Document MGxqD5LNOwjag7KxGKZ5eE0dy

DEPARTMENT of labor jjvisior. of Induetriel Hygiene , Engineering Sectioo EXHAUST SYSTEM PUN PLAN NO. DATE REC'D. FEE RECD. // FILING INSTRUCTIONS - ONE COMPLETED COPY OF THIS FORM MUST BE FILED FOR EACH FAN SYSTEM IN THE EXHAUST PLANS BEING SUBMITTED. Forward exhaust system plans IN TRIPLICATE, together with one completed copy of this farm for each fan system, to the Engineering Section of the Division of Industrial Hygiene at one of the following Department of Lobar Offices. Plans for exhaust systems to be installed in the counties of Cataraugus, Chautauqua, Erie, Genesee, Livingston, Monroe, Niagara, Ontario, Orleans, Woyne, Wyoming ond Yates should be sent to: 2447 SHERIDAN DRIVE, TONAWANDA, N.Y. 14150. Plans for exhaust systems to be installed in counties other than those listed above, should be submitted to: 80 CENTRE STREET, NEW YORK, N.Y. 10013. IMPORT ANT: Effective June 1, 1963, the Industrial Commissioner is required by section 204-a of the Labor Law to charge a FEE FOR THE EXAMINATION OF EXHAUST PLANS. Please forward with the plans a check or money order payable to the Industrial Commissioner, in accordance with the following fee schedule FOR EACH FAN SYSTEM: ...... CATEGORY A CATEGORY B "Simple single booths and enclosures, such as spray booths; canopy All systems other than category A. hoods; dilution, general and natural draft ventilation systems". Design CFM Fee Design CFM Fee less than 250 250 or more but less than 1,000 $10 20 less than 5,000 5,000 or more 510 20 1,000 or more but less than 5,000 5,000 or more but less than 10,000 10,000 or more 30 40 50 1. FIRM NAME Georgia-Pacific Corporation_____________________________________ 2. MAILING ADDRESS 900 S.W. 5th Avenue, Portland, Oregon 97204 3. PLANT LOCATION (Straat and Number. City, Town, Villaga; County) Bloomingdale Road, Akron, Erie County, New York 14001 4*. PLANT REPRESENTATIVE TO BE CONTACTED REGARDING EXHAUST SYSTEM PLANS 4b. TITLE George Turner Project Engineer 5. NUMBER OF IN-PLANT EMPLOYEES AT THE ABOVE PLANT LOCATION: TOTAL 135 MALE 131 FEMALE 4 6. NO. OF EMPLOYEES AT OPERATIONS OR MACHINES 70 7. AUTHORIZED AGENT (It any) SUBMITTING PLANS (Eng.. Daaignar, Consulting Film, Etc.) LETTER OF AUTHORIZATION MUST ACCOMPANY PLANS None 8. BUSINESS ADDRESS OF AGENT 9. NO. OF FAN SYSTEMS SHOWN ON PLAN (Fan Syatama Should Ba Numborod) One (1) 10. SUBMITTED FOR COMPLIANCE WITH INDUSTRIAL CODE RULE NO. 10NYCRR-80 GENERAL DATA FAN SYSTEM NO___ AMOUNT OF FEE FMri o<;rn None * $30.00 previously sent for this system li. LOCATION OF SYSTEM . building Joint Cement Manufacturing b. PLOOR one Bagc. department Packing d. NUMBER OF FLOORS IN BLDG. One 12. IS PROPOSED INSTALLATION NEW? _ _ _ _ _ _ _ YES J NO 12b. ADDITION TO OR RECONSTRUCTION OF EXISTING SYSTEM YES HN0 13. DOES THIS PLAN AMEND SYES PREVIOUSLY SUBMITTED PLAN? ! NO IF YES. GIVE PREVIOUS PLAN NO. AND AMOUNT OF FEE PAID BPA-218-73 ($30.00) 14. IS THIS INSTALLATION TO COMPLY WITH ORDERS OR SPECIFIC RECOMMENDATIONS ISSUED BY THIS DEPARTMENT? YES NO IF YES. GIVE DATE OF ISSUANCE October 27, 1972 YES'.5. IS DISCHARGE OF SYSTEM TO BE RECIRCULATED TO THE WORKROOM' |___ 1 j_X l\Q (Dt f charged Atr Hhtch Contain* Dangaroua Alt Contaminant 5ftM Not Ba Racircutatad.** Rut a tS~8.3) l "DISCHARGE POINT: I I ABOVE ROOF i I OUT OF WINDOW I ^ THROUGH SIDE WALL I I OTHER~ 20 FEET TO NEAREST FIRE ESCAPE OR EXIT XKXSOCOXaCXDOC 17 MAKE-UP AIP. EQUAL IN VOLUME TO THAT EXHAUSTED. TO BE SUPPLIED BY Natural Draft 5 FEET TO NEAREST WINDOW MEANS FOR HEATING MAKE-UP AIR None SGP 0021906 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DIVISION OF AIR RESOURCES BUREAU OF AIR OUALITY CONTROL 41 STATE STREET ALBANY, NEW YORK 12207 ENVIRONMENTAL ANALYSIS REPORT - SUMMARY OF SOURCES t For completion by opplicont (in triplicate) Report_No. Use one copy of this form at a cover sheet for each copy of the Environmental Analysis Report submitted in triplicate 1. Name ef firm or owner , Georgia-Pacific Corporation BAQC Assign. 2. Address of installation , Bloomingdale Road, Village of Akron, Erie 3. Person to contact in reference to this submission 4e Proposed Environmental Roting(s) mi ssion Point No. Not Assigned Process, Exhaust or Ventilofing System Bag Packer, Joint Cement Manufactur ing Georae Turner. Project Engineer Nam. 9QQ g 5th Avenue Portland, Oregon 97204 Address Proposed Env. Rat. Emission | Point No. Process, Exhaust or Ventiloting System Proposed Env. Rat. Continue on reverse side lor listing of proposed ER*s. 5. Dote Align gt- ft 1 1 Q71A. Signature i ./ t-w? --^ por completion by field representative I recommend (acceptance) (deniol) of the proposed environmentol roting(s) Remarks _________________ 7. Title Prnjprh Knginppr __ SGP 0021907 t. De. ______________ 9. Signotwre 10. Title Vontilotinq Sytttm ER Point No. Vowtiloting Sytm ER SGP 0021908