If you have any questions while filling out the general permit application form, please contact the Bureau of Air Quality, Air Permitting Division by calling (803) 898-4123.

Submit the General Permit Application for Asphalt Plants to:

Air Permitting Division Director

Bureau of Air Quality

2600 Bull Street

Columbia, South Carolina, 29201

PURPOSE OF SUBMITTAL
Check the box corresponding to the purpose of this General Permit Application for Asphalt Plants submittal. Explanations of the types of submittal are listed next to each. ☐ General Synthetic Minor Construction Permit for Asphalt Plants: A request for proposed construction of a new asphalt plant that requires federally enforceable limits to remain under major source levels of pollutants for PSD and Title V. ☐ Asphalt Plant Permit Modification: A request to modify an already issued synthetic minor construction permit or conditional major operating permit for asphalt plants. *Note: Review the Like-For-Like Memorandum that details potential applicability for like-for-like replacements before requesting a permit modification. Like-for-like replacements should be conducted per the memorandum. Also, review the exemption list for potentially exempt actions a facility may take without first requiring a construction permit. ☐ Asphalt Plant Relocation: A request to relocate an asphalt facility that is covered by a conditional major operating permit. Please review the Relocation of Asphalt Plants Memorandum for potential exemption criteria. *Note: If the facility wishes to relocate and has been granted a synthetic minor construction permit but has not yet completed construction, the facility should submit a modification request form instead. A request for the General Conditional Major Operating Permit for Asphalt Plant should be made with the Operating Permit Request form (D-2574). PLEASE USE THE PROVIDED ASPHALT EMISSIONS CALCULATOR AND ATTACH WITH THIS APPLICATION AS A BASIS FOR EMISSIONS. For more information regarding asphalt plants (including a copy of the General Synthetic Minor Construction Permit for Asphalt Plants and the General Conditional Major Operating Permit for Asphalt Plants), please visit our asphalt plants web page.

FACILITY INFORMATION
SC Air Permit Number (8-digits only) (Leave blank if one has never been assigned) -	Application Date
Facility Legal Name	Company Federal Tax Identification Number (Established by the U.S. Internal Revenue Service to identify a business entity)
Facility Site Name (this name will be listed on the permit and used to identify the facility at the physical address listed below.
Physical Address:	County:
City:	State: SC	Zip Code:
Facility Coordinates (Facility coordinates should be based at the front door or main entrance of the facility) Latitude: Longitude:
Identify source used to generate latitude and longitude: Datum (if known): Source:

CO-LOCATION DETERMINATION
Are there other facilities in close proximity that could be considered co-located?: ☐ No ☐ Yes*
List potential co-located facilities, including air permit numbers if applicable:

*If yes, please submit co-location applicability determination details in an attachment to this application.

AIR PERMIT FACILITY CONTACT (Person at the facility who can answer technical questions about the facility and permit application.)
Title/Position:	Salutation:	First Name:	Last Name:
Mailing Address:
City:	State:	Zip Code:
E-mail Address:	Phone No.:	Cell No.:

The signed permit will be e-mailed to the designated Air Permit Contact. If additional individuals need copies of the permit, please provide their names and e-mail addresses.
Name	E-mail Address

OWNER OR OPERATOR
Title/Position:	Salutation:	First Name:	Last Name:
Mailing Address:
City:	State:	Zip Code:
E-mail Address:	Phone No.:	Cell No.:
OWNER OR OPERATOR SIGNATURE
I certify, to the best of my knowledge and belief, that no applicable standards and/or regulations will be contravened or violated. I certify that any application form, report, or compliance certification submitted in this permit application is true, accurate, and complete based on information and belief formed after reasonable inquiry. I understand that any statements and/or descriptions, which are found to be incorrect, may result in the immediate revocation of any permit issued for this application. I understand sources shall be subject to enforcement action for operation without a valid permit if a source is later determined not to qualify for coverage under a general permit.
Signature of Owner or Operator	Date

APPLICATION PREPARER (if other than Professional Engineer below)
Title/Position:	Salutation:	First Name:	Last Name:
Mailing Address:
City:	State:	Zip Code:
E-mail Address:	Phone No.:	Cell No.:
PROFESSIONAL ENGINEER INFORMATION
Consulting Firm Name:	SC Certificate Of Authority License No.:
Title/Position:	Salutation:	First Name:	Last Name:
Mailing Address:
City:	State:	Zip Code:
E-mail Address:	Phone No.:	Cell No.:
SC License/Registration No.:
PROFESSIONAL ENGINEER SIGNATURE
I have placed my signature and seal on the engineering documents submitted, signifying that I have reviewed this construction permit application as it pertains to the requirements of South Carolina Regulation 61-62, Air Pollution Control Regulations and Standards.
Signature of Professional Engineer	Date

ASPHALT PLANT EQUIPMENT / PROCESS INFORMATION
Equipment ID Process ID	Action (Add, Remove, Modify, Other)	Equipment / Process Description (If modification or other, please explain.)	Maximum Design Capacity (Units)	Control Device ID(s)	Emission Point ID(s)
Example: AD01	ADD	Drum Mix Asphalt Plant	300 TPH	CD01	EP01

ASPHALT PLANT CONTROL DEVICES
Control Device ID	Action (Add, Remove, Modify, Other)	Control Device Description	Maximum Design Capacity (Units)	Capture System Efficiency (Percent)	Pollutants Controlled (Include CAS#)
Example: CD01	ADD	Baghouse	50,000 CFM	99%	PM, PM10, PM2.5

STATE AND FEDERAL AIR POLLUTION CONTROL REGULATIONS AND STANDARDS (If not listed below add any additional regulations that are triggered.)
Regulation	Applicable	Include all limits, work practices, monitoring, record keeping, etc.
Yes	No	Explain Applicability Determination	List the specific limitations and/or requirements that apply.	How will compliance be demonstrated?
Regulation 61-62.1, Section II(E) Synthetic Minor Construction Permits	☐	☐
Regulation 61-62.1, Section II(G) Conditional Major Operating Permits	☐	☐
Regulation 61-62.5, Standard No. 1 Emissions from Fuel Burning Operations (ex: hot oil heaters)	☐	☐
Regulation 61-62.5, Standard No. 2 Ambient Air Quality Standards	☐	☐
Regulation 61-62.5, Standard No. 3 Waste Combustion and Reduction	☐	☐
Regulation 61-62.5, Standard No. 4 Emissions from Process Industries	☐	☐
Regulation 61-62.5, Standard No. 5.2 Control of Oxides of Nitrogen (ex: applicable burners)	☐	☐
Regulation 61-62.5, Standard No. 8 Toxic Air Pollutants	☐	☐
Regulation 61-62.6 Control of Fugitive Particulate Matter	☐	☐
40 CFR 60 Subpart A - General Provisions	☐	☐
40 CFR 60 Subpart I – Standards of Performance for Hot Mix Asphalt Facilities	☐	☐
40 CFR 60 Subpart OOO – Standards of Performance for Nonmetallic Mineral Processing Plants	☐	☐
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PLEASE USE THE PROVIDED ASPHALT EMISSIONS CALCULATOR AND ATTACH WITH THIS APPLICATION AS A BASIS FOR EMISSIONS.

In addition to this application, if applicable, submit the Emission Point Information form (D-2573) and modeling files (or directions on how to access the modeling files) along with any other relevant files and/or documents pertaining to this asphalt application.