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DocuSign Envelope ID: EBE28081-13782-41342-BAD13-D8C9313687131B <br />PERMIT NARRATIVE CONDITIONS REPORT FORM (continued) <br />PART C. FACILITY/PROJECT INFORMATION <br />Facility/Project Name Colowyo Coal Mine <br />Location (address) 5731 State Highway 13 <br />City Meeker <br />Local Contact Name Chantell Johnson <br />Title Senior Environmental Planner <br />PART D. CONTENTS AND PURPOSE OF SUBMISSION <br />1. What is the nature of the attached document? <br />County <br />Phone <br />Number <br />Moffat & Rio Blanco <br />303.254.3185 <br />Email cjohnson@tristategt.org <br />Status Report ❑✓ <br />Mixing Zone Stu y❑ <br />Tracer Study❑d <br />Sediment Control Plan.❑ <br />Documentati f Installation of Temperature Monitoring Equipment❑ <br />Salinity Study <br />Inflow/Infiltration Study❑ <br />85 Percent Removal U/ iver Report❑ <br />Groundwater Study <br />Seepage Rate Study <br />Other (please describe) <br />2. Is this document submitted to comply with a compliance schedule in your permit? YES❑✓ NO[:] <br />3. If this is a compliance schedule document, please answer the following: <br />a. What is the name or description of the compliance schedule? (For example, Activities to Meet <br />Total Ammonia Final Limits) <br />Activities to Meet Final chronic WET (C. dubia and P. promelas) Limits (outfalls 010) <br />b. What is the "code" in the compliance schedule chart for this item CS010 <br />Page 2 of 3 June 2019 <br />