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Colorado Department of Public Health and Environment Page 1 of 2 <br />Air Pollution Control Division <br />- NOTICE TO SET ENIISSIONS TO ZERO - <br />PLEASE READ GUIDANCE ON REVERSE SIDE <br />Permit Number IOR01175F AIRS Number 107/0098 <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 />002 conveyor transfer point <br />004 conveyor transfer point <br />*attach additional pages, ijneeded <br />Start date for Zero Emissions: 10 / 01 / 12 (month/day/year) <br />Will equipment be placed in storage? _ Yes _ No <br />Storage Location: City: State: _Zip Code: <br />*an APEN shall be suhniitted prior to relocating and or operating equipment <br />Reasoning for setting emissions to zero: <br />Mine idled <br />I, (Legally Authorized Person -please print) B. Scott Cowman acknowledge that <br />thirty (30) days nor to operating the above listed equipment an Air Pollutant Emissions Notice (APED <br />in su ' t to the Air Pollution Control Division.. <br />i1111y/iZ _ <br />ture o egally Authorized Person 'Date <br />69 W rw S'e ar Eve V1 r04 Wemkl �pe�►a�lsf <br />Print Name Title <br />Version #I- December, 2010 <br />