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LEIA-01 Part 70 Low-Emitting Facility General Permit Insignificant Activities Required to be Listed Air Quality Permit Program Doc Type: Permit Application

Refer to the Handbook and Application Instructions for the Part 70 Low-Emitting Facility General Permit for form instructions.

Facility Information

a) AQ Facility ID No.: b) Agency Interest ID No.: c) Facility Name: 1) Does the facility include insignificant activities that are required to be listed?

No. Done with this form Yes. List them in the following table.

Rule Citation Description of Activities at the Facility 7007.1300, subp. 3(A)

7007.1300, subp. 3(B)(1)

7007.1300, subp. 3(B)(2)

7007.1300, subp. 3(C)

7007.1300, subp. 3(D)

7007.1300, subp. 3(E)(1)

7007.1300, subp. 3(E)(2)

7007.1300, subp. 3(F)

7007.1300, subp. 3(G)

7007.1300, subp. 3(H)(1)

7007.1300, subp. 3(H)(2)

7007.1300, subp. 3(H)(3)

7007.1300, subp. 3(H)(4)

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-leia01 • 1/9/15 Page 1 of 2 Rule Citation Description of Activities at the Facility 7007.1300, subp. 3(H)(5)

7007.1300, subp. 3(H)(6)

7007.1300, subp. 3(H)(7)

7007.1300, subp. 3(I)

7007.1300, subp. 3(J)

7007.1300, subp. 3(K)

7007.1300, subp. 4

7008.4100

7008.4110

www.pca.state.mn.us • 651-296-6300 • 800-657-3864 • TTY 651-282-5332 or 800-657-3864 • Available in alternative formats aq-f4-leia01 • 1/9/15 Page 2 of 2

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