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Mo;�l�•�+ � i t� � tib` ���: <br />Fl��ep <br />_ flrvr JUN 0 2 2017 <br />Srp <br />'OF <br />� MrNjNG &Rsf'`IA rrpN <br />.1.1 sect ons or this AnCN and appticntion must be cs:mpioted for bullinew acid ex -sting i,icii;lws, inc+uding AP[ -'J <br />.+pciirte's, An apple _atrar rnth missins3 ilffirrnauun may be determined Incomplete and may be returned or result i- <br />nger application pr it e�sinr; times. You nray be charged air nddit-aural ADEN fee if the APEN is fifled cut <br />,cor. ec:ly or Is mrssi!iy rn firma;Forr and requires resubmittal. <br />Th s APEN' is tr bo used f..:r -nining operaLli.X' (I.e. quarries, pits. or mines) Th:s ADEN rr:ay aiso be used to reps,r- <br />Haul Road actio -ties it non mining facilities. Additional APENs may be requ red for process equipment lociLed iii <br />the ir*ne. A spi,- la[tr ADEN may be available for the process equipment ic.g. NMA plant,. cr;ssl-ens s. reens <br />concrete b:)tcl plants. f rigmes etc. I If a speciattrr APEtI Is not available or does not sat.sfy y,:ur reprrt ng neCd-, <br />the Gesieral APEN iForrn APCG•2CGt Is a+a.labie. A list of all available APED farms can be found ..n the Air Pu°lLtI.T <br />Con t-..( D- -is un (AP'TI weLSILe at: <br />This emission ncts t' is vat id for five (5) years. Subm.sslur-, r,f a revised APEN is requi roe 30 days pri.;r tc, exp.ralwor <br />cf the frve•year terra, or when a repurtabie change Is made (significant emissions increase. Increase pr.'ductiort, <br />rev: equipment, c"anve in fuel type, etc;. Soe Regulation iPo. 3. Part A. ILC for revised APEN requirements, <br />Permit Number. AIRS ID Number: f f <br />Section 1 - Administrative Information <br />Company name' Northern Colorado Constructors inc <br />MlnelP,t name: Bennett Pit - M -2016-D85 <br />Ncrre�Pit ! nratian: 11675 CR 22.5 <br />Fort Lupton, CO 80621 <br />Malting Address- <br />01:044e <br />ddressrrr:044e Zip U."I r 9075 WCR 10 <br />Fort Lupton, CO 80621 <br />Mine/Pit Locatrn <br />Count -0: Weld <br />NAICS or SIC Code: <br />Permit Contact: Chris Zadel <br />Phone Number: 303-857-1754 <br />E -Mail Address;: chnsz@ncconstructers cam <br />nlr-a5•- usi, ilii+- foil. iegat ecirnpany name regi$Wfed with the CCluradr. SCcretary of State. Thr, is the Lumpany rare it',ji '-illi <br />;n all dr_Curtcn;, issued by the APCD. Any changes will regrow additinaal raperruaik. <br />Pt-4fl-WS, ex><mntron tt'!t�rs, anci any processing invoices will. be Iss+ed by APCD via c mart to the address provided. <br />