5900-390 Registration for New True Minor Oil and Natural Gas Sour

EPA Form No. 5900-390
OMB Control No.2060-0003
Approval expires XX/XX/2023

United States Environmental Protection Agency

https://www.epa.gov/tribal-air/tribal-minor-new-source-review
April 29, 2019

Part 1: Submit 30 Days Prior to Beginning Construction -- General Facility Information
FEDERAL IMPLEMENTATION PLAN FOR TRUE MINOR SOURCES IN INDIAN
COUNTRY IN THE OIL AND NATURAL GAS PRODUCTION AND NATURAL
GAS PROCESSING SEGMENTS OF THE OIL AND NATURAL GAS SECTOR
Registration for New True Minor Oil and Natural Gas Sources and Minor
Modifications at Existing True Minor Oil and Natural Gas Sources
Please submit information to:

[Reviewing Authority
Address
Phone]
A. GENERAL SOURCE INFORMATION (See Instructions Below)
1. Company Name
2. Source Name
3. Type of Oil and Natural Gas Operation

4. New Minor Source?

Yes

5. Minor Source Modification?
6. NAICS Code

No
Yes

No

7. SIC Code

8. U.S. Well ID(s) or API Number(s) [if applicable]
9. Area of Indian Country

10. County

11a. Latitude

11b. Longitude

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EPA Form No. 5900-390
OMB Control No.2060-0003
Approval expires XX/XX/2023

B. CONTACT INFORMATION (See Instructions Below)
1. Owner Name

Title

Mailing Address
Email Address
Telephone Number

Facsimile Number

2. Operator Name (if different from owner)

Title

Mailing Address
Email Address
Telephone Number

Facsimile Number

3. Source Contact

Title

Mailing Address
Email Address
Telephone Number

Facsimile Number

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EPA Form No. 5900-390
OMB Control No.2060-0003
Approval expires XX/XX/2023

4. Compliance Contact

Title

Mailing Address
Email Address
Telephone Number

Facsimile Number

C. ATTACHMENTS
Include all of the following information as attachments to this form:
Narrative description of the operations.
Identification and description of all emission units and air pollution generating activities (with the exception of the
exempt emissions units and activities listed in §49.153(c).
Identification and description of any air pollution control equipment and compliance monitoring devices or activities
that are expected to be used at the facility.
Estimated operating schedules.
If satisfying the requirements under §49.104(a)(1), documentation that another federal agency has complied with its
requirements under the Endangered Species Act (ESA) and the National Historic Preservation Act (NHPA) when
authorizing the activities for the facility/activity covered under this registration. The appropriate documents shall clearly
show that the other federal agency had met its obligations under both the ESA and NHPA. A simple reference to a
Record of Decision or other final decision document will not be acceptable. Examples of acceptable documentation
would be a letter from the U.S. Fish and Wildlife Service field office (for ESA) or a historic preservation office (for
NHPA) stating they agree with the assessment conducted by the other federal agency for the subject project and that the
requirements of those statutes have been met. The documentation shall be submitted within the Part 1 registration.
If satisfying the requirements under §49.104(a)(2), documentation demonstrating that you have completed the required
screening procedures specified for consideration of threatened or endangered species and historic properties. (The
procedures are contained in the following document: “Procedures to Address Threatened or Endangered Species and
Historic Properties for the Federal Implementation Plan for True Minor Sources in Indian Country in the Oil and
Natural Gas Production and Natural Gas Processing Segments of the Oil and Natural Gas Sector,” https://
www.epa.gov/tribal-air/final-federal-implementation-plan-oil-and-natural-gas-true-minor-sources-and-amendments.
Other.

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EPA Form No. 5900-390
OMB Control No.2060-0003
Approval expires XX/XX/2023

Instructions for Part 1
Please answer all questions. If the item does not apply to the source and its operations write “n/a”. If the answer is not
known write "unknown".
A. General Source Information
1. Company Name: Provide the complete company name. For corporations, include divisions or subsidiary name, if
any.
2. Source Name: Provide the source name. Please note that a source is a site, place, or location that may contain one
or more air pollution emitting units.
3. Type of Operation: Indicate the generally accepted name for the oil and natural gas production or natural gas
processing segment operation (e.g., oil and gas well site, tank battery, compressor station, natural gas
processing plant).
4. New True Minor Source: [Per Federal Indian Country Minor New Source Review Rule, 40 CFR 49.153].
5. True Minor Source Modification: [Per Federal Indian Country Minor New Source Review Rule, 40 CFR 49.153].
6. North American Industry Classification System (NAICS): The NAICS Code for your oil and natural gas source
can be found at the following link for North American Industry Classification System:
http://www.census.gov/eos/www/naics/.
7. Standard Industrial Classification Code (SIC Code): Although the new NAICS code has replaced the SIC
codes, much of the Clean Air Act permitting processes continue to use these codes. The SIC Code for your oil
and natural gas source can be found at the following link for Standard Industrial Classification Codes:
http://www.osha.gov/pls/imis/sic_manual.html.
8. U.S. Well ID or API Number: Unique well identifier as assigned by the Federal or State oil and gas regulatory
agency with primacy, using the American Petroleum Institute (API) Standard for number format (pre-2014) or the
Professional Petroleum Data Management (PPDM) Association US Well Number Standard (2014-present).
Provide IDs for all oil and natural gas production wells associated with the facility, if applicable. May not be
applicable for downstream production sources, such as compressor stations.
9. Area of Indian Country: Provide the name of the Indian reservation within which the source is operating.
10. County: Provide the County within which the source is operating.
11. Latitude & Longitude (11a. and 11b.): Provide latitude and longitude location(s) in decimal degrees, indicating
the datum used in parentheses. These are GPS (global positioning system) coordinates. This information should
be provided in decimal degrees with 6 digits to the right of the decimal point, indicating the datum used in
parentheses (i.e., NAD 27, NAD 83, WGS 84 – WGS 84 is preferred over NAD 27).
B. Contact Information
Please provide the information requested in full.
1. Owners: List the full name (last, middle initial, first) of all owners of the source.
2. Operator: Provide the name of the operator of the source if it is different from the owner(s).
3. Source Contact: The source contact must be the local contact authorized to receive requests for data and
information.
4. Compliance Contact: The compliance contact must be the local contact responsible for the source’s compliance
with this rule. If this is the same as the Source Contact please note this on the form.

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EPA Form No. 5900-390
OMB Control No.2060-0003
Approval expires XX/XX/2023

C. Attachments
The information requested in the attachments will enable the U.S. Environmental Protection Agency (EPA) to understand
the type of oil and natural gas source being registered.
Paperwork Reduction Act Statement: This collection of information is approved by OMB under the Paperwork Reduction
Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0003. Responses to this collection of information are mandatory
under 40 CFR 49 Indian Country; Air Quality Planning and Management and 40 CFR 52 – Approval and Promulgation
of Implementation Plans including but not limited to 40 CFR 52.21 Prevention of Significant Deterioration). An agency
may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a
currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information
per response ranges from 50 to 490 hours depending on the project(s) size and complexity with an estimated total average
of 178 hours. 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 to the Regulatory Support Division Director, U.S.
Environmental Protection Agency (2821T), 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.
Information in these forms submitted in compliance with the final Federal Indian Country Minor New Source Review rule
may be claimed as confidential. A company may assert a claim of confidentiality for information submitted by clearly
marking that information as confidential. Such information shall be treated in accordance with EPA’s procedures for
information claimed as confidential at 40 CFR part 2, subpart B, and will only be disclosed by the means set forth in the
subpart. If no claim of confidentiality accompanies the report when it is received by EPA, it may be made public without
further notice to the company (40 CFR 2.203).

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