PERMFILE119181

• Permit No: M1981235
• IBM Index Class Name: Permit File
• Doc Date: 10/23/1981
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

AI P, POLLUTION CONTROL DIVISION - COLORADO DEPARTMENT OF HEALTH
4210 E. llt~venue, Denver, Colorado 6022( Phone: [phone]
APPLICATION FOR EMISSION PERMIT
This app~ication shall be filled out completely - see instructions on reverse side.
1. PERMIT TO BE ISSUED TO: Telephone No. 303-486-0427
I+IEBSTER SAND AND GRAVEL INC
2. h1AILING ADDRESS (include zip code):
c/o Peter Cosgriff, P,O, Box 11; Leadville, Colorado 80461
3. TYPE OF ORGANIZATION:
/ x !Corporation /Partnership /Individual Owner /%Governmental Agency
4. AGENT FOR SERVICE:
Charles 1Jebster
5. GENERAL NATURE OF BUSINESS:
Sand and Gravel
6. AIR POLLUTION SOURCE: Pursuant to Regulation No. 3 of the Colorado Air Quality
Control Commission, application is hereby made for an
Emission Permit for the following air pollution source
(attach separate sheet where necessary):
Crushing Plant
7. SOURCE LOCATION ADDRESS:
Portions of sections 20 and 21, T85 RSOLJ COUNTY(IES): Lake
8. . ESTIMATED COST OF SOURCE OR MODIFICATIONS: Process
Air Pollution Control Equipmentl~ater spray Equipment Crusher & Scree
Days Per Year Source Will Be Operate Od
9. STATUS (check and complete applicable items):
L~New Air Pollutant Source Estimated Date Estimated Date
~Control Equipment Being Construction Construction
L
___
Added to Existing Source Will Begin Will Be Completed
L~Activity Change Nov, 1981 Nov, 1981
10. Check is enclosed to cover APPLICATION FILING FEE /~ $40.00
(see No. 10 on reverse side of this form)
11. ANTICIPATED START-UP DATE I 12. DATE OF APPLICATION
Nov, 1981 I Oct, 12, 1981
13. SIGNATURE OF LEGALLY AUTHORIZED PER50N
14. Type or print name and official title of person signing this application.
Charles 4Jebster e
Date Received 15. REMARKS:
Applicant request copy of the preliminary
engineering analysis,
AF'~U LUUC (Kt Y. 3/tSUJ