PERMFILE65564

• Permit No: M1977136
• IBM Index Class Name: Permit File
• Doc Date: 7/5/1996
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FOR PRATHER PIT FN 77-136
• Media Type: D
• Archive: No

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~PISTRUCTIONS FOR THE COMPLE770N OF A•
APPLICATION FOR AN AIR POLLUTION CONSTRUCTION PERMIT
The following iuwctiou f« the completive of the Application far Coaawctive Permit an sided, lettered, and numbered the aaax u the appfinble~aectiou of the form ve
the other aide. U^ sective don not prply, aria 'N/A': DO Q LEAVE BLANK.
NOTE' AB informetioo abmitted as art of this rmit ^ hcative and all den
_i p pe pp' ge«raled by the Divisive u part of pr«euing This permit will be comidercd open m the public
udeu cvefidemial trutmem is requested io writwg. All ach materials MI be (1) clutly marked 'CONFIDEM7AL' ud (2) a«loaed in a liwnle aided envelope
matted 'CONFIDFJ~YI'IAL INFORMATION' m enurre agaioa accidemal rcleue. Confidemiality is gamed vely if the rcluae of such informative could nah in ecomrnic
diudvaauge m the appficam. V contidemiafity is requeaed, 16e Divisive will notify ym of iu decisive and, if denied, afiow time [« you b prciem additional evide«e
juaifyiog the wed f« coofidsmiafily. lk general, confidcatialily requew will imreaae permit proceashtg lime. Under m eire~•~meee-. emissions d~Y be held cooLdemial.
1. IERMIT IS'SZlED TO: Li a the o•me oC the person (e.g., corporative, psrtrcrship, associative, individual ower, « gwernwmal agency) m whom the )xr®1
k m be issued and who will therefore be rcspvoable for the operative of the sverce.
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Jam. AGENT FOR SERVICE: 13ia is the perm or company legally reapodible f« all permit action; thin Dame is filed with the Colorado Seae4ry oCSUee. U then
u m 'Agem for Service; sreite 'N(A.'
3.6. Peden) Tu ID Number u „o record with Departmem of Revenue.
4. GENERAL NATURE OF IIUSIIVFSS: liar the busircu activity (meat packer, uw mill, furaiaae maouboarrer, commercial priming, fire nueadiag, etc.). Also,
Iia the Standard I,.I,.w.:.1 CLuifiution (S.I.C J for chi. type of budnw activity.
Ste. AHt POLLUTION SOURCE DESCRIPTION: Provide ^ brief descriptive of We equiposem befog permitted and the aaa«ined emiation como6 (e.g., coal fired
boiler with ba~rouae, pain booth with particulate fibers).
NOTE: More than one Air Pofiuum Emission Natiu (ADEN) may fie Deeded with Chia appliutioo, if (here • muhipk aWrces. Only one application form needs
m be cootpkted.
b. Lis the mariverm Dumber of den per yw that the source will operate.
6.a. SOURCE ADDRESS: Do rats give ^ P.O. Box. 'his is for the physical l«ative of the source. Please include a map which indiuW the exact location wad shows
major topographic future. H We sverce is portable, ircltrde the loutiou orb dates when the source will be operated during duntionlof permit (f known);
atherviae, Ga firx opentwg laution.
b. UTM coordidw an show ve US Geological Survey fl'opo) maps (lint etiarde aW bogitude if UTMs nos kmw). ,
7.a. ESTD.IATED COSTS: Sauce -Ewer estimated capita cow of the eosin sasuce (urcluding comrol equipanm).
b. Av Pollution Comrol Equiposm -Eater the capita and annual operating cow of the eomrol equipmem ody.
8.d. ESTI711ATED START-UP DATE: Thin estimated date Wan the Divisim m anticipate when the required hupection f« final approval will be conducted. V the
prgen couiw alely of u activity, e.g., Led developmem, We dew is ikma gb and Sd will be the same. NO7~ Operation pri« m raeipt of a permit is
prohibited by Colorado Suave.
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9. ADEN FHJNG FEE: Pay S 100.00 Cd'mg (ee per APEN st thin time. Initial ind Final Anoroval Fees will be assesarA ve an hveAy me during pr«easing wad will
be nquerred by sepanm leper. ANNUAL PEES WILL BE BH,LED FOR EACD SOURCE REQUUiING AN APEN TO COYER THE COSTS OF
PERIODIC DVSPECTIONS AND ADMINISTRATION. AnmW fees w based ve the quamiry and type of poBtnama emitted. Far specific infotmatm related
b feu see AQCC Regulative No. 3, Sective VI. '
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17.a. The cow of aopyivg and mailing the aulyria wHl be charged m me appGcam. Pr«wing delays may «cur if then an queaiou ragarding;the ao•lysia.
b. Review requew will uaally add m hash pr«wing cow and ptoccasing time. The Division vill consider the regtrea m officul etneuive of the proceuiog
dcadliaes specified by the Am. 73e exteuive will coma of the mmber of days elapsed between Divisive mailing of the draft permit m the appfieam and receipt
of me appfiesmY commema by the Divisive. oat a exceed IS days. However, We Division is not broad w comider way co®ems received alter We IS day time
period lapses, ttdeu bath the Divisive and the appheam agree to • further enension of the pr«euirtg dudlines. Aay additives) rim: and charges incurrad by the
Divisive in providing • draft red correspondence with the spplium will be billed m the appficam.
NOTICE: ONCE AN APPLICATION IS RECEIVED, ALL PROCESSING TUNE WILL BE CHARGED REGARDLESS OF WHETHER A PERM17 IS ISSUED
OR NOT. IF A PROJECT IS CANCELLED, THE DIVISION SHOULD BE NOTIFIED W WRITING IAU1fEDIATELY. STATE WW' REQUIRES THAT
CONSTRUCTION PERMITS MAY NOT BE ISSUED UNTH. PROCESSING FEES ARE PAID. PRCsCFSSING FEES ARE BASED ON THE AMOUNT OF TlME
SPENT REVIEWING THE APPLICA'RON AND ISSUING THE PERMIT. '.
•Caaarnrtiaa Permit' mma the same r •Em®on Permit' a regrrind order Put B of the ngnlatioe e k rotted prior m JdY 1. 1997 and i+~ We permit rar~nd
mtdef seedoe ?S•1-1113, C.R.S., alter Joy 1, 1992.