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IIIII999 I <br /> _ MINED LAIN'D RECI.:,,";i10U <br /> C0I0. De0!. p! °050+_•CCJ. <br /> AIR POLLUTION CONTROL DIVISION - COLORAD0'DEPARr[ENT OF HEALTH <br /> .4210 E. llth Ave. , Denver, Colorado - 80220 - Ph: 383-6111, Est. 371 <br /> APPLICATION FOR EMISSION PERMIT <br /> This application shall be filled out completely; see instructions on reverse side. <br /> 1. .PEIUNIIT- TO BS ISSUED TO Telephone No. 221-15110 <br /> Ingleside Quarry <br /> 2. PEALING ADDRESS (include Zip Code) <br /> P.O.Box 906 LaPorte, Colo. 80535 <br /> 3. TYPE OF ORG:�NIZATION <br /> ❑ Corporation [x]Partnership DIndividual Owner Governmental Agency <br /> 4. aNERAL NATURE OF BUSINESS <br /> Limostong Pock Quarry <br /> 5. EQUIPMENT - Pursuant to Regulation No. 3 of the Colorado Air Pollution Control <br /> Commission, application is hereby :Wade for an Emission Permit for <br /> the following equipment; (Attach separate sheet where necessary) <br /> Rock Quarry and Rock Crusher (200,OOO.Tons per Day Capacity) <br /> 6,. E1c�1JY:•f:NT LOCATION ADDRESS : <br /> Horth U.S. 287 <br /> LaPorte, Colorado 80535 County: Larimer <br /> % EST111ATED COST OF EQUIPMENT OR ALTERATIONS <br /> Air .Pollurion Control Equipment $,)000 Basic Equipment <br /> Days per year equipment :✓i.11 be operated 250 <br /> 8. STATUS (Check and complete applicable items) <br /> 01 New Air Contamination Source Estimated Date Estimated Date <br /> Construction Construction <br /> [] Control Equipment Being Added Will Begin Will be Completed <br /> to Existing Source 1980 1980 <br /> 9. Check is enclosed to cover APPLICATION FILING FEE ® $40.00 <br /> .,.V' yu c <br /> 10. SIGNATURE OF LEGtLLY AUTHORIZED PERSON 11. DATE .OF APPLICATION <br /> 4/1/80 <br /> 12. 11Pe or print name and official title of person signing— this application. <br /> T.U.I:ussell General Partner-Oemer <br /> Data Received <br /> c <br />