<p> 1 SAN DIEGO AIR POLLUTION CONTROL DISTRICT 2 SUPPLEMENTAL APPLICATION San Diego APCD Use Only INFORMATION FEE SCHEDULES Appl. No.: 07A, B ID No.:</p><p>SAND, ROCK, AND AGGREGATE PLANTS</p><p>1Company Name: </p><p>2Equipment Address: </p><p>31. PLANT DESCRIPTION</p><p>4Location: </p><p>5Portable: Yes No Fixed: Yes No </p><p>6Proposed Date of Installation: Material Processed: </p><p>7Source/Location of Material: </p><p>8Operating Schedule: hrs/day days/week weeks/year Attach plan drawing showing entire plant configuration</p><p>92. CRUSHER SYSTEMS (07A)</p><p>10Primary Crusher: Manufacturer: </p><p>11 Size: Serial #: Throughput: tons/hr</p><p>12 Product: Inches Type of Dust Control: </p><p>14Secondary Crusher: Manufacturer: </p><p>15 Size: Serial #: Throughput: tons/hr</p><p>16 Product: Inches Type of Dust Control: </p><p>18Secondary Crusher: Manufacturer: </p><p>19 Size: Serial #: Throughput: tons/hr</p><p>20 Product: Inches Type of Dust Control: </p><p>22Tertiary Crusher: Manufacturer: </p><p>23 Size: Serial #: Throughput: tons/hr</p><p>24 Product: Inches Type of Dust Control: </p><p>263. MATERIAL SCREENING SYSTEM (07B)</p><p>27Primary Screen: Manufacturer: </p><p>28 Size: Serial #: Static or Vibrating: </p><p>3Rev. 3/03 1 of 2 (07A,B) OVER 30 # of Decks: Throughput: Product: inches</p><p>31 Serving Crusher #: Type of Dust Control: </p><p>4 2 of 2 (07A,B) 33Secondary Screen: Manufacturer: </p><p>34 Size: Serial #: Static or Vibrating: </p><p>36 # of Decks: Throughput: Product: inches</p><p>37 Serving Crusher #: Type of Dust Control: </p><p>39Tertiary Screen: Manufacturer: </p><p>40 Size: Serial #: Static or Vibrating: </p><p>42 # of Decks: Throughput: Product: inches</p><p>43 Serving Crusher #: Type of Dust Control: </p><p>454. MATERIAL CONVEYORS</p><p>46List all belt, screw, or bucket conveyors used to transfer material between equipment listed in Sections 2 and 3. 47Include belt widths, capacities, and lengths:</p><p>48 </p><p>49 </p><p>505. STATIONARY INTERNAL COMBUSTION ENGINE DESCRIPTION (If applicable)</p><p>51Manufacturer: </p><p>52Model: Serial #: Consumption: gal/hr</p><p>53Grade of Fuel: BHP Rating: Maximum Load: KW</p><p>546. HAUL ROAD DESCRIPTION (Attach Sketch)</p><p>55Surface: # of Lanes: Length: miles</p><p>56Road Dust Control: Frequency: Method: </p><p>57Speed Limit: mph Types of Vehicles: </p><p>58# of Wheels: Weight Empty: Weight Loaded: </p><p>597. MATERIAL STORAGE</p><p>60Method of Storage: Piles Yes No Enclosed Bins Yes No</p><p>61Volume of Material Storage: </p><p>62Type of Dust Control: </p><p>63Method of Loadout: </p><p>64Name of Preparer: Title : </p><p>65Phone No.: ( ) Date : </p><p>NOTE TO APPLICANT: Before acting on an application for Authority to Construct or Permit to Operate, the District may require further </p><p>5 2 of 2 (07A,B) information, plans, or specifications. Forms with insufficient information may be returned to the applicant for completion, which will cause a delay in application processing and may increase processing fees. The applicant should correspond with equipment and material manufacturers to obtain the information requested on this supplemental form.</p><p>6 2 of 2 (07A,B)</p>