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AIR POLLUTANT EMISSION NOTICE <br /> 'FBtM NAME �2�r-'tb.�T �o�f�vTV �So r.c:_n aG �o rn rn)gSlofv E.RS PERMIT NO- <br /> 'MAIL ADDRESS fo\5MAe OT I-\VF„CANOri �tt�, �a\Z 2 \ 1 PLANT LOCATION 0\),3N2p Vert COUNTY <br /> !PERSON TO CONTACTREGARDINO THIS INFORMATION KS K�co TITLE C—r'asU)-'ttaLt G):Ouv\S"T PHONE <br /> -GENERAL D IIIS PLANT'S FUNCTION FEDERAL TAX I.D. NO. 9A - (�Oo0 3 G r. <br /> A. GENERAL INFORMATION Normal Operation of Plant Process Seasonal Throughput(% of Annual) ADDI I IONAI.INtOWMATION OR RFAIARKS: <br /> No.of Employees Land Area flours/Day Hnurr/Year Days/Week Dec-Feb Mar-hlsy Jun-Arrg Sep-Nov <br /> S C) 8 DA 500 4 a \O 25 35 30 <br /> I B.STACK OR VENT INFORMATION (Identify below which:rack if plant has two or more: refer io attached sketeh of plant layout) NOT PAP I>Lt CAf3 LF- <br /> Height Diameter Temperature Fluw Rate V<lueity 'Moisture I plain 1D No. for Stack <br /> n n •F ACFhI n/olio 7 <br /> . FUEL INFORMATION N/p� Design Ram Kind of Fuel Annual Fuel Consumption Fuel healing Value. Per Cem by Weight Seasonal Fuel Use ('A of Annul Use) Spaet Ihg <br /> Description of Combustion Unit / (III•BTU/IIR) BarrreJ equested level Data year level (BTU/Ih" BTU/gal.os Sulfur Ash L)cc-Fct Mar May Tun-Aug Sep N„v (1 Asus) <br /> BTU/SCF) <br /> Id <br /> lake/Modal: <br /> trial No. <br /> D. PROCESS INFORMATION Raw Materials Used Raw Materiels-Annual Consumption Design Rate Finished Product Finished Product-Annual Output <br /> Description or Proves/sing Unit Description Requested level Data year level (5pecify Units/Iluur) Description Requested It el Uus year level <br /> �Q.avyN1NE4s�s Qio.�-rf" LS GCLA�sEL "�ibr 000T \00"TR —34�tGRn YGL �i OrhO�T" <br /> Make/Model: To gE Sv-P�Goa.ff'Rh�Efy . <br /> Festal No.: <br /> E. POLLUTION CONTROL EQUIPMENT Overall ::t FSTIh1ATED EMISSIONS ACTUAL ESTIMATION CHECK ALL BOXES THAT APPLY <br /> Collection (TONSI.YEAR)AT THROUGHPUTS EMISSIONS METHOD fl New or previously unreported source* <br /> Polluum Type of Control Equipment Efficiency RP-.QUMTED ABOVE (DATA YEAR) I_I Requesting moJifiotion of existing pennies t <br /> Primary Secondary CONTROLLED UNCONTROLLED U Change in emioiom,thmughpuw or egnipmtmt <br /> O Transfer of uwnetshi Lill revious raw er in REMARKS <br /> ...:: .....:.:.::;....: .. .... section of boa A.)t <br /> n <br /> ...:. ,, .. URelssceriono(Sourcet <br /> O Previous APEN is eapirhsgl <br /> Os ❑ Mandatory update or deferred repsmingt <br /> OC U Request for Emission Reduction Ciedit)t <br /> O :•:: :: • Complete all applicable pnninns of APEN <br /> P E A'C IAP AUUENUl1A FU T ;1'URT ® CHECK HERE IF YOU\VISIT THE DIVISION TO CALCULATE. YOUR i Compleu shaded areas('RequumJ'values) <br /> HAZARDOUS AIR POLLUTANT EMISSIONS OR OTHER t Complete all information chine boa A, and thorn <br /> t POLLUTANTS NOT LISTED ABOVE. EAf15510NS. SEE "EMISSION ESTIMATES" INSTRUCTIONS 11\ HACK. r<mainin oninor which re nect changes <br /> ignalum of Person Le al Authorized 1 Suppl Ds DATE: DATA YEAR (Set Instructions on Reverse): <br /> y--- p . Due source bt an or will begin up e...inn: <br /> YPed Name an Title: HS 1—�O j���rSCeMO r�lZCvhl�� g g <br /> NT4 ut P� <br /> THIS NOTICE IS VALID FOR FIVE YEARS. A revised notice shall be 1"Jed prior to this A $100 FILING FEE IS REQUIRED Mail to: <br /> expiration dale,stvhenever a pennil limitation must be modified, whenever control FOR EACII NOTICE FILED. C(ILl)RA IX) DEPARTMENT OF IIEALTIt 1PFN g (11 <br /> equipment is changed, and annually whenever a sigafpscanl emission change occurs. For APCD SS BI --- <br /> specific dejob see Regulation 3, Part A, { H.C.I. q)00 Cherry'Creek Drive South AIRS Ill (q l'C fI I151:1 <br /> For Infnnnalion,arB (303)692-3150. <br /> M, as, r Denver.Cnlogedn s0s??-IS]0 <br />