Form EPA Form 5900-211 EPA Form 5900-211 Optional Facility Application Form For Approval of Alter

OMB 2060-0629
Approval expires 11/30/2012

Mandatory Reporting of Greenhouse Gases (40 CFR Part 98)
Optional Facility Application Form For Approval of Alternative Methods for
Determining N 2 O Process Emissions for Subparts E Adipic Acid Production and V
Nitric Acid Production

OMB Control No. 2060-0629
Approval expires 11/30/2012

The incremental public reporting and recordkeeping burden for this collection of
information is estimated to average 30 minutes per response (the burden already was
included in ICR 200909-2060-007). 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.

EPA Form 5900-211

OMB 2060-0629
Approval expires 11/30/2012

Mandatory Reporting of Greenhouse Gases (40 CFR Part 98)
Optional Facility Application Form For Approval of Alternative Methods for
Determining N 2 O Process Emissions for Subparts E Adipic Acid Production and V
Nitric Acid Production
General Information: If you are an owner or operator subject to Part 98 Subpart E
(40 CFR 98.50) or Subpart V (40 CFR 98.220) and are applying to the EPA
Administrator to use an alternate method to calculate your annual process-related N2O
emissions from Adipic Acid or Nitric Acid production, you have the option to use this
form for your application. For calendar year 2010, you must submit your application
by February 12, 2010 (within 45 days following the effective date of the final rule,
which is December 29, 2009). In subsequent years, you must submit your application
by January 30th of the year for which you want to use in an alternative method (e.g.,
January 30, 2011).
Effective immediately, any future Alternative Method requests must be submitted in hard
copy to one of the following addresses:
For package delivery (Preferred): Carole Cook, c/o Director, Climate Change
Division, U.S. Environmental Protection Agency, 1310 L Street, NW, 802e,
Washington, DC 20005.
Phone: 202-343-9263
For U.S. mail: Carole Cook, c/o Director, Climate Change Division, U.S.
Environmental Protection Agency, 1200 Pennsylvania Avenue, NW, Mail Code:
6207J, Washington, DC 20460
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 whether the proposed alternative is acceptable. The agency will then notify you
to confirm approval or denial of the application.
If you do not receive approval by August 2, 2010 of the year in which data are being
collected (e.g., within 150 days of the end of the reporting year), you must determine the
N2O emissions factor and calculate annual N2O emissions based on this factor for the
current year using the procedures specified in the rule under 98.53(a)(1) or 98.223(a)(1).

EPA Form 5900-211

OMB 2060-0629
Approval expires 11/30/2012
Mandatory Reporting of Greenhouse Gases (40 CFR Part 98)
Optional Facility Application Form For Approval of Alternative Methods for
Determining N 2 O Process Emissions for Subparts E Adipic Acid Production and V
Nitric Acid Production

General Information
Name of Person to Contact about the
Application
Contact Person Address (include street
address, city, state and zip code)

Contact Person Phone Number
Contact Person E-mail Address
Contact Person Date Signed
Contact Person Date Submitted

Facility and Emissions Unit Information
Facility Name
Facility Physical Address (include street
address, city, state and zip code)

Unit ID (list for each applicable unit)

Type of Unit (e.g., nitric acid train or adipic
acid production process)
Total number of units at facility included in
this application

EPA Form 5900-211

OMB 2060-0629
Approval expires 11/30/2012
Mandatory Reporting of Greenhouse Gases (40 CFR Part 98)
Optional Facility Application Form For Approval of Alternative Methods for
Determining N 2 O Process Emissions for Subparts E Adipic Acid Production and V
Nitric Acid Production
Description for Alternative Method
Name of alternative method, if available (e.g., N2O CEMs)
[Insert name here]

Description of the Alternative Method
Facilities should describe the following information:
• the calculation method for determining annual N2O emissions;
• associated data collection procedures (parameters, how the parameters will be determined,
frequency of data collection);
• initial and ongoing monitoring and QA/QC procedures;
• missing data procedures that will be applied in the event that quality-assured parameters are
unavailable (e.g. if a CEMS malfunctions during a unit operation);
• any N2O emissions abatement technology that is being used on this unit or process;
• any specific test methods or industry consensus standards that would be applied (ASTM,
EPA, etc.) for data collection or monitoring; and
• any data reporting elements, in addition to the elements required in the rules, that would be
provided to EPA to verify the calculated emissions using the alternative method.
For example, if you are proposing to use a N2O Continuous Emission Monitoring System (CEMS), you
should include a description of the initial certification procedures of the monitor on a percent or ppm N2O
basis including calibration drift tests and relative accuracy test audit (RATA) procedures, references to
existing regulations and performance specifications, a description of the ongoing quality assurance
procedures for both the N2O concentration monitor and the stack gas volumetric flow rate monitor. You
should also describe how any N2O emissions abatement technology that is being used on this unit or
process and how this technology will be reflected in the calculation of annual N2O emissions. In addition,
the description should include procedures for estimating all missing data for all applicable parameters,
such as N2O concentration, stack gas flow rate, etc. Finally, the description should include any additional
data reporting elements, such as common stack configurations that might be relevant for EPA to verify
emissions (reporting elements would include, common stack or duct identification number and
identification numbers of units sharing the common stack or duct).
[Insert description here or attach documents]

EPA Form 5900-211

OMB 2060-0629
Approval expires 11/30/2012
Mandatory Reporting of Greenhouse Gases (40 CFR Part 98)
Optional Facility Application Form For Approval of Alternative Methods for
Determining N 2 O Process Emissions for Subparts E Adipic Acid Production and V
Nitric Acid Production
Justification for the Alternative Method
Reason for your application (e.g. describe reasons for application to use alternative method such
as increased accuracy, improved representativeness, more cost effective, etc.)
[Insert justification here]

Supplemental Data (attached) Facilities may include any data that support the alternative method
including Relative Accuracy Test Audit (RATA) described in the application, relevant statistical
analyses, performance test data results, etc.
[Indicate whether you are including attachments and include a list of files attached]

EPA Form 5900-211