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AIR POLLUTION~NTROL DIVISION - COLORADO DEP~MENT OF HEALTH <br />4210 E. 11th nue, Denver, Colorado 80220 hone: 320-4180 <br />APPLICATION FOR EMISSION PERMIT <br />This application shall be filled out conpletely - see instructions on reverse side. <br />1. PERMIT TO BE ISSUED T0: Telephone No. 303-486-0427 <br /> IdEBSTER SAND AND GRAVEL INC <br />2. t4AILING ADDRESS (include zip code): <br /> c/o Peter Cosgriff, P,O. Box 11; Leadville, Colorado 80461 <br />3. TYPE OF ORGANIZATION: <br /> /x //Corporation /Partnership /-7;ndividual Ov~ner /%Governmental Agency <br />4. AGENT FOR SERVICE: <br /> Charles Webster ' <br /> <br />5. _ <br />GENERAL NATURE OF BUSINESS: <br /> Sand and Gravel <br />6. AIR POLLUTIOtJ SOURCE: Pursuant to Regulation No. 3 of the Colorado Air Quality <br /> Control Commission, application is hereby made for an <br /> Emission Permit for the following air ollution source <br /> (attach separate sheet where necessary: <br /> Pit Area <br />7. SOURCE LOCATION ADDRESS: <br /> Portions of Sec, 20 & 21, T8S, R8O1d COUNTY(IES): Lake <br />8. ESTIMATED COST OF SOURCE OR MODIFICATIONS: Process <br /> Air Pollution Control Equipment ay Equipment <br /> Days Per Year Source Will Be Operate 9 d <br />9. STATUS (check and complete applicable items): <br /> / x /New Air Pollutant Source Estimated Date Estimated Date <br /> ~~Control Equipment Being Construction Construction <br /> Added to Existing Source Will Begin Will Be Completed <br /> L~Activity Change Nov, 1981 Nov, 1981 <br />10. Check is enclosed to cover APPLICATION FILING FEE /~j $40.00 <br /> (see No. 10 on reverse side of this form) <br />11. ANTICIPATED START-UP DATE I 12. DATE OF APPLICATION <br />13. SIGNATURE OF LEGALLY AUTHORIZED PERSON <br />14. Type or print name and official title of person signing this application. <br /> Charles 1Jebster Pres. <br />Date Received 15. REMARKS: <br /> Applicant request copy of the preliminary <br /> engineering analysis, <br /> Air pollution control also includes stock- <br /> piling, <br />APCD 2000 (REV. 3/80) <br />