Form 5900 Fee Filing Form

Federal Operating Permit Regulations (40 CFR part 71) (Final Rule for Flexible Air Permits)

71_form_ff

Federal Operating Permit Regulations (40 CFR part 71)

OMB: 2060-0336

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OMB No. 2060-0336, Approval Expires 06/30/2010

Federal Operating Permit Program (40 CFR Part 71)


FEE FILING FORM (FF)


Complete this form each time you prepare form FEE and send this form to the appropriate lockbox bank address, along with full payment. This form required at time of initial fee payment, and thereafter, when paying annual fees.


Source or Facility Name__________________________________________________________


Mailing Address:


Street/P.O. Box ______________________________ City_____________________________


State ______ ZIP __________ - ______


Contact Person:_____________________________ Title______________________________


Telephone ( ____ ) _____ - __________ Ext. __________


Total Fee Payment Remitted: $ __________________._____




INSTRUCTIONS FOR FF

FEE FILING FORM


Send this form along with fee payment to the appropriate Alockbox@ bank account address.


Lockbox Bank Account Addresses for each EPA Region


REGION I


U.S. EPA - Region I

P.O. Box 360197M

Pittsburgh, PA 15251

REGION VI


U.S. EPA - Region VI

P.O. Box 360582M

Pittsburgh, PA 15251


REGION II


U.S. EPA - Region II

P.O. Box 360188M

Pittsburgh, PA 15251


REGION VII


Mellon Bank

U.S. EPA - Region VII

Box 360748M

Pittsburgh, PA 15251-6748


REGION III


U.S. EPA - Region III

P.O. Box 360515

Pittsburgh, PA 15251-6515

REGION VIII


Mellon Bank

Attn: Part 71 Permit Accounting

Lockbox 360859

Pittsburgh, PA 15251‑6859


REGION IV


U.S. EPA - Region IV

Nationsbank

P.O. Box 100142

Atlanta, GA 30384


REGION IX


Mellon Bank

U.S. EPA - Region IX

P.O. Box 360863M

Pittsburgh, PA 15251

REGION V


U.S. EPA - Region V

P.O. Box 70753

Chicago, IL 60673

REGION X


U.S. EPA - Region X

P.O. Box 360903M

Pittsburgh, PA 15251


Fee payments must be in United States currency and shall be paid by money order, bank draft, certified check, corporate check, or electronic funds transfer payable to the order of the U.S. Environmental Protection Agency.


Important: Please also send a photocopy of the fee payment instrument (e.g., the check) to the EPA regional office (or delegate agency).

EPA Form 5900-06

File Typeapplication/msword
Authorjeff herring
Last Modified Byjeff herring
File Modified2007-06-04
File Created2007-05-30

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