	United States Environmental Protection Agency          OMB Nos.
2060-0258, 2060-0570, and 2060-NEW

Acid Rain, CAIR, and Transport Rule Programs                            
               Approval Expires 11/31/2012

	Certificate of Representation

For more information, see instructions and 40 CFR 72.24, 96.113, 96.213,
96.313, 97.113, 97.213, 97.313, 97.416, 97.516, 97.616, 97.716, or a
comparable state regulation, as applicable.

□   New          □   Revised (revised submissions must be complete;
see instructions) ADVANCE \d2 



  FACILITY (SOURCE)

  INFORMATION

	

STEP 1

Provide information for the facility (source).	Facility (Source) Name
State	Plant Code

	County Name

	Latitude	Longitude

	





STEP 2

Enter requested

information for the 

designated 

representative.	Name	Title

	Company Name

	Mailing Address

	Phone Number	Fax Number



	E-mail address





	

STEP 3

Enter requested

information for the

alternate designated representative.	Name	Title

	Company Name

	Mailing Address

	Phone Number	Fax Number

	E-mail address



Certificate of Representation

Page   of     ADVANCE \u2 



UNIT INFORMATION

STEP 4: Complete a separate page 2 for each unit located at the facility
identified in STEP 1  (i.e., for each boiler, simple cycle combustion
turbine, or combined cycle combustion turbine)  Do not list duct
burners.  Indicate each program to which the unit is subject, and enter
all other unit-specific information. See instructions for more details. 



Applicable Program(s):  	(  Acid Rain  	(  CAIR NOX Annual 	(  CAIR SO2 
(  CAIR NOX Ozone Season        

	(  TRNOx Annual 	(  TRNOx Ozone Season	(  TRSO2 Annual 



Unit ID#	

Unit Type	

Source Category	Generator ID Number (Maximum 8 characters)	Acid Rain
Nameplate Capacity (MWe)	CAIR/Transport Rule Nameplate Capacity (MWe)



















NAICS Code











Date unit began (or will begin) serving any generator producing
electricity for sale (including test generation) (mm/dd/yyyy):

):

Check One:

  Yes 	(

  No	(	Is this unit located in Indian Country?

Check One:

  Yes 	(

  No	(	If this is the first time the unit has been identified on the
Certificate of Representation for this facility, was the unit moved from
another facility?

Check One:

  Yes 	(

  No	(

Company Name:	( Owner

( Operator

Company Name:	( Owner

( Operator

Company Name:	( Owner

( Operator

Company Name:	( Owner

( Operator

Company Name:	( Owner

( Operator



Certificate of Representation

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STEP 5: Read the appropriate certification statements, sign, and date.



Acid Rain Program 



I certify that I was selected as the designated representative or
alternate designated representative (as applicable) by an agreement
binding on the owners and operators of the affected source and each
affected unit at the source (i.e., the source and each unit subject to
the Acid Rain Program, as indicated in "Applicable Program(s)" in Step
4).



I certify that I have all necessary authority to carry out my duties and
responsibilities under the Acid Rain Program on behalf of the owners and
operators of the affected source and each affected unit at the source
and that each such owner and operator shall be fully bound by my
representations, actions, inactions, or submissions.



I certify that the owners and operators of the affected source and each
affected unit at the source shall be bound by any order issued to me by
the Administrator, the permitting authority, or a court regarding the
source or unit.

Where there are multiple holders of a legal or equitable title to, or a
leasehold interest in, an affected unit, or where a utility or
industrial customer purchases power from an affected unit under a
life-of-the-unit, firm power contractual arrangement,   

I certify that:

I have given a written notice of my selection as the designated
representative or alternate designated representative (as applicable)
and of the agreement by which I was selected to each owner and operator
of the affected source and each affected unit at the source; and

Allowances, and proceeds of transactions involving allowances, will be
deemed to be held or distributed in proportion to each holder's legal,
equitable, leasehold, or contractual reservation or entitlement, except
that, if such multiple holders have expressly provided for a different
distribution of allowances, allowances and proceeds of transactions
involving allowances will be deemed to be held or distributed in
accordance with the contract.

Clean Air Interstate Rule (CAIR) NOX Annual Trading Program

I certify that I was selected as the CAIR designated representative or
alternate CAIR designated representative (as applicable), by an
agreement binding on the owners and operators of the CAIR NOX source and
each CAIR NOX unit at the source (i.e., the source and each unit subject
to the CAIR NOX Annual Trading Program, as indicated in "Applicable
Program(s)" in Step 4).

I certify that I have all necessary authority to carry out my duties and
responsibilities under the CAIR NOX Annual Trading Program on behalf of
the owners and operators of the CAIR NOX source and each CAIR NOX unit
at the source and that each such owner and operator shall be fully bound
by my representations, actions, inactions, or submissions.

I certify that the owners and operators of the CAIR NOX source and each
CAIR NOX unit at the source shall be bound by any order issued to me by
the Administrator, the permitting authority, or a court regarding the
source or unit.

Where there are multiple holders of a legal or equitable title to, or a
leasehold interest in, a CAIR NOX unit, or where a utility or industrial
customer purchases power from a CAIR NOX unit under a life-of-the-unit,
firm power contractual arrangement, 

I certify that:

I have given a written notice of my selection as  the CAIR designated
representative or alternate CAIR designated representative (as
applicable) and of the agreement by which I was selected to each owner
and operator of the CAIR NOX source and each CAIR NOX unit at the
source; and

CAIR NOX allowances and proceeds of transactions involving CAIR NOX
allowances will be deemed to be held or distributed in proportion to
each holder's legal, equitable, leasehold, or contractual reservation or
entitlement, except that, if such multiple holders have expressly
provided for a different distribution of CAIR NOX allowances  by
contract,  CAIR NOX allowances and proceeds of transactions involving
CAIR NOX allowances will be deemed to be held or distributed in
accordance with the contract.



 ADVANCE \u2 



Certificate of Representation

 Page   of   

 ADVANCE \u2 



Clean Air Interstate Rule (CAIR) SO2 Trading Program

I certify that I was selected as the CAIR designated representative or
alternate CAIR designated representative (as applicable), by an
agreement binding on the owners and operators of the CAIR SO2 source and
each CAIR SO2 unit at the source (i.e., the source and each unit subject
to the SO2 Trading Program, as indicated in "Applicable Program(s)" in
Step 4).

I certify that I have all necessary authority to carry out my duties and
responsibilities under the CAIR SO2 Trading Program, on behalf of the
owners and operators of the CAIR SO2 source and each CAIR SO2 unit at
the source and that each such owner and operator shall be fully bound by
my representations, actions, inactions, or submissions.

I certify that the owners and operators of the CAIR SO2 source and each
CAIR SO2 unit at the source shall be bound by any order issued to me by
the Administrator, the permitting authority, or a court regarding the
source or unit.

Where there are multiple holders of a legal or equitable title to, or a
leasehold interest in, a CAIR SO2 unit, or where a utility or industrial
customer purchases power from a CAIR SO2 unit under a life-of-the-unit,
firm power contractual arrangement, 

I certify that:

I have given a written notice of my selection as  the CAIR designated
representative or alternate CAIR designated representative (as
applicable) and of the agreement by which I was selected to each owner
and operator of the CAIR SO2 source and each CAIR SO2 unit at the
source; and

CAIR SO2 allowances and proceeds of transactions involving CAIR SO2
allowances will be deemed to be held or distributed in proportion to
each holder's legal, equitable, leasehold, or contractual reservation or
entitlement, except that, if such multiple holders have expressly
provided for a different distribution of CAIR SO2 allowances  by
contract, CAIR SO2 allowances and proceeds of transactions involving
CAIR SO2 allowances will be deemed to be held or distributed in
accordance with the contract.





Clean Air Interstate Rule (CAIR) NOX Ozone Season Trading Program

I certify that I was selected as the CAIR designated representative or
alternate CAIR designated representative (as applicable), by an
agreement binding on the owners and operators of the CAIR NOX Ozone
Season source and each CAIR NOX Ozone Season unit at the source (i.e.,
the source and each unit subject to the CAIR NOX Ozone Season Trading
Program, as indicated in "Applicable Program(s)" in Step 4).

I certify that I have all necessary authority to carry out my duties and
responsibilities under the CAIR NOX Ozone Season Trading Program on
behalf of the owners and operators of the CAIR NOX Ozone Season source
and each CAIR NOX Ozone Season unit at the source and that each such
owner and operator shall be fully bound by my representations, actions,
inactions, or submissions.

I certify that the owners and operators of the CAIR NOX Ozone Season
source and each CAIR NOX Ozone Season unit shall be bound by any order
issued to me by the Administrator, the permitting authority, or a court
regarding the source or unit.

Where there are multiple holders of a legal or equitable title to, or a
leasehold interest in, a CAIR NOX Ozone Season unit, or where a utility
or industrial customer purchases power from a CAIR NOX Ozone Season unit
under a life-of-the-unit, firm power contractual arrangement, I certify
that:

I have given a written notice of my selection as the CAIR designated
representative or alternate CAIR designated representative (as
applicable) and of the agreement by which I was selected to each owner
and operator of the CAIR NOX Ozone Season source and each CAIR NOX Ozone
Season unit; and

CAIR NOX Ozone Season allowances and proceeds of transactions involving
CAIR NOX Ozone Season allowances will be deemed to be held or
distributed in proportion to each holder's legal, equitable, leasehold,
or contractual reservation or entitlement, except that, if such multiple
holders have expressly provided for a different distribution of CAIR NOX
Ozone Season allowances by contract, CAIR NOX Ozone Season allowances
and proceeds of transactions involving CAIR NOX Ozone Season allowances
will be deemed to be held or distributed in accordance with the
contract.



Certificate of Representation

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Transport Rule NOx Annual

I certify that I was selected as the designated representative or
alternate designated representative, as applicable, by an agreement
binding on the owners and operators of the source and each TR NOX Annual
unit at the source.

I certify that I have all the necessary authority to carry out my duties
and responsibilities under the TR NOX Annual Trading Program on behalf
of the owners and operators of the source and of each TR NOX Annual unit
at the source and that each such owner and operator shall be fully bound
by my representations, actions, inactions, or submissions and by any
order issued to me by the Administrator regarding the source or unit.

Where there are multiple holders of a legal or equitable title to, or a
leasehold interest in, a TR NOX Annual unit, or where a utility or
industrial customer purchases power from a TR NOX Annual unit under a
life-of-the-unit, firm power contractual arrangement, I certify that: 

I have given a written notice of my selection as the ‘designated
representative’ or ‘alternate designated representative’, as
applicable, and of the agreement by which I was selected to each owner
and operator of the source and of each TR NOX Annual unit at the source.

TR NOX Annual allowances and proceeds of transactions involving TR NOX
Annual allowances will be deemed to be held or distributed in proportion
to each holder's legal, equitable, leasehold, or contractual reservation
or entitlement, except that, if such multiple holders have expressly
provided for a different distribution of TR NOX Annual allowances by
contract, TR NOX Annual allowances and proceeds of transactions
involving TR NOX Annual allowances will be deemed to be held or
distributed in accordance with the contract.

Transport Rule NOx Ozone Season

I certify that I was selected as the designated representative or
alternate designated representative, as applicable, by an agreement
binding on the owners and operators of the source and each TR NOX Ozone
Season unit at the source.

I certify that I have all the necessary authority to carry out my duties
and responsibilities under the TR NOX Ozone Season Trading Program on
behalf of the owners and operators of the source and of each TR NOX
Ozone Season unit at the source and that each such owner and operator
shall be fully bound by my representations, actions, inactions, or
submissions and by any order issued to me by the Administrator regarding
the source or unit.

Where there are multiple holders of a legal or equitable title to, or a
leasehold interest in, a TR NOX Ozone Season unit, or where a utility or
industrial customer purchases power from a  TR NOX Ozone Season unit
under a life-of-the-unit, firm power contractual arrangement, I certify
that: 

I have given a written notice of my selection as the ‘designated
representative’ or ‘alternate designated representative’, as
applicable, and of the agreement by which I was selected to each owner
and operator of the source and of each TR NOX Ozone Season unit at the
source.  

TR NOX Ozone Season allowances and proceeds of transactions involving TR
NOX Ozone Season allowances will be deemed to be held or distributed in
proportion to each holder's legal, equitable, leasehold, or contractual
reservation or entitlement, except that, if such multiple holders have
expressly provided for a different  distribution of TR NOX Ozone Season
allowances by contract, TR NOX Ozone Season allowances and proceeds of
transactions involving TR NOX Ozone Season allowances will be deemed to
be held or distributed in accordance with the contract.















Certificate of Representation

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Transport Rule SO2 Annual Group 1

I certify that I was selected as the designated representative or
alternate designated representative, as applicable, by an agreement
binding on the owners and operators of the source and each TR SO2 Group
1 unit at the source.

I certify that I have all the necessary authority to carry out my duties
and responsibilities under the TR SO2 Group 1 Trading Program on behalf
of the owners and operators of the source and of each TR SO2 Group 1
unit at the source and that each such owner and operator shall be fully
bound by my representations, actions, inactions, or submissions and by
any order issued to me by the Administrator regarding the source or
unit.

Where there are multiple holders of a legal or equitable title to, or a
leasehold interest in, a TR SO2 Group 1 unit, or where a utility or
industrial customer purchases power from a TR SO2 Group 1 unit under a
life-of-the-unit, firm power contractual arrangement, I certify that: 

I have given a written notice of my selection as the ‘designated
representative’ or ‘alternate designated representative’, as
applicable, and of the agreement by which I was selected to each owner
and operator of the source and of each TR SO2 Group 1 unit at the
source.  

TR SO2 Group 1 allowances and proceeds of transactions involving TR SO2
Group 1 allowances will be deemed to be held or distributed in
proportion to each holder's legal, equitable, leasehold, or contractual
reservation or entitlement, except that, if such multiple holders have
expressly provided for a different distribution of TR SO2 Group 1
allowances by contract, TR SO2 Group 1 allowances and proceeds of
transactions involving TR SO2 Group 1 allowances will be deemed to be
held or distributed in accordance with the contract.

Transport Rule SO2 Annual Group 2

I certify that I was selected as the designated representative or
alternate designated representative, as applicable, by an agreement
binding on the owners and operators of the source and each TR SO2 Group
2 unit at the source.

I certify that I have all the necessary authority to carry out my duties
and responsibilities under the TR SO2 Group 2 Trading Program on behalf
of the owners and operators of the source and of each TR SO2 Group 2
unit at the source and that each such owner and operator shall be fully
bound by my representations, actions, inactions, or submissions and by
any order issued to me by the Administrator regarding the source or
unit.

Where there are multiple holders of a legal or equitable title to, or a
leasehold interest in, a TR SO2 Group 2 unit, or where a utility or
industrial customer purchases power from a TR SO2 Group 2 unit under a
life-of-the-unit, firm power contractual arrangement, I certify that: 

I have given a written notice of my selection as the ‘designated
representative’ or ‘alternate designated representative’, as
applicable, and of the agreement by which I was selected to each owner
and operator of the source and of each TR SO2 Group 2 unit at the
source. 

TR SO2 Group 2 allowances and proceeds of transactions involving TR SO2
Group 2 allowances will be deemed to be held or distributed in
proportion to each holder's legal, equitable, leasehold, or contractual
reservation or entitlement, except that, if such multiple holders have
expressly provided for a different distribution of TR SO2 Group 2
allowances by contract, TR SO2 Group 2 allowances and proceeds of
transactions involving TR SO2 Group 2 allowances will be deemed to be
held or distributed in accordance with the contract.















Certificate of Representation

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 ADVANCE \u2 

General

I am authorized to make this submission on behalf of the owners and
operators of the source or units for which the submission is made.  I
certify under penalty of law that I have personally examined, and am
familiar with, the statements and information submitted in this document
and all its attachments.  Based on my inquiry of those individuals with
primary responsibility for obtaining the information, I certify that the
statements and information are to the best of my knowledge and belief
true, accurate, and complete.  I am aware that there are significant
penalties for submitting false statements and information or omitting
required statements and information, including the possibility of fine
or imprisonment.

Signature (Designated Representative)	Date

Signature (Alternate Designated Representative)	Date



	

	Instructions for the Certificate of Representation



Note:  The Certificate of Representation information can be submitted
online through the CAMD Business System (CBS) at   HYPERLINK
"https://camd.epa.gov/cbs/index.cfm"  https://camd.epa.gov/cbs/index.cfm
.   You must have a user ID and password.  If you need a user ID and
password, call Karen Van Sickle at (202) 343-9220 or Kirk Nabors at
(202) 343-9171 or Paula Branch at (202) 343-9168.  If you have questions
about CBS, contact Laurel DeSantis at desantis.laurel@epa.gov or (202)
343-9191, or Alex Salpeter at salpeter.alex@epa.gov or (202) 343-9157.

Any reference in these instructions to the Designated Representative
means the Acid Rain Designated Representative, the CAIR Designated
Representative, and/or Transport Rule Designated Representative, as
applicable.  Any reference to the Alternate Designated Representative
means the Alternate Acid Rain Designated Representative, the Alternate
CAIR Designated Representative, and/or the Alternate Transport Rule
Designated Representative, as applicable.  As reflected in this form,
the Acid Rain Designated Representative, the CAIR Designated
Representative, and the Transport Rule Designated Representative for a
facility (source) must be the same individual, and the Alternate Acid
Rain Designated Representative, the Alternate CAIR Designated
Representative, and the Alternate Transport Rule Designated
Representative for a facility (source) must be the same individual.

Please type or print.  Submit a separate page 2 for each unit subject to
the Acid Rain Program, a CAIR Trading Program, or a Transport Rule
Program at the facility (source), and indicate the page order and total
number of pages (e.g., 1 of 4, 2 of 4, etc.) in the boxes in the upper
right hand corner of page 2. A Certificate of Representation amending an
earlier submission supersedes the earlier submission in its entirety and
must therefore always be complete.  Submit one Certificate of
Representation form with original signature(s).  NO FIELDS SHOULD BE
LEFT BLANK. For assistance, contact Laurel DeSantis at   HYPERLINK
"mailto:desantis.laurel@epa.gov"  desantis.laurel@epa.gov  or (202)
343-9191.

STEP 1 

(i)  A Plant Code is a 4 or 5 digit number assigned by the Department of
Energy(s (DOE) Energy Information Administration (EIA) to facilities
that generate electricity.  For older facilities, "Plant Code" is
synonymous with "ORISPL" and "Facility" codes.  If the facility
generates electricity but no Plant Code has been assigned, or if there
is uncertainty regarding what the Plant Code is, contact EIA at (202)
586-1029.  For facilities that do not produce electricity, use the
facility identifier assigned by EPA (beginning with "88").  If the
facility does not produce electricity and has not been assigned a
facility identifier, contact Laurel DeSantis at   HYPERLINK
"mailto:desantis.laurel@epa.gov"  desantis.laurel@epa.gov  or (202)
343-9191.

 (ii) Enter the latitude and longitude representing the location of the
facility in degree decimal format.

Note that coordinates MUST be submitted in decimal degree format; in
this format minutes and seconds are represented as a decimal fraction of
one degree.  Therefore, coordinates containing degrees, minutes, and
seconds must first be converted using the formula:  

	decimal degrees = degrees + (minutes / 60) + (seconds / 3600)

Example:  

39 degrees, 15 minutes, 25 seconds = 39 + (15 / 60) + (25 / 3600) =
39.2569 degrees

STEPS 2 & 3

The Designated Representative and the Alternate Designated
Representative must be individuals (i.e., natural persons) and cannot be
a company.  Enter the company name and address of the representative as
it should appear on all correspondence.  If an email address is
provided, most correspondence will be emailed.  Although not required,
EPA strongly encourages owners and operators to designate an Alternate
Designated Representative to act on behalf of the Designated
Representative.

STEP 4 

(i)   Complete one page for each unit subject to the Acid Rain Program, 
a CAIR Trading Program, or a Transport Rule Program, and indicate the
program(s) to which the unit is subject.  Identify each unit at the
facility by providing the appropriate unit identification number,
consistent with the identifiers used in previously submitted
Certificates of Representation (if applicable) and with submissions made
to DOE and/or EIA.  Do not list duct burners.  For new units without
identification numbers, owners and operators must assign identifiers
consistent with EIA and DOE requirements.  Each submission to EPA that
includes the unit identification number(s) (e.g., monitoring plans and
quarterly reports) should reference those unit identification numbers in
exactly the same way that they are referenced on the Certificate of
Representation.  Do not identify units that are not subject to the
above-listed programs but are part of a common monitoring configuration
with a unit that is subject to any of these programs.  To identify units
in a common monitoring configuration that are not subject to any of
these programs, call the CAMD Hotline at (202) 343-9620, and leave a
message under the “Continuous Emissions Monitoring” submenu.

(ii)  Identify the type of unit using one of the following
abbreviations:

Boilers	

Boilers	

Turbines



AF	

Arch-fired boiler	

OB	

Other boiler	

CC	

Combined cycle



BFB	

Bubbling fluidized bed boiler	

PFB	

Pressurized fluidized bed boiler	

CT	

Combustion turbine



C	

Cyclone boiler	

S	

Stoker	

OT	

Other turbine



CB	

Cell burner boiler	

T	

Tangentially-fired boiler	

Others



CFB	

Circulating fluidized bed boiler	

WBF	

Wet bottom wall-fired boiler	

ICE	

Internal combustion engine



DB	

Dry bottom wall-fired boiler	

WBT	

Wet bottom turbo-fired boiler	

KLN	

Cement kiln



DTF	

Dry bottom turbo-fired boiler	

WVF	

Wet bottom vertically-fired boiler	

PRH	

Refinery process heater



DVF	

Dry bottom vertically-fired boiler





	

If there is uncertainty about how a unit should be characterized,
contact Robert Miller at   HYPERLINK "mailto:miller.robertl@epa.gov" 
miller.robertl@epa.gov  or (202) 343-9077.

(iii)  Indicate the source category description that most accurately
describes the purpose for which the unit is operated by entering one of
the following terms.  If none of these descriptions applies to your
unit, contact Robert Miller at   HYPERLINK
"mailto:miller.robertl@epa.gov"  miller.robertl@epa.gov  or (202)
343-9077.

Automotive Stampings	Industrial Boiler	Petroleum Refinery

Bulk Industrial Chemical	Industrial Turbine	Portland Cement Plant

Cement Manufacturing	Institutional	Pulp and Paper Mill

Cogeneration	Iron and Steel	Small Power Producer

Electric Utility	Municipal Waste Combustor	Theme Park

(iv)  Provide the primary North American Industrial Classification
System (NAICS) code that most accurately describes the business type for
which the unit is operated.  If unknown, go to   HYPERLINK
"http://www.census.gov"  http://www.census.gov  for guidance on how to
determine the proper NAICS code for the unit.

(v)  Enter the date the unit began (or will begin) serving any generator
producing electricity for sale, including test generation.  Enter this
date and check the "actual" box for any unit that has begun to serve a
generator producing electricity for sale as of the date of submission of
this form.  (This information should be provided even if the unit does
not currently serve a generator producing electricity for sale.)  For
any unit that will begin, but has not begun as of the date of submission
of this form, to serve a generator producing electricity for sale,
estimate the future date on which the unit will begin to produce
electricity for sale and check the "projected" box.  When the actual
date is established, revise the form accordingly by entering the actual
date and checking the "actual" box.  Enter "NA" if the unit has not ever
served, is not currently serving, and is not projected to serve, a
generator that producing electricity for sale.  You are strongly
encouraged to use the CAMD Business System to update information
regarding when a unit begins serving a generator producing electricity
for sale. 

If you have questions regarding this portion of the form, contact Robert
Miller at  HYPERLINK "mailto:miller.robertl@epa.gov"
miller.robertl@epa.gov  or (202) 343-9077.

(vi)  For a unit subject to the Acid Rain Program, a CAIR Trading
Program, or a Transport Rule Program, that, as of the date of submission
of this form, serves one or more generators (whether or not the
generator produces electricity for sale), indicate the generator ID
number and the nameplate capacity (in MWe) of each generator served by
the unit.  A unit serves a generator if it produces, or is able to
produce, steam, gas, or other heated medium for generating electricity
at that generator.  For combined cycle units, report separately the
nameplate capacities of the generators associated with the combustion
turbine and the steam turbine.  Please ensure that the generator ID
numbers entered are consistent with those reported to the EIA. 

The definitions of "nameplate capacity" under the Acid Rain Program and
under the CAIR/Transport Rule Programs differ slightly.  Therefore, for
a unit subject to the Acid Rain Program and any CAIR/Transport Rule
Program, the nameplate capacity for the same generator under the Acid
Rain Program and under the CAIR/Transport Rule Program may differ in
certain limited circumstances.  Specifically,  for a unit subject to the
Acid Rain Program, the nameplate capacity of a generator, if listed in
the National Allowance Database ("NADB"), is not affected by physical
changes to the generator after initial installation that result in an
increase in the maximum electrical generating output that the generator
is capable of producing.  Otherwise, for a unit subject to the Acid Rain
Program or a CAIR/Transport Rule Program, the nameplate capacity of a
generator is affected by physical changes to the generator after initial
installation that result in an increase in the maximum electrical
generating output that the generator is capable of producing.  In such a
case, the higher maximum electrical generating output number in MWe
should be reported in the nameplate capacity column.  Enter "NA" if, as
of the date of submission of this form, the unit does not serve a
generator.

See the definition of "nameplate capacity" at 40 CFR 72.2, 96.102,
97.102, 96.202, 97.202, 96.302, 97.302, 97.402, 97.502, 97.602, and
97.702, as applicable.  The NADB is located at the CAMD website at  
HYPERLINK "http://www.epa.gov/airmarkets/trading/allocations.html" 
http://www.epa.gov/airmarkets/trading/allocations.html .  If you have
questions regarding nameplate capacity, contact Robert Miller at  
HYPERLINK "miller.robertl@epa.gov%20"  miller.robertl@epa.gov  or (202)
343-9077; if you have questions regarding the NADB, contact Craig
Hillock at   HYPERLINK "mailto:hillock.craig@epa.gov" 
hillock.craig@epa.gov  or (202) 343-9105.

(vii) Enter the company name of each owner and operator in the "Company
Name" field.  Indicate whether the company is the owner, operator, or
both.  For new units, if the operator of a unit has not yet been chosen,
indicate that the owner is both the owner and operator and submit a
revised form when the operator has been selected within 30 days of the
effective date of the selection.  EPA must be notified of changes to
owners and operators within 30 days of the effective date of the change.
 You are strongly encouraged to use the CAMD Business System to provide
updated information on owners and operators.

(viii)  Indicate whether or not the unit is located in Indian Country. 
For more information see the definition of “Indian Country” at 40
CFR 97.402, 97.502, 97.602 and 97.702.  

(ix)  When identifying a unit at a facility for the first time, indicate
whether or not the unit was moved from another facility.  If the answer
is “yes”, the EPA will contact the owners/operator for more
information.  

STEP 5   

Read the appropriate certification statements, sign, and date.  

Mail this form to:

For regular/certified mail:	For overnight mail:

U.S. Environmental Protection Agency	U.S. Environmental Protection
Agency

Clean Air Markets Division (6204J)	Clean Air Markets Division (6204J)

Attention:  Designated Representative	Attention: Designated
Representative

1200 Pennsylvania Avenue, NW	1310 L Street, NW

Washington, DC  20460	Second Floor

	Washington, DC 20005

	(202) 343-9191

Submit this form prior to making any other submissions under the Acid
Rain Program, CAIR Programs, or Transport Rule Programs.  Submit a
revised Certificate of Representation when any information in the
existing Certificate of Representation changes.  You are strongly
encouraged to use the CAMD Business System to provide updated
information.

Paperwork Burden Estimate

The public reporting and record keeping burden for this collection of
information is estimated to average 15 hours per response annually. 
Burden means the total time, effort, or financial resources expended by
persons to generate, maintain, retain, or disclose or provide
information to or for a Federal agency.  This includes the time needed
to review instructions; develop, acquire, install, and utilize
technology and systems for the purposes of collecting, validating, and
verifying information, processing and maintaining information, and
disclosing and providing information; adjust the existing ways to comply
with any previously applicable instructions and requirements; train
personnel to be able to respond to a collection of information; search
data sources; complete and review the collection of information; and
transmit or otherwise disclose the information.  An agency may not
conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB
control number.  

Send comments on the Agency's need for this information, the accuracy of
the provided burden estimates, 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.

EPA Form 7610-1 (Revised 6-2011)

EPA Form 7610-1 (Revised 6-2011)

EPA Form 7610-1 (Revised 6-2011)

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