2021-12-07_REVISION - M2012032 (13)

Home Browse Search

Box 13 Section 401 Water Quality Certification: Applying for certification? ❑ Yes, Attached (or mail copy separately if applying electronically) ❑ NO Certification issued? ❑ Yes, Attached (or mail copy separately if applying electronically) ❑ NO Certification waived? ❑ Yes, Attached (or mail copy separately if applying electronically) ❑ NO Certification denied? ❑ Yes, Attached (or mail copy separately if applying electronically) ❑ NO Exempted activity? ❑ Yes ❑ No Agency concurrence? ❑ Yes, Attached ❑ No If exempt, state why: All general permits within the state of Colorado are waived by State statute. Box 14 Coastal Zone Management Act: Is the project located within the Coastal Zone? ❑ Yes ❑ No If yes, applying for a coastal commission-approved Coastal Development Permit? ❑ Yes, Attached (or mail copy separately if applying electronically) ❑ NO If no, applying for separate CZMA-consistency certification? ❑ Yes, Attached (or mail copy separately if applying electronically) ❑ NO Permit/Consistency issued? ❑ Yes, Attached (or mail copy separately if applying electronically) ❑ NO Exempt? ❑ Yes ❑ No Agency concurrence? ❑ Yes, Attached ❑ No If exempt, state why: Box 15 List of other certifications or approvals/denials received from other federal, state, or local agencies for work described in this application: Agency Type of Approva14 Identification Date Date Date Number Applied Approve Denied DRMS 112 D Ouray County Winter Road Use Agreement with Bond Colorado Storm Water State Discharge Permit Colorado Mine Water State Discharge Permit Ouray County Building Permits for Filter, Dry Room, and Batter Buildings 4 Would include but is not restricted to zoning, building,and flood plain permits Page 8 of 10 Revised March 21,2012. For the most recent version of this form,visit your Corps District's Regulatory website.