Form EPA Form #XXX EPA Form #XXX Best Available Monitoring Methods Petition Form

Mandatory Reporting of Greenhouse Gases (40 CFR Part 98)

Optional Facility Form For Requesting an Extension of Use of Best Available Monitoring Methods

OMB Control No. 2060-0629

Approval expires 11/30/2012

The public reporting and recordkeeping burden for this collection of information is estimated to average 30 minutes per response (the burden was already included in OMB Control No. 2060-0629). This is an optional application form. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.

General Information: If you are an owner or operator subject to 40 CFR 98 you may use best available monitoring methods through March 31, 2010 for any parameter (e.g., fuel use, daily carbon content of feedstock by process line) for which it is not reasonably feasible to acquire, install and operate a required piece of equipment. The basis for the requests for the extension of the use of best available monitoring methods may include, but are not limited to, installation of actual monitoring equipment, calibration of monitoring equipment, training of personnel, safety concerns, and accessibility concerns related to installing necessary equipment. To obtain approval, the request must demonstrate to the EPA Administrator’s satisfaction that site-specific circumstances do not enable you to reasonably acquire, install and operate the necessary equipment.

Owners or operators may request that the EPA Administrator allow the requestor to use best available monitoring methods past March 31, 2010, but not beyond December 31, 2010. Please see §98.3(d) regarding the use of best available monitoring methods in 2010.

If you are interested in submitting a request for an extension on the use of best available monitoring methods under Part 98 Subpart A (40 CFR 98.3(d)) to the EPA Administrator you have the option of using this form. You must submit your request by January 28, 2010.

This form can be printed and submitted by mail or submitted electronically.

The mail address is:

Carole Cook,

Climate Change Division,

Office of Atmospheric Programs (MC– 6207J),

Environmental Protection Agency,

1200 Pennsylvania Ave., NW.,

Washington, DC 20460;

The email address is: [email protected]

Upon receipt, the request will be recorded in the EPA tracking system, and the requester will be notified that EPA is evaluating the request. EPA will evaluate your request to confirm that it is consistent with §98.3(d). The agency will then notify you to confirm approval or denial of the application. As a general matter, EPA will base its decision on the information provided in the extension request and does not intend to negotiate on specific issues. As time allows, EPA may follow up on extension requests with additional questions.

General Information
1. Name of Person to Contact about the Request
2. Contact Person Address (include street address, city, state and zip code)
3. Contact Person Phone Number
4. Contact Person E-mail Address
5. Contact Person Date Signed
6. Contact Person Date Submitted
Facility and Emissions Unit Information
7. Facility Name
8. Facility Physical Address (include street address, city, state and zip code)
9. Unit ID or Group ID, Common Pipe, ID or Common Stack ID (list for each applicable unit)
10. Type of Unit (e.g., boiler, process heater, cement kiln)
11. Total Number of Units at Facility Included in this Application
Monitoring Equipment and Applicable Requirement
12. Monitoring Equipment Description (e.g., gas or liquid fuel flow meter, fuel sample ports/taps, in-line fuel analyzer)
13. Parameter (e.g., fuel combusted, fuel carbon content and molecular weight, GCV)
14. Rule Subpart (e.g., Subpart C)
15. Rule Citation for Monitoring Requirement (e.g., §§98.33(a)(3)(ii) or §98.33(a)(2)(ii))
Identification of Equipment Location
16. Please indicate if documentation (e.g., fuel flow diagram) for the unit with monitor or sampling location is attached. [Indicate whether you are including attachments and include a list of files attached]

Reason for the Extension Request
17. Reason for the Extension Request (e.g. equipment cannot be purchased and delivered by April 1, 2010, equipment cannot be installed by April 1, 2010 without a process unit shutdown, or other site specific circumstances related to operating the necessary equipment)
18. Is the reason for the extension that the equipment cannot be purchased and delivered by April 1, 2010? If yes, then complete items 18a through 18e below, as appropriate.
18a. Date Equipment ordered
18b. Information on alternative suppliers and alternative delivery dates investigated
18c. Backorder notices or unexpected delays information from supplier
18d. Description of actions taken to expedite delivery
18e. Current expected delivery date
19. Is the reason for the extension that the equipment cannot be installed by April 1, 2010 without a process unit shutdown? If yes, then complete items 19a through 19d below.
19a. Date of the most recent process unit shutdown
19b. Frequency of shutdowns for this process unit
19c. Date of the next planned shutdown during which the monitoring equipment can be installed
19d. Was there a shutdown or is there a planned process unit shutdown between October 30, 2009 and April 1, 2010? If yes, explain why the equipment not obtained and installed during that shutdown.
Planned Equipment Installation
20. What are the specific actions the facility will take to obtain and install the equipment as soon as reasonably feasible?
21. What is the planned installation date?
Length of Extension Request
22. When will you start applying the full monitoring methods in the rule (no later than January 1, 2011)?