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AIR POLLUTANT EMISSION NOTICE PERMIT No.: AIRS ID.: / / <br /> FIRM NAME F2ErIoNT CovyTY /2oA2D of ('o�s�lcsSiovE/zS <br /> MAIL ADDRESS t�/t In4CO U5e C4AJo fJ C//Y _ __ STATEC19 ZIP: — <br /> PLANT NAME&LOCATION /.2 u/dO/1 aI/c/ /P/T COUNTY L(lL <br /> REQUEST PORTABLE SOURCE PERMIT HOME-BASE FOR PORTABLE SOURCE _ <br /> PERSON TO CONTACT REGARDING THIS INFORMATION 4NAVLTf/ !4ZCO TITLEGEa0C1(S7' PHON 7 /7) _ / <br /> GENERAL DESCPJP77ON OF THIS PLANr'S FUNCTION FEDERAL TAX I.D.NO. GL^2J_ <br /> A.GENERAL INFORMATION Normal Operation of This Source Process Seasonal Throughput(% of Annual) ADDITIONAL INFORMATION OR REMARKS: <br /> No.of P.mployees Land Area Hours/Day Days/Week Weeks/Year Dec-Feb Mar-May Jun-Aug S Nov <br /> iz s 30 /0 3o ao 3�0 <br /> B.STACK OR VENT INFORMATION (Identify below which stack if plant has two or more; refer to attached sketch of plant layout) <br /> Heigh) Diameter Temperature Flow Rate Veloclry Moisture Plant ID No. for Stack <br /> ItR °F ACFM fUmin % <br /> C.FUEL INFORMATION Design Input Rate Annual Fuel Consumption Fuel Hearing Value: Per Cent by Weigh I Seasonal Fuel Use(%of Amoral Use) Spam Htg <br /> (10 BTU/HR) Kind of Fuel (BTU/Ib.BTU/gal,or (%Arm.) <br /> Dolan of Combustion Unit Burned Requested level Data year level BTU/SCF) Sulfur Ash -Fe Mar-May bun-Aug Sep-Nov <br /> akUModel: <br /> Serial No. <br /> PROCESS INFORMATION Raw Materials Used Raw Materials-Annual Cousurnittion Design Process Rate Finished Product Finished Product-Amaral Output <br /> Description <br /> Description of Processing Unit Description Data year level (Specify Units/Hour) Requested level Data year level <br /> Requested level <br /> Aoo'T oo bans cn <br /> rTC Yrr �i(/r <br /> Make/Model: <br /> Send o.: <br /> .POLLUTION CONTROL EQUIPMENT Overall ESTIMATED EMISSIONS ACTUAL ESTIMATION CHECK ALL BOXES THAT APPLY <br /> oliulant Type of Control Equipment Collection (TONS/YEAR)AT THROUGHPUTS EMISSIONS METHOD ❑ New or previously unreported source* <br /> Efficiency REQUESTED ABOVE (DATA YEAR) ❑ Requesting modification of existing permit}; <br /> Primary Secondary CONTROLLED UNCONTROLLED ❑ Change in emissions,throughputs or equipmentt <br /> a cc (List <br /> Transfer of ownership <br /> (List previous owner In REMARKS section of box A.)$ . <br /> Mu 0 Previous APBN A expiringt <br /> ❑ Request for Emkxiun Reduction Credijtt <br /> °' _ O (Specify) <br /> O, Complete te a app a po <br /> rtions of APEN- <br /> Voc t Complete-Requested Level"values far pertnll limits <br /> 0 t Complete all Information above box A. and those remaining <br /> CHECK HERE IFYOU K79H THE DIVISION'ro CALCULATE YOUR pardons which reflect changes <br /> LLUTANT ADDENDUM FORM TO REPORT SUCH EMISSIONS.SF.E"EMISSION ESTIMATES"INSTRUCTIONS ON <br /> LLUTANTS OR POLLUTANTS NOT LISTED ABOVE. BACK. <br /> lgnuturc o n Le gW41 y A iftr IW to 5Su ' O ( ee nstructions on event: <br /> ypnl Na a Till <br /> : te source began r w"1 be N ration: <br /> 1ab�v4T <br /> TICE S A revla dot ice a e Apr or lot A 1 FILING FEE IS REQUIRED Colorado pt.of is Environment ____o <br /> explradoo date,whenever a It <br /> litailsllea mutt be modified, whenever eon rob egtdproen FOR EACH NOTICE FILED. Air Pollution C, ,T Division <br /> Ia ehauged,and mnuagy,whenever a di alficanl ealwoa chaWugea occurs.Par aDpeetclBe dMull° 4300 Cherry Creek Drive South,APCD-SS-BI Par Information,Call <br /> see Rogulallmn 3, Pan A, 1 II.C.1. t:/CPUFORMS.98A\GEN_APBN.98A nd corn bated fortes will(tee to: Denver,Colorado 8M6.1530 (303) 692.3150 <br />