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4300 Chevy Creek Dr S AP, )S-B 1 } Phone: (303) 692-3150 <br />_Denver, Colorado 80246-15jy Fax: (303) 782-0278 <br />RELOCATION NOTICE FOR PORTABLE SOURCES <br />Company Name: A&S Construction Company Phone:( ) 719-275-4555 <br />Address ofHomebase: 839 MacKenzie Avenue Fax:( ) 719-275-8897 <br />Canon City, Colorado 81212 <br />Emission Permit Number: O1 P0003 2 <br />List all equipment covered by this Permit (trclude Make, Model, Serial No., Capacity, etc.): <br />D-mription Year Make Modes Serial # . Max Throughput* <br />Asphalt Plant-2000 Gencor Ultradrum 40040P-105290-01-4A 400 ton/hr <br />Present Facility or Location Namc:tKsGf i+ Section: Townshi : g : p <br />Direction and distance from nearest town: .34, County- / o? 1CD <br />3o?S7/ C e J/ C D fluty 13 fo -soh ate.-vac <br />Phone:. ) -2 ?S' SS V <br />New Facility or Location Name: j9'".4o rt z-4C / f- Section: Township: Range: <br />Direction and distance from nearest town: l 9S 70t1? Countyeo?? <br />Y31 4k ("'04 Iro <br />Phone: 7719 --?ZS- Isis . ? STD E 7e <br />Provide a complete emission inventory of all emission units already operating at the new site:. <br />pescription Year Make Y Model Serial # Max Throughput* P e r m i t # <br />Anticipated duration at this site: <br />Date of Relocation: <br />(Relocation notices must be received by the Dtvtston at least ten (10) days vrior to relocation). <br /> <br />Official <br />Date <br />Name and le of Signing Official (Please print) <br />John P. Ar Secretar -Treasurer <br />For Division Use Only <br />Date Received: Relocation Recorded: Copies Sent To: <br />bore. AI RetiisedAir Pollueartr Emission Notice APED It be led w*en a st i team change in emissions oavn as r Ired by R eeU (anon 3 P. 3 Pan A.IfC.2. <br />*See other side for instructions -> <br />k`CPUF0RMS.98AUtELO_POR.93A