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AIR POLLUTION CONTROL DIVISION - COLORADO DEPARTMENT OF HEALTH <br />4210 E. 11th Avenue, Denver, Colorado 80220 - Phone: 320-4180 <br />APPLICATION FOR EMISSION PERMIT <br />This application shall be filled out completely - see instructions on reverse side. <br /> PERMIT TO BE ISSUED T0: Telephone No. (801? 539-3470 <br /> Western Slope Carbon, Inc. <br />2. MAILING ADDRESS (include zip code): <br /> P.O. Hox 1526 - 315 Fast 200 South - Salt Lake City, Utah 84110 <br />3. TYPE OF ORGANIZATION: <br /> [~~Corporation [Partnership L~Individual Owner [Governmental Agency <br /> <br />4. Tam Mun S intendent Catherine V. Chachas <br />AGENT FOR SERVICE: I-Iawk's I est ~i <br />s <br /> n <br />e or Envisonrre~tal FSZgineer <br /> Scrnerset, Colorado 81939 tern Sl~nP Carbon, Inc. <br />5. GENERAL NATURE OF BUSINESS: 315 East 2nd South <br /> Salt Lake City, Utah 89110 <br /> Underground Coal Mining <br />6. AIR POLLUTION SOURCE: Pursuant to Regulation No. 3 of the Colorado Air Quality <br /> Control Commission. application is hereby made for an <br /> Rail IAadout <br />Emission Permit for the following air ollution source <br /> at Hawk's Nest Mine <br />(attach separate sheet where necessary <br />7. SOURCE LOCATION ADDRESS: <br /> <br />COUNTY(IES): Vlmnison <br />2 miles east of Somerset Colorado <br />8. ESTIMATED COST OF SOURCE OR MODIFICATIONS: Process <br /> Air Pollution Control Equipment none Equipment ~" <br /> Days Per Year Source Will Be Operat- e~ 350 <br />9. STATUS (check and complete applicable items): <br /> /%New Air Pollutant Source Estimated Date Estimated Date <br /> L~Control Equipment Being Construction Construction <br /> Added to Existing Source Will Begin Will Be Completed <br /> /Activity Change operating ~ <br />10. Check is enclosed to cover APPLICATION FILING FEE /~ $40.00 <br /> (see No. 10 on reverse side of this form) <br />11. ANTICIPATED START-UP DATE I 12. DATE OF APPLICATION <br /> operating Oct. 1, 1980 <br />13. SIGN <br />ATURE OF LEGALLY AUTHORIZED PERSON <br /> /) <br />14. Type or print name and official title of person signing this application. <br /> Catherine V. Chachas, Environmental Engineei <br />Date Received 15. REMARKS: <br />APCD "1000 (REV. 3/80) <br />