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Permit Number: AIRS ID Number: <br /> [Leave blank unless APCD has already assigned a permit and AIRS ID] <br /> Section 2 - Requested Action <br /> NEW permit OR newly-reported emission source(check one below) <br /> STATIONARY source ❑ PORTABLE source <br /> ❑ Request coverage under a Construction Permit <br /> ❑r Request coverage under General Permit GP063 <br /> If General Permit coverage is requested, the General Permit registration fee of$1,125.00 must be <br /> submitted along with the APEN filing fee. <br /> OR- <br /> ❑ MODIFICATION to existing permit(check each box below that applies) <br /> ❑ Change permit limit ❑ Change company name' ❑ Add point to existing permit <br /> ❑ Transfer of ownerships ❑ Other(describe below) <br /> -OR- <br /> ❑ APEN submittal for update only(Blank APENs will not be accepted) <br /> -ADDITIONAL PERMIT ACTIONS- <br /> ❑ Notification of Alternative Operating Scenario(AOS)permanent replacement <br /> ❑ APEN submittal for permit exempt/grandfathered source <br /> Additional Info Et Notes: <br /> 3 Only one engine may be reported per APEN for GP06 coverage. Coverage under GP06 is voluntary. <br /> 4 For company name change,a completed Company Name Change Certification Form(Form APCD-106)must be submitted. <br /> 5 For transfer of ownership,a completed Transfer of Ownership Certification Form(Form APCD-104)must be submitted. <br /> Section 3 - General Information <br /> General description of equipment and purpose: Generator (WhisperWatt 220 or equivelant) <br /> used as power source for feeder breaker and stacker belt <br /> Company equipment Identification No. (optional): Gen 1 <br /> For existing sources, operation began on: NA <br /> For new or reconstructed sources, the projected start-up date is: TBD <br /> cC loaepr} <br /> Form APCD•233- Compression Ignition Engine APEN - Revision 3/2019 2 1 AiVL <br />