application for authority to construct and permit to operate

3433 Roberto Court, San Luis Obispo, CA 93401Phone: (805) 781-5912 FAX: (805) 781-1002Email: info@slocleanair.orgWeb Site: www.slocleanair.orgWINE OPERATION PERMIT APPLICATION FORM (continued)7. Stationary Engines 50 Hp and Larger (If applicable)(For multiple engines that are not identical, attach the following information for each engine.)Manufacturer: Model: Serial No:Engine Size bhp @ rpm Year of Mfg. Year of installationNumber identical enginesEPA certification No., if known:Generator Mfg: Model: Rating: kWType of Use:direct-drivefire pump backup generator Other (specify)8. Hot Water Heater And Boiler Data For Units Rated At 500,000 Btus/Hr and Larger(For multiple boilers that are not identical, attach the following information for each boiler)Boiler Manufacturer: Model: Serial No:Burner Manufacturer Model: Serial No:Heat Input Rating (mmBtu/hr) Fuel type Year of Mfg. Year of InstallationNumber of Identical Boilers9. Historical Storage and Fermentation DataYear:White Wine Fermentation(gallons)Red Wine Fermentation(gallons)Peak wine volume stored in Barrels at anytime during the year (gallons)20052006200710. Tank Data attached Yes (note form is required)I hereby certify that all information provided on this application, and its plans, attachments, and supplemental forms, istrue and correct. I agree to pay any and all fees required by District rules for processing this application and forissuance of any Authority to Construct or Permit to Operate. If I abandon this project and withdraw my application, orshould my application be disapproved, I agree that the obligation exists to compensate the District for time spentprocessing my application.11 SIGNATURE: 12. DATE:13. PRINT NAME:14. ORGANIZATION:H:\ENGINEER\FORMS\On-Line\GeneralForms\Winery_App_2011.doc Page 2 of 4 August 2011