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Permit Number: AIRS ID Number: <br /> (Leave blank unless APCD has already assigned a permit 9 and AIRS ID] <br /> Section 4 - Processing/Manufacturing Information Et Material Use <br /> From what year is the actual annual amount? NA <br /> Design Process Actual Annual Requested Annual <br /> Description Rate Amount Permit Limit6 <br /> (tons/hour) (tons) (tons) <br /> Material Sandstone 1000 NA 1,250,000 <br /> Throughput: <br /> 6 Requested values will become permit limitations. Requested limit(s)should consider future process growth. <br /> Section 5 - Geographical Information <br /> Geographical Coordinates <br /> (Latitude/Longitude or UTM) <br /> 40.273063/-108.680683 <br /> Attach a topographic site map showing location. <br /> Section 6 - Criteria Pollutant Emissions Information <br /> Attach all emissions calculations and emission factor documentation to this APEN form. The APCD website has a <br /> Crushing and Screening Emissions Calculator available to assist with emissions calculations. <br /> Is this equipment equipped with water spray bars for emission control? ❑Yes No <br /> Use the following table to report the criteria pollutant emissions from source: <br /> (Use the data reported in Section 4 to calculate these emissions.) <br /> From what year are the actual annual emissions? NA <br /> Uncontrolled Emission Requested Annual Permit <br /> Emission Factor Actual Annual Emissions Emission Limits) <br /> Pollutant Factor Source <br /> (specify units) (AP-42.Mfg., Uncontrolled Controlled Uncontrolled Controlled <br /> etc.) (tons/year) (tons/year) (tons/year) (tons/year) <br /> TSP(PM) .0054Ib/ton C&SE-'—CaiwuTa 7.37 7.37 <br /> PM10 .0024lb/ton CBSEmi—C.Ic.Wa 2.99 2.99 <br /> PM2.5 .004 Ib/ton c as E---Cal.Wa .45 .45 <br /> Other: <br /> 6 Requested values will become permit limitations. Requested limits)should consider future process growth. <br /> 7 Annual emission fees will be based on actual controlled emissions reported. If source has not yet started operating, leave blank. <br /> COLORe00 <br /> Form APCD-221 - Crusher/Screen APEN - Revision 3/2019 3 <br />