RECE~VE~

CLERK’S OFFICE

-

STATE OF ILLINOIS

)

Pollut~OflControl Board

)

PCB ~4-

)

(Tax Certification)

)

NOTICE

Dorothy M. Gunn, Clerk

Larry G. Leman

Illinois Pollution Control Board

L&M Pork Farm, Inc.

James R. Thompson Center

1931

County Road 1050N

100 West Randolph Street, Suite.

11-500

Secor, IL

61771

Chicago, Illinois 60601

Steve Santarelli

Illinois Department of Revenue

101 West Jefferson

Post Office Box 19033

Springfield, Illinois 62794

PLEASE TAKE NOTICE that I have today filed with the

Office ofthe

Clerk of the Pollution

Control Board an APPEARANCE AN)

THE RECOMMENDATION of the Illinois Environmental

Protection Agency, a copyof which is herewith served upon you.

ENVIRONMENTAL PROTECTION AGENCY

OF THE STATE OF ILLiNOIS

By:

~4LA

J

mes Allen Day

A s~ ant Counsel

Division of Legal Counsel

DATED:

December 3, 2004

Illinois Environmental Protection Agency

1021

North Grand Avenue East

Post Office Box

19276

Springfield, Illinois 62794-9276

217-782-5544

DEC

06

200k

BEFORE

L&M PORK FARM, INC.

(Property Identification Number

ILLINOIS ENVIRONMENTAL

PROTECTION AGENCY

Respondent.

)

)

THIS FILING IS SUBMITTED ON RECYCLED

PAPER

---

)

)

PCBO4~

)

(Tax Certification)

)

)

)

STATE OF ILLINOIS

Pollution Control Board

APPEARANCE

The undersigned,

as one of its attorneys, hereby enters an

APPEARANCE

on behalf of the

Respondent, Illinois

Environmental Protection Agency.

DATED:

December

3, 2004

Illinois Environmental Protection Agency

1021

North Grand Avenue East

Post Office Box

19276

Springfield, Illinois 62794-9276

217-782-5544

ENVIRONMENTAL

PROTECTION

AGENCY OF

THE STATE OF ILLiNOIS

By:

Allen Day

CLERK’S OFFICE

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

DEC

062004

L&M PORK FARM, INC.

(Property Identification Number

Petitioner,

Respondent.

Division of Legal Counsel

THIS FILING

IS SUBMITTED ON RECYCLED PAPER

---

RKS OFFICE

BEFORE

THE ILLINOIS POLLUTION CONTROL BOARD

DEC

062004

-

STATE OF ILLINOIS

L&M

PORK

FARM, INC.

)

Pollution

Control Board

(Property Identification Number

)

14-01-300-005)

)

Petitioner,

)

PCB 04~

)

(Tax

Certification)

ILLINOIS ENVIRONMENTAL

)

PROTECTION AGENCY

)

Respondent.

)

RECOMMENDATION

Now Comes the Illinois Environmental Protection Agency (“Illinois EPA”) by James Allen

Day, one ofits attorneys, and pursuant to Section

125.204 ofthe Illinois Pollution Control

Board’s (Board) regulations files the

following Recommendation regarding the tax certification

ofwater pollution control facilities pursuant to 35

III. Adm.

Code 125204.

1)

On May 8, 2003, the Illinois EPA receivedthree requests from L&M

Pork Farm,

Inc. for

Illinois EPA recommendations regarding the tax certification ofwater pollution control

facilities pursuant to

35

Ill. Adm. Code 125.204, and noted the requests as log numbers

TC-07-03, TC-08-03

and TC-09-03. (Exhibit A)

2)

The applicant’s address is:

L&M Pork Farm, Inc.

1931

County Road

1050N

Secor,IL

61771

3)

The water pollution

control facilities in this request are located at Section

1,

Township 26

North, Range

1

Wast ofthe

3rd

Principal Meridian in Woodford

County, Illinois at the

above street address and consist of the following:

Livestock waste management facilities consisting ofone concrete manure pit (33

ft. x

96 ft. x

8 ft. deep) with one concrete agitation and pump out pit (4 ft.

x

4 ft. x

8

ft.)

and the concrete slotted portion ofthe flooring over the manure pit in

one

THIS FILING

IS SUBMITTED

ON

RECYCLED PAPER

---

swine building; one concrete manure pit (12

ft. x 64 ft. x

8 ft. deep) with one

concrete agitation and pump out pit (6 ft. x

6

ft.

x

8 ft.)

and the concrete slotted

portion ofthe flooring over the manure pit in one swine building; and one

concrete manure pit (12 ft. x 50 ft.

x

8 ft. deep)

with the concrete slotted portion

ofthe flooring over the manure pit

in one swine building.

4)

These livestock waste management facilities are used to

collect, transport, and/or store

livestock wastes prior to

cropland application.

5)

Section 11-10 ofthe Property Tax Code,

35 ILCS 200/11-10 (2000), defines “pollution

control facilities” as: “any system, method, construction, device or appliance appurtenant

thereto or any portion of any building or equipment, that is designed, constructed,

installed or operated for the primary purpose of:

(a) eliminating, preventing, orreducing

air or waterpollution

.

.

.

or (b) treating, pretreating, modifying or disposing of any

potential solid,

liquid or gaseous pollutant which if released without treatment,

pretreatment modification or disposal might be harmful, detrimental or offensive to

human, plant or animal life, or to property.”

6)

Pollution control facilities are entitled to preferential tax treatment, 35 ILCS

200/11-5

(2000).

7)

Based

on the information in the application and the purpose ofthe facilities

(collecting,

transporting and/or storing livestock wastes prior to

cropland application), it is the Illinois

EPA’s engineering judgment that the described facilities may be considered “pollution

control facilities,” pursuant to 35 Ill.

Adm. Code

125.200(a), with the primary purpose of

eliminating, preventing, or reducing waterpollution, or as otherwise provided in

35 Ill.

Adm.

Code

125.200.

Therefore, the facilities are

eligible for tax certification from the

THISFILING

IS SUBMITTED

ON RECYCLED PAPER

---

Board.

8)

Therefore, the Illinois EPA recommends that the Board issue the requested tax

certification.

Illinois

Environmental Protection

Agency,

By:____

J~nes

Allen Day

L)

~.—4ssistant

Counsel

Division ofLegal Counsel

December 3, 2004

Illinois Environmental Protection Agency

1021

North Grand Avenue East

Post Office Box

19276

Springfield, Illinois

62794-9276

217-782-5544

THIS FILING IS SUBMITTED

ON RECYCLED PAPER

---

)

STATE

COUNTY OF SANGAMON

)

)

)

)

PROOF OF SERVICE

I, the undersigned, on oath state that I have served the attached APPEARANCE AND

RECOMMENDATION, upon the person to

whom it is directed, by placing a copy in an

envelope addressed to:

Dorothy M. Gunn,

Clerk

Illinois Pollution Control Board

James R. Thompson Center

100 West Randolph Street, Suite.

11-500

Chicago, Illinois

60601

Steve Santarelli

Illinois Department ofRevenue

101 West Jefferson

Post Office Box

19033

Springfield, Illinois 62794

Larry G. Leman

L&M

Pork Farm, Inc.

1931

County Road 1050N

Secor,IL

61771

and mailing it from Springfield, Illinois on December 3, 2004 with sufficient postage affixed for

first class mail.

SUBSCRIBED AND SWORN TO BEFORE ME

this third

day ofDecember, 2004

(,,~~otaryPublic

.•~:~•

OFFICIAL

SEAL

CYNTHIA L. WOLFE

NOTARY PUBLIC, STATE OF ILLINOIS

:~:

MY COMMISSION EXPIRES

3.2O~2OO7:i:

THIS

FILING IS SUBMITTED

ON RECYCLED

PAPER

---

This

Ag~scy is

~ithosized

to

rcqu~t

this

~ifosmabon

und~Illinois Rcviscd Ststnea, W79,

Chapta

120, Sreticin 502a.5. Disclosure

of

this

iufounatioii is voluntzxy.

Howcvis~,failure to

comply

could

prevcot

y~

app&atio~

from

being proccszcd ~

dreaultin dcnisl of

your

applic~ionfor ccitillcMiou.

APPUCATION FORCERTIFICATION

(PROPERTY

TAX TREATMENT)

POLLUTION

CONTROL

FACILITY

AIRD

WATER

~

IWNOIS ENVIRONMENTAL

PROTECTION

AGENCY

P.O. Box

19276, Sprioglleld, IL

62794-9276

FOR AGENCY

USE

F~NO.

Date

Received

Certification

No.

Date

Sec.

A

,..

~

~

~

Company Name

*-

rv~ Pa

c

~_-

rh—’

c~

Person Authorized to Receive Certification

Person to Contact

forA&Ilhional Details

LA-v~-rV

~.

/ek~~-~-~’

StreetMdres(s

SbeetMdress

/~3/

Cou~v~

/o~~~&J

Municipality. State & Zip

dode

Municipality, State & Zip

Code

?‘~oc~*r

~‘L

Telephone

Number

Telephone

Number

(~o~)

7C/C(ay7y

Location of Facility

Municipality

Township

Quarter

Section

Township

Range

-

~

/

,

~

~

.~

StreetMdress

County

Bcak Number

~O~/

/~bj4)

~oo~c~

Property Identification Ntanber

~‘

Parcel Number

,1~7’—O/

—zoo

-

Sec.

B

0

~°)

~

~

~o

a

Nature

of

Operations

Conducted

at

theAbove

Location

Ft~

~

~

~j

id1~-’~

~1~-

Watar

Pollution

Control

Construction Permit No.

Date Issued

NPDES PERMIT No.

.

I~eIssued

I

~~°°

~

Air

Poflution

Control Construction

Permit No.

Date Issued

Air Pollution

Control Operating Permit

No.

Date Issued

-

Sec. C

~

E

~,

D(~)

~

~

~

Describe Unit Process

~

~

Materials Used

in

Process

MAY

C

•.~.

~

ILLINO’-’

LIJI//RONMENTAL

P.~QTECTIONAGENCy

BOV~l1f~!?c/pER

MIT

SECTION

Sec.

D

~

t~

Describe Pollution Abatement

Control

Facility

c

o

~-

c

ra

(-

‘~

p

2?~9~.~

~

~

~

~

(

~

f

/~

f/~

~

#5~

~Sb~.L

~

,~r(A~

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5id-~?~

IL

532-0222

APC 151

(Rev. 8/00)

TarCe71Vicatiar~forFolb4ion

Canf,v! FacIlities

Page

lof2

8/00

---

Sec.

E

(1) Nature of Contaminants or Pollutants

0,

I-

z

z

a

z

0

z

I-

z

0

0

0

Tar

CeflifraticviforPolb4tian

ConfrolFacjliuie.s

Page2

af2

8/00

Material

Retained, Captured

or

Recovered

Contaminant or Pollutant

DESCRIPTION

DISPOSAL

OR USE

Sw

-‘e

~il~tt~

(rcp

~p/,c4iLr’o,~i

(2) Point(s) of

Waste

Water Discharge

Plans and

Specitications Attached

Yes

No

~L

Are

contaminants (or residues) collected by the control

facility?

Yes

No

(4)

Date installation completed

1/

—

~

status

of installation on date of application

(5)

a.

FAIR CASH VALUE IF CONSIDERED REAL PROPERTY:

$

i

~‘,

~

—

b.

NET SALVAGE VALUE IF CONSIDERED

REAL

PROPERTY:

$

C.

PRODUCTIVE GROSS ANNUAL INCOME OF CONTROL FACILITY:

$

d.

PRODUCTIVE NET ANNUAL INCOME OF CONTROL FACIUTY:

$

,~ij

~.

e.

PERCENTAGE CONTROL FACIUTY BEARS TO W-IOLE FACILITY VALUE:

Sec.

F

T~folIowing

information is submitted

in accordance with the Illinois Property

Tax

Code, as amended,

and to the best of my

knowledge, is thie and correct.

The facilities claimed herein are ~polIutioncontrol facilities

asdefined in Section

11-10

ofthe

IIIuiois Property Tax Code.

-

~—

Signature

Title

Sec.

G

INSTRUCTIONS FOR COMPIUNG AND

RUNG APPliCATION

~,,

~

~

g

~

~

Generat

Separate appkations must

be

completed far

each

control fac~y

claimed.

Do net mixtypes

(water

and al).

Vwiere both airand

water operations ae telated, ifle twa appifcations. Ifattachments ate needed, record them corisealivdy on an lidex sheet.

Sec. A

Information refersto applicant as kstedIn the lax records and the person to be contented forflzther details or far mspection of

facilities.

Deanefac~y

location by streetaddress or isgal description.

A pint

map

location is requied forfacilities

located

otlalde ofmimsc~,aI

boundaries.

The property iderififtalion rsxnber is reqiled.

Sec. B

Self-explanatory.

Sthn~t

copiesofal Pem~s

issued by local po&dion control agencies.

(e.g.

PASO Construction Permi)

Sec. C

Relets to manufactising processes or

iiist~s

onwfich po&~on

cordialfacliuty isused.

Sec. 0

•

Nanativedescription ofthe polirlion cordial tad~y,

indicnt1~tt~

liz

pririary pripo5e isto ein*iate, prevent orreduce poflution.

State the type

ofcordial bc~y.

State perm~

ntznber, date, and agency issuing permit. A narrative description

and

a

process

flow

dteg,am

descntdng the colkdion cortal tac~v.

include a listing of each majorpiece of equipment included m the claimed

fair

cash

value

far

real property.

Inckxle an a~waoe

analysis ofthe inluertand efikiert ofthe control bc~ystating the

ethciency.

Sec.

E

List arcoi’danmnar~,

orwater polufion schslances released asef~uerds

to the mariufactizing processes.

List abe the final

d~osalofany

corian*rards

removed from the manufathxing processes.

Item (1)— Refers topoi1a~

and cordai*erts removed tornthe process by the pc&dionaxtol tec~y.

Item (2)— Refers towater po~Jtionbrtcan apply towater-canled washsfrom ar polkdloncontrol facilifies. Sttmit drawings,

which clearly show (a)Point(s) ofdischarge to receiving stream,

and (b) Sewers

and process piping to and from the control

faclilty.

Item (3)— Ifthe collected cortanliaris are

disposed ofotherthan as wastes, state the disposition ofthe materiale, and the value

in

dollars redained by sale orrerise ofd~

cofar

dsatistaices. St~the costof redaniationand relatedexpense.

Item (4)-State the dete which the pollution control bcäty was fist placed in service and operated.

If

not~

explain.

Item (5)—This ird’onnabon

is

essential to the certikation and assessment actions. Ills acco&mthig data ns~ist

be completed to

activate project review priorto certification bythis ~gency.

Sec. F

Self-explanatory. Signature must be a corporate aihorized s~natize.

Stixtit to-

Atterdiorr

~viis

EPA

Thomas McSwiggwi

Donald

E

&tton

P.O. Box

19276

Perrrlt Section

Permit Section

Springfield,

IL

62794-9276

Division ofV~r

Polkiflon Cordial

Division

of

AirPolutlon Control

-

---

T(-

o~-Q3

~

-

This

Ag~y

is

authorized

to

request

this

infismi~tarun~Jflioo.ReviscdSt~ucs,

1979,

Qiaptcr, 120, Section 502a.5. flj~c1oeurcof

this

information

is

voluntary.

Howevur, failure to

comply

could

pccvcot

your

applic~ionfrom

being processedor ~ld

resultin denial of

yore

application forccrti~iai.

APPUCATION FOR

CER11FJCATION

(PROPERTY TAX TREATMENT)

POLLUTION CONTROL

FACILITY

AIRD

WATER

IWNOIS

ENVIRONMENTAL

PROTECTiON

AGENCY

P.O. Box 19fl6, Spriigfleld, IL

62794-9276

-

FOR AGENCY USE

File NO.

~

Received

Certificahon

No.

Dote

Sec. A

i...

~

~

~

Company Name

~

Por/

~ç~—

L-.

Person

Authorized to Receive Certification

Person to Contact forAdditional Details

~z._

~L?,~Aj

StreetMdre~s

Street Mdress

Cou.’C-’t~t

,~t’td

)OS1~/J

Municipality, State & Zip Code

Municipality, State & Zip

Code

S~-~-cr’r-,Z~L,

Telephone

Number

Telephone

Number

(-3~?’)

757L/-2)7/7V

Lóbation

of

Facility

Municipality

Township

Quarter

Section

Township

Range

72~

N

rz

I

~‘

—

f~

/S7L,~J~

StreetMdress

County

Book Number

/93!

Co~~

~o/o~O~

Property Identification Ntznber

~‘

Parcel

Number

/‘-/-o/-300-.

oog

Sec. B

0

~Q)

~

o~

e’:

g~

~o

a

Nature

of Operations Conductedat the Above

Location

1~i7

dfo/,~i~

~i

4oj~

Water

Pollution

Control Construction

Permit

No.

Dote issued

‘

NPDES

PERMIT No.

~

(~eIssued

Expàation ~

AirPollution Control Construction Permit No.

l~eIssued

AirPollution Control Operating Permit No.

Date issued

-

Sec.C

I

~

~g

°

a

DescdbeUnitPmcess

-

MAY082003.

!L.L!NO!S

~MVIR()JVMFMT41

Matenals Used

in Process

PROTECTIONA(?ENCY

BOWIWPC!’~

..“~

CECTION

Describe

Pollution

Abatement Control Facility

(

12’

~

~i

~‘

~.

~‘

‘~

~

~

/

W~2A.

~

~J?.Lf

~

/ ~

L—_..z~ii~J

/‘~

“~‘

p’..-

~

-

.

Sec.

D

~

~

:~=i

o~

o_~

IL 532-0222

APC

151

(Rev. 8/00)

Tar CerriflcaxianforPoThsnon

ControlFacjlijjg.r

Page 1

of2

&/oo

---

Sec.

E

(1)

Nature of Contaminants or Pollutants

0)

z

a

a

z

i0

0

a

I.-

z

g

C)

Tar

Cez~ftatic,7forPolb4tian

ContmlFacilities

Page 2of2

8’OO

Contaminant or Pollutant

•~I

A)

//Y~-

i-us.

~

Al

-r-

‘~.

DESCRIPTION

~e•ic~.

~

--‘-~-

—.7

.

Material Retained,

Caotured

or

Recovered

(2)

Point(s) of Waste Water Discharge

DISPOSAL OR USE

Cu~~•OLP

~

I

j;’~~

7L

~

—

Plans

and

Specifications

Attached

Yes

No

1~L

Are

contaminants (or residues)

collected

by

the control facility?

Yes

No

(4)

Date installation

completed

//-

7

~7

status

of

installation

on

date

of application

(5)

a.

FAIR CASH VALUEIFCONSIDERED

REAL

PROPERTY:

$

7

5~2JT)

b.

NET SALVAGE VALUE IF CONSIDERED

REAL

PROPERTY:

$

c.

PRODUCTIVE GROSS

ANNUAL

INCOME OF CONTROL FACILflY:

$

,t/,~

d.

PRODUCTIVE NET

ANNUAL

INCOME OF CONTROL FACIUTY:

$

e.

PERCENTAGE CONTROL

FACILITY

BEARS

TO

IM-IOLE

FACILITY VALUE:

Sec

F

~Ti~foUowing

information

is submitted in accordance with the

Illinois Property Tax Code, as amended, and

to the best of my

knowledge, is true

and

correct The facilities claimed herein

are

pollulion control facilities” as

defined

in

Section

11-10 ofthe

~-

Illinois Pmpç~ty

Tax Code.

.

0

w ~

-

signature

Tdie

Sec.

G

INSTRUCTIONS FOR COMPILING

AND

RUNG

APPLICATION

i~

g

~

~

GeneraL

Separate app~cations

must be completed for

each

control bc~yc~ied. Do netn~types (water sod air).

Vi~here

both airand

wateroperations are related, tietwa appicatices.

fatbctIT1er~am

needed, record them cens~diveIyon

an

index

sheet.

Sec. A

Information relers

to

applicard as ~dedlithetax records and the person tobe sor~cted

brfwthec details orforinspection

of

far~fle,i~

Do~e

tacilily location by greetaddress c~r

legal desedption

A plat map location Is reqt*ed for bc~ties

located

otiside of mrzic~,al

boizicto,ies. The property iderditcation rurtheris reqi*ed.

Sec.

B

Self-explanatory

Stthmit copies olal pern~

issued bylocal potrdion control agencies.

(e.g.

fIISD COOrtTL~iOn

Pemi~)

Sec. C

Refers to mariutacltxiig processesornaterhis on wiichpoi~dion

control bctiyis used.

Sec.

0

Narrative deac4rillen ofthe potiuion cci*clfacily,ind~.aiuiytt~

ilz

primary pIJpoee teto ~ u*artu~

prevent orreduce po~.dion.

State the type of~rdmlbc~ty.

State permitnumber, date, aid agency issrxig perrelt. A narrative

des,.~,ticn

and a process

flow diagram desa~ing

the oc~ionc

fac~it~.

ledude a tetlig ofeach ma~or

piece of equipment included

in

the cla~ne~d

faircashvalue for real properly.

lndudean averaoe analysisofthe isluent and ellkierd of the cor1z~4

fac~y

stati~

the

colectioneftlc~y.

Sec. E

Listaircontarr*mads, orwater potuilori srtstarrces released as effluents

to the mant~ctizlig

processes.

List also the

thai

disposal

of

soy cordan*iar*s removed ternthe manutoctrai,g processes.

Item (1)— Refers topolIEa~

arid cotonau~d~,

removed torn the process by the pc&dlon control facáty.

Item (2)—

Refers towaterpo~ion

bt*meappiybwater-canied wa~s

from ma

po~.dion

cordzol bc~ies.Srthnit drawings.

which

clearlyshow(a) Point(s)

ofdischarge to receivwig stream, and

(ii)

Sewers and process piping toand torn the control

facility.

Sec.

F

Item

(~

—

Ifthe colecled cordanliarls are disposed ofotherthan as wastes, statethe disposition

ofthe materials, and the value

Ii

do~sred~ned

by sale orreuse ofthe anledud&distaices.

State tie costofredanwiion and relatedexpense.

Item (4)-State the date which the polkdlon control fac~y

was ~st placed in serviceaid

operatecL

Ifnot, explain.

ttern (5)-This kiormabon Is essentialtothecerfitcation and assessment adi~ fl~accots*ig datan~ be completed to

activate projectreview pnorto certification bythis Agency.

Self-explanatory. Signature mist be a uxporalat atdhorized s~nahze.

Stthn~to:

Mediore

Attentiort

~noisEPA

Thomas McSwlggis

oorieiri E Sctton

P.O. Box

19276

Penr~Section

enMSedion

Sprisgfiekl, IL ~794-9276

Division ofVi~rPo&tion Cont,~l

DIvision

of

AirPolhiion Control

-

---

-o9~o~

This

Agca~y is

auth~izcd to

rcqu~ this

infoimMicie enclu fllisois

Rcviso(l

SL~a,

1979,

(iiapta

120,

Scctios

502a-5.

DisCimecOithis

infcirmaticsi is

voluni~ry.

I-Iowcvcr, fiihnc

to

conaply

could

prcvcoL

yoiw

iççl~iat

flue

being piocessed ormeld

rcsultis

applicslioe

forci~f..~ou.

APPLICATION FORCERTIFICATION (PROPERTY TAX TREATMENT)

POLLUTION

coi~rr~oi

FACILITY

AIRD

WATER

ILLINOIS

ENVIRONMENTAL

PROTECTION

AGENCY

P.O. Box 19276,Sprisgflekl, IL

62194-9276

FOR

AGENCY

USE

File No.

Date

Received

Certification

No.

Sec.A

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Person Authorized to

Receive Certification

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Person to Contact

for

Adrittional Details

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StreetMdxe~s

Street Mdress

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Municipality,

State & Zip Code

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State & Zip code

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Telephone

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Telephone Number

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Location of Facility

Municipality

Township

Quarter

Section

Township

Range

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StreetMdress

County

Book

Number

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Property Identification Number

Parcel

Number

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Sec.

B

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Nature of Operations Conducted atthe Above Location

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Water Pollution

Control Construction

Permit No.

Date Issued

NPDES PERMIT No.

Date issued

Expiation ~

Air Pollution

Control

Construction

Permrt

No.

l~e

Issued

Air

Pollution Control

Operating Permit

No.

Dote Issued

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Sec. C

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Describe Unit Process

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Materials Used

in Process

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ILLINOIS

ENVIRONMENTAL

PROTECTIONAGENCY

BOWIWPC/PERMIT SECTION

Sec.

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Describe PollutionAbatement Controi

Facility

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IL

532-0222

APC

151

(Rcv.8/0O)

Ta~

Cez*a&v1

for

PollulionControl Facjliuies

Page Iof2

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ftailcmfcrPollutjonControl Faci1iri~s

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(1)

Nature of Contaminants or Pollutants

Material

Retained, Captured

or Recovered

Contaminant or Pollutant

DESCRIPTION

DISPOSAL

OR USE

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(2~Pointfs~ofWaste Water Discharae

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Plans and

Specifications

Attached

Yes

No

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Are

contaminants (or residues) collected by the control

facility?

Yes

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No

(4)

Date

installation completed

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O

status

of installation

on

date of application

(5)

a.

FAIR CASH VALUE IF CONSIDERED REAL PROPERTY:

$

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C)

—

b.

NET SALVAGE VALUE IF CONSIDERED REAL PROPERTY:

$

—

C.

PRODUCTIVE GROSS ANNUAL INCOME OF CONTROL FACILITY:

$

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d.

PRODUCTIVE NET ANNUAL INCOME OF CONTROL FACILITY:

$

e.

PERCENTAGE

CONTROL

FACILITY

BEARS

TO

V*IOLE

FACIUTYVALUE:

Sec.

F

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The following

information is submitted

in

accordance

with the Illinois Property

Tax Code, as

amended, and to the best of my

knowledge, is true

and correct.

The facilities claimed herein are

pollulion control

facthties

as

defined ~m

Section 11-10 ofthe

Illinois Property Tax Code.

.

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Signature

Tide

Sec. G

INSTRUCTIONS FOR COMPILING AND FlUNG APPliCATION

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Genemt

Separate applications must be completed far each control facilily cl~ned.Do notn~types (~ter

aid al).

Wiere both axand

~ter

operations ae related, seMi,~p&4ior~

Ifathdxner~

aie needed

record Itemcore~lIyely

on an lidox sheet.

Sec. A

Idermalion refersto applicant as listed lithe lax records and the person tobeuw~cted

torhitherdetads or far mspedion of

~~je~’

Deinebc~y

iccation by streetaddress or legal descziption. A p~

map location

is

req&ied forfacilities

located

oilslde ofmuic*iai boimda,ies.

The propertyIdentification ntuiiberis reqiled.

Sec.

B

S~errplanatory.Sthmfl copiesofal ~em~ iss~ed

by local poilelion control agerioes.

(e.g. MSDConstruction Perni~)

Sec.

C

Refersto maiutectrñ,g processes or

ui~at~n~dn

on wtich po~ition

control facity

is

used.

Sec.

D

Nanative descr~tion

ofthe poittion control bct~y,

lidicaltrig that ~sprinety pispose islee~ ,,de, prevent orreduce pollithon.

State thetype of codml lady.

Stole

pesot rLfnber, date, and agency issilig pem~A nan~edesa~Aion

and a process

flew diagramdescrLingthe oo&dlon control facility.

toclude a fletlig of each majorpiece oiec~mertliduded m the ~med

faircash value forrest prOperty.

hickide an averaoe analysis ofthe toluertand ef~ier~

ci the cailid facity staltog the

Sec. E

‘

List aircodeninants, orwater po&thon ss.tshnces released as effluents to the mairlactizlig processes.

List aloe the final

disposal ofanycortairirents removed from the n~iutectizing

processes.

Item

(1)—

RefesslepoluE~

and cxt~~1~

removed tornthe process by the pc*iion controlfady.

-

Item (2)- Referstowaterpo~iti,n

tn

~iapp~

to water-carried wadesfrom ar po~tion

controlfadies.

Srixsit drawligs,

wtich dearlyshow(a) Point(s)ofdischargeto recei~mg

abeam, and

Q))

Sewers andpm~ pipaig to and torn the control

facility

hem (3)-lithe coleded cod~~1i~,rts

aredisposed ofotheriten as wastes, state ft~

dispoe4k~uofthe materiate, and the value

Ii

dolem redained by sale orreuse of the

(fI&Nfed

sttistances. S~ the cod otre

ii,dic~

aid ie~dexpense.

Item (4)—State the date wtich the pois~ioncartelfacility was ~st placedIi service and operated.

Ifrd

explain

Item (5)-ThIS slaimaboo

is

essential to the certi~tion

arid assessment actions. Thaacoorzuig data nizstbe completed

to

activate projectreview priortocertification by thisAgency.

Sec. F

Self-explanatory.

Signature must

tea corporate athorized signatire.

Ntertiort

Uhicis EPA

Thomas McSwigghi

Dor~iJ

E. &~n

P.O. Box 19276

PenritSection

P~rntt

Section

Spdngfleki,

IL

62794-9276

Division oiV~rPclktion Control

Division ofAirPo~.tion

Control

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