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Colorado Department of Public Health and Environment Page 1 of 2 <br />Air Pollution Control Division <br />- NOTICE TO SET EMISSIONS TO ZERO - <br />PLEASE READ GUIDANCE ON REVERSE SIDE <br />Permit Number 1 OR01175F AIRS Number 001 <br />(See lower left corner of air permit for AIRS Number) <br />Company Name: Peabody Sage Creek Mining, LLC. <br />Plant Location: 36600 Route County Rd. #27 <br />City: Hayden State: CO Zip: 81639 County: Routt <br />Person to Contact: Scott Cowman Phone #: (970) 276-7003 <br />A request must be submitted to the Colorado Department of Public Health and <br />Environment Air Pollution Control Division for each individual emission point the <br />company would like to have emissions set to zero. <br />I, (permit holder) Scott Cowman , as responsible party (see definition in <br />guidance) for emission source: (facility name) would like to zero <br />the emissions for the following equipment operated under the permit number listed above: <br />Point# (i.e. 001,002) Equipment Description Make/Model Serial # <br />001 fan <br />*attach additional pages, if needed <br />Start date for Zero Emissions: 06 / 01 / 14 (month/day/year) <br />Will equipment be placed in storage? Yes X No <br />Storage Location: City: State: Zip Code: <br />*an APEA'shall be submitted prior to relocating and/or operating equipment <br />Reasoning for setting emissions to zero: <br />Mine idled and portals temporarily sealed <br />I, (Legally Authorized Person please print) B. Scott Cowman acknowledge that <br />thirty (30) days prior to operating the above listed equipment an Air Pollutant Emissions Notice (APEN) <br />must be submitted to the Air Pollution Control Division.. <br />Signature of Legally Authorized Person Date <br />Print Name Title <br />Version #I- December, 2010 <br />