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PPLICATION FOR AIR POLLUTION EMISSION PERMIT OR PERMIT MODIFICATION <br />This app6ution must be filled out completely except for NI4 cad N15: otherwise, application will be considered incomplete -SEE <br />STRUCIIONS ON REVERSE SIDE. Mail wmpleted application APENs and filing foe to: <br />~ <br />Colorado Dcporonent of Health <br />APCD•SS-BI <br />X300 Cherry Crrck Drive South <br />Dcnver, Colorado 80221-1530 Tckphont: (303)691-3150 <br />1. Permit to be iasucd ro: <br />Bear Coal Company, Inc. <br />2. MaGngAddrers: P.O. Box 518 Start: CO <br />Somerset, tip Ct~de: S1 439 <br />3a. Agent jor Scrvitt (Ste No. 3 on rc+rrse): N/A <br />3b. Federal Tax ldenttfication Number: ^ 9 - 0 y 2 31 1 0 <br />4a. General Natare ojBurinus: 4b. SIC Codt: <br />Coal Mining <br />Sa. Air PollutionSourttDercriprion: Conveyors, Haul Roads, Sb.DaysperytarsourccwiU <br />Screenin Plant Stock files and loading coal. operae: 275 <br />tier. Scum Location Address (include Location Map): 6b. U7M Coordinator (n 1rmJ <br />Immediately East of Somerset, CO __-'_H ___-'_V <br />.qr~q.rw~,uR~~re:~.Gm..~w~w>r.,.~rp.r County: Gunnison <br />IINATED COSTS: Air Pollution Control Procedures or Equipment <br />7a. Sourtt, Prottss Equipment or Project: 7b. Capital Cost: S N /A <br />Cap. Cost S N/ A 7c. tlptraing Cost: S N/ A <br />Sa. STATUS <br />O New Air Pollution Sourtt <br />~ Mod~caion to Permitted Source (Control Equipment addcd, prottss drangt, erc.):Add temporary GOB pile <br />^ Transfer ojOwnership - Tranrjerred from: <br />^ Existing Sourtt- not permitted (Include Date of Sourtt Start-up): <br />^ Other: <br />Projcttcd D1uts jor Corutrriuan to: Prajcded Source Smrrup Date: <br />86. Begin:Sept. 1 993 Sc. End: Sept. 1 99 Sd. Sept. 1 993 <br />9. Enclose cheat to rnver APEN FILING FEES. One APEN should be flied jor each emission point <br />N07E: Additional processing fees must also be paid prior to permit issuantt. <br />1 APENS ®575.00 per APEN = S 7 5 .0 0 ' <br />l0. SIGN.lTURE OF LEGALLY AUI710R2F~ PERSON (VOT Vendor or l la. Date Signed: l Ib. Telcphone No.: <br />~ulpmem Manujaaurcry <br />-3-`;~ / <br />X303 ~ 929 <br />5775 <br /> - <br />2. Iype or Print Wane and offirial title ojperson signing iron 10. <br /> ~encv Use Only <br /> l9. DATE RECEIVED: <br />A <br />?k appropriate box ii you want: <br />Copy ojpreliminary analysis cnnduaed I <br />Division <br />ry <br />^ To review a draft ojthe permit prior to issuantt? 15. PERMIT NUMBER <br />e: O.~ aWa+ Ye mSl ~T b 1va,d V ~d/.,.ewdy Yu. L u.... <br />