South Coast Air Quality Management District, Form 400-E-12 (2014.07)
Mail To:
SCAQMD
P.O. Box 4944
Diamond Bar, CA 91765-0944
Tel: (909) 396-3385
www.aqmd.gov
South Coast Air Quality Management District
Form 400-E-12
Gas Turbine
This form must be accompanied by a completed Application for a Permit to Construct/Operate - Forms 400-A, Form 400-CEQA, and
Form 400-PS.
Page 1 of 3
Section A - Operator Information
Facility Name (Business Name of Operator That Appears On Permit): Valid AQMD Facility ID (Available On Permit Or Invoice Issued By AQMD):
Address where the equipment will be operated (for equipment which will be moved to various location in AQMD’s jurisdiction, please list the initial location site):
Fixed Location Various Locations
Section B - Equipment Description
Turbine
Manufacturer: Model: Serial No.:
Size (based on Higher Heating Value - HHV):
Manufacturer Maximum Input Rating:
MMBTU/hr kWh
Manufacturer Maximum Output Rating:
MMBTU/hr kWh
Function
(Check all that apply)
Electrical Generation Driving Pump/Compressor Emergency Peaking Unit
Steam Generation Exhaust Gas Recovery Other (specify):
Cycle Type
Simply Cycle Regenerative Cycle
Combined Cycle Other (specify):
Combustion Type
Tubular Can-Annular Annular
Fuel
(Turbine)
Natural Gas LPG Digester Gas
*
Landfill Gas
* Propane Refinery Gas* Other*:
* (If Digester Gas, Landfill Gas, Refinery Gas, and/or Other are checked, attach fuel analysis indicating higher heating value and sulfur content).
Heat Recovery Steam
Generator (HRSG)
Steam Turbine Capacity:
MW
Low Pressure Steam Output Capacity:
lb/hr @ ˚F
High Pressure Steam Output Capacity:
lb/hr @ ˚F
Superheated Steam Output Capacity:
lb/hr @ ˚F
Duct Burner
Manufacturer: Model:
Number of burners:
Rating of each burner (HHV):
Type: Low NOx (please attach manufacturer’s specifications)
Other:
Show all heat transfer surface locations with the HRSG and temperature profile
Fuel
(Duct Burner)
Natural Gas LPG Digester Gas
*
Landfill Gas
* Propane Refinery Gas* Other*:
* (If Digester Gas, Landfill Gas, Refinery Gas, and/or Other are checked, attach fuel analysis indicating higher heating value and sulfur content).
South Coast Air Quality Management District, Form 400-E-12 (2014.07)
South Coast Air Quality Management District
Form 400-E-12
Gas Turbine
This form must be accompanied by a completed Application for a Permit to Construct/Operate - Forms 400-A, Form 400-CEQA, and Form 400-PS.
Page 2 of 3
Section B - Equipment Description (Cont.)
Air Pollution Control
Selective Catalytic Reduction (SCR)
* Selective Non-Catalytic Reduction (SNCR)*
Oxidation Catalyst
* Other (specify)*:
Steam/Water Injection: Injection Rate:
lbs. water/lbs. fuel, or mole water/mole fuel
* Separate application is required.
Capital Cost:
Installation Cost: Annual Operating Cost:
Oxidation Catalyst Data
(If Applicable)
Manufacturer: Model:
Catalyst Dimensions: Length:
ft. in. Width: ft. in. Height: ft. in.
Catalyst Cell Density:
cells/sq.in. Pressure Drop Across Catalyst:
Manufacturer’s Guarantee: CO Control Efficiency:
% Catalyst Life: yrs
VOC Control Efficiency:
% Operating Temp. Range: ˚F
Space Velocity (gas flow rate/catalyst volume):
Area Velocity (gas flow/wetted catalyst surface area):
VOC Concentration into Catalyst:
PPMVD@ 15%O
2
CO Concentration inot Catalyst: PPMVD@ 15%O
2
Pollutants
Maximum Emissions Before Control *
PPM@15% O
2
, dry
lb/hour
PPM@15% O
2
, dry
lb/hour
ROG
NOx
CO
PM
10
SOx
NH
3
Maximum Emissions After Control
Section C - Operation Information
On-line Emissions Data
Reference (attach data):
Manufacturer Emission Data EPA Emission Factors AQMD Emission Factors Source Test
Stack or Vent Data
Stack Height:
ft. in. Stack Diameter: ft. in.
Exhaust Temperature:
˚F Exhaust Pressure: inches water column
Exhaust Flow Rate:
CFM Oxygen Level: %
* Based on temperature, fuel consumption, and MW output.
South Coast Air Quality Management District, Form 400-E-12 (2014.07)
South Coast Air Quality Management District
Form 400-E-12
Gas Turbine
This form must be accompanied by a completed Application for a Permit to Construct/Operate - Forms 400-A, Form 400-CEQA, and Form 400-PS.
Page 3 of 3
THIS IS A PUBLIC DOCUMENT
Pursuant to the California Public Records Act, your permit application and any supplemental documentation are public records and may be disclosed to a third party. If you wish to
claim certain limited information as exempt from disclosure because it qualifies as a trade secret, as defined in the District’s Guidelines for Implementing the California Public Records
Act, you must make such claim at the time of submittal
to the District.
Check here if you claim that this form or its attachments contain confidential trade secret information.
Pollutants
Startup Emissions
PPM@15% O
2
, dry
lb/hour
PPM@15% O
2
, dry
lb/hour
ROG
NOx
CO
PM
10
SOx
NH
3
Shutdown Emissions
Section C - Operation Information (cont.)
Startup Data
No. of Startups per day:
No. of Startups per year: Duration of each startup: hrs.
Shutdown Data
No. of Shutdowns per day:
No. of Shutdowns per year: Duration of each Shutdown: hrs.
Startup and Shutdown
Emissions Data
Monitoring and Reporting
Continuous Emission Monitoring System (CEMS): CEMS Make:
CEMS Model:
Will the CEMS be used to measure both on-line and startup/shutdown emissions? Yes No
The following parameters will be continuously monitored:
NOx CO O
2
Fuel Flow Rate Ammonia Injection Rate Other (specify):
Ammonia Stack Concentration: Ammonia CEMS Make:
Ammonia CEMS Model:
Operating Schedule
Normal:
hours/day days/week weeks/yr
Maximum:
hours/day days/week weeks/yr
Section D - Authorization/Signature
I hereby certify that all information contained herein and information submitted with this application is true and correct.
Preparer
Info
Signature: Date:
Title: Company Name:
Name:
Phone #: Fax #:
Email:
Contact
Info
Name:
Title: Company Name:
Phone #: Fax #:
Email:
Validate/Print
Reset