REV17355

• Permit No: M1978172
• IBM Index Class Name: Revision
• Doc Name: EXHIBIT M OTHER PERMITS & LICENSES ANTELOPE HILL GRAVEL PIT
• Type & Sequence: AM1
• Media Type: D
• Archive: No

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This application must be filled out completely except for p14 G p15; otl+erwise, application
will be considered incomplete - SEE IIISTRUCTIONS ON REVERSE SIDE. Hail completed application,
HPEIIS, and filing fcc to: stationary Sources Program, Air Pollution Control Division,
Colorado DeCartmcnt of licatth, 4210 East 11th Avenue, Ocnvcr, Colorado 80220. (303/ 33I-8576)
I. PERMIT TO DE ISSUED T0:
Delta County
1AILING ADDRESS:
501 Palmer Street, Delta
1GEN7 FOR SERVICE See No. 3
State: Colorado
ZIP CODE: 81416
on reverse);
Delta County Commissioners
4a. GENE ML IIATURE OF DUSINESS: +b. SIC Code:
County Government
5a. AIR POLLUTION SOURCE DESCRIPTION: CIiECK IF EQUIP. IS PORTABLE Q 5b. Days per year
source will operate
Gravel Pit Operation - Screen Plant ZZ
a. SOURCE LOCATION ADDRESS: Check if map included: XX b. UT11 Coordinates
(+n k"')'
Section 35, T14S, R981d, 6th P.M.
COUNTY Delta _ _ _ _ H _ _ _ _ V
7. ESTIMATED COSTS: Air Pollution Control Procedures or Equipment:
7a. Source, Process Equipment or Project: 76. Capital Cos[:$ n/a Annualized :$ n/a
Cap. n/a'
Cost: $_ h/a Annualized:$
7c. Operating Cost $
1,920.0 /y r.
a. STATUS
® I1ew l,ir Pollution Source
^ Existing Source Change (Control equipment added, process change , etc.):
^ Other':

P~o~er.2edpeemni
~• P
f~ryeacSructr;onL
i Projected Source Sta rtup Date:
.
erm
t
86. Brain: 1989 8c. End: unknownLif 8d, Fall of 1989

9. Enclose check to cover APEN FILING FEES. One APEN should be filed for each emission point:
9 ~D~DO
1 APEtIs ( 0:00 per APEN $ 60.00
I t1ATUIlE OF LEGALL A THORIZED PERSON NOT vendor Ila. DATE SIGNED: Ilb, TELEP110NE t10.:
or quil+ment m ntrf-e urer): i [phone]
t 7 1989
12. T p or print name and official tr le of person signing item 10. Agency Use Only_
IG. DATE RECEIVED
.V. "Jim" Coan, Commissioner Chairman
13. Check appropriate box if you wan[:
a. ^ Copy of preliminary analysis conducted by Division
b. ^ To review a draft of the permit prior to issuanceT
NOTE: +;hecking either item could result in incrcaseJ fees 15. PERMIT NUnOER
~~r processing time, Scc Rcvcrse.
APCD:55P: (lieu. 11/81 - 1214f)
DocA 2000