FORM C1
FORM C1 CONTROL DEVICE (FABRIC FILTER) REVISED 09/22/16
C1
NCDEQ/Division of Air Quality - Application for Air Permit to Construct/Operate
CONTROL DEVICE ID NO:
CONTROLS EMISSIONS FROM WHICH EMISSION SOURCE ID NO(S):
EMISSION POINT (STACK) ID NO(S):
POSITION IN SERIES OF CONTROLS
NO.
OF
UNITS
OPERATING SCENARIO: _______ OF _______
P.E. SEAL REQUIRED (PER 2q .0112)?
YES
NO
DESCRIBE CONTROL SYSTEM:
POLLUTANTS COLLECTED: BEFORE CONTROL EMISSION RATE (LB/HR): CAPTURE EFFICIENCY:
%
%
%
%
CONTROL DEVICE EFFICIENCY:
%
%
%
%
CORRESPONDING OVERALL EFFICIENCY:
%
%
%
%
MIN
MAX
OUTLET TEMPERATURE (oF) MIN
MAX
EFFICIENCY DETERMINATION CODE: TOTAL AFTER CONTROL EMISSION RATE (LB/HR): PRESSURE DROP (IN H20): MIN:
MAX:
GAUGE?
BULK PARTICLE DENSITY (LB/FT3): POLLUTANT LOADING RATE:
YES
NO
INLET TEMPERATURE (oF): LB/HR
GR/FT3
FILTER OPERATING TEMP (oF):
INLET AIR FLOW RATE (ACFM): NO. OF COMPARTMENTS:
NO. OF BAGS PER COMPARTMENT:
LENGTH OF BAG (IN.):
NO. OF CARTRIDGES:
FILTER SURFACE AREA PER CARTRIDGE (FT2):
DIAMETER OF BAG (IN.):
TOTAL FILTER SURFACE AREA (FT2):
AIR TO CLOTH RATIO:
DRAFT TYPE:
FORCED/POSITIVE
INDUCED/NEGATIVE
FILTER MATERIAL:
DESCRIBE CLEANING PROCEDURES:
WOVEN
FELTED
PARTICLE SIZE DISTRIBUTION
AIR PULSE
SONIC
REVERSE FLOW
SIMPLE BAG COLLAPSE
MECHANICAL/SHAKER
RING BAG COLLAPSE
OTHER: DESCRIBE INCOMING AIR STREAM:
SIZE
WEIGHT %
CUMULATIVE
(MICRONS)
OF TOTAL
%
0-1 1-10 10-25 25-50 50-100 >100 TOTAL = 100
ON A SEPARATE PAGE, ATTACH A DIAGRAM SHOWING THE RELATIONSHIP OF THE CONTROL DEVICE TO ITS EMISSION SOURCE(S): COMMENTS:
Attach Additional Sheets As Necessary
C1
NCDEQ/Division of Air Quality - Application for Air Permit to Construct/Operate
CONTROL DEVICE ID NO:
CONTROLS EMISSIONS FROM WHICH EMISSION SOURCE ID NO(S):
EMISSION POINT (STACK) ID NO(S):
POSITION IN SERIES OF CONTROLS
NO.
OF
UNITS
OPERATING SCENARIO: _______ OF _______
P.E. SEAL REQUIRED (PER 2q .0112)?
YES
NO
DESCRIBE CONTROL SYSTEM:
POLLUTANTS COLLECTED: BEFORE CONTROL EMISSION RATE (LB/HR): CAPTURE EFFICIENCY:
%
%
%
%
CONTROL DEVICE EFFICIENCY:
%
%
%
%
CORRESPONDING OVERALL EFFICIENCY:
%
%
%
%
MIN
MAX
OUTLET TEMPERATURE (oF) MIN
MAX
EFFICIENCY DETERMINATION CODE: TOTAL AFTER CONTROL EMISSION RATE (LB/HR): PRESSURE DROP (IN H20): MIN:
MAX:
GAUGE?
BULK PARTICLE DENSITY (LB/FT3): POLLUTANT LOADING RATE:
YES
NO
INLET TEMPERATURE (oF): LB/HR
GR/FT3
FILTER OPERATING TEMP (oF):
INLET AIR FLOW RATE (ACFM): NO. OF COMPARTMENTS:
NO. OF BAGS PER COMPARTMENT:
LENGTH OF BAG (IN.):
NO. OF CARTRIDGES:
FILTER SURFACE AREA PER CARTRIDGE (FT2):
DIAMETER OF BAG (IN.):
TOTAL FILTER SURFACE AREA (FT2):
AIR TO CLOTH RATIO:
DRAFT TYPE:
FORCED/POSITIVE
INDUCED/NEGATIVE
FILTER MATERIAL:
DESCRIBE CLEANING PROCEDURES:
WOVEN
FELTED
PARTICLE SIZE DISTRIBUTION
AIR PULSE
SONIC
REVERSE FLOW
SIMPLE BAG COLLAPSE
MECHANICAL/SHAKER
RING BAG COLLAPSE
OTHER: DESCRIBE INCOMING AIR STREAM:
SIZE
WEIGHT %
CUMULATIVE
(MICRONS)
OF TOTAL
%
0-1 1-10 10-25 25-50 50-100 >100 TOTAL = 100
ON A SEPARATE PAGE, ATTACH A DIAGRAM SHOWING THE RELATIONSHIP OF THE CONTROL DEVICE TO ITS EMISSION SOURCE(S): COMMENTS:
Attach Additional Sheets As Necessary
