2008-08-14_GENERAL DOCUMENTS - C1980007

• Permit No: C1980007
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 8/14/2008
• Doc Name: Air Pollution Emission Notices Renewal of APCD Permit NO. 95GU508-4 and 95GU508-5
• From: Mountain Coal Company
• To: Air Pollution Control Division
• Permit Index Doc Type: Other Permits
• Email Name: TAK
• Media Type: D
• Archive: No

NON-CRITERIA REPORTABLE AIR POLLUTANT EMISSION NOTICE ADDENDUM
(See reverse side for guidance on completing this form)
Permit Number:
Company Name:
Plant Location:
Person to Contact:
E-mail Address:
AIRS ID Number:
County:
Phone Number:
Fax Number:
Zip Code:
Chemical Reporting Control Equipment/ Emission Factor Emission Uncontrolled Actual Controlled Actual
Abstract Service Chemical Name
(CAS) Number BIN Reduction (%) (Include Units) Factor Source Emissions (Ibs/year) Emissions (Ibs/year)
Reporting Scenario (1, 2 or 3):
Calendar Year for which Actual Data Applies:
Signature of Person Legally Authorized to Supply Data
Date
http://www.cdphe,state.co.us/ap/stationary.litinl Addendum revised December 4, 2006