AQ_F_0700122_20000912_PRMT_PmtApp

SECTION A
FACILITY for(General In matron) JA1
REVISED:04/15/94 AIR QUALITY SECTION-APPLICATION FOR AIR PERMIT TO CONSTRUCT/OPERATE
FACILITY NAME:
RAILING ADDRESS: SITE ADDRESS: i
CITY: WnghinatrIn CITY: NC COUNTY:
STATE: NC ZIP CODE: 27RRq ZIP CODE:
CONTACT PERSON: Mi kp Clood TITLE:
ELEPHONE: — FAX:
OWNER OF FACILITY: Fountain Powerboats- Inc.
MAILING ADDRESS: 1653 Whichard's Beach Rd
CITY: Washington STATE: NC I ZIP CODE: 27889
CONTACT PERSON: Mike Good TITLE: Safety Coordinator
ELEPHONE: 2-975-7002 FAX: [phone]
DESCRIBE TYPE OF OPERATION: Powerboat Manufacturing Plant
SIC CODES : 3732 DESCRIPTION OF PRIMARY SIC GROUP: Fiberglass 1 r
ber lass Boat Manufact r
FACILITY UTM EAST: OR LATITUDE: 35 deg. 31 mi n. 50 se
COORDINATES UTM NORTH: LONGITUDE:77 deg. 02 min. 28 se
HAVE YOU INCLUDED( )CONSISTENCY DETERMINATION( )SOURCE REDUCTION&RECYCLING FORM D3-3 AND( ) APPLICATION FEE?
FACILITYIS: TITLE V FACILITY NON-TITLE V FACILITY SYNTHETIC MINOR
.r TITLE V INDICATE APPLICABILITY 1 2 3 4 5 (CIRCLE ALL THAT ARE APPLICABLE)
"PPLICATION IS BEING MADE FOR(CHECK ALL THAT APPLY,NOTE:(TV)INDICATES APPLICABILITY TO TITLE V FACILITIES ONLY):
( ) NEW FACILITY (X INITIAL TITLE V PERMIT(TV) ( ) RENEWAL(TV)
( ) MODIFICATION ( ) NEW FACILITY(TV) ( ) PSD(TV)
EXISTING EMISSION SOURCE(S) ( ) MINOR MODIFICATION(TV) ) NON-ATTAINMENT(TV)
( ) SIGNIFICANT MODIFICATION(TV) ( ) 112(g)(TV)
IF APPLICATION IS BEING MADE FOR ANY OF THE FOLLOWING,FORM A2 MUST BE ATTACHED TO THIS FORM.-
ADMINISTRATIVE AMENDMENT CHANGE OF OWNERSHIP ( ) RELOCATION(WITHIN FACILITY)(TV)
( ) ADMINISTRATIVE AMENDMENT(TV) CHANGE OF OWNERSHIP(TV) ) LIKE-FOR-LIKE REPLACEMENT
( ) RENEWAL RELOCATION(WITHIN FACILITY) ( ) LIKE-FOR-LIKE REPLACEMENT(TV)
502(b)(10)NOTIFICATION(TV)
HAVE YOU INCLUDED: (X)FLOW CHART(S) ( )o ROOF DIAGRAM (X)PLANT LAYOUT (X)PLOT PLAN (X)AREA DIAGRAM
CURRENT/PREVIOUS PERMIT NO: Qoz5RQ5 EXPIRATION/DISCONTINUED DATE: 3 31 2002
DO YOU CLAIM CONFIDENTIALITY OF DATA YES X NO (SEE INSTRUCTIONS)
SIGNATURE OFAESP E COMPANY OFFICIAL: TITLE: DATE:
X
YPED) r a 9/12/00
DEPARTMENT USE ONLY: RECEIVED: ASSIGNED TO: PREMISE NUMBER:
APPLICATION NUMBER: RETURNED: COMPLETE: REVIEW DATE:
PERMIT NUMBER: DATE ISSUED:

SECTION E
TITLE V COMPLIANCE CERTIFICATION E5
REVISED:04/15/94 AIR QUALITY SECTION
In accordance with the provisions of Title 15A NCAC 20 .0520 the responsible company official of:
(COMPANY NAME) Fountnin Pnwerhonts, Tnr
(COMPANY ADDRESS) 1653 Whi chard's Rench Rnnri
(CITY, NC) Wnshi ngtnn
(COUNTY) Renufnrt
(PERMIT NUMBER) 06175R05
certifies that:
1. for applicable requirements with which the facility is in compliance, the facility shall continue to comply with
such requirements;
2. for applicable requirements that will become effective during the permit term, the facility shall comply with
such requirements;
3. for applicable requirements for which the facility is not in compliance at the time of permit issuance, a
narrative description of how the equipment will achieve compliance with the applicable requirements has
been submitted to the North Carolina Division of Environmental Management; and
4. the facility shall fulfill applicable enhanced monitoring requirements and submit a compliance certification
as required by the EPA and 40 CFR Part 64.
Schedule for Submission of Compliance Certifications During the Term of The Permit:
Frequency of Submittal Annually Beginning ��/�Q_/?????
The undersigned certifies under the penalty of law that all information and statements provided in the application,
based on inform jon and belief formed after reasonable inquiry, are true, accurate, and complete.
CTv� date 09 12 00
Signature of responsible company official
Mr. Anthony R. Romersa ,C00 (Chief nPprntinc, officer)
Name, Title of responsible company official e or not

SECTION A
FACILITY for(General In matron) JA1
REVISED:04/15/94 AIR QUALITY SECTION-APPLICATION FOR AIR PERMIT TO CONSTRUCT/OPERATE
FACILITY NAME:
RAILING ADDRESS: SITE ADDRESS: i
CITY: WnghinatrIn CITY: NC COUNTY:
STATE: NC ZIP CODE: 27RRq ZIP CODE:
CONTACT PERSON: Mi kp Clood TITLE:
ELEPHONE: — FAX:
OWNER OF FACILITY: Fountain Powerboats- Inc.
MAILING ADDRESS: 1653 Whichard's Beach Rd
CITY: Washington STATE: NC I ZIP CODE: 27889
CONTACT PERSON: Mike Good TITLE: Safety Coordinator
ELEPHONE: 2-975-7002 FAX: [phone]
DESCRIBE TYPE OF OPERATION: Powerboat Manufacturing Plant
SIC CODES : 3732 DESCRIPTION OF PRIMARY SIC GROUP: Fiberglass 1 r
ber lass Boat Manufact r
FACILITY UTM EAST: OR LATITUDE: 35 deg. 31 mi n. 50 se
COORDINATES UTM NORTH: LONGITUDE:77 deg. 02 min. 28 se
HAVE YOU INCLUDED( )CONSISTENCY DETERMINATION( )SOURCE REDUCTION&RECYCLING FORM D3-3 AND( ) APPLICATION FEE?
FACILITYIS: TITLE V FACILITY NON-TITLE V FACILITY SYNTHETIC MINOR
.r TITLE V INDICATE APPLICABILITY 1 2 3 4 5 (CIRCLE ALL THAT ARE APPLICABLE)
"PPLICATION IS BEING MADE FOR(CHECK ALL THAT APPLY,NOTE:(TV)INDICATES APPLICABILITY TO TITLE V FACILITIES ONLY):
( ) NEW FACILITY (X INITIAL TITLE V PERMIT(TV) ( ) RENEWAL(TV)
( ) MODIFICATION ( ) NEW FACILITY(TV) ( ) PSD(TV)
EXISTING EMISSION SOURCE(S) ( ) MINOR MODIFICATION(TV) ) NON-ATTAINMENT(TV)
( ) SIGNIFICANT MODIFICATION(TV) ( ) 112(g)(TV)
IF APPLICATION IS BEING MADE FOR ANY OF THE FOLLOWING,FORM A2 MUST BE ATTACHED TO THIS FORM.-
ADMINISTRATIVE AMENDMENT CHANGE OF OWNERSHIP ( ) RELOCATION(WITHIN FACILITY)(TV)
( ) ADMINISTRATIVE AMENDMENT(TV) CHANGE OF OWNERSHIP(TV) ) LIKE-FOR-LIKE REPLACEMENT
( ) RENEWAL RELOCATION(WITHIN FACILITY) ( ) LIKE-FOR-LIKE REPLACEMENT(TV)
502(b)(10)NOTIFICATION(TV)
HAVE YOU INCLUDED: (X)FLOW CHART(S) ( )o ROOF DIAGRAM (X)PLANT LAYOUT (X)PLOT PLAN (X)AREA DIAGRAM
CURRENT/PREVIOUS PERMIT NO: Qoz5RQ5 EXPIRATION/DISCONTINUED DATE: 3 31 2002
DO YOU CLAIM CONFIDENTIALITY OF DATA YES X NO (SEE INSTRUCTIONS)
SIGNATURE OFAESP E COMPANY OFFICIAL: TITLE: DATE:
X
YPED) r a 9/12/00
DEPARTMENT USE ONLY: RECEIVED: ASSIGNED TO: PREMISE NUMBER:
APPLICATION NUMBER: RETURNED: COMPLETE: REVIEW DATE:
PERMIT NUMBER: DATE ISSUED:

SECTION E
TITLE V COMPLIANCE CERTIFICATION E5
REVISED:04/15/94 AIR QUALITY SECTION
In accordance with the provisions of Title 15A NCAC 20 .0520 the responsible company official of:
(COMPANY NAME) Fountnin Pnwerhonts, Tnr
(COMPANY ADDRESS) 1653 Whi chard's Rench Rnnri
(CITY, NC) Wnshi ngtnn
(COUNTY) Renufnrt
(PERMIT NUMBER) 06175R05
certifies that:
1. for applicable requirements with which the facility is in compliance, the facility shall continue to comply with
such requirements;
2. for applicable requirements that will become effective during the permit term, the facility shall comply with
such requirements;
3. for applicable requirements for which the facility is not in compliance at the time of permit issuance, a
narrative description of how the equipment will achieve compliance with the applicable requirements has
been submitted to the North Carolina Division of Environmental Management; and
4. the facility shall fulfill applicable enhanced monitoring requirements and submit a compliance certification
as required by the EPA and 40 CFR Part 64.
Schedule for Submission of Compliance Certifications During the Term of The Permit:
Frequency of Submittal Annually Beginning ��/�Q_/?????
The undersigned certifies under the penalty of law that all information and statements provided in the application,
based on inform jon and belief formed after reasonable inquiry, are true, accurate, and complete.
CTv� date 09 12 00
Signature of responsible company official
Mr. Anthony R. Romersa ,C00 (Chief nPprntinc, officer)
Name, Title of responsible company official e or not