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Compression Ignition Engine APEN <br /> Form APCD-233 <br /> JAV Air Pollutant 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 <br /> APEN updates. Incomplete APENs will be rejected and will require re-submittal. Your APEN will be rejected if <br /> it is filled out incorrectly, is missing information, or locks payment for the filing fee. The re-submittal will <br /> require payment for a new filing fee. <br /> This APEN is to be used for compression ignition or diesel reciprocating internal combustion engines. If your <br /> emission unit does not fall into that category, there may be a more specific APEN available for your operation <br /> (e.g. mining operations, asphalt plant, crusher, screen, etc.). In addition, the General APEN (Form APCD-200) <br /> is available if the specialty APEN options do not meet your reporting needs. A list of all available APEN forms <br /> can be found on the Air Pollution Control Division(APCD)website at: www.colorado.gov/cdphe/apcd. <br /> This emission notice is valid for five(5)years. Submission of a revised APEN is required 30 days prior to <br /> expiration of the five-year term, or when a reportable change is made (significant emissions increase, increase <br /> production, new equipment, change in fuel type, etc.). See Regulation No. 3, Part A, II.C. for revised APEN <br /> requirements. <br /> Permit Number: AIRS ID Number: <br /> [Leave blank unless APCD has already assigned a permit=and AIRS ID] <br /> Section 1 - Administrative Information <br /> Company Name': Uinta Mining LLC <br /> Site Name: Skull Creek Sand Project <br /> Site Location: approx. 2.7 miles NW site outdo: Moffat <br /> of Massadona <br /> NAICS or SIC Code: 1499 <br /> Mailing Address: 6602 Ilex Circle <br /> (include Zip Code) <br /> Naples, Florida 34109 Contact Person: Robert Nead <br /> Phone Number: 239-825-2332 <br /> Portable Source E-Mail Address: basic@altoncoal.com <br /> Home Base: <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 /> 2 Permits,exemption letters,and any processing invoices will be issued by the APCD via e-mail to the address provided. <br /> IV COLORIDO <br /> Form APCD-233 - Compression Ignition Engine APEN- Revision 3/2019 1 <br />