Laserfiche WebLink
6. Describe the indushrial adlrities wlilrh take place on site, Si,rfare facili iP.c accn is d irh ~ unciargrnimri <br />mines, ~ i r~'n&;~inrralc raw coal crnckoilPC coal prep ration clean coal stockpiles office bathhouse <br />shops, warehouse and refuse disposal.. <br />Other Environmental Pernrits: Does this facility currently have any environmental permits, or is it subject to <br />regulation, under any of the following programs? <br />~To Yes PetmitAf or IDk <br />a) Colorado Discharge Permit System (COPS or NPDF.S) _ ,~ Cn_nn~~~ar, <br />b} Resource Conservation and Recovery Act (RCRA) X _ <br />- If y~q, is your facility a Treatment, Storage or Disposal facility? N/A <br />c) Colorado Division of Minerals and Geology {formerly MLRD) _ X C-81-041 <br />d) Superfund Amendments and Reauthorization Att {SARA), Title III Toxic Release Inventory .# <br />(Emergency Planning and Co~tuniry Right-to-Know Act), Section 313 X _ <br />- if Yom, is the facility subjett to reporting requirements for (circle applicable <br />any water priority chemicals under SARA Title III, Section 313? N/A chemicals is Appendix A) <br />8. Group App6caats: Are you currently participating in a stormwater group application with EPA? <br />® No ^ Yea Group Application Number <br />9. Stormwater Management Plan <br />a) Iigbt Industry, Heavy Industry, i4Tini,rg: a Stormwater Management Plan (SWMP) shail be prepared prior to <br />applying for coverage under a general permit, and the following certification signed. See SWMP requirements in <br />Appendix C (Light and Heavy Industry) or Appendrx D (Mining). <br />'I certify under malty of law that a complete Stormwater Management Plan (SWMP), in compliance with <br />Appendix ~l(~ (cycle one) of the application, has bees prepazed for my facr7ity. The SWMP was prepared . <br />under my direttton or supervision and with a system designed to assure that qualified personnel properly gather <br />and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, <br />or those persons drrectly responsible for gathering the information, the SWMP is, to the best of my ]mowledge <br />and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false <br />information, incoming the possibility/of fine and imprisonmeoL' <br />~ - 3d • q-r <br />Signature of P~fmit Applicant Date Signed <br />Larry M, eschke, Engineer <br />Name (printed) Title <br />b) Henry Industry: the permittee shall also submit a copy of the SWMP to the Division with the permit application. <br />SWMP enclosedT 0 No ^ Yes <br />10. Signature oI AppGeent (legally responsible person) <br />'I certify under penalty of law that I have personally exaa-ined and am fam7iar with the information submitted in <br />this application and all attachments and tbat, based on my inquiry of those individuals immediately responsible for <br />obtaining dre information, I believe that the information is true, accurate and complete. I am aware that there are <br />significant penalties fo~.ygubmitting false information, including the possibility of fine and imprisomnent.' <br />~S <br />Signature of Permit <br />Signed <br />Aaron D. Jackson, Vice President & General Manager <br />Name (printed) Title <br />a~nnm -Z_ <br />