EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

United States Environmental Protection Agency

Air Quality Permit by Rule for New or Modified True Minor Sources of
Air Pollution in Indian Country

http://www.epa.gov/air/tribal/tribalnsr.html

Notification of Coverage under the Air Quality Permit by Rule for New or Modified
True Minor Source Auto Body Repair and Miscellaneous Surface Coating
Operations in Indian Country

Last Modified: March 23, 2015
Version 1.0

This Notification of Coverage under the Air Quality Permit by Rule for New or Modified True Minor Source Auto Body
Repair and Miscellaneous Surface Coating Operations in Indian Country applies to the construction of new, true
minor source auto body shops or miscellaneous surface coating operations or the modification of existing, true
minor source auto body shops or surface coating operations in Indian country. It applies only to facilities that use
5,000 gallons per year or less of volatile organic compound (VOC) containing materials (including coatings, thinners,
and clean-up solvents), if located in National Ambient Air Quality Standard (NAAQS) ozone attainment, unclassifiable
or attainment/unclassifiable areas, or 900 gallons per year or less of VOC containing materials (including coatings,
thinners, and clean-up solvents), if located in NAAQS ozone nonattainment areas. An auto body shop repairs,
repaints, and/or customizes passenger cars, trucks, vans, motorcycles, and other mobile equipment capable of being
driven or drawn on the highway. Miscellaneous surface coating operations involve the spray application of coating to
miscellaneous parts and/or products made of metal or plastic or both.

You qualify to submit a Notification of Coverage under the Permit by Rule if you meet all of the
following criteria:

•	Your new or modified true minor source auto body repair and miscellaneous surface coating operation is
located within Indian Country;

•	Your facility has a potential to emit (PTE) less than the New Source Review (NSR) major source thresholds;

•	Your new source or modification of an existing source will emit (or have the PTE considering controls), in
the aggregate, less than 10 tons per year (tpy) or more of any HAP or 25 tpy or more of any combination
of HAPs;

•	If located in an attainment, unclassifiable or attainment/unclassifiable area for ozone, after the proposed
construction or modification project, the projected total usage of VOC containing material (including
coatings, thinners, and clean-up solvents) at your facility will not exceed 5,000 gallons per year based on a
12-month rolling total;

•	If located in an ozone nonattainment area, after the proposed construction or modification project, the
projected total usage of VOC containing material (including coatings, thinners, and clean-up solvents) at your
facility will not exceed 900 gallons per year based on a 12-month rolling total;

•	After the proposed construction or modification project, the projected total usage of solvent for degreasing
at your facility will not exceed 500 gallons in any 12-month period;

•	Your operation utilizes cold cleaning as your degreasing method;

•	You do not use fuels other than natural gas, propane, and butane in the combustion units at your facility;

•	The total heat input capacity of the fuel combustion units at your facility is equal to or less than 10
MMBtu/hour;

•	The capacity of any volatile organic liquid storage tank at your facility does not exceed 19,812 gallons;

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EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

•	You demonstrate, and obtain confirmation from the U.S. Environmental Protection Agency (EPA), that you
have followed the screening process the EPA has provided with respect to the protection of species that are
federally-listed as threatened or endangered under the Endangered Species Act (ESA) or of habitat that is
federally-designated as "critical habitat" under the ESA; and

•	You demonstrate, and obtain written confirmation from the EPA, that you followed the screening process to
address any effects to historic properties eligible for protection under the National Historic Preservation Act
(NHPA).

The reviewing authority retains discretion to terminate your coverage under the Permit by Rule and require a source-
specific permit even if the above criteria are met. Reasons the reviewing authority may terminate a permitted source's
coverage under the Permit by Rule include:

1.The	permittee is not in compliance with the provisions of the Permit by Rule;

2.The	reviewing authority determines that the emissions resulting from the construction or modification of the
permitted source significantly contribute to NAAQS violations, which are not adequately addressed by the
requirements in the Permit by Rule;

3.The	reviewing authority has reason to believe that the permittee obtained coverage under the Permit by Rule by
fraud or misrepresentation; or

4.The	permittee failed to disclose a material fact required by the Notification of Coverage or the regulations
applicable to the permitted source of which the applicant had or should have had knowledge at the time the
permittee submitted the Notification of Coverage.

More Information

Information on the definition of a "modification" and "PTE" can be found at 40 CFR 49.152(d) and in the
"Instructions" document. Additional information on the applicability of the Federal Indian Country Minor NSR Rule
can be found at 40 CFR 49.153.

Information on the ozone attainment status of the area where your facility is located can be found at:
http://www.epa.gov/airqualitv/greenbook/. You may also contact your reviewing authority for information on the
area's attainment status.

Sources eligible for the Air Quality Permit by Rule for New or Modified True Minor Source Auto Body Repair and
Miscellaneous Surface Coating Operations may also be subject to federal standards under 40 CFR 63 Subpart HHHHHH,
National Emission Standards for Hazardous Air Pollutions for Paint Stripping and Miscellaneous Surface Coating
Operations at Area Sources. The conditions applicable to sources seeking coverage under this Permit by Rule are
intended to be generally consistent with the requirements in 40 CFR 63, Subpart HHHHHH. However, compliance with
the applicable requirements in 40 CFR part 63, Subpart HHHHHH is required independent of the conditions in the Permit
by Rule, and not all requirements applicable under Subpart HHHHHH are necessarily included in the Permit by Rule. The
Background Document for the Permit by Rule identifies the specific requirements in Subpart HHHHHH that are
addressed in the Permit by Rule. The EPA's brochure for Subpart HHHHHH is available here:
http://www.epa.gov/ttn/atw/area/paint stripb.pdf.

Instructions

Step 1: Notify your reviewing authority, including providing appropriate documentation, that you (1) meet one of the
criteria listed in the EPA's screening process for the protection of any and all species that are federally-listed as
threatened or endangered under the ESA or of habitat that is federally-designated as "critical habitat" under the ESA;
and (2) satisfy the EPA's screening process for the NHPA. You must obtain written confirmation from the EPA that the

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EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

threatened and endangered species and historic property screening procedures have been satisfied prior to submitting
your Notification of Coverage under the Permit by Rule.

Step 2: After receiving notification that you have successfully met the requirements of Step 1, complete all sections of
the Notification of Coverage under the Permit by Rule (i.e., pages 4 - 10). If you have questions, please contact the
reviewing authority.

Step 3: Certify that your existing or proposed facility is/will be in compliance with the applicable requirements as stated
in 40 CFR 49.162 and submit a copy of this notification to the reviewing authority and to the tribe in the area where the
source is locating. Submittal of this notification form also satisfies the requirement that minor sources in Indian country
register with EPA.

After you submit a completed Notification of Coverage under the Permit by Rule to the reviewing
authority:

•	You may commence construction of your new source or modification of your existing source under the Permit by
Rule.

•	Your reviewing authority may request additional information from you in order to verify you are eligible for the
Permit by Rule.

Applicants are welcome to send comments on the EPA's need for the information in this notification, 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.

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EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

Notification of Coverage under the Air Quality Permit by Rule for New or Modified
True Minor Source Auto Body Repair and Miscellaneous Surface Coating
Operations in Indian Country

Last Modified: March 23, 2015
Version 1.0

Prior to construction or modification, complete this notification and submit it to your reviewing authority.

A list of reviewing authorities, their area of coverage, and contact information can be found in Attachment D to the Air
Quality Permit by Rule for New or Modified True New or Modified Minor Source Auto Body Repair and Miscellaneous
Surface Coating Operations in Indian Country or visit: http://www.epa.gov/air/tribal/tribalnsr.html.

For questions regarding this notification please contact your reviewing authority.

For instructions on completing this notification please see the document "Instructions for Notification of Coverage
under the Air Quality Permit by Rule for New or Modified True Minor Source Auto Body Repair and Miscellaneous
Surface Coating Operations in Indian Country."

Section 1: Contact Information

1. Business Name:

2. Date:

3. Site Address:

4. County:

5. Name of Operator at Site (if different from owner):

6. Phone of Operator or Contact at Site (if different from
owner):

7. Owner:

8. Telephone Number of Owner:

9. Owner's Mailing Address:

10.Send all correspondence regarding this notification to:

Company Name:

c/o:

Address:

11. Authorized contact regarding this notification:

Name: Email:
Title: FAX:
Phone:

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EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

Section 2: Facility and Technical Information for the Notification of Coverage under the Air Quality
Permit by Rule for New or Modified True Minor Source Auto Body Repair and Miscellaneous
Surface Coating Operations in Indian Country

12. This notification is for:

~ A new auto body repair and miscellaneous surface coating operation (please describe the proposed new source).

I I Modification of an existing auto body repair and miscellaneous surface coating operation. Please describe the
modification below. The definition of "modification" can be found at 40 CFR 49.152(d), and in the "Instructions"
document available for completing this notification form.

13. North American Industry Classification System/Standard Industrial Classification Code and/or description of the
facility:

14.	Will your new source or modification of an existing source emit or have the PTE, in the aggregate, 10 tpy or more
of any HAP or 25 tpy or more of any combination of HAPs? Be sure to include any stationary sources or group of
stationary sources (new or existing) under common control.

~ Yes	~ No

If you answered 'Yes/ your source does not qualify for the Permit by Rule and is considered major for HAP
purposes.

Please contact your reviewing authority to apply for a site-specific permit. If you answered 'No/ continue to the
next question.

15.	Will your new or modified facility be located in a serious, severe, or extreme ozone nonattainment area?
Information on the ozone attainment status of the area where your facility is or will be located can be
found at: http://www.epa.gov/airquality/greenbook/.

I | Yes	Q No

If you answered 'Yes/ specify the classification of the ozone nonattainment area:

I | Marginal	Q Moderate Q Serious	Q Severe	~ Extreme

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EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

16. Will the potential to emit (PTE) of your new facility, or the increase in potential emissions from your modified
existing facility, be equal to or above the applicable minor NSR thresholds listed below for ANY of the listed
pollutants, both in tpy? Emissions from your facility may be calculated using the PTE calculator available online at:
http://www.epa.gov/air/tribal/tribalnsr.html. Be sure to include all new or modified emission units at your facility.

Pollutant

Attainment
Area

Nonattainment Area

Carbon Monoxide (CO)

10 tpy

5 tpy

Particulate Matter (PM)

10 tpy

5 tpy

Particulate Matter
(PM10)

5 tpy

l tpy

Particulate Matter
(PM2.5)

3 tpy

0.6 tpy

Sulfur Dioxide (S02)

10 tpy

5 tpy

Nitrogen Oxides (NOx)

10 tpy

5 tpy

VOC

5 tpy

2 tpy

~ Yes	~ No

If you answered 'No/ your source is likely exempt from the minor NSR program. Please contact your reviewing
authority to confirm that your facility will not need a permit. If you answered 'Yes/ continue on to the next
question.

17. If located in an attainment area, attainment/unclassifiable or unclassifiable, will the PTE of your facility be
less than 250 tpy for PM, PMio, PM2.5, VOC, NOx, CO, and S02? Be sure to include all existing, new, and
modified emission units at your facility.

I | Yes	Q No

If you answered 'No/ your source does not qualify for the Permit by Rule. Please contact your reviewing
authority to apply for a site-specific permit. If you answered 'Yes/ continue on to the next question.

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EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

18. If located in a nonattainment area, will the PTE of your facility for the particular nonattainment pollutant
be less than the NSR major source thresholds below for ALL pollutants? Be sure to include all existing,
new, and modified emission units at your facility.

Pollutant

Nonattainment Classification

NSR Major Source Threshold

Ozone

Marginal

100 tpy of VOC or NOx

Moderate

100 tpy of VOC or NOx

Serious

50 tpy of VOC or NOx

Severe

25 tpy of VOC or NOx

Extreme

10 tpy of VOC or NOx

PMio

Moderate

100 tpy

Serious

70 tpy

CO

Moderate

100 tpy

Serious

50 tpy

S02, N02, PM2.5

No nonattainment classification

100 tpy

Q Yes	Q No	| | N/A - Not located in any nonattainment area

If you answered 'No/ your source does not qualify for the Permit by Rule. Please contact your reviewing
authority to apply for a site-specific permit. If you answered 'Yes' or 'N/A/ continue on to the next question.

19.	Will your annual VOC containing material usage levels be less than the thresholds required under 40 CFR 49.162?

~	Yes	~ No

If 'No/ your source does not qualify for the Permit by Rule under 40 CFR 49.162 and you must obtain a site-
specific permit from your reviewing authority.

20.	Do you agree to comply with all requirements of the Permit by Rule as stated in 40 CFR 49.162?

~	Yes	~ No

If 'No/ your source does not qualify for the Permit by Rule under 40 CFR 49.162 and you must obtain a site-
specific permit from your reviewing authority.

21.	If using metal degreasers, does your facility use cold cleaning as your method of degreasing?

~ Yes	~ No	Q N/A - Do not use metal degreasers

If 'Yes/ then you qualify for this Permit by Rule. If 'No/ then you must obtain a site-specific permit from
your reviewing authority.

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EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

22. Emission Units

Information regarding the existing or planned emission units at your facility is required by 40 CFR 49.154
and 49.160. Please provide the information in the following table for each emission unit at the site that is
or will be owned, leased or operated by the applicant. Examples of potential emission units include volatile
liquid storage tanks, spray booths, and metal degreasing equipment. For spray booths, include the type of
spray applicator in the description (e.g. HVLP).

For each emissions unit, include supporting documentation for the PTE of each unit with your
notification of coverage. In addition, for existing emission units, include the most recent actual annual
emissions. See 40 CFR 49.154(a)(2). (For more information on how to calculate actual emissions, go to:
http://www.epa.gov/air/tribal/tribalnsrcalculators.html.) As needed, please include any other relevant
information with your notification.

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EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

List of Existing or Planned Emission Unil

:s (attach additional copies of this tab

e as necessary):

Unit
ID#

Description of Equipment and/or
Process

Materials or Fuel
(attach material
safety data sheets for
each volatile liquid or
coating)

Maximum Capacity
or Production Rate

Description of Any
Pollution Control
Equipment

Operating Schedule

Existing, New or
Modified
(include
installation date
for existing)





















































































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EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

Section 3: Information on Completing Screening Processes that Have Been Satisfied Prior to
Submitting a Notification of Coverage under the Air Quality Permit by Rule for New or Modified
True Minor Source Auto Body Repair and Miscellaneous Surface Coating Operations in Indian
Country

23.	Threatened or endangered Species

Have you obtained confirmation from the EPAthat you have satisfactorily completed the screening process
for the protection of any and all species that are federally-listed as threatened or endangered under the ESA
or of habitat that is federally-designated as "critical habitat" under the ESA? If you answer 'No/ you cannot
gain coverage under this Permit by Rule.

~	Yes ~ No

24.	Historic Properties

Have you obtained confirmation from the EPA that you have satisfactorily completed the screening process
to determine if the construction, modification or operation of your new or modified true minor source of air
pollutants has the potential to cause effects to historic properties (pursuant to the NHPA)? If you answer
'No/ you cannot gain coverage under this Permit by Rule.

~	Yes ~ No

Section 4: Additional Information about this Air Quality Permit by Rule for New or Modified True
Minor Source Auto Body Repair and Miscellaneous Surface Coating Operations in Indian
Country

This section provides information on the sizes of sources in terms of emissions that are eligible for the Permit by Rule.
The emission limitations and standards in this Permit by Rule are generally expected to ensure that source-wide
emissions are below the rates shown in the following table:

Pollutant of
Concern

Ozone Nomittainment
A reus

Ozone Attainment,
lliu'kissiHiible or
Attciinnient/lliK'Icissifmhle
A reus

voc

7 tpy

25 tpy

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EPA Form No. 5900-344
EPA ICR No. 1230.27
OMB Control No. 2060-0003
Approval expires 4/30/2017

Applicant's Statement (to be signed by the applicant)	

I certify that this document and all attachments were prepared under my direction or supervision according to a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.

Name:	Name:	Date:

(Signature)	(Print or Type)

Title:	

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