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REP03941
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REP03941
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Entry Properties
Last modified
8/24/2016 11:34:53 PM
Creation date
11/26/2007 10:40:10 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1994114
IBM Index Class Name
Report
Doc Date
11/18/1997
Doc Name
ADMINISTRATIVE RECORD
Media Type
D
Archive
No
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APPLIC:ITIO\ - R AIR POLLUTI0\' EMISSION PERU'- OR PER~11T i1lODIF1CAT10N <br /> <br />Tci s appli:a4oo mace be filfrA o'ai complr~rly exe: pt (er ; I~ anG n 15: oliIDtR'I52, ]pp11CdIWn u'tll bt rortifdcfed +a.ompk:r -SCE <br />ItiSTRUCTIONS Oh REVERSE SIDE. 1,1ai1 mmplried a; plialion APC•Ns and Cline (re iu: <br /> Calamdo Department aJ flealrh , <br />i APCD-SS-Bf ~° <br /> <br />~ J300 Che!7 Creek Dr're South ° <br />IYmer, Color^~a S0_'1?-1530 e ° ~ ~ Telephone. (JQ.')64?-. /i0 <br />1 <br />~ <br />I P(er--i: ro br isuef rc: ° ~ <br />Si=~~rli Li. ~~..~,~~~ O <br />I <br />z. <br />AfeiG:.g nddrrsr: s:er[: '.~. <br />i 207 Plo. Orchard <br /> Fzmineton, 71pCa.'e:S'=D1 <br />Sa. r~rr_•Jor S[nir_ (Ste h'e. 3 or. rnrrseJ: <br /> <br />i 3b. Fc~rra! Tnf 1..^.'rr;icaricr.'~_ni6er: $~-0~'~:0;3 <br />i <br />~ <a. <br />C:rcral 1Ja!ur[ e! B:ttir: css: <br />+b. SIC Code: <br />~ Sznd and Gravel Pi ~`''~ <br />~ Sa. ,fir Pollu:ior. So.rc[ Da r.i,:icr.: .b. Dn~s per rrerta~rcc k:!i <br />~ euei it t'2 Du. = epnare' _ 1 3S davS <br />~~ (~S. SOUrrf fACCfiOn .!LdrEil (In C~I:~1f (,Orarlan ,'•1CDJ: Gb. UTbf COafdina/Gf (Ia .TJ <br />~ T35r!, P.I=S;, Secticr.s 2 and li H ~' <br />~' i;ortnzzs= 3-1/2 .:..1=> to Flancos, Colorado <br /> e..t,,;~~,Nr,::.,-e.-..v. ea, ..ei.ae>,..,~_,R~~..>;i Counry; F!ontezurra <br />~ 7. ESTRLITED COSTS: Air Pollution Control Procedures or Equipment <br />~ i.. Source, Process EeQipmec: arProjrcr: 76. CapiralCotr: $ 10 be de~erainee <br /> <br />' <br />~P~ Cost S TC ~'_ d?~er-,ined I! <br />7c. OpcrariagCosr: STo c' de:er~ined <br /> <br />' Ea. i <br />STATUS <br />~~ l.'[x~ rtir Pollution. Source <br />~'~ ^ bfodfcarior. ro Fermiued Saurcr (Cor:rrol Eguipr..rr: e~'cd, prows change, rrc.J: <br />i ^ TrarJfer oJO~..r.[rship - TrcruJrned from.: <br />i D . E-risrin8 Source- r.e1 prrmi:rr~ (lr.cl:cdr Dare of Sourtt Srar-up J.' <br />~ Cl Onc~r: <br />i <br />Projured pates Jor Consfrvcnon ro: <br />Projrrred Saurrr Startup Ikre: <br />i Sb. Begin: Sus^zr 1995 Sc. Ead: !Ol ~ Sd. SUrCer 19°5 <br />i <br />9. <br />Enclose check !o eo+tr APEN FQ.Ih'G FEES. Oee d°ch'thould 6r filed for each rrrittion point <br />i h'OTc': .1 rldiriorml praeusirg jeu must afso be pcid prior ro perrnir issuance. <br />j one (11 APENS p SI0O.O0 per ADEN = S 1M.f1r1 <br />j 10. SIGh'.tTURe` Of I~GALLS'.1,UTNOP.nFn Pe'F.SO`1 (A'OT Verufar or I la. Dare S:gre?~ 116. T[frpF,enr ;:e.: <br />~ Ey' ~ipmcn: blar.ufc curer) ~ i/ ~' ~~7 325-x'•.55 <br /> <br /> I <br />I?. ,Ttpe or Print r:ac:r art a.Ei tin! ri:1c of person sinning ircw 10. <br />' <br />' <br /> Atrac+ L <br />sr Onl+~ <br />ST~PFIEi! H. !:i',!iEY, individually <br /> <br />i I.. DATE RECEIVED: <br />I• 13 . Cl+ecl: appropriate box i(~ou µ~anl: <br />a C~S Copy of prelim.-ar)' cr.;!vtit [adiicrrd by Df•: itior: <br />b. ^ TO rrcr(x' a d/f.I' 0J f!4 p[nn11 prior r0 !Stuanrr] I5. PERAfII . (~ (~ (~ 4 3 <br />~ <br />~ ee <br />~ \ <br />I ,~4~~~m mt ~i~~nv -,61s, ~vr ,~m~ej ,:n. La is rt~a <br />C`uta <br /> <br />
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