Section 101.APPENDIX D   Notice of Filing

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

                                                           )

Applicable Caption                           )

(see Appendix A)                              )            docket number

                                              )

NOTICE OF FILING

To:       (List all persons served.)

PLEASE TAKE NOTICE that I have today filed with the Office of the Clerk of the Pollution Control Board the [specify what document was filed] of [name of persons filing the document], a copy of which is herewith served upon you.

Date

Name

Address

Telephone Number