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8/13/2019 RP 319 Instructions
http://slidepdf.com/reader/full/rp-319-instructions 1/3
Department of Environmental Quality
Office of Environmental Services
Air Permits Division
P.O. Box 4313
Baton Roue! "A #$%&1'4313
(&&)* &1+'31%1
Instructions
Regulatory Permit
Notification Form
Flaring of Materials Other
than Natural Gas
Introduction,-e larin of /aterials Ot-er t-an 0atural asReulatory Permit aut-ori2es t-e flarin of aseousmaterials ot-er t-an natural as (e..! propane!et-ylene! propylene! ammonia* resultin frommeterin! purin! an maintenance operations. ,-ematerial to e flare may e supplemente 5it-natural as. Approval to procee is continent uponnotification y "DEQ t-at t-e application (i.e.! 0otification orm* -as een etermine complete.
,-is Reulatory Permit is coifie uner "A6337888.31+. 6opies of t-is reulation are availale at7
-ttp799555.e:.louisiana.ov9portal9Default.aspx;tai<1=#4.
Do not alter t-e formattin of t-e Reulatory Permit 0otification orm in any 5ay! except as specifie int-ese 8nstructions.
Where Should I Submit the Notification Form?
,-e 0otification orm s-oul e maile to t-eAssistant Secretary of t-e Office of EnvironmentalServices at t-e aress provie on pae 3 of t-e 0otification orm suc- t-at "DEQ receives t-e format least t-ree (3* 5or>in ays prior to t-e flarin
event. 8n emerency situations! "DEQ 5ill 5aive t-e3'5or>in ay re:uirement. 8f an applicant c-oosesto use a service provier ot-er t-an t-e ?.S. PostOffice! "DEQ@s p-ysical aress is7
=$& 0ort- ift- StreetBaton Roue! "ouisiana #$%$&
What Should Be Submitted and What Should be
e!t
,ransmit t-e certifie 0otification orm anattac-ments an one p-otocopy to "DEQ asescrie aove. eep a copy of t-e form an
attac-ments for your recors.
Once the Flaring "#ent $as Been %om!leted&
What 'o I Need to 'o?
Once t-e flarin event is complete! t-ere is no nee torescin t-e Reulatory Permit. ,-e aut-ori2ationconveye y t-e larin of /aterials Ot-er t-an 0atural as Reulatory Permit 5ill remain effectivefor sixty (=$* ays follo5in t-e ate on 5-ic-
"DEQ etermines t-at t-e 0otification orm iscomplete. At t-at time! "DEQ recors 5ill s-o5 t-att-e Reulatory Permit -as expire.
(ine)by)(ine Instructions
* Facility Information
Facility or Pipeline Enter t-e name of t-e facilityor pipeline at 5-ic- t-e flarin event 5ill occur.
Owner Enter t-e name of t-e company t-at o5nst-e affecte facility or pipeline.
Operator Enter t-e name of t-e company t-at
operates t-e affecte facility or pipeline if t-iscompany is a ifferent entity t-an O5ner and 5ill eresponsile for environmental compliance.
Agency Interest (AI) Number 8f t-e flarin event5ill occur at an existin facility for 5-ic- an air permit -as een otaine! enter t-e A8 numer fort-at facility. Ot-er5ise! enter C,BD.
Permit Number (If Applicable) 8f t-e flarin event5ill occur at an existin facility for 5-ic- an air permit -as een otaine! enter t-e permit numer fort-at facility. Ot-er5ise! enter C0one.
+ Physical (ocation
Nearest Town and Parish Enter t-e nearest to5nan t-e paris- in 5-ic- t-e flarin event 5ill occur.,-e to5n must e in t-e paris- ientifie! even ifanot-er to5n in a nei-orin paris- is p-ysicallycloser.
Latitude and Longitude Enter t-e latitue anlonitue of t-e affecte facility or location of t-eflarin event.
Physical Address or ri!ing irections 8f a
p-ysical C+11 aress of t-e location -as eenestalis-e! enter t-at aress -ere. 8f not! provierivin irections.
"ap Attached Attac- a map of t-e location at5-ic- t-e flarin event 5ill occur. ,-e map s-ouls-o5 t-e names of t-e surrounin -i-5ays an eetaile enou- suc- t-at "DEQ staff can pinpoint t-elocation of t-e flarin event.
form#3)&r$$
$)91#913
8nstructions for Reulatory Permit 0otification orm
larin of /aterials Ot-er t-an 0atural as
Pae 1
8/13/2019 RP 319 Instructions
http://slidepdf.com/reader/full/rp-319-instructions 2/3
Department of Environmental Quality
Office of Environmental Services
Air Permits Division
P.O. Box 4313
Baton Roue! "A #$%&1'4313
(&&)* &1+'31%1
Instructions
Regulatory Permit
Notification Form
Flaring of Materials Other
than Natural Gas
, %ontact InformationEnter t-e contact information re:ueste. ,-e personliste -ere 5ill e t-e primary contact of "DEQs-oul :uestions arise. ,-is contact nee not e t-eResponsile Official ientifie in Section 11! uts-oul e an employee of t-e O5ner9Operator! nott-e O5ner9Operator@s consultant. 0ote t-at t-econtact@s cell p-one numer an e'mail aress areoptional. 0ote t-at all 5ritten corresponenceconcernin t-e 0otification orm 5ill e irecte tot-e Responsile Official.
- Fee Information
Enter t-e fee information re:ueste. Per "A6337888.31+.8 an in accorance 5it- "A6337888.6-apter &! t-e fee for t-e larin of /aterialsOt-er t-an 0atural as Reulatory Permit s-all eF3$$.$$ (fee numer 1#1$*. 6-ec>s or money orerss-oul e payale to t-e C"ouisiana Department ofEnvironmental Quality. Do not sen cas-. "DEQcannot process t-e 0otification orm until t-is fee is pai in full. 0ote t-at t-ere is no annual maintenancefee associate 5it- t-is Reulatory Permit.
. 'ate/s0 and "1!ected 'uration of Flaring
"#ent
Enter t-e ate on 5-ic- t-e flarin event is sc-euleto commence. ,-e aut-ori2ation conveye y t-elarin of /aterials Ot-er t-an 0atural asReulatory Permit s-all remain effective for sixty(=$* ays follo5in t-e ate on 5-ic- "DEQetermines t-at t-e 0otification orm is complete! soif t-e flarin event oes not commence on t-e atespecifie! t-ere is no nee to moify t-e 0otificationorm.
Enter t-e expecte uration of t-e flarin event.Duration of t-e flarin event must e no more t-an1$ calenar ays! else t-e event oes not :ualify forcoverae uner t-is Reulatory Permit per "A6337888.31+.E.
2 Identification of the Material to Be Flared
8entify t-e aseous material to e flare an itsapproximate -i-er -eatin value (in Btu perstanar cuic foot*. Enter t-e volume of aseousmaterial to e flare (in stanar cuic feet*.Golumes of as s-oul e calculate at stanar
conitions (&1H6 or #$H an &+.+& inc-es (#=$millimeters* of mercury*. 8nicate if t-e material to e flare 5ill e supplemente 5it- natural as.
34 Reason for the Flaring "#ent
Descrie t-e circumstances resultin in t-e nee toflare t-e aseous material.
5 "6ui!ment In#ol#ed
"ist t-e emissions sources associate 5it- t-e flarinevent. Emissions sources may inclue! ut are notlimite to! a flare an fuitive emissions. Enter t-emaximum operatin rate for eac- source.
7 "missions
8nicate if emissions calculations are attac-e. ,-is ox serves as a reminer t-at calculations arere:uire in all instances. "DEQ 5ill not process any 0otification orm t-at fails to inclue calculations.
Enter emissions of criteria pollutants! reen-ouseases (Is* (i.e.! caron ioxie e:uivalents*! an"A6 337888.6-apter )1'reulate toxic air pollutants(,AP* t-at 5ill result from t-e flarin event (in tonsto t5o ecimal places*. Is may e reporte to t-enearest ton. A aitional ro5s as necessary for
,APs.
*8 (9% ,,:I4*38* Re6uirements
8n accorance 5it- "A6 337888.)$1.6.1$! eforeissuin any (initial* permit for a ne5 or existinsource! "DEQ may conuct an evaluation of t-eapplicant as escrie in "A6 3378.1#$1. Ans5er t-e:uestions as appropriate! an attac- t-e o5ner oroperator@s 6ertificate of Reistration an9or6ertificate of oo Stanin if necessary. ,-esecertificates can e otaine from t-e Secretary ofState. See-ttp799555.sos.la.ov9Iome96ommercial96orporations9Searc-Dataase9tai9%1+9Default.aspx.
**4 %ertification by Res!onsible Official
Enter t-e contact information re:ueste. All 5rittencorresponence concernin t-e 0otification orm5ill e irecte to t-e Responsile Official.
A responsile official must sin an ate t-e 0otification orm. ,-e 0otification orm cannot e
form#3)&r$$
$)91#913
8nstructions for Reulatory Permit 0otification orm
larin of /aterials Ot-er t-an 0atural as
Pae &
8/13/2019 RP 319 Instructions
http://slidepdf.com/reader/full/rp-319-instructions 3/3
Department of Environmental Quality
Office of Environmental Services
Air Permits Division
P.O. Box 4313
Baton Roue! "A #$%&1'4313
(&&)* &1+'31%1
Instructions
Regulatory Permit
Notification Form
Flaring of Materials Other
than Natural Gas
processe if t-e certification statement is not sineor is sine y someone ot-er t-an a responsileofficial. ,-e efinition of Cresponsile official asset fort- in "A6 337888.)$& is as follo5s7
#esponsible Official$ one of t-e follo5in71. for a corporation7 a presient! secretary!
treasurer! or vice'presient of t-e corporation inc-are of a principal usiness function! or anyot-er person 5-o performs similar policy orecision'ma>in functions for t-e corporation! ora uly aut-ori2e representative of suc- person ift-e representative is responsile for t-e overall
operation of one or more manufacturin! prouction! or operatin facilities applyin for orsuJect to a permit an eit-er7a. t-e facilities employ more t-an &)$ persons
or -ave ross annual sales or expenituresexceein F&) million (in secon :uarter1+%$ ollars*K or
. t-e eleation of aut-ority to suc-representatives is approve y t-e permittin aut-ority prior to sumittal of anycertification y suc- personK
&. for a partners-ip or sole proprietors-ip7 a eneral partner or t-e proprietor! respectively. 8f a
eneral partner is a corporation! t-e provisions ofSupararap- a of t-is efinition applyK
3. for a municipality! state! feeral! or ot-er pulicaency7 eit-er a principal executive officer orran>in electe official. or t-e purposes of t-isefinition! a principal executive officer of afeeral aency inclues t-e c-ief executiveofficer -avin a responsiility for t-e overalloperations of a principal eorap-ic unit of t-eaency.
form#3)&r$$
$)91#913
8nstructions for Reulatory Permit 0otification orm
larin of /aterials Ot-er t-an 0atural as
Pae 3