PERMFILE65348

• Permit No: C1981053
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Section_Exhibit Name: 2.03.4 IDENTIFICATION OF INTEREST
• Media Type: D
• Archive: No

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APPLICATION FOR AIR POLLUTION EMISSION PERMIT OR PERMIT MODIFICATjO ;iy;l;~ '~
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This app) cat on must be Illed out completely except for,pl 6 N15; otherwise;) pp IcatJon,
will be .considered Incomplete - SEE INSTRUCTIONS ON REVERSE SIDE. Mall complete epplicat~:
APEN s, and filing fee to: Stationary Sources Program, Alr Pollutlon Control Dtv lslon
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Colorado De artment of Health 4210 East Ilth Avenue Denver Caloredo 80220,~~ ,
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1. PERMIT TO BE ISSUED T0: i iI.
BLUE FLAME COAL MINE CChII'ANY, C/O FIDEL LOEiATO i
2. MAILING DDRESS:
II
State:
DURAN3D ~
COLORADO ;•
1001 EAST SECOND AVFNIJE ZIP CODE: 813 1
3. AGENT FOR SERVICE See No. 3 on reverse I
FIDEL !lJBATO I
a. GENERAL NATURE OF BUSINESS: b. SIC Code:
IJNDERGROIJND CON MINE I 1211
5a. AIR POLLUTION SOURCE DESCRIPTION: 5b.',Days per year
source will ope
WATERING OF IRAN BEFT~RE TRl1CKING COAL ~ ]
a. SOURCE LOCATION ADDRESS: Check {f map included: b.,UTM Coordinates
(In km):
COUNTY I,A PLATA
HAY GULCH, 1D3SPERUS, COIARADO 81326 756 892.Jt'1 H gl]~tj52,
~,- r-
7. ESTIMATED .COST S: Air Pollutlon Control Procid ure~s or Equlpm
7a. Source, Process Equipment or Project: 76. Capital Cost:$ 200.00' Annualized:
Cost:$ 200.00 Annualized:$ inn nn 7c. Operating Cost $100,0011 /yr;
a. STATUS
© New Alr Pollution Source
[] Existing Source Change {Control equipment added, process change, etch. N/A
^ Other: N/A ~

ProJected.Dates for Construction to: Projected Source Startup Dale:
8b. Beale: 8-1-86 8c. End: g-1-91 8d• 8-1-R6

9. Enclose check to cover APEN FILING FEES. One APEN should be fled for each emission poi
ONE (1) APENs @ $40.00 per APEN $ g0_(1n I
10. SIGNATURE OF LEGALLY AUTHORIZED PERSON NOT vendor Ila. DATE SIGNED: Ilb. TELEPHONE NO
or equipment manufacturer);
7
~ [phone]
r~~ .. t
. i~~' 4 29 86
12. Type or print name and official title of person signing item 10. A~enc1 Use Only
14. DATE RECEIVED
PRESIDENT
13. Check approp ia[e box if you want:

a. (~ Copy of preliminary analysis conducted by Division
b. ^ To review a draft of the permit prior to Issuance?
NOTE: Checking either item could result in Increased fees 15•. PERMIT NUMBER
or processing time. See Reverse.
APCD:SSP:2000 (Rev. 1/84)