HomeMy WebLinkAboutAQ_F_0400047_20221009_EI_PreForm (4) List of Contents of this Inventory Package
The list below is a summary of the forms contained in this package.
1. Pre-Submittal Check List(optional tool for your use and benefit as a double check before submittal).
2. Listing of Emission Sources and Control Devices on Permit List(check list to use for organization,review and keeping
track of data previously submitted and in the inventory)
3. Blank Emission Source/Operating Scenario Data Form-make multiple copies to be used to fill in individual Operating
Scenario information
4. Facility Total Emissions Summary Form To use to summarize facility-wide emissions, summed from individual Emission
Source/Operating Scenario Data Forms, for each pollutant.
5. Certification Form for use and signature of Responsible Official must be mailed(postmarked)by inventory due date.
1
NC DEQ, Division of Air Quality
Emission Inventory Pre-Submittal Check List
The following list provides some suggestions for you to use in reviewing your Air Emission Inventory submittal.It is meant
as a reminder of some of the key points to be remembered.It is not meant to be all inclusive or to repeat many important
parts of the instructions.Persons who have questions are reminded to contact their Division of Air Quality regional office.
Verify Action to Check(X)
Has the "Responsible Official'reviewed the information submitted and certified it as correct by means of a
signature in blue ink on the correct Certification Form?
Is your postage sufficient and have you arranged for"return receipt requested?"
Have you included emission estimates for all emission sources/operating scenarios and all pollutants,using the
"best available information?"
Is each form and each supplemental page clearly marked with your Facility ID,Permit Number and other
identification sufficient for each page to be properly replaced in your package if it should become separated?
Did you include emissions for all HAPs and TAPS separately, even if they may be part of VOC or PM-10 totals,
realizing for Title V billing purposes they will NOT be double counted/billed?
Have you shown proper"affiliations"between each emission release point and operating scenario within the
facility?
Are all forms completely filled out and in correct order?
Have you adequately researched and documented the best information to use to estimate your emissions?Have
you considered testing or supporting your industry association in testing programs to develop better emission
factors?
Have you used the proper address so that the submittal goes to the proper DAQ regional office for the county in
which the facility operates?
Did you evaluate whether a General Facility Information Form is required?
Did you provide the certified original of forms with calculation documentation and one additional copy of forms?
Submit packet of completed forms to the appropriate Regional Office as specified in your cover letter.Do NOT send them to
DAQ Central Office.Do NOT Fax.
This check list is provided for your convenience.You are not required to use it or send it to the Division of Air Quality.
Your Division of Air Quality contact is
Stephen Allen
Fayetteville Regional Office
Systel Building
225 Green Street,Suite 714
Fayetteville NC 28301-5094
910-433-3300
2
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Listing of Emission Sources and Control Devices on Permit. See instructions
*ES ID on *ES Description *CS Description *CD ID's on Permit
Air Permit
Aztec C-1 21'x 48"conveyor
Aztec C-2 21'x 48"conveyor
Aztec C-3 23'x 30"conveyor
Aztec C-4 17'x 48"conveyor
Aztec C-5 14'x 48"conveyor
Aztec F-1 14'x 48"belt feeder
Aztec G-1 125 HP John Deere diesel generator
(manufactured in 2008)
Aztec SC-1 Screen,2 deck horizontal 5'x 16'
C50 C3 42"discharge conveyor
C50 C4 26" side conveyor
C50 F2 46.5"x 169"grizzly feeder
C50 G4 350 HP Tier II Caterpillar Diesel
generator(manufactured in 2009)
C50 J1 50"x 26"jaw crusher
Conveyors Conveyors Wet suppression water spray system WS
Crushers Crushers Wet suppression water spray system WS
IES-Sand Sand Operations
PC1 Field conveyor,48 inch
PC2 Field conveyor,42 inch
PC3 On-plant conveyor,60 inch
PC4 Field conveyor,36 inch
PC5 On-plant conveyor,42 inch
PC6 Field conveyor,36 inch
PC7 Field conveyor,36 inch
PCRI Jaw Crusher 3055,500 tph rating
PCR2 Cone Crusher 52SBS,360 tph rating
Psi Screen,2 Deck horizontal,8'X 20'
Screens Screens Wet suppression water spray system WS
T-F3 30"feed conveyor
T-G10 365 HP Cat Diesel Engine Generator
(manufactured in 2002)
T-PC1 30"closed-circuit conveyor
T-PC2 42"underscreen fines conveyor
T-PC3 30"discharge conveyor
T-PCR3 38SBS Cone Crusher
T-PS2 Screen,2 Deck 6'x 20'horizontal
XQ60 100 HP CAT Generator(manufactured
in 2001)
*If blank, no data recorded in DAQ System.
*CD = Control Device.
*CS =Control System.
*ES =Emission Source.
3
4
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source & Operating Scenario List- See Instructions
*ES Group ID DES ID *OS ID �OS Description Forms Did Not Operate Not Required to
Completed Report
PCRI NONE NONE
PCR2 NONE NONE
Crushers NONE NONE
Aztec G-1 4 Provide power to Astec Plant
C50 G4 NONE NONE
G-17 Sr SL Sens 5 screening material
PC5,PC6,
PC7,PC I,
G-18 PC2, 6 conveying material
Conveyors,
PC4,PC3
Aztec SC-1 NONE NONE
Aztec F-1 NONE NONE
Aztec C-1 NONE NONE
Aztec C-2 NONE NONE
Aztec C-3 NONE NONE
Aztec C-5 NONE NONE
C50 J1 NONE NONE
C50 F2 NONE NONE
C50 C4 NONE NONE
T-PCR3 NONE NONE
T-PS2 NONE NONE
Aztec C-4 NONE NONE
C50 C3 NONE NONE
T-G10 NONE NONE
T-PC2 NONE NONE
T-PC3 NONE NONE
T-PC 1 NONE NONE
XQ60 NONE NONE
T-F3 NONE NONE
IES-Sand NONE NONE
*Blank, if not part of a group.
*ES =Emission Source
*OS = Operating Scenario
Form Completed=Form printed and completed.
Please return this completed Form with your submittal. Be sure to fill in with'X' or similar mark if the ES or OS did
not operate and/or if it was Not required to report.
5
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Aztec G-1
or Emission Source Group ID
2. Emission Source Description : 125 HP John Deere diesel generator(manufactured in 2008)
3. Operating Scenario ID/ OS - 4/Provide power to Astec Plant
Description:
4. SCC Number/Description: 20200401 /Diesel ; Diesel
5. Throughput/units in 2021: / /yr
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented 0
to Control Device or Stack):
8. Control Device Information :None
Order CS-ID CD ID Control Device Description
(as listed in permit)
9. Emission Release Point (ERP) Information: (Sources vented to more than one ERP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (Feet/sec)
Rectangle(L x W) (F) Rate
(in 0.1 feet) (Acfm)
G1 VERTICAL 6 0.42 842.7 287.18 2387.22 diesel fired engine
STACK
10. Operating Schedule:(Source/OperatingScenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start& End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb + Dec I % March-May I % June-Aug. I % Sept.-Nov.
2021 2021 2021 2021
6
Operating Scenario: OS -4 Emission Source/Group ID: Aztec G-1
13. Actual Emissions per Pollutant Listed
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission Control
GHG CAS Estimation
Pollutants (see instructions) GHG Pollutants Mthd Cd Efficiency
eo oe
(Tons/Year) (Net after all controls)
(See Instructions)
2021 2014
Emissions- Emission Control
Criteria Pollutant Estimation
(NAAQS) Pollutants Code Criteria Pollutants Method Code Efficiency
(Tons/Year) (Net after all controls)
(See Instructions)
2021 2014
CO CO
NOx NOx
TSP TSP
PM10 PM10
PM2.5 PM2.5
S02 S02
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants (In CAS Estimation
Alphabetical Order) (see instructions) HAP/TAP/Other Method Code Efficiency
(Pounds/Year) (Net after all controls)
(See Instructions)
2021 2014
7
Operating Scenario: OS -4 Emission Source/Group ID: Aztec G-1
Comments regarding this Operating Scenario (identify by field or general):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https:Hdeg.nc.gov/about/divisions/air-quality/air-gualily-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned(Postmarked)to the appropriate DAQ regional office by March 02,2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
8
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Group G-17 Consisting of PSI, Screens
or Emission Source Group ID
2. Emission Source Description : Screening
3. Operating Scenario ID/ OS - 5/screening material
Description:
4. SCC Number/Description: 30502006 / Stone Quarrying - Processing (See also 305320) ;
Miscellaneous Operations: Screen/Convey/Handling
5. Throughput/units in 2021: / /yr
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented 0
to Control Device or Stack):
8. Control Device Information :None
Order CS-ID CD ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information: (Sources vented to more than one ERP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (Feet/sec)
Rectangle(L x W) (F) Rate
(in 0.1 feet) (Acfm)
ES- FUGITIVE (NO Screen aggregate
Screen STACK) 1 72 Area= 1 materail
10. Operating Schedule:(Source/OperatingScenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
I L Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb + Dec % March-May % June-Aug. I % Sept.-Nov.
2021 2021 2021 2024
9
Operating Scenario: OS - 5 Emission Source/Group ID: G-17
13. Actual Emissions per Pollutant Listed
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission Control
GHG CAS Estimation
Pollutants (see instructions) GHG Pollutants Mthd Cd Efficiency
eo oe
(Tons/Year) (Net after all controls)
(See Instructions)
2021 2014
Emissions- Emission Control
Criteria Pollutant Estimation
(NAAQS) Pollutants Code Criteria Pollutants Method Code Efficiency
(Tons/Year) (Net after all controls)
(See Instructions)
2021 2014
CO CO
NOx NOx
TSP TSP
PM10 PM10
PM2.5 PM2.5
S02 S02
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants (In CAS Estimation
Alphabetical Order) (see instructions) HAP/TAP/Other Method Code Efficiency
(Pounds/Year) (Net after all controls)
(See Instructions)
2021 2014
10
Operating Scenario: OS - 5 Emission Source/Group ID: G-17
Comments regarding this Operating Scenario (identify by field or general):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https:Hdeg.nc.gov/about/divisions/air-quality/air-gualily-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned(Postmarked)to the appropriate DAQ regional office by March 02,2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
11
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Group G-18 Consisting of PC5, PC6, PC7, PC I, PC2, Conveyors, PC4,
or Emission Source Group ID PC3
2. Emission Source Description : Conveyors in quarry operation
3. Operating Scenario ID/ OS - 6/conveying material
Description:
4. SCC Number/Description: 30502006 / Stone Quarrying - Processing (See also 305320) ;
Miscellaneous Operations: Screen/Convey/Handling
5. Throughput/units in 2021: / /yr
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented 0
to Control Device or Stack):
8. Control Device Information :None
Order CS-ID CD ID Control Device Description
(as listed in permit)
9. Emission Release Point (ERP) Information: (Sources vented to more than one ERP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (Feet/sec)
Rectangle(L x W) (F) Rate
(in 0.1 feet) (Acfm)
ES- FUGITIVE (NO conveying
Convey STACK) 1 72 Area= 1 aggregate material
10. Operating Schedule:(Source/OperatingScenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb + Dec % March-May % June-Aug. I oho Sept.-Nov.
2021 2021 2021 2021
12
Operating Scenario: OS - 6 Emission Source/Group ID: G-18
13. Actual Emissions per Pollutant Listed
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission Control
GHG CAS Estimation
Pollutants (see instructions) GHG Pollutants Mthd Cd Efficiency
eo oe
(Tons/Year) (Net after all controls)
(See Instructions)
2021 2014
Emissions- Emission Control
Criteria Pollutant Estimation
(NAAQS) Pollutants Code Criteria Pollutants Method Code Efficiency
(Tons/Year) (Net after all controls)
(See Instructions)
2021 2014
CO CO
NOx NOx
TSP TSP
PM10 PM10
PM2.5 PM2.5
S02 S02
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants (In CAS Estimation
Alphabetical Order) (see instructions) HAP/TAP/Other Method Code Efficiency
(Pounds/Year) (Net after all controls)
(See Instructions)
2021 2014
13
Operating Scenario: OS - 6 Emission Source/Group ID: G-18
Comments regarding this Operating Scenario (identify by field or general):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https:Hdeg.nc.gov/about/divisions/air-quality/air-gualily-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned(Postmarked)to the appropriate DAQ regional office by March 02,2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
14
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) PCR1
or Emission Source Group ID
2. Emission Source Description: Jaw Crusher 3055, 500 tph rating
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
15
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
16
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
17
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Crushers
or Emission Source Group ID
2. Emission Source Description: Crushers
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
18
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
19
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
20
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) C50 G4
or Emission Source Group ID
2. Emission Source Description: 350 HP Tier II Caterpillar Diesel generator(manufactured in 2009)
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
21
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
22
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
23
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Aztec SC-1
or Emission Source Group ID
2. Emission Source Description: Screen, 2 deck horizontal 5'x 16'
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
24
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
25
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
26
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) PCR2
or Emission Source Group ID
2. Emission Source Description: Cone Crusher 52SBS, 360 tph rating
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
27
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
28
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
29
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Aztec F-1
or Emission Source Group ID
2. Emission Source Description: 14' x 48" belt feeder
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
30
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
31
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
32
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Aztec C-1
or Emission Source Group ID
2. Emission Source Description: 21' x 48" conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
33
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
34
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
35
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Aztec C-2
or Emission Source Group ID
2. Emission Source Description: 21' x 48" conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
36
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
37
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
38
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Aztec C-3
or Emission Source Group ID
2. Emission Source Description: 23' x 30" conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
39
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
40
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
41
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Aztec C-5
or Emission Source Group ID
2. Emission Source Description: 14' x 48" conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
42
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
43
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
44
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) C50 J1
or Emission Source Group ID
2. Emission Source Description: 50" x 26"jaw crusher
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
45
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
46
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
47
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) C50 F2
or Emission Source Group ID
2. Emission Source Description: 46.5" x 169" grizzly feeder
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
48
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
49
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
50
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) C50 C4
or Emission Source Group ID
2. Emission Source Description: 26" side conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
51
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
52
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
53
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) T-PCR3
or Emission Source Group ID
2. Emission Source Description: 38SBS Cone Crusher
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
54
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
55
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
56
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) T-PS2
or Emission Source Group ID
2. Emission Source Description: Screen, 2 Deck 6'x 20'horizontal
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
57
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
58
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
59
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) Aztec C-4
or Emission Source Group ID
2. Emission Source Description: 17' x 48" conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
60
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
61
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
62
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) C50 C3
or Emission Source Group ID
2. Emission Source Description: 42" discharge conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
63
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
64
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
65
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) T-G10
or Emission Source Group ID
2. Emission Source Description: 365 HP Cat Diesel Engine Generator(manufactured in 2002)
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
66
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
67
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
68
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) T-PC2
or Emission Source Group ID
2. Emission Source Description: 42" underscreen fines conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
69
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
70
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
71
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) T-PC3
or Emission Source Group ID
2. Emission Source Description: 30" discharge conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
72
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
73
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
74
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) T-PC 1
or Emission Source Group ID
2. Emission Source Description: 30" closed-circuit conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
75
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
76
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
77
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) XQ60
or Emission Source Group ID
2. Emission Source Description: 100 HP CAT Generator(manufactured in 2001)
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
78
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
79
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
80
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) T-F3
or Emission Source Group ID
2. Emission Source Description: 30" feed conveyor
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
81
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
82
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
83
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data(Data here resulted from information entered into the system earlier by you or DAQ staff)
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit) IES-Sand
or Emission Source Group ID
2. Emission Source Description: Sand Operations
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information:(Sources vented to more than one EPP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Actin)
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule:(Source/Operating Scenario that best characterizes Calendar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start & End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb +Dec I % March-May I % June-Aug. I % Sept.-Nov.
84
13. Actual Emissions per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission
GHG CAS Estimation Control
Pollutants ( ) GHG Pollutants Efficiency Net after
see instructions
(Tons/Year) for year 2021 Method Code all controls)
(See Instructions)
Emissions- Emission Control
Criteria Pollutant Estimation
Criteria Pollutants Efficiency
(NAAQS) Pollutants Code ( ) y Method Code
TOriS/yeaY for year 2021 (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
SO2 SO2
VOC VOC
Emissions Emission Control
HAP/TAP/Other Pollutants CAS HAP/TAP/Other Estimation
(In alphabetical order) (see instructions) Method Code Efficiency (Net aver
(Pounds/Year) for year 2021 all controls)
(See Instructions)
85
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned (Postmarked)to the appropriate DAQ regional office by March 02, 2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
86
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
Emission Source/Operating Scenario Data
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
1.Emission Source ID (from permit)
or Emission Source Group ID
2. Emission Source Description:
3. Operating Scenario ID/
Description:
4. SCC Description:
5. Throughput/units in 2021: /
(e.g.production or fuel use):
6. Fuel Information %Sulfur %Ash Heat Content
(If fuel is used) /
(Btu/units)
7. Capture Efficiency
(%of Emissions from this Process Vented
to Control Device or Stack):
8. Control Device Information
Order CS-ID Control Devices ID Control Device Description
(as listed in permit)
9. Emission Release Point(ERP) Information: (Sources vented to more than one ERP use additional entry lines):
ERP ID ERP Type Height Diameter Temperature Velocity Volume Flow ERP Description
(in feet) Circle(enter ft (F) (Feet/sec) Rate (Acfm
Rectangle(L x W) )
(in 0.1 feet)
10. Operating Schedule: (Source/Operating Scenario that best characterizes Caleldar Year 2021)
Hours per Day ( ) Days per Week ( ) Weeks per Year ( )
11. Typical Start& End Times For Operating Scenario: Start: End:
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb + Dec % March-May I % June-Aug. I % Sept.-Nov. oho
87
Emission Source ID:
13. Actual Emissions Per Pollutant Listed for :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions Emission Control
GHG CAS Estimation
Pollutants (see instructions) GHG Pollutants Efficiency
(Tons/Year) for year 2021 Method Code (Net after all controls)
(See Instructions)
Criteria Emissions- Emission Control
(NAAQS) Pollutant Code Criteria Pollutants Estimation Efficiency
Pollutants (Tons/Year) for year 2021 Method Code (Net after all controls)
(See Instructions)
CO CO
NOx NOx
PM(TSP) PM(TSP)
PM10 PM10
PM2.5 PM2.5
S02 S02
VOC VOC
HAP/TAP/Other Emissions Emission Control
Pollutants CAS HAP/TAP/Other Estimation Efficiency
(see instructions) Method Code y
(In Alphabetical Order) (Pounds/Year) for year 2021 (Net after all controls)
(See Instructions)
88
Emission Source ID:
Comments regarding this Operating Scenario (identify by field orgeneral):
If you do not provide all information your inventory will be deemed incomplete and returned to you
To review detailed instructions or other information, go to web page: https://deg.ne.gov/about/divisions/air-quality/air-quality-
data/emissions-inventories/emission-inventories-tools
Most information on this form is not subject to claims as confidential business information.
The emission inventory must be returned(Postmarked)to the appropriate DAQ regional office by March 02,2023.
If pre-filled information is incorrect,please strike over and replace with correct information.
89
Facility Total CY 2021 Emissions Summary
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
Record Facility-Wide Totals From all Permitted and Non-Permitted Air Pollutant Emission Sources
GHG Pollutants CAS De Minimus Actual Emissions
(see instructions) Reporting level (Tons/Year)
(Tons) CY 2021 CY2014
Criteria Pollutants De Minimus Actual Emissions
Reporting level (Tons/Year)
(Tons) CY 2021 Reported CY2014
Carbon Monoxide(CO) .5 -
Oxides of Nitrogen(NOx) .5 -
PM/TSP - Particulate Matter .5 PM _ 10 .5 -
PM - 2.5 .5 -
Sulfur Dioxide(S02) .5 -
VOC .5 -
Below and following: Enter,in Alphabetical Order,All HAP/TAP/Other Required by Instructions
(Sum Source Emissions From Emission Source/Operating Scenario Forms)
Hazardous Air Pollutants(HAPs) CAS De Minimus Actual Emissions
and/or Toxic Air Pollutants(TAPs) (see instructions) Reporting level (Pounds/Year)
and/or Other Pollutants (Pounds) CY 2021 CY2014
Acetaldehyde 75-07-0 10
Acrolein 107-02-8 10
Benzene 71-43-2 1
Benzo(a)pyrene(Component of 83329/POMTV&56553/7PAH) 50-32-8 1
Butadiene, 1,3- 106-99-0 1
Formaldehyde 50-00-0 10
Naphthalene(Component of 83329/POMTV) 91-20-3 1
Polycyclic Organic Matter(7 PAH Compounds for NIF) 56553/7PAH 1 0
Polycyclic Organic Matter(Specific Compounds from OAQPS for 83329/POMTV 1 0
TV)
90
Pollutants "specified" to add to Pollutant List:
Pollutant Name CAS
Attach supporting documentation and calculations. Report any quantity above the threshold shown on the pollutant list
on the website https:Hdeq.ne.gov/about/divisions/air-quality/air-quality-data/emissions-inventories/emission-inventories-
tools
(If using a blank form,you do not need to replicate the CY 2014 emissions column except to point out errors)
Information on this form cannot be held confidential
Inventory Prepared By
Telephone Number
Fax Number
Email Address
The 2021 preparer is a Facility employee or consultant
91
Facility Name: B.V. Hedrick Gravel and Sand Company Facility ID : 0400047
403 Gravel Plant Rd. Permit : 09572
Lilesville,NC 28091 County : Anson
DAQ Region : Fayetteville
North Carolina Department of Environmental Quality
Division of Air Quality
Air Pollutant Point Source Emissions Inventory- Calendar Year 2021
These forms must be completed and returned even if the facility did not operate or emissions were zero
The legally defined "Responsible Official" of record for your facility is Danny Settle
This person or one that meets the definition below must sign this certification form.
The official submitting the information must certify that he/she complies with the requirements as specified in Title 15A NCAC
2Q .03040)which define the responsible official as the following:
1. For corporations, by principal executive officer of at least the level of vice-president, or his duly authorized representative,
if such representative is responsible for overall operation of the facility from which the emissions described in the permit
application form originates
2. for partnership or limited partnership,by a general partner
3. for a sole proprietorship,by the proprietor
4. for municipal, state federal, or other public entity, by a principal executive officer, ranking elected official, or other duly
authorized employee
CERTIFICATION STATEMENT:
(Important:Legally Responsible Official,read and sign after all submissions are final.)
I certify that I am the responsible official for this facility, as described above, and hereby certify that the information contained in
this air emissions report, including attached calculations and documentation, is true, accurate and complete. (Subject to legal
penalties of up to $25,000 per occurrence and possible imprisonment as outlined in G.S. § 143-215.3(a)(2))
Responsible Official's Signature Below (use blue ink): Date Signed:
Printed Name: Danny Settle
Signature:
This form applies to Non Title V facilities. If this facility is classified as Title V,please telephone your regional office
Emission Inventory Contact at once for proper forms and classification.
Email address of Responsible Official: dsettle@hedrickind.com
Information on this Form cannot be held confidential
92