Southern Ute Indian Tribe

Southern Ute Indian Tribe

https://www.southernute-nsn.gov/justice-and-regulatory/epd/

air-quality/src-review-permit/

June 10, 2024

Part 2: Submit Within 60 Days After Startup

of Production -- Emission and Production

Information

FEDERAL IMPLEMENTATION PLAN FOR TRUE MINOR SOURCES IN INDIAN

COUNTRY IN THE OIL AND NATURAL GAS PRODUCTION AND NATURAL

GAS PROCESSING SEGMENTS OF THE OIL AND NATURAL GAS SECTOR

Registration for New True Minor Oil and Natural Gas Sources and Minor

Modifications at Existing True Minor Oil and Natural Gas Sources

Please submit information to:

[Reviewing Authority

Address

Phone]

A. GENERAL SOURCE INFORMATION (See Instructions Below)

1. Company Name

2. Source Name

3. Type of Oil and Natural Gas Operation

4. New Minor Source?

Yes

5. True Source Modification?

6. NAICS Code

No

Yes

No

7. SIC Code

8. U.S. Well ID(s) or API Number(s) [if applicable]

9. Area of Indian Country

10. County

11a. Latitude

11b. Longitude

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B. CONTACT INFORMATION (See Instructions Below)

1. Owner Name

Title

Mailing Address

Email Address

Telephone Number

Facsimile Number

2. Operator Name (if different from owner)

Title

Mailing Address

Email Address

Telephone Number

Facsimile Number

3. Source Contact

Title

Mailing Address

Email Address

Telephone Number

Facsimile Number

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4. Compliance Contact

Title

Mailing Address

Email Address

Telephone Number

Facsimile Number

C. EMISSIONS AND OTHER SOURCE INFORMATION

Include all of the following information in the table below and as attachments to this form:

Note: The emission estimates can be based upon actual test data or, in the absence of such data, upon procedures

acceptable to the Reviewing Authority. The following procedures are generally acceptable for estimating emissions

from air pollution sources: (1) unit-specific emission tests; (2) mass balance calculations; (3) published, verifiable

emission factors that are applicable to the unit (i.e., manufacturer specifications); (4) other engineering calculations;

or (5) other procedures to estimate emissions specifically approved by the Reviewing Authority. Guidance for

estimating emissions can be found at https://www.epa.gov/chief.

Narrative description of the operations.

Identification and description of any air pollution control equipment and compliance monitoring devices or activities.

Type and actual amount (annually) of each fuel that will be used.

Type of raw materials used (e.g., water for hydraulic fracturing).

Actual, annual production rates.

Actual operating schedules.

Any existing limitations on source operations affecting emissions or any work practice standards, where applicable, for

all regulated New Source Review (NSR) pollutants at your source. Indicate all requirements referenced in the Federal

Implementation Plan (FIP) for True Minor Sources in Indian Country in the Oil and Natural Gas Production and

Natural Gas Processing Segments of the Oil and Natural Gas Sector that apply to emissions units and air pollution

generating activities at the source or proposed. Include statements indicating each emissions unit that is an emissions unit

potentially subject to the requirements referenced in the FIP, but does not meet the definition of an affected facility

under the referenced requirement, and therefore, is not subject to those requirements.

For each emissions unit comprising the new source or modification, estimates of the total allowable (potential to

emit) annual emissions at startup of production from the air pollution source for the following air pollutants: particulate

matter, PM10, PM2.5, sulfur oxides ( SOx), nitrogen oxides (NOx), carbon monoxide (CO), volatile organic compound

(VOC), lead (Pb) and lead compounds, fluorides (gaseous and particulate), sulfuric acid mist (H2SO4), hydrogen sulfide

(H2S), total reduced sulfur (TRS) and reduced sulfur compounds, including all calculations for the estimates. Allowable

annual emissions are defined as: emissions rate of an emissions unit calculated using the maximum capacity of a

stationary source to emit a pollutant under its physical and operational design. Any physical

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or operational limitation on the capacity of the source to emit a pollutant, including air pollution control equipment

and restrictions on hours of operation or on the type or amount of material combusted, stored, or processed, shall be

treated as part of its design if the limitation, or the effect it would have on emissions, is legally and practically

enforceable. You must determine the potential for emissions within 30 days from the startup of production.

For each emissions unit comprising the new source or modification, estimates of the total actual annual emissions

during the upcoming, consecutive 12 months from the air pollution source for the following air pollutants: particulate

matter (PM, PM10, PM2.5), sulfur oxides (SOx), nitrogen oxides (NOx), carbon monoxide (CO), volatile organic

compound (VOC), lead (Pb) and lead compounds, ammonia (NH3), fluorides (gaseous and particulate), sulfuric acid

mist (H2SO4), hydrogen sulfide (H2S), total reduced sulfur (TRS) and reduced sulfur compounds, including all

calculations for the estimates. Estimates of actual emissions must take into account equipment, operating conditions,

and air pollution control measures. You should calculate an estimate of the actual annual emissions using estimated

operating hours, production rates, in-place control equipment, and types of materials processed, stored, or combusted.

D. TABLE OF ESTIMATED EMISSIONS

Provide in the table below estimates of the total allowable annual emissions in tons per year (tpy) and total actual annual

emissions (tpy) for the following pollutants for all emissions units comprising the new source or modification.

POLLUTANT

TOTAL ALLOWABLE ANNUAL

EMISSIONS (TPY)

TOTAL ACTUAL ANNUAL

EMISSIONS (TPY)

PM

PM10

PM2.5

SOx

NOx

CO

VOC

Pb

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POLLUTANT

TOTAL ALLOWABLE ANNUAL

EMISSIONS (TPY)

TOTAL ACTUAL ANNUAL

EMISSIONS (TPY)

NH3

Fluorides

H2SO4

H2S

TRS

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Instructions for Part 2

Please answer all questions. If the item does not apply to the source and its operations write “n/a”. If the answer is not

known write "unknown".

A. General Source Information

1. Company Name: Provide the complete company name. For corporations, include divisions or subsidiary name, if

any.

2. Source Name: Provide the source name. Please note that a source is a site, place, or location that may contain one

or more air pollution emitting units.

3. Type of Operation: Indicate the generally accepted name for the oil and natural gas production or natural gas

processing segment operation (e.g., oil and gas well site, tank battery, compressor station, natural gas

processing plant).

4. New True Minor Source: [Per Federal Indian Country Minor New Source Review Rule, 40 CFR 49.153].

5. True Minor Source Modification: [Per Federal Indian Country Minor New Source Review Rule, 40 CFR 49.153].

6. North American Industry Classification System (NAICS): The NAICS Code for your oil and natural gas source

can be found at the following link for North American Industry Classification System:

http://www.census.gov/eos/www/naics/.

7. Standard Industrial Classification Code (SIC Code): Although the new NAICS code has replaced the SIC

codes, much of the Clean Air Act permitting processes continue to use these codes. The SIC Code for your oil

and natural gas source can be found at the following link for Standard Industrial Classification Codes:

http://www.osha.gov/pls/imis/sic_manual.html.

8. U.S. Well ID or API Number: Unique well identifier as assigned by the Federal or State oil and gas regulatory

agency with primacy, using the American Petroleum Institute (API) Standard for number format (pre-2014) or the

Professional Petroleum Data Management (PPDM) Association US Well Number Standard (2014-present).

Provide IDs for all oil and natural gas production wells associated with the facility, if applicable. May not be

applicable for downstream production sources, such as compressor stations.

9. Area of Indian Country: Provide the name of the Indian reservation within which the source is operating.

10. County: Provide the County within which the source is operating.

11. Latitude & Longitude (11a. and 11b.): Provide latitude and longitude location(s) in decimal degrees, indicating

the datum used in parentheses. These are GPS (global positioning system) coordinates. This information should

be provided in decimal degrees with 6 digits to the right of the decimal point, indicating the datum used in

parentheses (i.e., NAD 27, NAD 83, WGS 84 – WGS 84 is preferred over NAD 27).

B. Contact Information

Please provide the information requested in full.

1. Owners: List the full name (last, middle initial, first) of all owners of the source.

2. Operator: Provide the name of the operator of the source if it is different from the owner(s).

3. Source Contact: The source contact must be the local contact authorized to receive requests for data and

information.

4. Compliance Contact: The compliance contact must be the local contact responsible for the source’s compliance

with this rule. If this is the same as the Source Contact please note this on the form.

C. Attachments

The information requested in the attachments will enable the Southern Ute Indian Tribe (SUIT) to understand the type of

oil and natural gas source being registered and the nature and extent of the air pollutants to be emitted.

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Disclaimers:

The public reporting and recordkeeping burden for this collection of information is estimated to average 6 hours per

response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates, and

any suggested methods for minimizing respondent burden, including through the use of automated collection techniques

to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave.,

NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed

form to this address.

Information in these forms submitted in compliance with the final Federal Indian Country Minor NSR rule may be claimed

as confidential. A company may assert a claim of confidentiality for information submitted by clearly marking that

information as confidential. Such information shall be treated in accordance with EPA’s procedures for information claimed

as confidential at 40 CFR part 2, subpart B, and will only be disclosed by the means set forth in the subpart. If no claim of

confidentiality accompanies the report when it is received by EPA, it may be made public without further notice to the

company (40 CFR 2.203).

Information in these forms submitted in compliance with the Federal Indian Country Minor New Source Review rule may

be claimed as confidential. A company may assert a claim of confidentiality for information submitted by clearly marking

that information as confidential. Such information shall be submitted and treated in accordance with Reservation Air

Code (RAC) 2-124. If no claim of confidentiality accompanies the report when it is received by the Tribe, it may be made

public without further notice to the company.

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