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\ ~ <br />lid. Other F.n~ironmental Permitt: Doe this facility eurre~tly have any cnvironmentl permits, or is it cubjat to rcgulalion, under any o(thc <br />following programe7 <br />Pcrnu[ Nemc Yes No Derv Apphcd For Pcrntit No. <br />a.) Colorado Division of Mincrais and Cxobgy ~ <br />(formerly MLRD) X 81-008 <br />b.) Underground Injection Control X <br />c.) Dredge or fill permit under Section 404 of the <br />Clan Water Au (CWA) (Army Corps of <br />Enginars) <br />X <br />c.) Ruouroc Conservation and Recovery Au (RCRA) X <br />t.) CDPS Stormwater X COR-040131 <br />g.) Colorado State Air Pollution Bmission X 88M0234F <br />h.) Other <br />If Ves to item 14.a), Please include hTined Lend Rerlamation Board permit anniversary date: Ma3r 7F, r 1 Qtly <br />If Yes W item 14.fj, please include a copy of tLe site's Slormwater Management Plan. <br />I5. Site-specif'e eouditioas: <br />n) Is this operation located within one milt o(e landfill, or any mint or mill tailings from a historic site? ^ No ®Yu <br />b) Arc you aware of or n Ihcro a possibility of groundwater wntaminetion, such b+ plume from leaking underground storage tanks, etc.? <br />^ No~ Yea SEE ATTACHED SITE MAl'. AT THIS TIPYE WE DO NOT IINOW THE EXTENT OF <br />CONTAMINATION OR EFFECT ON OUR DISCHARGES. <br />If YE.S (or any o(drdc, pleau show location o! the landfill, uilingc or poeaible groundwater conumination on the location map in icon 6 or <br />N the general sketch N item 9. Please explain the location, extent o(wntmination, and possible effect on the discharges from this facility. <br />16. Chemiral treatment: will any flocculant (ecahng agent or chemical additives) be used to treat water prior m discharge? <br />^ No ~ Yra If YPS, list here and include the Material Sn(uy Data Shat (MSDS) with the application if not previously <br />submitted. <br />Chemical Name • Manufacturer Pu se In Which Waste Stream? <br />NALCLEAR 9810 NALCO CHEMICAL TO FLOCCULATE SUSPENDID CALAMITY DRAW <br /> SOLIDS <br /> <br /> <br /> <br /> <br /> <br />• U the cL®ir~i formula u wtmvv a ewfidmtiat Pmvidc the mavufacWni a ......., cmucl prim. d0+ry avd phaa comber ar • copy a! the mavufaevrra'a bmrLure, <br />proACt later Ofamaliaa a mataiala haodlma d~ abets far earl Product uaod. Pluae lip the major •~^^^~-~ ar active merrdimt(a), if known. <br />17. Used or manufactured toxict: Thc applicant must provide a list o(any toxic product which the applicant curtcntly use or manu(ecturrs as <br />an intermediate or fmnl product or by produU. <br />(:oJ Mme App. 9N3 <br />