2019-10-08_PERMIT FILE - M2019054 (48)

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Permit Number: AIRS ID Number: Section 2 - Requested Action Q NEW permit OR newly-reported emission source io ecx one below) Q STATIONARY source ❑ PORTABLE source3 -OR- ❑ MODIFICATION to existing permit(check each box beio;v thct applies; ❑ El Change equipment Change status: Add point to existing ❑ portable/stationary permit ❑ Change processing limit ❑ Transfer of ownership' ❑ Change company name' ❑ Other(describe below) -OR- ❑ APEN submittal for update only(Blank APENs will not be accepted) -ADDITIONAL PERMIT Ac-iIONS- [] APEN submittal for permit-exempt/grandfathered source ❑ Voluntary permit for otherwise permit-exempt source- Additional Info Et Notes: Note that a permit-exempt portable source may be requirea to obtain a permit based on the facility-wide emissions totals of the operating location. '(For transfer of ownership,a completed Transfer of Ownership Certification Form (Form APCD-104(must be submitted. 9 For company name change.a completed Company Name Change Certification Form(Form APCD-106)must be submitted. Section 3 - Genera! Information 0 Crusher Only ❑ Screen Only ❑ Crusher-Screen Combo Unit If"Crusher-Screen Combo Unit"is selected, the crusher and screen must be bolted together and must always travel as one unit. if this is not true,you must fill out a separate APEN for each piece of equipment. ,Manufacturer: TBD Model No.: TBD Serial No.: TBD Company equipment Identification No. (optional): Feeder Breaker For existing sources, operation began on: NA For new or reconstructed sources, the projected start-up date is: TBD ❑Check this box if operating hours are 8,760 hours per year; if fewer, fill out the fields below: Norma(Hours of Source Operation: �t 2,i hoursiday 5 days/week 52 weeks/year Operation: Seasonal use Dec- Mar- June- Sept- percentage: Feb: 100 % May: 1 OO % Aug: 1 00% Nov: 1 OQ % How many material transfer points are included on this equipment? 2 A transfer point is defined as any location where material moves from a conveyor to another conveyor.screen,or pile. It does not include the transfer of material into a hopper.