction Analysis fee $ 4.01 per pound $_______

* For gasoline dispensing facilities, these fees are payable at the time of application filing

VARIANCE PETITION FEES

Initial Staff Time Charges for Petition Included in Additional Rule Fee Initial Fee Staff Time Extension

602 HEARING BOARD FEES

Regular or Product Variance, or Order Request

$ 4,091.06 8.0 Hrs. $ 141.18

Appeal of Authority to Construct or Permit to Operate

$ 1,684.55 N/A N/A

Modification of Increments of Progress or Final Compliance Date

$ 3,649.87 6.0 Hrs. $ 141.18

Short or Interim Variance $ 2,045.53 5.0 Hrs. $ 141.18 $_______

Emergency Variance $ 1,724.66 4.0 Hrs. $ 141.18 $_______

Total Initial Filing Fee: $ ________

The above fees have been excerpted from the referenced Rules and the District Fee Schedule.

Other fees may apply - please consult with District staff regarding applicable fees. A copy of District fee Rules, the District Fee Schedule, and other regulations, may be requested.

110 Maple Street, Auburn, CA 95603 • (530) 745-2330 • Fax (530) 745-2373 • www.placerair.org

AUTHORITY TO CONSTRUCT

AND

PERMIT TO OPERATE APPLICATION

FOR APCD USE ONLY

Date Permit No.

Amt Pd.

C O

M

PA

N Y

Company/Owner (printed or typed) Company Contact

Mailing Address Title

City, State & Zip Code Phone

Email

FA

C

IL

IT

Y

Name of Facility (if different than above): Facility Contact and Title

Street Address: Title

City, State and Zip Code Phone

Email

P R

E

PA

R E

R Firm Name of Application Preparer Name of Preparer

Mailing Address of Firm Title

City, State & Zip Code Phone

Email

A

PP

LI

C

AT

IO

N

TY

PE

⃞ Authority to Construct – New Facility

⃞ Authority to Construct – Modified Facility

⃞ Permit Amendment

⃞ Emission Reduction Credit

⃞ Title V (Major Source)

⃞ Synthetic Minor Source Status

⃞ Authority to Construct – Gasoline Dispensing Facility - Number of Nozzles (Gas Only) _______

Is the location within 1000 feet from the boundary of a K – 12 school? ⃞ Yes ⃞ No

Brief Description of the Project/Request (attach detailed permit application information)

Schedule of Operation _______________hours/day _________________days/week _______________weeks/year

What is this Facility’s SIC (Standard Industrial Classification) Code?

For Authority to Construct applications, complete the following:

Construction Start Date_____________ Construction Completion Date_____________ Start-up Date______________________

Indicate where the following documents will be mailed: Company Facility Preparer

Authority to Construct (check all that apply) ⃞ ⃞ ⃞

Permit(s) to Operate (check only one) ⃞ ⃞ ⃞

Invoice(s) (check only one) ⃞ ⃞ ⃞ Identify all emissions violations for which a notice of violation was written and a variance was not in effect at any facility owned or operated by the applicant in the state in the last three years prior to the date of application. If no emission violations, check this box ⃞ None

Identify prior CEQA review - Please indicate whether or not the subject of this permit has been previously reviewed under the California Environmental Quality Act. ⃞ Yes ⃞ No If Yes, provide a copy of the environmental documents or indicate the name of the document and which agency approved it.

Statement of Company’s Responsible Person “I am familiar with the Rules and Regulation of the Placer County Air Pollution Control District and I certify that the information herein and the data submitted with the application is true with regards to the operation of the plant and /or equipment which is the subject of this application and that such operation will comply with said Rules and Regulations.”

The applicant/permittee has an obligation to defend and indemnify the District against third party challenges in accordance with District Rule 411, Indemnification of District.

Signature of Company’s Responsible Person _________________________________________ Title____________________________________

Name (Printed or Typed) _________________________________________ Date____________________________________

Terms Date Invoice # Due 8/6/2017 7/7/2017 20211

BEALE AIR FORCE BASE --- FACILITY ADDRESS ---

ATTN: TAMARA GALLENTINE 5750 MOORE RD

6601 B ST BLDG 2561 LINCOLN, CA 95648

BEALE AFB, CA 95903

Description Amount $285.76

$285.76

--------------------------------------------------Detach and return the bottom portion with your remittance -------------------------------------------

BEALE AIR FORCE BASE

ATTN: TAMARA GALLENTINE

6601 B ST BLDG 2561

BEALE AFB, CA 95903

PLACER COUNTY APCD

110 Maple Street Auburn, California 95603

EMERGENCY GENERATOR #1 (AC‐09‐66A)

EMERGENCY GENERATOR #2 (AC‐09‐66B)

Note: THIS IS AN INVOICE FOR THE ANNUAL RENEWAL

FEE FOR YOUR PERMIT TO OPERATE.

Amount Enclosed

Amount Due

Invoice # 20211

$571.52

Payment of Fees is due by the above due date. Late fees apply if payment is postmarked 30 days or more after invoicing, If permit and late fees are not paid within 60 days of invoicing permit will expire. Late fee is 50% of Operating Fee and 25% of Emissions.

110 Maple Street, Auburn, CA 95603 • (530) 745-2330 • Fax (530) 745-2373 • www.placerair.org

MCCL‐10‐01

MCCL‐10‐02

Billing #

Total $571.52

Due: 08/15/2018 117591 07/16/2018

Invoice #Terms Date

Erik C. White, Air Pollution Control Officer

110 Maple Street, Auburn, CA 95603 • (530) 745-2330 • Fax (530) 745-2373 • www.placerair.org

SUSAN STEWART

BEALE AIR FORCE BASE

5750 MOORE RD

LINCOLN, CA 95648

9 CES/CEIE 6601 B ST BLDG 2561 B ST.; BLDG 25390

LINCOLN, CA 95648

--- FACILITY ADDRESS ---

$308.84PO Engine non-emegencyMCCL-01-01

$308.84PO Engine non-emegencyMCCL-01-02

$10.00EM - Carbon Monoxide (CO)

$5.00EM - Oxides of Nitrogen (NOX)

$10.00Sacramento Valley Air Basin fee

TOTAL $642.68

Payment of Fees is due by the above due date. Late fees apply if payment is postmarked 30 days or more after invoicing, If permit and late fees are not paid within 60 days of invoicing permit will expire. Late fee is 50% of Operating

Fee and 25% of Emissions. Please note there will be a fee of $63.00 for all returned checks.

-------------------------------------------------- Detach and return the bottom portion with your remittance -------------------------------------------

$642.68

117591

SUSAN STEWART

BEALE AIR FORCE BASE

9 CES/CEIE 6601 B ST BLDG 2561 B ST.; BLDG 25390

LINCOLN, CA 95648

PLACER COUNTY APCD

110 Maple Street

Auburn, CA 95603

Invoice #

Amount Due

Amount Enclosed