Laserfiche WebLink
ENERAL, PERIVIIT APPLICATION <br />S'TORMWATER DISCHARGES <br />ASSOCIATED WITH: <br />LIGHT IIVDUSTRIAL ACTIVITY <br />(Permit No. COR-010000) <br />HEAVY Il~DUSTRIAL ACTIVITY <br />(Permit No. COR-020000) <br />METAL IVIII~TING (permit No. COR-040000> <br />Please print or type. Do not attempt to complete this form before reading the instmctions. <br />1. Name and address of permit applicant: <br />Company Name• Powderhorn Coal Comoanv P.O. Box 1430 Palisade CO 81526 <br />Federal Taxpayer (or Employer)1DX: 840863024 _ <br />Mailing Address- P.O. Box 1430 <br />City, State and Zip Code: Palisade CO 81526 nn <br />Phone Number: j 970 1 464-7951 Who is applying for the permit? UU Owner ~ Operator <br />Local Comact (familiar with facility): Larry Reschke <br />Titre: Engineer Phone Number: (970 ) 464-7951 <br />2. Location of ffie [adlity: <br />$~~Ad~egg: Interstate 70 Exit 46 <br />City, State and Zip Code' Palisade CO 81526 <br />County: Mesa Name of facility: Roadside North and South Portals <br />Legal Location (Pownship, Range, section, 1/4 secxion): T-105. R 98W, 6 PM, SE ;Sec. 34 <br />latitude and Longitude: 39-08-30N 108-18-45W <br />Type of Facility: ^ New (beginning operations after 10/1/92) ~ Existing (as of 10/1/92) <br />3. Standard Industrial Classification (SIC) Code(s) for this facility. (Include up to four, in order of importance.) <br />a) 1211 <br />b) <br />c) <br />d) <br />4. Permit Category: Under which sbormwatea general permit does this facility belong? (See Appendix B.) <br />^ Heavy Industry ^ Light Luiustry X^ Metal IvGning (or Coal -see Insbmctions) <br />Nimes only: MLRB permit anniversary date '01-03-98 .Which category is your facility under'1 <br />^ Active mine, less than 10 acres ©Active mine, 10 acres or more ^ Inactive mine <br />5. Receiving Stream: The name of the receiving stream(s). (If discharge is to a ditch or storm sewex, also include the <br />name of the ultimate receiving waters). Colorado River <br />sro3nnm -1- <br />