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BACT 01B Cost Economic Impact Analysis 49554 - Indiana

BACT 01B Cost Economic Impact Analysis Form. This is a Indiana form and can be used in Air Department Of Enviromental Management Statewide .
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Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01b 1/2000 Cost/Economic Impact Analysis COST/ECONOMIC IMPACT ANALYSIS Complete this form for each BACT option in which cost and economic impacts are to be considered. On this form, do not include costs that would be incurred regardless of whether the BACT option is chosen. Attach a copy of the cost estimates in a format such that IDEM, OAM staff can easily reproduce the cost estimates. If the particular item is not applicable to the BACT option being evaluated, indicate ANot Applicable@ (N/A) in the appropriate blanks. Add additional lines and/or copy the forms as necessary. Source Information Facility: BACT Option: Unit ID: Pollutant: TOTAL CAPITAL INVESTMENT Total Capital Investment (TCI) is the total direct and indirect capital costs associated with implementation of a BACT option. Use Tables A and B to indicate the direct and indirect capital costs that would be incurred above the baseline project costs. Summarize the total capital costs in Table C. Attach vendor quotes and additional sheets as necessary. A. Item* Purchased Equipment Costs 1. Direct Capital Costs Cost Estimate Reference/Source of Cost Estimate Equipment Costs (Itemize below) $ $ $ $ 2. 3. 4. 5. Instrumentation Sales Tax Freight Other (please specify) $ $ $ $ 6. Purchased Equipment Subtotal (Sum of Items 1, 2, 3, 4, and 5) *Add lines as necessary $ BACT-01b Page 1 of 8 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01b 1/2000 Cost/Economic Impact Analysis Facility: BACT Option: Unit ID: Pollutant: A. Item* Direct Installation Costs 7. 8. Direct Capital Costs (continued) Cost Estimate Reference/Source of Cost Estimate Foundations and Supports Auxiliaries (duct work, fittings - include only the equipment which would not be necessary if the facility was not controlled) Handling and Erection Piping Insulation and Painting Electrical Site Preparation Other (please specify) $ $ 9. 10. 11. 12. 13. 14. $ $ $ $ $ $ 15. Direct Installation Costs Subtotal (Sum of Items 7, 8, 9, 12, 13, and 14) $ 10, 11, 16. DIRECT CAPITAL COSTS SUBTOTAL of Items 6 and 15) (Sum $ Comments/Explanation *Add lines as necessary BACT-01b Page 2 of 8 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01b 1/2000 Cost/Economic Impact Analysis Facility: BACT Option: Unit ID: Pollutant: B. Item* 1. 2. 3. 4. 5. 6. 7. 8. Indirect Installation Costs Cost Estimate $ $ $ $ $ $ $ Reference/Source of Cost Estimate Engineering and Supervision Lost Production (for retrofit situations only) Construction and Field Expenses Contractor Fees Start-up and Performance Tests Over-all Contingencies Working Capital (if applicable) Other (please specify) $ 9. INDIRECT INSTALLATION COSTS SUBTOTAL (Sum of Items 1, 2, 3, 4, 7, and 8) $ 5, 6, Comments/Explanation *Add lines as necessary BACT-01b Page 3 of 8 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01b 1/2000 Cost/Economic Impact Analysis Facility: BACT Option: Unit ID: Pollutant: C. Capital Cost Summary 1. 2. Total Capital Investment Subtotal Item 9) (Sum of Table A, Item 16 and Table B, $ Capital Recovery Factor a. b. Interest Rate Economic Lifetime $ 3. CAPITAL RECOVERY COST Comments/Explanation *Add lines as necessary BACT-01b Page 4 of 8 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01b 1/2000 Cost/Economic Impact Analysis Facility: BACT Option: Unit ID: Pollutant: TOTAL ANNUAL COST Total Annual Cost includes the direct and indirect costs and recovery credits associated with implementation of a BACT option. Use Tables D and E to indicate the annual costs that would be incurred above the baseline project costs. Use Table F to indicate the recovery credits that would be realized after implementation of the BACT option. Summarize the total annual costs in Table G. Attach vendor quotes and additional sheets as necessary. D. Item* 1. Direct Annual Costs Cost Estimate Reference/Source of Cost Estimate Operating Labor (Itemize below) $ $ 2. Maintenance Labor (Itemize below) $ $ 3. Materials (Itemize below) $ $ 4. Utilities (Itemize below) $ $ 5. Waste Treatment and Disposal (Itemize below) $ $ 6. Replacement Parts (Itemize below) $ $ 7. Other (please specify) $ 8. DIRECT ANNUAL COSTS SUBTOTAL (Sum of Items 1, 2, 3, 4, 5, 6, and 7) $ BACT-01b Page 5 of 8 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01b 1/2000 Cost/Economic Impact Analysis Facility: BACT Option: Comments/Explanation Unit ID: Pollutant: (Regarding Table D) *Add lines as necessary E. Item* 1. 2. 3. Overhead Indirect Annual Costs Cost Estimate $ $ Reference/Source of Cost Estimate Property Taxes, Insurance, and Administrative Charges Other (please specify) $ 4. INDIRECT ANNUAL COSTS SUBTOTAL (Sum of Items 1, 2, and 3) $ Comments/Explanation *Add lines as necessary BACT-01b Page 6 of 8 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01b 1/2000 Cost/Economic Impact Analysis Facility: BACT Option: Unit ID: Pollutant: F. Item* 1. Materials Recovered Recovery Credits Credit Estimate Reference/Source of Credit Estimate $ 2. Energy Recovered $ 3. Other (please specify) $ 4. RECOVERY CREDITS SUBTOTAL Items 1, 2, and 3) (Sum of $ Comments/Explanation *Add lines as necessary G. Total Annual Cost Summary 1. 2. 3. 4. Direct Annual Costs Subtotal from Table D, Item 8 Indirect Annual Costs Subtotal from Table E, Item 4 Recovery Credits Subtotal from Table F, Item 4 TOTAL ANNUAL COST SUBTOTAL (Item 1 plus Item 2 Minus Item 3) $ $ $ $ BACT-01b Page 7 of 8 American LegalNet, Inc. www.FormsWorkflow.com Indiana Department of Environmental Management Office of Air Management Permit Application State Form 49554 (11/99) FORM BACT-01b 1/2000 Cost/Economic Impact Analysis Facility: BACT Option: Unit ID: Pollutant:
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