VIA CERTIFIED MAIL (Return Receipt Requested) [DATE] Ms ...

VIA CERTIFIED MAIL(Return Receipt Requested)[DATE]Ms. Rebecca WebberDirector, Air and Waste Management DivisionU.S. Environmental Protection Agency901 N. 5th Street, Kansas City, KS 66101Mr. James Kavanaugh, DirectorAir Pollution Control ProgramMissouri Department of Natural ResourcesPO Box 176Jefferson City, MO 65102RE:NESHAP Initial Notification[FACILITY NAME][FACILITY ID]NAICS Code: 221112Dear Ms. Webber and Mr. Kavanaugh:On March 3, 2010, the United States Environmental Protection Agency adopted finalamendments to the National Emission Standards for Hazardous Air Pollutants forReciprocating Internal Combustion Engines, 40 C.F.R. Part 63 Subpart ZZZZ. Theseamendments were effective on May 3, 2010. Pursuant to Section 63.6645(a) and Section63.9(b), [OWNER/OPERATOR NAME] submits the following information as itsInitial Notification:1. Name and address of the owner/operator: [NAME/POSTALADDRESS AND EMAIL ADDRESS (if available) OFOWNER/OPERATOR, INCLUDING PHONE NUMBER]2. Address of the affected source (i.e. the physical location of theengine(s) subject to Subpart ZZZZ): [LOCATION(S) OF ALLCOVERED ENGINES]3. Identification of the relevant standard and compliance date:Subpart ZZZZ standards for existing RICE at area sources and May3, 2013.

Ms. Rebecca WebberMr. James KavanaughAugust 6, 2010Page 24. Description of the affected source: [HORSEPOWER, MAKEAND MODEL OF EACH COVERED ENGINE].5. Types of HAPs emitted by affected source: Benzene, toluene,xylenes, 1,3-butadiene, formaldehyde, acetaldehyde, acrolein, somepolycyclic aromatic hydrocarbons and other trace organiccompounds.6. Major or Area Source: Area.[INCLUDE ONE OR BOTH OF THE FOLLOWING STATEMENTS IFAPPLICABLE TO YOUR FACILITY:][OWNER/OPERATOR] plans to operate RICE at the facility that are exclusively usedfor emergencies and meet the definitions outlined in 40 C.F.R. Part 63 Subpart ZZZZ.These RICE are not subject to emission controls but are listed below for purpose ofreference: [PHYSICAL LOCATION, HORSEPOWER, MAKE AND MODEL OFEACH COVERED ENGINE].[AND/OR][OWNER/OPERATOR] also operates existing non-emergency stationary CI RICE lessthan or equal to 300 hp that are not subject to any numerical emission standards. TheseRICE are not required to be included in the Initial Notification pursuant to 40 C.F.R. §63.6645(a)(5).If you have any questions regarding the above, please do not hesitate to contact[CONTACT PERSON NAME, EMAIL ADDRESS AND PHONE NUMBER].Sincerely,[SIGNATURE]pc:MDNR Regional Field Office