AQ_F_1900135_20221109_EI_Apprd-EI

Inventory Certification Form(Title V)
Approved COR Date Submitted: 11/9/2022 15:12:18
Facility Name: C &D Materials Recovery Facility - Goldston Facility ID : 1900135
13415 US 421 South Permit : 10656
Goldston,NC 27252 County : Chatham
DAQ Region : Raleigh
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 Bobby Branch
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 I5A NCAC
2Q.0520(b)which references and follows the federal definition. 40 CFR Part 70.2 definesa responsible as meaning one of the
following:
1. For a corporation: a president, secretary, treasurer, or vice-president of the corporation in chargeof a principal business
function, or any other person who performs similar policy or decision makingfunctions for the overall operation of one or
more manufacturing,production, or operatingfacilities applying for a or subject to a permit and either the facilities employ
more than 250 persons or have gross annual sales or expenditures exceeding$25 million(in second quarter 1980 dollars);
orthe delegation of authority to such representatives is approved in advance by the permittingauthority;
2. For partnership or sole propietorship; a general partner or the proprietor,respectively;
3. for a muncipality, state, federal, or other public agency includes the chief executive officerhaving responsibility for the
overall operations of a principal geographic unit of the a enc e. ., a Regional Administrator of EPA).
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: Bobby Branch
Signature:
This form applies to Title V facilities. If this facility is not classified asTitle V,please telephone your regional office
Emission Inventory Contact at once for proper forms.
Email address of Responsible Official: [e-mail]
Information on this Form cannot be held confidential
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Approved COR Date Submitted: 11/9/2022 15:12:18
Facility Name: C &D Materials Recovery Facility - Goldston Facility ID : 1900135
13415 US 421 South Permit : 10656
Goldston,NC 27252 County : Chatham
DAQ Region : Raleigh
Listing of Emission Sources and Control Devices on Permit. See instructions
*ES ID on *ES Description *CS ID *CS Description *CD ID's
Air Permit
Air Burners S 119R FireBox(5 tons
ACI per hour maximum firing capacity)
[NSPS EEEE]
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Approved COR Date Submitted: 11/9/2022 15:12:18
Facility Name: C &D Materials Recovery Facility - Goldston Facility ID : 1900135
13415 US 421 South Permit : 10656
Goldston,NC 27252 County : Chatham
DAQ Region : Raleigh
Emission Source & Operating Scenario List- See Instructions
*ES Group ID *ES ID SOS ID *OS Description
ACI 1 burn tree debris
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Approved COR Date Submitted: 11/9/2022 15:12:18
Facility Name: C &D Materials Recovery Facility - Goldston Facility ID : 1900135
13415 US 421 South Permit : 10656
Goldston,NC 27252 County : Chatham
DAQ Region : Raleigh
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) ACI
or Emission Source Group ID
2. Emission Source Description : Air Burners S 119R FireBox (5 tons per hour maximum firing capacity)
[NSPS EEEE]
3. Operating Scenario ID/ OS - 1/bum tree debris (OS Not Operated)
Description:
4. SCC Number/Description: 39000999/Wood ; General: Wood
5. Throughput/units in 2021: 0
(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 (F) (Feet/sec) Rate (Acfm)
Rectangle(L x W)
(in 0.1 feet)
ACI FUGITIVE (NO 1 72 Area= 1 S 119R FireBox
STACK)
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Operating Scenario: OS - 1 Emission Source/Group ID: ACI
10. Operating Schedule:(Source/OperatingScenario that best characterizes Calendar Year 2021)
Hours per Day ( 24 ) Days per Week ( 7 ) Weeks per Year ( 52 )
11. Typical Start & End Times For Operating Scenario: Start: 0 End: 2359
12. Seasonal Periods Percent Annual Throughput:
Jan-Feb + Dec y March-Ma June-Aug. Sept.-Nov. o
2021 25% 2021 25% 2021 25% 2021 25/a
13. Actual Emissions per Pollutant Listed :
Attach calculations and documentation of emission factors or other estimation methods used.
Emissions- Emission Control
GHG GHG Estimation Emission Ef
Pollutants CAS Efficiency
Pollutants Method Code Factor Control
(Tons/Year) (See Instructions) all controls)
2021
Criteria Emissions- Emission Control
Emission EF
Pollutant Criteria
(NAAQS) Estimation Efficiency
Pollutants Code Pollutants Method Code (Net after Factor Control
(Tons/Year) (See Instructions) all controls)
2021
Emission
HAP/TAP CAS Emissions Estimation Control Emission EF
Pollutants (In Alphabetical Order) (See instructions) HAP/TAPS Method Code Efficiency Factor Control
(Pounds/Year) (Net after all controls)
(See Instructions)
2021
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Facility Total CY 2021 Emissions Summary
Approved COR Date Submitted: 11/9/2022 15:12:18
Facility Name: C &D Materials Recovery Facility - Goldston Facility ID : 1900135
13415 US 421 South Permit : 10656
Goldston,NC 27252 County : Chatham
DAQ Region : Raleigh
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
Green house Gases Pollutants(GHG)
Actual Emissions(Tons/Year)
Pollutant I CAS 12021 12020 %Change
Criteria Pollutants
Actual Emissions(Tons/Year)
Pollutant I CAS 12021 12020 1% Change
Hazardous Air Pollutants(HAPS) and/or Toxic Air Pollutants(TAPs)
Actual Emissions(Pounds/Year)
Pollutant I CAS 12021 12020 1% Change
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Approved COR Date Submitted: 11/9/2022 15:12:18
Facility Name: C &D Materials Recovery Facility - Goldston Facility ID : 1900135
13415 US 421 South Permit : 10656
Goldston,NC 27252 County : Chatham
DAQ Region : Raleigh
DAQ Internal Comments:
Facility operated at most one day in 2021,purely for testing. Permit is to be rescinded, but is awaiting communication
from facility as of 11/2022.
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Approved COR Date Submitted: 11/9/2022 15:12:18
Facility Name: C &D Materials Recovery Facility - Goldston Facility ID : 1900135
13415 US 421 South Permit : 10656
Goldston,NC 27252 County : Chatham
DAQ Region : Raleigh
Comments From Reviewer:
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