7610-27 Thermal Energy Plan Form

United States
Environmental Protection Agency
Acid Rain Program

OMB No. 2060-0258

Thermal Energy Plan Form
Part 1: Opt-In Source Information
For more information, see instructions and refer to 40 CFR 74.47

Page

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~ New ~ Revised

This submission is :

STEP 1
Identify the opt-in
source by plant
name, State, ORIS
code from NADB
(if applicable),
combustion source
short name, and
combustion source
ID number. Enter
the ATS account
number for the
opt-in source.

Plant Name

State

Combustion Source Short Name

Combustion Source ID#

ATS Account #

STEP 2
Enter the effective
date of the thermal
energy plan.

This plan will take effect on January

STEP 3
Enter the expected
reduction in total
annual thermal
energy output at
the opt-in source.

Reduction in total annual thermal energy output ))))))))))<

STEP 4
Estimate the
percentage of
allowances to
be deducted
for reduced
utilization.

ORIS Code

Formula :

)))))))))))))
<

year

mmBtu

(P = 1 ! A )B

A = Annual Utilization After
Thermal Energy Plan Takes Effect ))))))))))))))))<

mmBtu

B = Baseline Utilization )))))))))))))))))))))))<

mmBtu

P = Percentage to be Deducted ))))))))))))))))))))<

STEP 5
Calculate the
total number of
allowances to be
deducted for
reduced utilization.

EPA Form 7610-27 (4-95)

%

Total Allowances to be
Deducted for Reduced
Utilization

Allowances Allocated for
Current Calendar Year

Percentage (Step 4)

%

x

allowances

=

allowances

Acid Rain Program
Instructions for
Thermal Energy Plan Form (40 CFR 74.47)
An opt-in source and its replacement units may enter into a Thermal Energy Plan and transfer allowances from the
opt-in source to each replacement unit based on the actual and documented replacement thermal energy. Thermal
energy is defined in 40 CFR 72.2 as "the thermal output produced by a combustion source used directly as part of a
manufacturing process but not used to produce electricity." The Thermal Energy Plan form is to be completed by the
designated representatives of the opt-in source and of the replacement units participating in the plan. Each
replacement unit must be an affected unit under the Acid Rain Program.
Please type or print. Enter the opt-in source plant name and combustion source ID number from Step 1 in the boxes
at the top of each page. The alternate designated representative may sign in lieu of the designated representative. For
assistance, call the Acid Rain Hotline at (202) 233-9620.

Part 1: Opt-In Source Information
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 IBMcompatible PC. It requires 2 megabytes of hard disk space. If the opt-in source does not have an ORIS
code, use the code from the Department of Energy Form 867 or leave blank and a code will be assigned
by EPA.
The combustion source short name and the combustion source ID number are the name and ID number
assigned by the operator to distinguish this combustion source from others at the facility.

STEP 2

The effective period of the Thermal Energy Plan will run from the year entered in Step 2 through the last
full calendar year for which the opt-in permit containing the plan is in effect.

STEP 3

The expected annual reduction in thermal energy at the opt-in source includes all thermal energy flows
used for any process or in any heating or cooling application, but does not include thermal energy used to
produce electricity.

STEP 4

Calculate the percentage of allowances to be deducted for reduced utilization using the formula shown.
Estimate the annual utilization for the first year (listed in Step 2) that the Thermal Energy Plan will be in
effect.
The baseline utilization for the opt-in source is entered at Step 13(b) of the opt-in permit application.

STEP 5

Multiply the percentage of allowances to be deducted for reduced utilization by the number of allowances
allocated to the opt-in source for the current calendar year. The result is the total number of allowances to
be deducted for reduced utilization. This number includes both the allowances that will be transferred to
the replacement units and the allowances that will be surrendered to EPA.

STEP 6

Subtract the total number of allowances to be deducted from the opt-in source for reduced utilization,
calculated in Step 5, from the number of allowances allocated to the opt-in source for the current calendar
year. The difference is the number of allowances to be retained by the opt-in source after the Thermal
Energy Plan takes effect.

STEP 7

Identify each replacement unit that will replace thermal energy at the opt-in source. For each replacement
unit listed in Step 7, submit a completed Part 2 of the Thermal Energy Plan form. Enter the number of
allowances that will be transferred to each replacement unit, as determined in Step R-8 of Part 2 of the
Thermal Energy Plan form. Enter the total number of allowances to be awarded to the replacement units
in the "Total" box below the table. The total number of allowances may not exceed the number of
allowances to be deducted for reduced utilization as calculated in Step 5.

STEP 8

Determine the number of allowances to be surrendered to EPA due to reduced utilization of the opt-in
source by subtracting the total number of allowances in Step 7 from the result in Step 5.

STEP 9

Complete and attach Part 2 of the Thermal Energy Plan form for each replacement unit listed in Step 7.

Page 2

Thermal Energy Plan Form Instructions
Indicate the number of replacement units for which Part 2 forms are attached.

STEP 10

If the opt-in source will be permanently retired as of the effective date of the Thermal Energy Plan, as listed
in Step 2, the opt-in source may apply to become exempt from the Acid Rain Program's monitoring
requirements. If such an exemption is approved, the opt-in source will not be required to monitor its
emissions upon retirement. Regardless, the opt-in source must continue to submit an annual compliance
certification report, as required in 40 CFR 74.7(d). For more information, refer to 40 CFR 75.67 and
74.47(a)(5).

STEP 11

The designated representative of the opt-in source must read the special provisions and certifications, and
sign and date Part 1.

Part 2: Replacement Unit Information
STEP R-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 IBMcompatible PC. It requires 2 megabytes of hard disk space. If the replacement unit does not have an
ORIS code, use the code from the Department of Energy Form 867 or leave blank and a code will be
assigned by EPA.

STEP R-2

Enter the information identifying the opt-in source from Step 1 of Part 1.

STEP R-3

For each type of fuel used at the replacement unit, estimate the percentage of the total fuel input that the
fuel constitutes. The percentages must total 100%.

STEP R-4

Enter the most stringent allowable SO2 emissions rate applicable to the replacement unit for all fuels used
by the replacement unit for the year that the Thermal Energy Plan will take effect, as listed in Step 2 of Part
1. If that limit is not measured in lbs/mmBtu, use the appropriate conversion factor from the table below.

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

--

--

--

Unit of Measurement

ppm SO2
ppm Sulfur in fuel

0.00334

1

3

tons SO2/hour

2 x 8760/(annual fuel consumption for specified year * 10 )

lbs SO2/hour

8760/(annual fuel consumption for specified year * 10 )

1

1

6

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

STEP R-5

Provide the effective date and regulatory citation for the SO2 emissions limit in Step R-4, and identify the
permitting authority under which the emissions limit was established or through which it is enforced.

STEP R-6

The estimated total thermal energy produced at the replacement unit for the year preceding replacement
includes all energy flows used for any process or in any heating or cooling application.

STEP R-7

The estimated total thermal energy produced at the replacement unit after the Thermal Energy Plan takes
effect includes all energy flows used for any process or in any heating or cooling application.

STEP R-8

Estimate the total thermal energy at the replacement unit that will be used to replace thermal energy at the
opt-in source. This amount is called the "Qualifying Thermal Energy."
Divide the qualifying thermal energy by the appropriate efficiency constant.
Boilers:
Cogenerators:

0.85
0.80

The result is the fuel associated with qualifying thermal energy, in mmBtu. Multiply that by the SO2
emissions rate listed in Step R-4, then divide the product by 2000. The result is the number of

Thermal Energy Plan Form Instructions

Page 3

allowances to be transferred to this replacement unit. This number should also be entered at Step 7 of
Part 1 of the Thermal Energy Plan form.
STEP R-9

The designated representative of each replacement unit must read the special provisions and
certifications and sign and date Part 2. The designated representative of the opt-in source must sign and
date the Part 2 form submitted by each replacement unit listed in Step 7 of Part 1.

Submission Instructions
The designated representative of the opt-in source is responsible for collecting a completed Part 2 from each
replacement unit participating in the Thermal Energy Plan. The Thermal Energy Plan form must be submitted in its
entirety; all completed Part 2 forms must be submitted along with the completed Part 1 form. The designated
representative of the opt-in source should mail one original of Part 1 and one original of each completed Part 2, plus 3
photocopies of the entire submission, to the permitting authority responsible for issuing the opt-in permit to the source.
Paperwork Burden Estimate
The burden on the public for collecting and reporting of information under this request is estimated at 70 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.

Thermal Energy Plan
OMB No. 2060-0258

EPA Form 7610-27 (4-95)

Thermal Energy Plan
OMB No. 2060-0258

Page
Plant Name (from Step 1)

STEP 6
Calculate the
number of allowances
to be retained by
the opt-in source.

STEP 7
Identify the
replacement units
that will replace
thermal energy at
the opt-in source.
Enter the number of
allowances that
the opt-in source
will transfer
to each replacement
unit (from Step R-7
of Part 2).

Total Allowances to be
Deducted for Reduced
Utilization (Step 5)

Allowances Allocated for
Current Calendar Year

allowances

!

Replacement Unit Plant Name

allowances

State

Number of Allowances
Retained by Opt-in Source

=

allowances

Boiler ID#

Number of Allowances

(a)

allowances

(b)

allowances

(c)

allowances

(d)

allowances

Total:

STEP 8
Calculate the
number of allowances
to be surrendered
to EPA.

STEP 9
For each
replacement unit
listed in Step 7,
complete and attach
Part 2 of this form.
Enter the number of
replacement units.

STEP 10
Check the box
if the opt-in
source will be
permanently
retired as of the
effective date of
this Thermal
Energy Plan, as
listed in Step 2.

EPA Form 7610-27 (4-95)

~ of ~

Combustion Source ID#

Total Allowances to be
Deducted for Reduced

allowances

Total Allowances to be
Transferred to Replacement

!

allowances

allowances

Allowances to be
Surrendered

=

Number of replacement units ))))))))))))))))))))))))))<

exemption from the requirements of Part 75 in accordance with 40 CFR 75.67.
~ I request
I certify that the opt-in source is or will be, as applicable, permanently retired on the date specified in
this plan and will not emit any sulfur dioxide or nitrogen oxide after such date.

allowances

units

Thermal Energy Plan
OMB No. 2060-0258

Plant Name (from Step 1)

STEP 11
Read the special
provisions and
certifications, and
sign and date.

Combustion Source ID#

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Special Provisions
The designated representative of each replacement unit shall maintain and make available to the Administrator, at the
Administrator's request, copies of documents demonstrating that the replacement unit is replacing the thermal energy
of the opt-in source.
Certifications
I certify that each replacement unit listed in the Thermal Energy Plan has entered into a legally binding steam sales
agreement to provide the thermal energy, as calculated in accordance with 40 CFR 74.47(a)(3)(xi), that it is replacing
for the opt-in source.
I am authorized to make this submission on behalf of the owners and operators of the combustion source or opt-in
source 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.

EPA Form 7610-27 (4-95)

United States
Environmental Protection Agency
Acid Rain Program

OMB No. 2060-0258
Expires 1-31-96

Thermal Energy Plan Form
Part 2: Replacement Unit Information
For more information, see instructions and refer to 40 CFR 74.47
This submission is:

STEP R-1
Identify the
replacement unit
by plant name,
State, boiler
ID number from
NADB (if applicable),
and ATS account
number.

STEP R-2
Identify the
opt-in combustion
source by name,
State, ID number,
and ATS account
number.

~ New

Page

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~ Revised

Replacement Unit Plant Name

State

Boiler ID#

ATS Account #

Opt-in Source Plant Name

State

ATS Account #

Percentage of
Fuel Input

Fuel Type

STEP R-3
Enter each type of
fuel used at the
replacement unit
and the percentage
of the total fuel
input that the fuel
constitutes.

%

%

%

%

STEP R-4
Enter the most
stringent
allowable SO2
emissions rate
that applies to
the replacement
unit for the year
the Thermal Energy
Plan will take
effect, as listed
in Step 2 of Part 1.

Limit

EPA Form 7610-27 (4-95)

Fuel Type

Regulatory Limit

Conversion Factor

x

Converted Rate

=

Effective Date

STEP R-5
Identify the
regulatory
citation for
the SO2 emissions
limit in Step R-4.

Units of Measure

lbs/mmBtu

Regulatory Citation and Name of Permitting Authority

Thermal Energy Plan
OMB No. 2060-0258

Page

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Opt-in Source Plant Name (Step R-2)

STEP R-6
Enter the estimated
total thermal energy
produced at the
replacement unit for
the year preceding
replacement.

mmBtu

STEP R-7
Enter the estimated
total thermal energy
produced at the
replacement unit
after replacement.

mmBtu

Estimated Thermal Energy Replacing Thermal Energy at the
Opt-in Source (Qualifying Thermal Energy)

STEP R-8
Calculate the
allowances to be
transferred to this
replacement unit.

mmBtu

Efficiency Constant (Boilers: 0.80; Cogenerators: 0.85)

÷

Fuel Associated with Qualifying Thermal Energy

=

Most Stringent SO2 Emissions Rate (Step R-4)

x
÷

Allowances Transferred to this Replacement Unit

STEP R-9
Read the special
provisions and
certifications,
and sign and date.

=

mmBtu

lbs/mmBtu

2000
allowances

Special Provisions
The designated representative of each replacement unit shall maintain and make available to the Administrator, at the
Administrator's request, copies of documents demonstrating that the replacement unit is replacing the thermal energy of
the opt-in source.
Certifications
I certify that the replacement unit and the opt-in source have entered into a legally binding steam sales agreement under
which the replacement unit will provide the thermal energy, as calculated in accordance with 40 CFR 74.47(a)(3)(xi), that
the replacement unit is replacing for the opt-in source.
I am authorized to make this submission on behalf of the owners and operators of the affected unit 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.
Replacement Unit

Name

Opt-in Source

Name

EPA Form 7610-27 (4-95)