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Permit Number: AIRS ID Number: <br /> Section 2 - Requested Action <br /> Q NEW permit OR newly-reported emission source <br /> -OR <br /> [] MODIFICATION to existing permit tci,ecf;each box below that cppiiest <br /> ❑ Change fuel or equipment ❑ Change company name' ❑ Add point to existing permit <br /> ❑ Change permit limit ❑ Transfer of ownership' ❑ Other(describe below, <br /> -OR- <br /> ❑ APEN submittal for update only(Note blank APENs will not be accepted) <br /> -ADDITIONAL PERMIT ACTIONS- <br /> ❑ APEN submittal for permit exempt/grandfathered source <br /> Additional Info f3 Notes: <br /> 'For company name change,a completed Company Name Change Certification Form(Form APCD-106)must be submitted. <br /> For transfer of ownership,a compieted Transfer of Ownership Certification Form (Form APCD-104)must be submitted. <br /> Section 3 - General Information <br /> General description of the activity/cciditionaily,provide a topographi:i,te maps: <br /> Uinta Basin Sano LLC wili extract sandstone from the Dakota formation. Niateriai evil!be removed with a excavator,fea into a feeder breaker <br /> producing a-6"product. OTR trucks will be loaded by a loader and transport product to an off-site processing <br /> facility. Spoils&reject will be placed in the mined excavation,then covered with salvaged topsoil for final reclamation. <br /> For existing sources, operation began on: NA <br /> For new or reconstructed sources, the projected start-up date is: TBD <br /> Normal Hours of Source Operation: 24 hours/day 5 days;week 52 weeks/year <br /> Seasonal use percentage: Dec-Feb: 100% Mar-Nay: 100% Jun-Aug: 100% Sep-Nov: 100% <br /> Commodity Produced: (check each box below that applies-as indicated on the applicable Division o/Minerals and Geology Permit) <br /> Aggregate / Sand and Gravel <br /> ❑ Stone <br /> ❑ Coal <br /> ❑ Minerals or Metals <br /> ❑ Other rdeSCribel: <br /> Fu: <br />