TO The Department of Natural Resources:
REQUEST FOR NONCONTESTED CASE PUBLIC HEARING
The undersigned hereby request a noncontested case public hearing on the (air pollution control permit application submitted by to the department on ,) (operation permit issued by the department to on ,) under section 285.61(7) (a) or 285.62(5) (a), Stats., as appropriate.
The requestor's interest in filing the request is___________
The reasons why a public hearing is warranted are_________
Date of Request___________
Signature_____________
Name and Address____________
Wis. Admin. Code Department of Natural Resources NR 490.025