<p> AIR QUALITY BUREAU Form 2.0 502 E 9th St Des Moines IA 50319</p><p>Operating Permit Application - Part 1 FORM 2.0: EMISSION POINT INFORMATION Form 2.0 Page of 1. Company/Facility Name: 2. EIQ Number: 3. Emission Point (EP) Number: 4. Emission Point Description: 5. Is this stack/vent used as an Emergency Bypass Stack? Yes No If Yes, for which stack(s)? List Emission Point Numbers: </p><p>EMISSION POINT INFORMATION 6. EP Type Vertical Stack/Vent Fugitive (specify) Wall Vent Other (specify) 7. Stack Shape and Dimensions: (interior dimensions at exit point) Circular Diameter: in. Rectangular Dimensions: in. x in. Other Dimensions in. 8. Stack Height Above Ground: ft.</p><p>9. Stack Location UTM Coordinates Easting (meters): Zone 14 Zone 15 UTM Zone and Datum: Northing (meters): NAD 27 NAD 83 10. Does the EP have a rain cap (or anything else) which obstructs the flow of gases leaving the EP? Yes No If Yes, specify: </p><p>11. Exhaust Stream Information Exhaust Stream Characteristics Units of Measure Exhaust Stream Value a) Flow Rate ACFM or SCFM b) Temperature Deg F 12. Bypass Stacks associated with this Emission Point Bypass Stack – Bypass Stack EP Number: Description Bypass Stack – Bypass Stack EP Number: Description 13. List of Emission Units (EU) Venting through this Emission Point EU Number EU Number EU Number EU Number</p><p>14. List of Control Equipment (CE) Associated with this Emission Point CE Number CE Number CE Number CE Number</p><p>15. List of Monitoring Equipment (ME) Associated with this Emission Point ME Number ME Number ME Number ME Number</p><p>12/2017 cmc Type or print all information DNR Form 542-4013 Duplicate this form for each emission point</p>