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PART I <br />Page 4 <br />Permit No. COG-500000 <br />A. COVERAGE UNDER THIS PERMIT <br />c. Name of water receiving the discharge; <br />d. Description of dre type of activity molting in the discharge including the mticipated duration of activity <br />end/or the discharge, anticipated volume, and rate of dischazge, and the source of water which is to be <br />discharged; <br />e. Description of any waste water treatment system and recycle/reuse utilized; and, <br />f. A map or schematic diagram showing the general area and/or routing of the activity. <br />g. Analysis of the process water to be discharged. <br />6. Description of stormwater discharges, including drainage area. <br />i. Description of present and proposed best management practices at site, including map. <br />j. Any existing water quality data on stormwater discharges. <br />k. For new facilities (beginning operations after October 1, 1992), and for sU other facilities applying after <br />July 1, 1993, certification as to the preparation of a SWMP. (See Pert I.C.ti.e of the permit for SWMP <br />certification requirements for existing facilities applying on time.) <br />4. ADDlltation Due Dates <br />At least thirty days prior to the anticipated date of discharge, or by October 1, 1992, whichever is Inter, the owner <br />(or operator if the owner does not operate the facility) of We faiility shall submit an application as provided by the <br />Division. <br />Two copies of the completed dischazge application form shall be submitted, by certified mail ar hand delivery, to: <br />Colorado Department of Health <br />Water Qttality Control Division <br />4210 East 11th Avenue <br />Drover, Colorado 80220 <br />Attention: Permits and Enforcement Section <br />As of October 1, 1992, this address will change to: <br />Colorado Department of Health <br />Water Quality Control Division <br />WQCD-PE-B2 <br />4300 Cherry Creek Drive South <br />Denver, Colorado 80222-153 0 <br />Attention Permits and Enforcement Section <br />5. Certification Procedttres <br />If the general permit is applicable to the applicant's operation, then a certification will be developed and the applicant <br />will lre certified under this general permit. <br />a. Regttat for Additional Wormation: The Division shall have up to thirty days after receipt of the above <br />information to request additional data and/or deny the authorvation for my particulaz discharge. Upon receipt <br />of additional information, the Division shall have an additional fifteen days to issue or deny authorization for <br />