Form 5B

Form 5B
MARYLAND DEPARTMENT OF THE ENVIRONMENT
1800 Washington Blvd l Baltimore, Maryland 21230
(410) 537-3230 l 1-800-633-6101 l www.mde.state.md.us
Air and Radiation Management Administration l Air Quality Permits Program
Emissions Data
DO NOT WRITE IN THIS SPACE
Fill out one Form 5B for each stack or other
emission point subject to the regulations
(see the General Instructions for more detail).
__________________________________
Company Name__________________________________________________________________________
1. Number Identifying this Emission Point on Required Plot Plan ________________________________
(If applicable, list company’s internal I.D. ________________________________________________)
2. Brief description of Emission Point, Associated Equipment and Control Devices
3. Emission Schedule (for this stack or emission point)
Continuous
Intermittent
Minutes/Hour
____________ _____________ ___________
Seasonal Variation:
Hours/Day
Days/Week
___________ ___________
Weeks/Year
___________
None_____ Winter %_______ Spring%_____ Summer%_____ Fall%_______
4. Stack Information
Height above ground (ft)
Inside Diameter at top of round stack (ft)
_____________ ________
________________________________
Height above structures (ft)
Dimensions at top of rectangular stack (ft)
______________________
_________________________________
Distance to Nearest Property Line (ft)
______________________
Exit Temperature (°F)
__________________
Exit Velocity (ft/min)
__________________
Gas Volume (acfm)
_________________
Dimensions of Building Stack is on (ft): Height_____ Length_____ Width______
5. Control Devices Associated with this Stack or Emission Point
Control Device
0. None
1. Simple Cyclone
2. Multiple Cyclone
3. Spray Tower
4. Absorption Tower
5. Venturi Scrubber
6. Carbon Adsorber
Form Number: 5B
Revision Date: 09/27/2002
TTY Users 1-800-735-2258
Number
___________
___________
___________
___________
___________
___________
___________
Control Device
7. Elec. Precipitator
8. Baghouse
9. Thermal Afterburner
10. Catalytic Afterburner
11. Other (specify)
________________________
Number
____________
____________
____________
____________
Page 1 of 2
Recycled Paper
6. Criteria Pollutant Emissions (attach supporting documentation)
Criteria Pollutants
Design Capacity
(lb/hr)
ESTIMATED EMISSIONS
Projected
(lb/hr)
Operations (1)
(ton/year)
Particulate Matter
PM10
Oxides of Sulfur
Oxides of Nitrogen
Carbon Monoxide
VOC (total)
Lead
7. Toxic Air Pollutant Emissions (attach supporting documentation)
Toxic Air Pollutant (list all)
1.
CAS Number
Design
Capacity
(lb/hr)
ESTIMATED EMISSIONS
Projected
Used for Form 5A,
Operations (1)
Part 3 (2)
(lb/hour) (ton/year) (lb/hour) (ton/ye ar)
2.
3.
4.
5.
6.
7.
8.
9.
(1) Based on the emission schedule reported in Block three of this form.
(2) This column must be filled in with the emission estimates used to demonstrate compliance with the
regulations. If continuous emissions at design capacity allow you to demonstrate compliance with all air
pollution regulations, then these emissions should be listed here. If the air toxic regulations or any other
regulations require you to discharge less than continuously at design capacity, then these emissions
should be listed here.
Form Number: 5B
Revision Date: 09/27/2002
TTY Users 1-800-735-2258
Page 2 of 2
Recycled Paper
Was this manual useful for you? yes no
Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Download PDF

advertisement