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This form may serve as an initial notification under §63.9(b)(2).Section A: Company InformationCompany Name:Company Address:State:ZIP:Facility Name:Physical Address:State:ZIP:Contact Name:Title:Contact Phone:( ) Contact Fax:( ) Permit # Major Source Minor (Area) SourceSIC Code: 1311 1321 1389 4612 4613 4922 4923 5171 Other______Section B: Facility DescriptionFacility actual annual average natural gas throughput (scf/day):Facility actual annual average hydrocarbon liquid throughput: (bbl/day):The facility processes, upgrades, or stores hydrocarbon liquids prior to custody transfer. Yes NoThe facility processes, upgrades, or stores natural gas prior to the point at which natural gas (NG) enters the NG transmission and storage source category or is delivered to the end user. The facility is: prior to a NG processing plant a NG processing plant prior to the point of custody transfer and there is no NG processing plant Yes NoThe facility transports or stores natural gas prior to entering the pipeline to a local distribution company or to a final end user (if there is no local distribution company). Yes NoThe facility exclusively processes, stores, or transfers black oil. Initial producing gas-to-oil ratio (GOR): _______scf/bbl API gravity: ________degrees Yes NoSection C: Dehydration Unit (if applicable) 1Description:Date of Installation:Annual Operating Hours:Burner rating (MMbtu/hr):Exhaust Stack Height (ft):Stack Diameter (ft):Stack Temp. (oF):Glycol Type: TEG EG Other:Glycol Pump Type: Electric Gas If gas, what is the volume ratio? _________ACFM/gpmCondenser installed? Yes No Exit Temp. _____ oF Condenser Pressure ______psigIncinerator/flare installed? Yes No Destruction Eff. _____% Other controls installed? Yes No Describe:Wet Gas2: (Upstream of Contact Tower) Gas Temp.: _____oF Gas Pressure _____ psig Saturated Gas? Yes No If no, water content _____ lb/MMSCFDry Gas: (Downstream of Contact Tower) Gas Flowrate(MMSCFD) Actual _______ Design _______ Water Content _______ lb/MMSCFLean Glycol: Circulation rate (gpm) Actual3 _______ Maximum4 _______ Pump make/model:Glycol Flash Tank (if applicable): Temp.: _______oF Pressure _______ psig Vented? Yes No If no, describe vapor control:Stripping Gas (if applicable): Source of gas: Rate _____ scfm Please attach the following required dehydration unit information:System map of facilities including transmission lines, gathering areas, storage fields, NG fields, compressor stations, NG plants, other extraction plants, points of custody transfer, normal flow direction, size of pipe, map legend, designations of leased facilities and name of other companies. Extended gas analysis from the Wet Gas Stream including mole percents of C1-C8, benzene, ethylbenzene, toluene, xylene and n-Hexane, using Gas Processors Association (GPA) 2286 (or similar). A sample should be taken from the inlet gas line, downstream from any inlet separator, and using a manifold to remove entrained liquids from the sample and a probe to collect the sample from the center of the gas line. GPA standard 2166 reference method or a modified version of EPA Method TO-14, (or similar) should be used. GRI-GLYCalc Ver. 3.0 aggregate report based on maximum Lean Glycol circulation rate and maximum throughput. Detailed calculations of gas or hydrocarbon flow rate.Section D: Storage Vessels (if applicable) (Please attach sheet(s) for additional tanks.)Description (tank #1):Capacity (gallons):Date of Installation:Stock tank GOR (scf/bbl):API Gravity (degrees):Actual Annual Avg. throughput (bbl/day):Subject to 40 CFR, Part 60 (NSPS) Subpart K Subpart Ka Subpart Kb Not subjectSubject to 40 CFR, Part 63 (NESHAP) Subpart G Subpart CC Not subjectDescription (tank #2):Capacity (gallons):Date of Installation:Stock tank GOR (scf/bbl):API Gravity (degrees):Actual Annual Avg. throughput (bbl/day):Subject to 40 CFR, Part 60 (NSPS) Subpart K Subpart Ka Subpart Kb Not subjectSubject to 40 CFR, Part 63 (NESHAP) Subpart G Subpart CC Not subjectSection E: Natural Gas Processing Plant VHAP Ancillary Equipment and Compressors (if applicable)Description item #1:Subject to 40 CFR Part 60, Subpart KKK Part 61, Subpart V Part 63, Subpart H Not subjectDescription item #2:Subject to 40 CFR Part 60, Subpart KKK Part 61, Subpart V Part 63, Subpart H Not subjectPlease attach sheet(s) for additional VHAP Ancillary Equipment and Compressors.Section F: Facility Estimated Potential HAP Emissions in TPY (please attach sheet(s) listing any HAPS > 10 TPY)SourcesBTEXn-hexaneformaldehydeOther HAPSAll HAPSDehydration units:Tanks:Other sources:Total:The above listed potential emissions are limited by permit. Yes NoSection G: Facility NESHAPS Subpart HH/HHH status Facility status: (choose only one) Subject to Subpart HH Subject to Subpart HHH Not Subject because: < 10/25 TPY Facility exclusively handles black oil The facilitywide actual annual average NG throughput is < 650 thousand scf/day and facilitywide actual annual average hydrocarbon liquid is < 250 bpd No affected source is presentIs this facility a Major Source planning to be an Area Source by June 17, 2002? Yes* No*If Yes, please attach a brief non-binding description of the action plan and implementation schedule selected to achieve Area Source status. Based on information and belief formed after reasonable inquiry, I certify that the statements and information contained in this document are true, accurate, and complete. Printed name _________________________________________ Signature ____________________________________________ Date ______________ RETURN TO: Oklahoma Department of Environmental Quality, AQD Permitting Section, P.O. 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