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APPLICATION FOR CONSTRUCTION PERMIT OR PERMIT MODIFICATION <br />SEE INSTRUCTIONS ON REVERSE SIDE. Mail completed application, APENs, and filing fee to: <br /> Colorado Department of Public Health and Environment <br /> Air Pollution Control Division <br /> 4300 Cherry Creek Drive South, APCD-SS-Bl <br /> Denver Colorado 80246-1530 Tele hone: 303 692-3150 <br />1. Permit to be issued to: Mountain Coal Company L.L.C., West Ells Mine <br />2. Mailing Address: P.O. Box 591 <br /> Somerset, Colorado <br /> 81434 <br />3. Agent for Service: C.T. Corporation System, 1675 Broadway, Denver, CO 80202 <br />4. General Nature of Business: Underground Coal Mining and Associated Coal Processing <br />5. Air Pollution Source Description: Double roll crusher, screens, rotary breaker, conveyors, storage piles, train loadout, <br /> and associated mobile equipment. <br /> SIC code (if lmown) 1211 Is this a Portable Unit? No <br />6. Source Location Address (Include Location Map) If portable, include the initial location and home base location <br />Section 16, T13S, R90W,6th PM, approximately one mile east of Somerset, Colorado, off State Highway 133 <br /> <br /> <br />7. STATUS <br />^ New or Previously Unreported Source <br />^ Requesting Modification of Permitted Source (Control Equipment added, process change, etc.): <br />^ Change in Emissions, Throughputs, or Equipment <br />^ Transfer of Ownership - Include an Administrative Amendment Form <br />^ Requesting to limit a source's Potential to Emit (Synthetic Minor) for criteria or Hazardous Air Pollutants using <br /> Regulation No. 3 (far new and existing sources) <br />^ Requesting to limit a source's Potential fo Emit for Hazardous Air Pollutants only using Regulation No. 8 (for existing <br /> sources only) <br />® Other: ADEN UPDATES ONLY <br />9. Projected or Existing Source Startup Date: N/A <br />10. Enclose check to cover ADEN FJLING FEES. One APEN should be filed for each emission point/or group of points <br /> TE: Additional processing fees must also be paid prior to permit issuance. <br />N <br />O <br /> ' <br />~ <br />~ ~ <br />~ -~~ <br />~; 9-11-2003 <br /> Signature Of Legally Authorized Person (,NOT Vendor or Equipment Manufacturer) Date Sigaed <br /> Gene E. DiClaudio, President Phone: (970) 929-5015 <br />Type or Print Name And Official Title Of Person Signing Above Fax: (970) 929-5050 <br />11. Check appropriate box if you want: For Division Use Only: <br /> ^ Copy of preliminary analysis conducted by Division Permit Number: <br /> ® To review a draft of the permit prior to issuance AIRS ~; <br />Nore: Checking eirhm item wultl resWt w inmosd t v end/ar yrocesswg umc. Scc Rewse. <br />Revised July 2001 htto~//www cdphe state co us/ap/stationary a~ <br />