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San ® Valley Air Pollution Control District <br /> www.valleyair.org <br /> Pennit Application For: <br /> L I AUTHORITY TO CONSTRUCT(ATC) -New Emission Unit <br /> X J TO CONSTRUCT(ATC) -Modification Of Emission Unit With Valid PTO/Vaiid ATC <br /> [ ] AUTHORITY TO CONSTRUCT(ATC) -Renewal of Valid Authority to Construct <br /> [ ] PERMIT TO OPERATE(PTO) -Existing Emission Unit Now Requiring a Permit to Operate <br /> I PERMIT TO BE ISSUED TO: <br /> ARCO#2093 <br /> 2. MAILING ADDRESS: <br /> STREETAP.O.BOX 3425 jum 8W <br /> 9-DIGIT <br /> CITY: Inux STATE:C.A. ZIP CODE= <br /> 3. LOCATION WHERE THE EQUIPMENT WELL BE OPERATED: WITHIN 1,000 FT OF A <br /> STREET: IMMAIRd. SCHOOL? [ ]YES [ I NO <br /> -------J4 SECTION_TOWN S.1 C.CODE(S)OF FACILITY <br /> _ RANGE_ (If known): <br /> 4. GENERAL NATURE OF BUSINESS:Retail Gas Station INSTALL DATE: <br /> 5. TITLE V PERMIT HOLDERS ONLY: Do you request a COC(EPA Review)prior to receiving your ATC(r$vt YES [X ]NO <br /> ----------PieweLmpleve and attach ag2MIAwweCert' kion form(?vFo,Rm.00g)? <br /> 6. DESCRIPTION OF EQUIPMENT OR MODIFICATION FOR WHICH APPLICATION IS MADE(include Permit 4's if known,and use <br /> additional them if necessary) <br /> Replace 4"diameter risers at 91fill&vapor recovery bu87 East fill&vapor recovery bucket to get proper installation height per VR-ION-E. <br /> 7. PERMIT REVIEW PERIOD: Do you request a three-or ten-day period to review the draft Authority to Construct 3-day review <br /> permit?Piense note that checking"YES7'will delay issuance of your final permit by a corresponding number of I0-day review <br /> Wo -init dM. See instructions for more information on this review mcess. I No review requested <br /> 8. HAVE YOU EVER APPLIED FOR AN ATC OR rx I YES [X ]NO Optional Section <br /> PTO IN THE PAST? 11.CHECK WIMTHER YOU ARE A <br /> If yes,ATCIPTO#: PARTICIPANT IN EITHER OF <br /> 9. HAVE ALL NECESSARY LAND-USE I-ME VOLUNTARY PROGRAMS: <br /> AUTHORIZATIONS BEEN OBTAINEEr.) YES )NO "SPARE THE AIR" <br /> itim attack aVlanation) <br /> (If"Nio"is eheckec4 pL ( iYes [ ]No [ ]Send info <br /> CS <br /> 10.IS THIS APPLICATION SUBMITTED AS THE YES [X I NO "INSPECT" <br /> RESULT OF EITHER A NOTICE OF VIOLATION If yes,NOVINTC#: [ ]Yes [ ]No [ ]Send info <br /> OR A NOTICE TO COMPLY? <br /> 12. TYPE OR PRINT NAME OF APPLICANT;Jeff Healey TITLE OF APPLICANT: <br /> 13. SIGNATURE OF APPLI DATE: PHONE#: 714 313-9140 <br /> 2/16/06 FAX 714 739-1499 <br /> E-MAIL- <br /> FOR CDU ONLY: <br /> DATE STAMP: FILING FEE <br /> RECEIVED: S, CHECK#: <br /> DATE PAID: <br /> PROJECT#: - FACILITY ID: <br /> Northern Regional Office 48M Enterprise Way*Modesto,California 95356-8719 (209)5574"*FAX(209)557-6475 <br /> Central Regioral Off-we* 199D East Gettysburg Avenue*Fresno,California 93726-02M (559)230-5900 FAX(359)230-6WI <br /> Southern Regional Office*2700 M Street,Suite 275*Bakersfield,California 93301-2370 (661)326-6900 FAX(661)326-6985 <br /> P-J..My A= <br /> E: -d LE96ir;36E99 H33114DE[dUO WU6S :g 900E IE qaj <br />