DEEP: Air Compliance Assurance - Forms

Air Compliance Assurance Forms

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Asbestos Demolition and Renovation

40 CFR part 61, Subpart M, National Emission Standard for Hazardous Air Pollutants for Asbestos (Asbestos NESHAP) specifies demolition and renovation work practices involving asbestos and requires that building owners or operators notify the appropriate state or federal agency of potential asbestos hazards prior to demolition or renovation.

On December 14, 2017, DEEP voluntarily and partially withdrew from the delegated authority to implement and enforce provisions of the Asbestos NESHAP. However, DEEP retains its delegation to implement and enforce the Asbestos NESHAP for Title V sources. Therefore, Title V sources must submit an Asbestos Demolition Notification to DEEP and non-Title V sources must submit a Notification of Demolition and Renovation to EPA.

For more information refer to Asbestos National Emission Standards for Hazardous Air Pollutants (NESHAP) (EPA).

Sources must also comply with the Connecticut Department of Public Health's Asbestos Program requirements.

Additional Information

Form

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Instructions

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Title V Notification for Asbestos Demolition and Renovation for DEEP

Description

Title V sources must submit an Asbestos Demolition/Renovation Notification to DEEP, at least 10 days prior to any demolition or renovation activity, to the following address:

Asbestos Demo/Reno Notifications
Compliance Analysis & Coordination Unit
Bureau of Air Management
Connecticut Department of Energy and Environmental Protection
79 Elm Street
Hartford, CT 06106-5127

Attachments

  • None

Form

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Instructions

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Non-Title V Notification for Asbestos Demolition and Renovation for EPA

Description

Sources that have not obtained or are not required to obtain a Title V operating permit from DEEP must submit a Notification of Demolition and Renovation to EPA, at least 10 days prior to any demolition or renovation activity, to the following address:

Asbestos Demo/Reno Notifications
U.S. EPA Region 1
5 Post Office Square
Mail Code: OES05-4
Boston, MA 02109-3912

Attachments

  • None

Combined Heat and Power (CHP)

Combined Heat and Power (CHP) Notification

Description

Any person intending to operate a Combined Heat and Power (CHP) system pursuant to 22a-174-3d is required to submit a notification to DEEP no later than 30 days after beginning actual construction.

Attachments

  • None

Emissions and Opacity Monitoring

Continuous Emissions Monitoring (CEM)

Description

Owners or operators of a stationary source required to install and operate a continuous emissions monitoring system (CEMS) are also required to submit to DEEP written reports no later than thirty (30) days following the end of each calendar quarter. For more information refer to the 22a-174-4.

Attachments

  • None

Continuous Opacity Monitoring (COM)

Description

Owners or operators of a stationary source required to install and operate a continuous opacity monitoring system (COMS) are also required to submit to DEEP written reports no later than thirty (30) days following the end of each calendar quarter. For more information refer to the form instructions and 22a-174-4.

Attachments

  • None

Emissions Inventory (EMIT)

Electronic Signature Application and Subscriber Agreement

Description

The Electronic Signature Application and Subscriber Agreement allows permitted sources to submit electronic documents to DEEP through EMIT (Emissions Inventory Reporting System), Connecticut's web based Emissions Reporting application. GPLPE and Title V sources are required to submit compliance related reports using EMIT.

For more information refer to Emissions Inventory.

Need help with EMIT? Call the EMIT Helpline at (860) 424-3882 or e-mail deep.bam.ts@ct.gov.

Attachments

Emissions Reduction and Trading

Account Certificate of Representation

Description

Sources operating under the CO2 Budget Trading Program (22a-174-31) are required to have a CO2 authorized account representative. An account certificate of representation application must be submitted to DEEP before a CO2 Allowance Tracking System account is established for a source.

Attachments

  • None

Discrete Emission Reduction Credits

Description

Under the NOx Trading Agreements and Orders issued pursuant to 22a-174-22(j), by DEEP, a subject source is required to submit reports of discrete emission reduction credit (DERC) use, averaging, creation and sales for the previous calendar year or as required by permit or order, whichever is more stringent.

For more information refer to Emission Reduction Credits.

Attachments

  • None

Emissions Testing

Intent-to-Test (ITT) Application

Description

Emissions testing is performed in order for DEEP to determine whether a source is in compliance with air pollution permits and regulations, and to audit the relative accuracy of continuous emissions monitoring system (CEMS). An Intent-to-Test Application and Test Protocol must be completed by the tester and received by DEEP no less than thirty (30) days prior to the test or as specified by the applicable regulation, permit or enforcement order.

For more information refer to the Test Guidelines.

Attachments

Fuel Use and Hours of Operation

Form

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Instructions

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Fuel Use Tracking for External Combustion Units

Description

Owners or operators of an external combustion unit electing to operate under 22a-174-3b(c) may do so, in part, by restricting and maintaining records of the unit's fuel use. The Fuel Use Tracking form may be used to comply with the fuel use record creation and maintenance requirements of 22a-174-3b(c) for an external combustion unit.

Attachments

  • None

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Instructions

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Hours of Operation Tracking for Emergency Engines

Description

Owners or operators of an emergency engine electing to operate under 22a-174-3b(e) may do so, in part, by restricting and maintaining records of the unit's hours of operation. The Hours of Operation Tracking form may be used to comply with the hours of operation record creation and maintenance requirements of 22a-174-3b(e) for an emergency engine.

Attachments

  • None

Nitrogen Oxides (NOx) Reduction and Control

Form

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Instructions

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Phase 2 Case-by-Case NOx RACT Application

Description

Owners or operators of fuel-burning equipment at major stationary sources of NOx may request a case-by-case RACT determination pursuant to 22a-174-22e by submitting to DEEP a complete Case-by-Case NOx RACT application with the requisite attachments.

Attachments

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Instructions

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Phase 1 NOx Compliance Option Application

Description

Owners or operators of fuel-burning equipment at major stationary sources of NOx requesting the use of a compliance option pursuant to 22a-174-22e must submit a Compliance Option Application with the requisite attachments.

Attachments

Stage I and Stage II

Certification Report for Decommissioned Stage II

Description

A Certification Report for a Decommissioned Stage II Vapor Recovery System is required, pursuant to section 22a-174e of the CT General Statutes, for owners or operators of Gasoline Dispensing Facilities (GDF) to demonstrate that the Stage II vapor recovery system has been decommissioned as required.

For more information refer to Gasoline Dispensing Facilities.

Attachments

Intent to Decommission

Description

An Intent to Decommission form is used by owners or operators of a Gasoline Dispensing Facility (GDF) to notify DEEP, at least 30 days prior to the start, of the decommissioning of a Stage II vapor recovery system. Once decommissioning is initiated it must be completed within 100 days.

For more information refer to Gasoline Dispensing Facilities.

Attachments

  • None

Pressure Decay Test Notification

Description

A Pressure Decay Test Notification is used to notify DEEP of the time and location of a pressure decay test, at least 7 business days before the start of the test.

For more information refer to Gasoline Dispensing Facilities.

Attachments

  • None

Form

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Instructions

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Stage I Vapor Recovery Test Results Report

Description

Owners or operators of a Gasoline Dispensing Facility (GDF) are required to conduct pressure decay, vapor space tie-in, and P/V vent valve tests at least once per calendar year. A completed Stage I Vapor Recovery Test Results Report must be submitted to DEEP no later than 10 days after testing.

For more information refer to Gasoline Dispensing Facilities.

Attachments

  • None

Title V

Compliance Certification

Description

An annual Title V Compliance Certification is completed every calendar year and certifies a facility's compliance status and compliance method for each permit term that imposes a requirement or action (emission limitations, standards, monitoring, record-keeping, reporting, and other requirements) on one or more emission units or on the facility. For more information refer to the form instructions and 22a-174-33.

Attachments

  • None

Prompt Deviation Report

Description

A Title V Prompt Deviation Report is used to submit written notice of each deviation from permit terms required to be reported within 10 working days of the deviations occurrence (i.e. deviations required to be reported prior to the Semi-Annual (6 month) Monitoring Report). For more information refer to the form instructions and 22a-174-33.

Attachments

  • None

Semi-Annual Monitoring Report

Description

A Title V Semi-Annual (6 month) Monitoring Report is used, by a Title V facility, to submit written monitoring reports to DEEP. The monitoring report should be based on monitoring conducted in accordance with the facility's Title V permit and should include all deviations from permit terms and conditions that occurred during the monitoring period. For more information refer to the form instructions and 22a-174-33.

Attachments

  • None

 

Content Last Updated: March 7, 2019