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• INSTRUCTIONS FOR THE COMPLETION OF~ <br />APPLICATION FOR AN AfR POLLUTfON EMISSION PERMIT <br />The following ineruclioN for d10 CotlQlellOn Of the Applleallaa for Eettisrioa Pettait ^re 1111ed, lemnd, ^nd aumbeeW the Yule ^t WC ^ppllcable aeC110N Of tht Panel on tht <br />other ride. If ^ section doer rot apply, write 'N/A': QQ jgQj LEAVE . <br />NOTE: All infaraution wbatitted a pert of Nis permit epptiution wad ell data gercnfad by the Dirieion ae pert of prxeuing Nie pcrmit wdl be coruidered open to the publh <br />udeu confidtnti-1 vwtmem it requeeed in writing. All wch outeriale J~rQ b< (I) elrriy rtl^rked 'CONFIDENTLLL' ^rd (3) erclored in - >l~o^nte Y-led ewelop <br />awaked 'CONFmfiMfULL DIFORMATION' b enwn egsim ^ccidaat^1 nlrY. Conhdemulity it grained ody if the n1uY of each iafontlatioo would nwlt in ecornmk <br />di^eM-oge to the applic^m. If confidemi^lity i^ requeeed, the pivirioo will oaify you a! iY decirion ud, if denied, .Bow time for you b pnaem rdditioo-1 evidercl <br />jueilyirlg the Deed for eoafidamiality. N geronl, eoafideotiality nqueo wiO lMn^Y permit ptocerriug time. Urder no cinuwunerun emiuioar d-u bra held coofideoti^I <br />1. PERMIT ISSUED TO: Ise the dma of the person (e.g., coryontioo, p^rtoership, ^uociation, individrl owrcr, or govenurcnW agercy) to whom the permi~ <br />ie b be irwed ^td who will thenfon be lerpoodble for the operation of the scarce. <br />7.a. ACENT FOR SERVICE: Thit ie the person or cooglany leg-Ily rogouible for ell permit actior; thir tome it filed aiN the Colorado Secnury of Sute. If then <br />it m 'Agem for Service,' write 'N/A.' <br />7.6. Federal Tu m Number er oa record with Dep^nnlem of Revewe <br />d. GENERAL NATURE OF BUSINESS: Lie the bueimu utivity (ttwt p^aker, Ya mill, funtitun m-wf-cwnr, commemi^1 priming, tiro nuuding, etcJ. ALn, <br />lie the Stardard Indurtrial Clauific^tion (S.l.C.) for Chia type of burineu ^ctivily. <br />S.a. AIR POLLUTION SOURCE DESCRIPTION: Prov(de - brief deacriptian of the equipment being permitted ^nd the euociated emiuioo conuolr (e.g., tact fuu <br />boiler with baghwY, p-im bomb with puticul^te fibers). <br />NOTE: Mon thaw orc An Pollut^m Emiuion Notice (APElO m^y be Deeded with thi^ ^pp&^tion, if then ^ multipk roomer. Ody orc ^pplic-tioa form aeedt <br />m 6e completed. <br />b. Lie the muimum comber of d^yr per veer that the eource wi0 openY. <br />6.^. SOURCE ADDRESS: Do cot give ^ P.O. Bos. Thir is for the phyrbsl brtian of the .mace. Pbus ircluda ^ eo^p which iM:n.... dla es^ct loc^tioo a~ .howl <br />major toPoII^Phb frturw. !1 the source ie pmubk, iachrde the brtiaa^ ^~ d^YS when the ^ource hill be operated during duration of permit Cf knoo'~, <br />otharwiw, lie Ctrs opentirq brtiaa. <br />b. VTM eoardirter ^n ahowa oo US Oeobgiul Surny (1'apo) mspa (lie Wimde ^nd bogihde if UTMr Dot known). <br />7.-. ESTIMATED COSTS: Soume - Bmu eetim^ted capita coe of Wa e^rus .mace (rrcludieg oaaaol equ)pmsa0. <br />b. Av PoUutioo Comrd 6quipmem - Pater the upiW ^d .cord operating coo of the comrol puipmem ady. <br />6.^ )e ardor m limit ^ .Dame i paattli^1 b emit (PPE) for eriutb po4tmms, the Regtebtim No. 7 option tale be ehorn. border for ^ Dew .Dune b limit iu P7t <br />far N^Yrdwe Air Polluumr (NAPS), the Ragulatioa No. 7 mue ^Iso be chorea. Both the Ragul^tioa No. 3 sod R^gubtioa No. t options sn ^r-il^bb for u <br />exieiog rouse m limit iu PIE for NAPS. Public eommem mue be coeducted prior b Ne ieel^nce of soy atttiroaa permit that IimiY ^ ^ourcaY PI'6. <br />t.d. FSff1NATRD START-UP DATE: Thi^ a^tim^ted d^b ^Dowr the Division to e^sbipam when the rsquieed ioyxtiao far fwl apptov^I will be eoaduckd. Utht <br />project «erdra .ably of ^n ^etiviry, e.g., I^nd devebpmeal, the d^w b iYw db ^td 6d viR M the r^me. ~'d Operation prior r receipt of ^ permit u <br />prahibitad by Cobtado St^ttm. <br />9. APEN PILDVC FEE: Pay S 100.00 filing fr par APEN ^t thie rims. loitid ^ed FuYI Awrovrl Far will 6e ^sraesad m b hourly rate during proeaeaing end wi0 <br />M nqueeed by sspanb bmr. ANNUAL PEES WH.L BE BILLED POR EACH SOURCE REQU~tDVG AN APFAI TO COVER 7BE COSTS OF <br />PERIODIC D•IS4ECTIONS AND ADMDYISTRATION. Amud fees ^n bared o tM quam(ry ^d type of paUut^rr amimd. Far rpecifie iaformatioa rebtaE <br />m feu rr AQCC Regubtioa No. 7. Srtioa VI. <br />17.-. Ths cast of copying and rriEvg W^ ^rlyrie will M ch^tgsd m We ylpGcam. Ptocerruq dnbyr m^y occur if then ^n questiar ngardiog the arlysia. <br />b. Review nquso will uwlly ^dd b bah proeeeeiog tarts ^ad pracrdnj time, Ths Divirion will coa^ider the requea ^n ol5eial erlaouaa of the prrcerdry <br />drdlinee ^pecified by the Act. The estenirm will taerirt of the comber of days el^peed between Divirim m^iliug of the doll permit b the ^pplic^m ^d teceip <br />of the rpplic^m'r commeo by the Diriaioq cot b exceed 13 days. Howsrr, the Drririoa a cot bound b topsider any c^-~M^~-rseeired slier the IS d^y time <br />period I^prer, udw both the Division wad the applieam siteO m ^ Ihrtber adewioa of the proaaeeiog drdliner. Any -ddit)on^I time ^ad ch^ryee ircurrad by the <br />D(vieioe io prwidiug ^ dnR ^trd cotrs^prrodeaa with Ws appGeam will b^ billed b the appGeaar. <br />NOTICE: ONCE AN APPLICATION IS RECEIVED, ALL PROCESSING TRNE WILL BE CNARGED REGARDLESS OP WHETNFJI A PERMIT !S ISSIlP~ <br />OR NOT. IP A PROJECT IS CANCELLED, THE DIVISION SHOULD BE NOTIFIED IN WRITDVG RtMg,DUTFLY. STATE LAW REQUIRES THAI <br />PAOSSION fERhDTS MAY NOT BE ISSUED UNTIL PROCFSSDVG PEES ARE PAD). PROCESSING PEES ARE BASED ON 7HE AMOUNT OP 7'R1tE SP'FlVi <br />REV~WDYG THE APlI.ICATION AND ISSVDVC TIC PERMIT. <br />'Ern®m Perril• rers do rra r'CeeMrweliae Par>.it• r tpieed odv Pan D of Hi ngdYio. r it ®ts a14r Jdy 1. 1993 sd i lip Prmit roq~red odu <br />rtti^a SS-7-Ild3, C.R.S., agar Jdy 1, 1993. <br />