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' General APE - Form APCD-200 <br />Air Poll}-itant Emission Notice (APEN) and <br />Application for Construction Permit <br />All sections of this APEN and application must be completed for both new and existing facilities, including APEN <br />updates. An application with missing information may be determined incomplete and may be returned or result in <br />longer application processing times. You may be charged an additional APEN fee if the APEN is filled out <br />incorrectly or is missing information and requires re -submittal. <br />There may be a more specific APEN for your source (e.g. paint booths, mining operations, engines, etc.). A list of <br />specialty APENs is available on the Air Pollution Control Division (APCD) website at: <br />www.cotorado.eov/cdphe/apcd. <br />This emission notice is valid for five (5) years. Submission of a revised APEN is required 30 days prior to expiration <br />of the five-year term, or when a reportable change is made (significant emissions increase, increase production, <br />new equipment, change in fuel type, etc). See Regulation No. 3, Part A, ILC. for revised APEN requirements. <br />Permit Number: 1 OR01175 AIRS ID Number: 001 / f <br />Section 1 - Administrative Information <br />Company Name': Peabody Sage Creek Mining, LLC <br />Site Name: Sage Creek Mine <br />Site Location: Section 2, T5 -N, R87W, 6PM <br />10 mi. se of Hayden Colorado <br />Mailing Address: 29515 RCR 27 <br />(Irxlude Zip Code) <br />Oak Creek, Colorado 80467 <br />Portable Source N/A <br />Home Base: <br />Site Location <br />ROutt <br />County: <br />NAICS or SIC Code: <br />1222 <br />Permit Contact: <br />Jerry Nettleton <br />Phone Number: <br />970.870.2712 <br />E -Mail Address': <br />)nettleton@peabodyenergy.com <br />' Use the full, legal company name registered with the Colorado Secretary of State. This is the company name that will appear <br />on all documents issued by the APCD. Any changes will require additional paperwork. <br />Z Permits, exemption letters, and any processing invoices writ( be issued by APCD via e-mail to the address provided. <br />®�© CO ;O'.-- <br />