7610-26 Opt-In Permit Application

United States
Environmental Protection Agency
Acid Rain Program

OMB No. 2060-0258

Opt-In Permit Application

Page 1

For more information, see instructions and refer to 40 CFR 74.16

STEP 1
Identify the
facility
by plant name,
State, ORIS code
from NADB (if
known), and
operator's name.
STEP 2
Identify the
combustion source
by unique ID
number and short
name assigned by
the operating company.

STEP 3
Enter the requested
information on the
location of the source.

Plant Name

State

ORIS Code

Operating Company Name

Combustion Source ID#

Short Name

Plant Site Address

County

Latitude

Longitude

Plant Mailing Address

STEP 4
Check the
appropriate box.

Has the combustion source previously participated in the Opt-in Program?

~ Yes ~ No
If Yes, enter the effective date of the most recent opt-in permit )))))<

STEP 5
Briefly describe
the combustion
source and the
facility. Attach the
required information.

mm/dd/yy

General facility description

Combustion source description

EPA Form 7610-26 (4-95)
Date

Acid Rain Program
Instructions for
Opt-in Permit Application (40 CFR 74.16)
The designated representative of a combustion source that seeks to participate in the Opt-in Program is required to
submit an opt-in permit application. The opt-in permit application gives EPA necessary information about the combustion
source, such as its location, operating history, and emissions data.
Please type or print. The alternate designated representative may sign in lieu of the designated representative. For
assistance, call the Acid Rain Hotline at (202) 233-9620. Enter the plant name from Step 1, the combustion source ID
number from Step 2, and the date in the boxes provided on each page.
STEP 1

NADB is the National Allowance Data Base for the Acid Rain Program. To obtain the database on diskette,
call the Acid Rain Hotline at (202) 233-9620. This data file is in dBase format for use on an IBM-compatible
PC. It requires approximately 2 megabytes of hard disk space.
If the combustion source does not have an ORIS code, use the code from the Department of Energy 867
form. If no 867 form has been filed for the combustion source, leave this space blank, and EPA will assign
a code.

STEP 2

The combustion source ID number and the combustion source short name are the ID number and name
assigned by the operator to distinguish this combustion source from others at the facility.

STEP 3

Enter the latitude and longitude if they are known. If not, leave blank.
Enter the plant mailing address if it is different from the plant site address.

STEP 4

If the combustion source has participated in the Opt-in Program prior to submitting the current application,
the combustion source may not submit a new opt-in permit application until four years after the effective date
of its most recent opt-in permit. The opt-in permit's effective date is defined under 40 CFR 74.14(d)(1). This
restriction does not affect participating opt-in sources when renewing their opt-in permits.

STEP 5

Briefly describe the combustion source for which the opt-in permit application is being submitted and the
facility where the combustion source is located.
Example:
General Facility Description: Paper mill
Combustion Source Description: Boiler supplying steam to pulping process.
Attach a diagram showing the general layout of the facility and the location of the combustion source within
the facility.

STEP 6

Check the first box if the combustion source uses a scrubber to control SO2 emissions. If the combustion
source uses other SO2 control methods, check the second box and identify the method in the space provided.
If the combustion source does not use controls for SO2 emissions, check the third box.

STEP 7

The combustion source must submit two copies of a complete monitoring plan with the opt-in permit
application.
Check the second box or the third box to indicate when the Certificate of Representation for the combustion
source was submitted. The Certificate of Representation must be submitted prior to or at the same time as
the opt-in permit application.

STEP 8

Each combustion source must hold sufficient allowances to cover its emissions of SO2 as required in 40 CFR
72.9(c)(1).
If the combustion source seeks to transfer allowances to a replacement unit or units for the replacement of
thermal energy under 40 CFR 74.47, check the second box and submit a Thermal Energy Plan form.

STEP 9

Enter the month and year that the combustion source commenced operation.
Enter the number of hours that the combustion source operated during the six months preceding the
application, the dates for this six month period, and indicate that data supporting the determination of the

Page 2

Opt-in Permit Application Instructions
number of operating hours are attached. You may submit this data in ASCII format on a 3½ inch high density
floppy disk. If so, provide the file name and a complete description of the data layout of the file.

STEP 10

If the combustion source began operating before January 1, 1985, use data from 1985, 1986 and 1987 to
determine the baseline utilization. Check the top box.
If the combustion sources began operating after January 1, 1985, or if the data required for determining the
baseline utilization of the combustion source are not available due solely to a natural catastrophe, use data
from the first three consecutive calendar years after December 31, 1985, when the combustion source
operated. Check the appropriate box and enter the first year for which data are used.

STEP 11

For each type of fuel used at the combustion source, complete and attach one Opt-in Permit Application
Worksheet. Enter the number of worksheets attached in the box in Step 11.

STEP 12

Check the box next to each type of fuel combusted by the combustion source to indicate that a worksheet for
that fuel is attached. If a fuel type used at the combustion source is not listed, check the "Other" box at the
bottom of the table, and identify the fuel in the space provided.
Enter the total 1985 (or first year) fuel consumption, average annual fuel consumption, and SO2 emissions
for 1985 (or first year) from the bottom of the worksheet for each fuel type.

STEP 13

Total the 1985 (or first year) fuel consumption amounts listed in Step 12, and enter the result in box (a).

Total the average annual fuel consumption amounts listed in Step 12, and enter the result in box (b). This is
the baseline utilization.
Total the SO2 emissions for 1985 (or first year) listed in Step 12, and enter the result in box (c).
STEP 14

Enter the total SO2 emissions for 1985 (or first year) from box (c) of Step 13. Divide it by the total 1985 (or
first year) fuel consumption from box (a) of Step 13. The result is the actual 1985 (or first year) SO2 emissions
rate.

STEPS 15,
16 and 17

In Steps 15, 16 and 17, enter the three federally enforceable SO2 emissions limits used to calculate
the allowance allocation. These limits are (1) the 1985 allowable SO2 emissions rate; (2) the current allowable
SO2 emissions rate; and (3) the current promulgated SO2 emissions limit. Please refer to 40 CFR 72.2, 74.23,
74.24 and 74.25 for additional descriptions of these limits.
If the regulatory limit is not measured in lbs/mmBtu, use the appropriate conversion factor from the table
below.
Conversion Factors
Unit of
Measurement

Bituminous
Coal

Subbituminous
Coal

Lignite Coal

Oil

lbs Sulfur/mmBtu

2.0

2.0

2.0

2.0

% Sulfur in fuel

1.66

2.22

2.86

1.07

0.00287

0.00384

--

0.00167

--

--

--

0.00334

ppm SO2
ppm Sulfur in fuel
tons SO2/hour

2 x 8760/(annual fuel consumption for specified year1 * 103)

lbs SO2/hour

8760/(annual fuel consumption for specified year1 * 106)

1

Annual fuel consumption is defined in 40 CFR 74.20; specified calendar year is defined in 40 CFR
74.23(a)(2).

Opt-in Permit Application Instructions

Page 3

For Step 15, enter the appropriate annualization factor from the table below.
Annualization
Factors

Type of Combustion Source

Scrubbed Unit

Unscrubbed Unit

Unit Combusting Oil, Gas, or Some Combination

1.00

1.00

Coal Unit with Averaging Time # 1 day

0.93

0.89

Coal Unit with Averaging Time = 1 week

0.97

0.92

Coal Unit with Averaging Time = 30 days

1.00

0.96

Coal Unit with Averaging Time = 90 days

1.00

1.00

Coal Unit with Averaging Time = 1 year

1.00

1.00

Coal Unit with Federal Limit, but Averaging Time
Not Specified

0.93

0.89

Example: In 1985, a commercial boiler fueled by residual oil, with a rated capacity of 245 mmBtu
per hour, was subject to a SIP standard prohibiting the use of fuel oil with greater than 2.0% sulfur, with a
three month weighted average of fuel sulfur content. This combustion source would calculate its 1985
allowable emissions rate in Step 15 as follows:

Regulatory Limit

Conversion Factor

X

Converted Rate

=

Annualization Factor

X

Annualized Rate

=

Limit

Units of Measure

Averaging Period

2.0

%S

3 mos.

1.07

2.14

lbs/mmBtu

1.0

2.14

lbs/mmBtu

STEP 18

Enter the effective date of each SO2 emissions limit in Steps 15, 16 and 17. Provide the regulatory citation
for each of these emissions limits, and identify the permitting authority under which the emissions limit was
established or through which it is enforced.

STEP 19

Enter the baseline utilization from Step 13(b) in the first box. Enter the lowest of the three rates in Steps 14,
15 and 16 in the second box. Divide the product by 2,000 to determine the proposed allowances for the
combustion source.

STEP 20

If the combustion source does not have a current promulgated SO2 emissions limit, skip to Step 21.
Otherwise, complete both Step 19 and Step 20. In Step 20, enter the baseline utilization from Step 13(b) in
the first box. Enter the lowest of the four limits in Steps 14, 15, 16 and 17. Divide the product by 2,000 to
determine the proposed allowances for the combustion source for when the current promulgated SO2
emissions limit becomes effective.

STEP 21

Read the Opt-in Program requirements and certifications, and sign and date.

Page 4

Opt-in Permit Application Instructions

Submission Instructions
Mail the original completed opt-in permit application and the original completed worksheet for each fuel used at the
combustion source, and three photocopies of the entire submission, to the permitting authority responsible for issuing the
opt-in permit. Initially, the EPA region is the permitting authority. As States and, in some cases, local air pollution control
agencies are authorized to issue permits under titles IV and V, they will become permitting authorities.
Paperwork Burden Estimate
The burden on the public for collecting and reporting of information under this request is estimated at 140 hours per response. Send
comments regarding this collection of information, including suggestions for reducing the burden, to: Chief, Information Policy Branch (2136),
Environmental Protection Agency, 401 M Street SW, Washington, D.C. 20460; and to: Paperwork Reduction Project (OMB# 2060-0258),
Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503. Do not send this form to these
addresses; see the submission instructions above.

Opt-In Permit Application - Page 2
OMB No. 2060-0258

~ A diagram showing the configuration of the combustion source and the facility is attached.

EPA Form 7610-26 (4-95)
Date

Opt-In Permit Application - Page 3
OMB No. 2060-0258

Plant Name (from Step 1)

STEP 6
Indicate whether
the combustion source
has SO2 controls.

STEP 7
Check the top
box and the second
or third box and
attach the required
information.

STEP 8
Specify the
compliance plan
for the combustion
source. Check
the second box to
identify an additional
method of compliance.

STEP 9
Provide the required
information on the
operating history of
the combustion source.
Indicate that the
required documentation
is attached.

~ Scrubber

Combustion Source ID#

Controls
~ Other
(specify):

~ Uncontrolled

~ Two copies of a complete Monitoring Plan (as required by 40 CFR parts 74 and 75) are attached.
~ A completed Certificate of Representation is attached.
~ A completed Certificate of Representation has been previously submitted.

:

Hold allowances in accordance with 40 CFR 72.9(c)(1).

Energy Plan is attached. This combustion source seeks to transfer allowances
~ AtoThermal
one or more replacement units for the replacement of thermal energy.

Date the combustion source commenced operation )))))))))))<

mm/yy

Number of hours the combustion source operated during the six months immediately
preceding this application )))))))))))))))))<

hrs

Start
Preceding six months of
operation )))))))))))))<

End (Date of Application)

mm/yy

!

mm/yy

~ Data supporting determination of operating hours are attached.
STEP 10
Identify the time
period for which the
baseline data is
provided.

~ Baseline 1985 -1987
~ Alternative Baseline, beginning with ))))))))))))))))<

year

~ Combustion source began operation after 1985.
source was subject to natural catastrophe during 1985-1987.
~ Combustion
Documentation of natural catastrophe is attached.

STEP 11
Complete and attach
one worksheet for
each type of
fuel used at
the combustion
source.

Number of completed worksheets attached ))))))))))))))))<

worksheets

EPA Form 7610-26 (4-95)
Date

Opt-In Permit Application - Page 4
OMB No. 2060-0258

EPA Form 7610-26 (4-95)
Date

Opt-In Permit Application - Page 5
OMB No. 2060-0258

Plant Name (from Step 1)

Combustion Source ID#

Total 1985 (or first year) Fuel
Consumption

Fuel Type

STEP 12
For each fuel
type used at the
combustion
source, indicate
that a worksheet
is attached, enter
the total 1985 (or
first year) fuel
consumption from
the bottom row of
the worksheet, and
enter the average
of the total fuel
consumption for
the three operating
years from the
bottom row of the
worksheet. Enter
the SO2 emissions
for the first operating year from
each worksheet.

Average Annual Fuel
Consumption

SO2 Emissions for 1985
(or first year)

~ Bituminous Coal

mmBtu

mmBtu

lbs

~ Subbituminous Coal

mmBtu

mmBtu

lbs

~ Lignite Coal

mmBtu

mmBtu

lbs

~ Distillate Oil

mmBtu

mmBtu

lbs

~ Residual Oil

mmBtu

mmBtu

lbs

~ Natural Gas

mmBtu

mmBtu

lbs

mmBtu

mmBtu

lbs

mmBtu

mmBtu

lbs

~ Other (describe):
~ Other (describe):

(a)
Total 1985
(or first year)
Fuel Consumption

STEP 13
Enter the total
1985 (or first
year) fuel consumption, the
total average
annual fuel
consumption,
and the total
1985 (or first
year) actual SO2
emissions for
all fuels used.

mmBtu

Total SO2 Emissions for
1985 (or first year)

STEP 14
Calculate the actual
1985 (or first year)
SO2 emissions rate.

(b)
Total Average Annual
Fuel Consumption
(Baseline)

lbs

mmBtu

Total 1985 (or first year)
Fuel Consumption

÷

(c)
Total SO2 Emissions
for 1985
(or first year)

mmBtu

lbs

Actual 1985 (or first year)
SO2 Emissions Rate

=

lbs/mmBtu

EPA Form 7610-26 (4-95)
Date

Opt-In Permit Application - Page 6
OMB No. 2060-0258

Plant Name (from Step 1)

STEP 15
Enter information
for the 1985
(or first year)
allowable SO2
emissions rate.

STEP 16
Enter the current
allowable SO2
emissions rate.

STEP 17
Enter the current
promulgated SO2
emissions limit,
if different
from the current
allowable SO2
emissions rate.

STEP 18
Identify the regulatory citations
for the SO2
emissions
limits in
Steps 15-17.

Combustion Source ID#

Limit

Units of Measure

Averaging Period

Regulatory Limit

Conversion Factor

X

Converted Rate

=

Annualization Factor

X

Annualized Rate

=

lbs/mmBtu

lbs/mmBtu

Limit

Units of Measure

Averaging Period

Regulatory Limit

Conversion Factor

X

Converted Rate

=

lbs/mmBtu

Limit

Units of Measure

Averaging Period

Regulatory Limit

Conversion Factor

X

Converted Rate

=

Regulatory
Limit

Effective Date

lbs/mmBtu

Regulatory Citation and Name of Permitting Authority

1985 (1st yr)
Allowable
(Step 15)
Current
Allowable
(Step 16)
Current
Promulgated
(Step 17)

EPA Form 7610-26 (4-95)
Date

Opt-In Permit Application - Page 7
OMB No. 2060-0258

Plant Name (from Step 1)

STEP 19
Calculate and
enter the proposed
allowances for the
combustion source.

STEP 20
Calculate and
enter the proposed
allowances for the
combustion source,
if the current
promulgated SO2
emissions limit
differs from the
current allowable
SO2 emissions rate.
STEP 21
Read the Opt-in
Program requirements
and certifications,
and sign and date.

Combustion Source ID#

Lowest of 3
SO2 Emission Rates

Baseline (Step 13(b))
mmBtu

X

÷ 2,000 =

Lowest of 4
SO2 Emission Rates

Baseline (Step 13(b))
mmBtu

lbs/mmBtu

Proposed
Allowances

X

lbs/mmBtu

allowances

Proposed
Allowances

÷ 2,000 =

allowances

Opt-in Program Requirements
Permit Requirements.
(1) The designated representative of each combustion source under 40 CFR part 74 shall:
(i) Submit a complete opt-in permit application (including a compliance plan).
(ii) Submit in a timely manner any supplemental information that the Administrator or the permitting authority
determines is necessary to review an opt-in permit application and issue or deny an opt-in permit;
(2) The owners and operators of each combustion source under 40 CFR part 74 shall:
(i) Have an opt-in permit; and
(ii) Operate the opt-in source in compliance with the opt-in permit.
Monitoring Requirements.
(1) The owners and operators and, to the extent applicable, the designated representative of each combustion source and
each opt-in source shall comply with the monitoring requirements of 40 CFR parts 74 and 75.
(2) The emissions measurements recorded and reported in accordance with 40 CFR part 75 shall be used to determine
compliance by the opt-in source with the Acid Rain emissions limitations and emissions reduction requirements for sulfur
dioxide under the Acid Rain Program.
(3) The requirements of 40 CFR parts 74 and 75 shall not affect the responsibility of the owners and operators to monitor
emissions of other pollutants or other emissions characteristics at the opt-in source under other applicable requirements
of the Act and other provisions of the operating permit for the source.
Sulfur Dioxide Requirements.
(1) The owners and operators of each opt-in source shall:
(i) Hold allowances, as of the allowance transfer deadline, in the opt-in source's compliance subaccount (after
deductions under 40 CFR 73.34(c)) not less than the total annual emissions of sulfur dioxide for the previous
calendar year from the opt-in source; and
(ii) Comply with the applicable Acid Rain emissions limitations for sulfur dioxide.
(2) Each ton of sulfur dioxide emitted in excess of the Acid Rain emissions limitations for sulfur dioxide shall constitute a
separate violation of the Act.
(3) An opt-in source shall be subject to the requirements under paragraph (1) of the sulfur dioxide requirements upon the
effective date of the opt-in source's opt-in permit.
(4) Allowances shall be held in, deducted from, or transferred among Allowance Tracking System accounts in accordance
with the Acid Rain Program, including 40 CFR parts 73 and 74.
(5) An allowance shall not be deducted in order to comply with the requirements under paragraph (1) of the sulfur dioxide
requirements prior to the calendar year for which the allowance was allocated.
(6) An allowance allocated by the Administrator under the Acid Rain Program is a limited authorization to emit sulfur
dioxide in accordance with the Acid Rain Program. No provision of the Acid Rain Program, the opt-in permit application,
or the opt-in permit, and no provision of law shall be construed to limit the authority of the United States to terminate or
limit such authorization.
(7) An allowance allocated by the Administrator under the Acid Rain Program does not constitute a property right.
Excess Emissions Requirements.
(1) The designated representative of an affected unit that has excess emissions in any calendar year shall submit a
proposed offset plan, as required under 40 CFR part 77.
(2) The owners and operators of an affected unit that has excess emissions in any calendar year shall:
(i) Pay without demand the penalty required, and pay upon demand the interest on that penalty, as required by
40 CFR part 77; and
(ii) Comply with the terms of an approved offset plan, as required by 40 CFR part 77.

EPA Form 7610-26 (4-95)
Date

Opt-In Permit Application - Page 8
OMB No. 2060-0258

Plant Name (from Step 1)

Combustion Source ID#

Recordkeeping and Reporting Requirements.
(1) Unless otherwise provided, the owners and operators of the opt-in source shall keep on site at the opt-in source each
of the following documents for a period of 5 years from the date the document is created. This period may be extended
for cause, at any time prior to the end of the 5 years, in writing by the Administrator or permitting authority:
(i) The certificate of representation for the designated representative for the opt-in source and all documents
that demonstrate the truth of the statements in the certificate of representation, in accordance with 40 CFR
72.24, provided that the certificate and documents shall be retained on site at the opt-in source beyond such 5year period until such documents are superseded because of the submission of a new certificate of
representation changing the designated representative;
(ii) All emissions monitoring information, in accordance with 40 CFR part 75;
(iii) Copies of all reports, compliance certifications, and other submissions, and all records made or required
under the Acid Rain Program; and
(iv) Copies of all documents used to complete an opt-in permit application and any other submission under the
Acid Rain Program or to demonstrate compliance with the requirements of the Acid Rain Program.
(2) The designated representative of an affected source and each affected unit at the source shall submit the reports and
compliance certifications required under the Acid Rain Program, including those under 40 CFR part 72 subpart I and 40
CFR part 75.
Liability.
(1) Any person who knowingly violates any requirement or prohibition of the Acid Rain Program or an opt-in permit,
including any requirement for the payment of any penalty owed to the United States, shall be subject to enforcement
pursuant to section 113(c) of the Act.
(2) Any person who knowingly makes a false, material statement in any record, submission, or report under the Acid Rain
Program shall be subject to criminal enforcement pursuant to section 113(c) of the Act and 18 U.S.C. 1001.
(3) No permit revision shall excuse any violation of the requirements of the Acid Rain Program that occurs prior to the date
that the revision takes effect.
(4) Each affected source and each affected unit shall meet the requirements of the Acid Rain Program.
(5) Any provision of the Acid Rain Program that applies to an affected source (including a provision applicable to the
designated representative of an affected source) shall also apply to the owners and operators of such source and of the
affected units at the source.
(6) Any provision of the Acid Rain Program that applies to an affected unit (including a provision applicable to the
designated representative of an affected unit) shall also apply to the owners and operators of such affected unit. Except
as provided under 40 CFR 72.44 (Phase II repowering extension plans) and 40 CFR part 76 (NOx averaging plans), and
except with regard to the requirements applicable to affected units with a common stack under 40 CFR part 75 (including
40 CFR 75.16, 75.17, and 75.18), the owners and operators and the designated representative of one affected unit shall
not be liable for any violation by any other affected unit of which they are not owners or operators or the designated
representative and that is located at a source of which they are not owners or operators or the designated representative.
(7) Each violation of a provision of 40 CFR parts 72, 73, 74, 75, 76, 77, and 78 by an affected source or affected unit, or
by an owner or operator or designated representative of such source or unit, shall be a separate violation of the Act.
Effect on Other Authorities. No provision of the Acid Rain Program, an opt-in permit application, or an opt-in permit shall
be construed as:
(1) Except as expressly provided in title IV of the Act, exempting or excluding the owners and operators and, to the extent
applicable, the designated representative of an affected source or affected unit from compliance with any other provision
of the Act, including the provisions of title I of the Act relating to applicable National Ambient Air Quality Standards or
State Implementation Plans;
(2) Limiting the number of allowances a unit can hold; provided, that the number of allowances held by the unit shall not
affect the source's obligation to comply with any other provisions of the Act;
(3) Requiring a change of any kind in any State law regulating electric utility rates and charges, affecting any State law
regarding such State regulation, or limiting such State regulation, including any prudence review requirements under such
State law;
(4) Modifying the Federal Power Act or affecting the authority of the Federal Energy Regulatory Commission under the
Federal Power Act; or,
(5) Interfering with or impairing any program for competitive bidding for power supply in a State in which such program is
established.
Certifications
I certify that, to the best of my knowledge and belief, the combustion source is not an affected unit under 40 CFR 72.6.
I certify that the data submitted under subpart C of part 74 reflects actual operations of the combustion source and has
not been adjusted in any way.
I am authorized to make this submission on behalf of the owners and operators of the combustion source or opt-in
sources for which the submission is made. I certify under penalty of law that I have personally examined, and am familiar
with, the statements and information submitted in this document and all its attachments. Based on my inquiry of those
individuals with primary responsibility for obtaining the information, I certify that the statements and information are to the
best of my knowledge and belief true, accurate, and complete. I am aware that there are significant penalties for
submitting false statements and information or omitting required statements and information, including the possibility of
fine or imprisonment.

Name

EPA Form 7610-26 (4-95)