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~I <br />'APPLICATION TOR AIR POLLUTION EMISSION; PERMIT OR PERMIT MODITICATION <br />i. ~. ~.. ~ ',~ <br />This application must be filled out completelyezcept for q14 snd q15: olhervvise, application will be considered incomplete -SEE <br />INSTRUCTIONS ON REVERSE SIDE. Mail completed application APENs end filing fee to: <br />Cofomdo Department of lfeallh ~ <br />APCD-SS-B! : I <br />, <br />4300 Cherry Creek Drive South ~ ~ ~ : ~ , <br />D <br />l <br />80222 <br />C <br />d <br />1530 <br />o <br />- <br />crtver, <br />ora <br />o <br />Telephoae: 303)692-3150 <br />I. Permit ro Le lssutd to: I'. <br />):nergy Puels Mining Company ~ <br />i <br />2. MnilingAddrus: P.O. Box 449, I'lorence, Colorado 81226 •I State:; <br />Corporate Address: One Tabor Center, 1200 17th St. St. Suite 25001' <br />l <br />Denver, CO 80202 tipCod <br />: <br />3e. Agent for Service (See No. 3 nn reverse): M r . Philip Goldsmith i 'p <br />I <br />~ i <br />36. Fedcrnl Tnz ldentifirntion Nunrher• 8 4 -10 6 5 613 <br />4a. Cenern! Nature of Business: M 1 n i n g 46. S/C Code: 1211 <br />Sa. Air Pollution Source Description: Coal Mine Reclamation Site 56, pays per yenr so~rce will <br />~ operate: 13 Of ~ ~ ' <br />6a. Source Location Address (Include Location MapJ: 66. U77kf Coordinntesl (in knrJ <br />SW 1/4, Sec36, T.33S,R.64W, 6th P.M. S43.2H [~~OB_.ZV <br />3 miles south of Trinidad, Colorado on I25 <br />nr,.:,ro.,.~,;,,ww„~,uwan~imwa~~r~..,,~~e.~.a----~-r County: Las Animas <br />7. GSTIMATGD COSTS: Air Pollution Control Procedures or Equipmenl <br />7a. Source, Process Equipmau or Project: 76. Capital Cost: $ h / a ~ <br />~i. <br />Cap. Cost S n/ a ~ <br />7e. Operating Cost: S n/ a I <br />8a. STATUS ' <br />kk New Air Pollution Source ~~ <br />^ Modificntion to Permitted Source (Control Equipment added, process change, eta J: ~ ~~ ' <br />^ Transfer of Ownership - Trnnsjetred from: ~ <br />^ Ezlsring Source- not pernirted (Include Dnte ojSource Smr-up): i , I <br />^ Other. I I <br />Projected Dates jot Construction to: Projected Source Startup Date: 1 I <br />86. Begin: 2/ 9 4 8e. End: 6/ 9 5 Sd. 2/ 9 4 ~ <br />9. Enclose check m mver APEN F/LINC FEES. One APEN shotdd he filed jot ench emission poim ~ ' <br />N07E: i AdditionnJ processing fees must also be pnid prior to ernrit issunttce. <br />l Op0 <br />0 0 <br />1 <br />. <br />APENS ®5100.00 per APEN = j <br />I0. S/GNATURE OF LEGALLY AUTf10 PERSON (NOT Vendor or l le. Date Signed: 116. Tele/ihoire No.: <br />Equipment ManujadurerJ Q <br />„.I ~E~_ ( ' <br />?~/~/~j~ \719 718-6395 <br />12. Type or'Print nnme mu( official title ojperson signing item !0. y 4Js~ O <br />l <br />A <br /> <br />Senior Mine. Engineer enc <br />n <br />v <br />6 <br />Allen S. Weaver 14. DATERECEIV•ED: <br />~ <br />r <br />. <br />13. Chcrk appropriate box if you want: ~ <br />'rl '. ~ <br />Division <br />a <br />limina <br />annl <br />sis conducted G <br />^ C <br />j ' <br />y <br />. <br />ry <br />y <br />, <br />opy o <br />pre <br />b. ^ . To review a drnfi ojdre permit prior to issuanceT IS. PERMIT NUM BERI <br />nat. ~r .w:. r~ ~e .tee. to rage fa.wa P.~..~ r:R. sm aM.... <br />i <br /> <br />