DEQ-CFW_00073233

CENTRAL OFFICE PERMIT TRACKING SLIP
Facility Name--BttRent'0MAQn C,%QMId::, Facility/Application ID: 0900009.14A
County/Regional Office: Bladen/FRO Engineer: lHeather Sands
Send Regional Office Copy of Application: OYes ONo
Acknowledgement Letter: ®Already Sent
Initial Event(s): ® TV-Ack./Complete
❑ TV-Ack./Incomplete add info
Fee Information:
Amount Due: ❑PSD orNSR/NAA $14,072
❑PSD and NSR/NAA $27,369
❑ TV Greenfield $ 9,295
❑ TV $ 904
❑ Ownership Change $60, $50, $25
m Renewal/Name Change — NA
Initial Amount Received: $0.00
Additional Amount Due: $0.00
Application Type:
❑Additional Permit
[]Administrative Amendment
❑Appeal
[]Greenfield Facility
[]Last GACT/roxics
[]Last MACT/Toxics
[_-]Modification
[]Name Change
[]New Permit
[]Ownership Change
®Renewal
O Please Send
❑ State Ack. Letter due
❑ State Ann. not accented — add info
Acceptance Check List:
Yes
No
N/A
Appropriate Number of Apps Submitted
®
❑
❑
# Received , #Needed
Application Fee Submitted
❑
❑
Zoning Addressed
❑
❑
Authorized Signature
0
❑
❑
PE Seal
❑
❑
Request for Confidentiality
❑
Application Contains Toxics Modification(s)
❑
m
❑
Permit Application Schedule:
❑Appeal ❑ Director Administrative Amendment
❑Expedited State ❑ State
❑PSD
❑TV — State Only
❑TV — 502(b)(10)
[]TV — Expedited
❑TV — Minor
❑TV — Greenfield
®TV — Renewal
❑TV — Reopen for Cause
❑TV — Significant (2Q .0501(c)(2))
❑TV — Administrative
❑TV — Significant
[]TV — Ownership Change
[]TV — I' Time
WEE Updated (by Engineer):
❑ Required Application Forms Submitted and Completed
❑ Supporting Materials & Calculations Received
❑ PE Seal (If 15A NCAC 2Q .0112)
❑ Modeling Protocol Acceptance
❑ Confirmation of Pollutants Modeled
❑ E5 Form (Significant Modifications)
WEE Verified: Supervisor: A( 4LV141 Chief-.J&Z cbl�
kRegulations Applicable to This Application (indicate all new regulations): Permit Class Information
SHAPS/MACT ❑ PSD/NSR ❑ Toxics/Combustion Sources After 7/10/10 Before After
SHAPS/GACT ❑ PSD/NSR Avoidance ❑ SIP Regulations (list all new): ❑ Small kTitle V
❑ NSPS ❑ Existing Source RACT/LAER
❑ 2D .1100 ❑ New Source RACT/LAER ❑ Title V
Minor
ElD Pro2Q .0711 ❑ RACT Avoidance jProh. Small
❑ RACT/LAER Added Fee*
XTO (i a *(Notfy Connie Horne) ❑General
HAP Major Status (after) 31 Major ❑ Minor ❑ Not Determined
PSD or NSR Status (after) ❑ Major ❑ Minor
Miscellaneous ❑ Multiple Permits at Facility ❑ Multi -Site Permit ❑ Recycled Oil Condition
Permit Dates Issue: Effective: Expiration:
IBEAM Closed Out By: Permit Number: Revision Number: ,
❑ Public Notice Publis ed ❑ Public Notice Affidavit (if not noticed via DAQ Website)
Document Manager Updated by Engineer: Date:
Tracking Slip v41 — cih GI T73
DEQ-CFW 00073233