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PPLICATION FOR AHi POLLUTION CONSTRUCTION PERMIT OR PERMIT MODIFICATION <br />pGatioa must 6e filled out completely except for 114 and 115: oWerwise, application will be coasideted incomplete -SEE <br />UCITONS ON REVERSE SIDE. Mail completed application APENs and filing tae to: <br />Colorado Depmlmcnl ojPubBc Health and Envlrottment <br />MCD-SS-BI <br />4300 Cherry Creek Drive South <br />Denver, Colorado 80111-1530 Tclcphoru: (303)6913150 <br />1. Permit to belsruedro: Bowie Resources Limited, Bowie No. 2 <br />2. MaFlingAddrvs P. O. Box 483, Paonia State: CO <br />~P~~81928 <br />3a. AgentjorServitt(SeeNo.3onrcNerteJ: Search Company International <br />3b. Federal Tax Idcnt~cation Number: 8 4 -1 2 8 7 71 9 <br />4a. Centro! Nature ojBusitrrss: 46. S1C Codr. <br />underground coal mining 1222 <br />Sa. Alr PnAruion Sours Description: Screen Sb. Days per year corm wtA <br /> operate: 2 6 0 <br />6a. Soura I.ocntlon dddrrsr (include Zocntfon Mapl: 6b. fiTM Coordinates (ln kmJ <br />T13S, R91W, 3 miles NE of Paonia ___._H ____._V <br /> Lat. 38°55'16" <br />r...y,rs.~...d,.a.w~~a...r.~~,..~....r...,~r County; Delta Long. 107°32'29" <br />IMATID COSTS: Air Po1luGoa Control Procedures or Equipoent <br />7a. Soum,ProttstEquipmentorProjeet: 76. CapitdCart:S unknown at this time <br />~P• Cost2 unknown at this time 7c. OperatingCarCi unknown at this time <br />Sa. STATUS <br />Ll! New Air PoUutlon Sourtt <br />^ Mod~rntion to Pnmirted Sourtt (Control Equipment added, prooexr change, eta): <br />^ Tianrjer ojOwncrship - T]•anrjerred from: <br />^ Flirting Sourer not pnmiutd (include Date ojSourtt Start-up): <br />^ Other.• <br />Projected Dhtes or ConsJnrction to: Projected Soune Startup Dote: <br />86. Begin: 7 9 6 &• Ead: 1 2/ 9 6 gd, 1 2/ 9 6 <br />9. Endate check to mNn MEN FIL/NG FEE£ One MEN should be filed jot each emission point <br />NOTE Additional prottuing jees mart afro be paid prior to permU irsuancr. <br />1 APENS ®5100.00 per APEN = S 10 0. 0 0 <br />10. SICNATi/RE OFI:ECAlLYAUTAO1l121iD PERSON ((V~Vendar or lla. Date Signed• Ilb. Telephone No.: <br />Equi me Man cY J <br /> ~ <br />!P~ 9 `79G <br />v70~ 527-4135 <br />12. TYPe or Print name and official tick ojperson signing itrm !0. <br />Aeencv Use Onlv <br />Wm. A. Bear, Jr., Vice President, Operations 14. DATE RECEIVED: <br />heels apprnpriale box if you wanl: <br />a. Copy of preliminary amlysis rnnduaed !ry Division <br />b. ^ To review a draft ojthe pmnit prior to issuantt? I5. PERMIT NUMBER <br />M.e a..lia .a. r.mrr~.a r.~.ear~4Ya l~b.w~ <br />