<p> KNOX COUNTY DEPARTMENT OF AIR QUALITY MANAGEMENT FORM APC-24 (Please Type or Print) Asphalt Plant Source Data Permit Application</p><p>Please fill out a form for each asphalt plant 1. Business license name of corporatio n, company, individual owner, or governme For KCDAQM Use Only ntal agency under which the applicatio n is submitted :</p><p>Source Number</p><p>2. Emission unit Process Number name:</p><p>3. Operating schedule: Hours per day Days per week Weeks per year Days per year</p><p>4. Percentage of yearly operation that occurs during the following quarters (total must equal 100%): Dec-Jan-Feb Mar-April-May June-July-Aug Sept-Oct-Nov</p><p>5. Dryer data: Dryer Dryer model Dryer date manufactured manufacturer number</p><p>Normal batch Normal batches Maximum  Batch time per day batches per day Type of Process: Operating rate (tons/hr)  Continuous</p><p>Average Maximum</p><p>6. Attach a sketch of the plant showing bins, feeders, conveyors, rotary dryers, elevators, screens, hot bins, mixers, silos, product discharges, control equipment, and pertinent process equipment. 7. Fuel data:</p><p>Revision R0 Page 1 of 3 1/3/2017 KNOX COUNTY DEPARTMENT OF AIR QUALITY MANAGEMENT FORM APC-24 (Please Type or Print) Asphalt Plant Source Data Permit Application</p><p>Primary fuel type (specify) Standby fuel type (specify)</p><p>Fuels used Annual usage Hour usage % sulfur % ash BTU value Design Average of fuel 6 3 3 3 Natural gas: 10 ft ft ft 1020 BTU/ft3</p><p>3 #2 Fuel oil: 10 gal gal gal</p><p>3 #4 Fuel oil: 10 gal gal gal</p><p>3 #5 Fuel oil: 10 gal gal gal</p><p>3 #6 Fuel oil: 10 gal gal gal</p><p>3 Liquid propane: 10 gal gal gal 91,500 BTU/gal Other (specify type & units):</p><p>Other (specify type & units):</p><p>8. Exhaust stack data: Height above Diameter (ft) Temperature Distance to nearest property line (ft) grade (ft) (°F)</p><p>Flow (actual Velocity (ft/sec) Moisture Moisture (percent) 3 3 Data at exit ft /min) (grains/ft ) conditions:</p><p>Flow (dry Velocity (ft/sec) Moisture Moisture (percent) 3 Data at standard (grains/ft ) 3 standard ft /min) conditions:</p><p>9. Air Emission Actual Control contamina estimate emissions devices* nts: method code* Control Efficiency (%) Emissions Concentration (lbs/hr) Average Maximum Particulate ** Average matter emissions (tons/yr)</p><p>Sulfur dioxide PPM</p><p>(SO2)</p><p>Carbon PPM monoxide (CO)</p><p>Revision R0 Page 2 of 3 1/3/2017 KNOX COUNTY DEPARTMENT OF AIR QUALITY MANAGEMENT FORM APC-24 (Please Type or Print) Asphalt Plant Source Data Permit Application</p><p>Organic PPM compounds</p><p>Nitrogen oxides PPM</p><p>(NOX)</p><p>Fluorides</p><p>Greenhouse gases (CO2 equivalents) Other (specify)</p><p>* Refer to tables on page 2 of APC-3 (Source Emission Data) for estimation method and control device codes ** Exit gas particulate matter concentration units: grains/dry standard ft3 (70°F) 12. Description of operating parameters of control device (flow rate, temperature, pressure drop, etc.):</p><p>13. Comments:</p><p>14. Signature of the Date of application: responsibl e official: </p><p>Revision R0 Page 3 of 3 1/3/2017</p>