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2. For each outfa0 provide the latitude, longitude and receiving water and indicate the method used to derive this inforunion. Use additional sheets if necessary. <br />Please refer to instructions. <br /> LATITUDE LONGITUDE - <br />DISCHARGE <br />POINT <br />p~ <br />Mimmes <br />p~~ <br />Mimaas <br />p~~ <br />- sf~~ <br />payer <br />M®aess RECEIVING <br />WATER <br />001 37 14 26 107 51 35 Anuna+River <br />002 37 14 75 107 51 40 Anhnas River <br />003 <br />004 <br />005 <br />006 <br /> <br />Facility <br />AFront Door@ <br />The fo0owing choices for the daffi acquisition are listed in order of preference. Please check the box that apphes to the method used for co0ectim of the <br />locational data of your Fac0iri and Decharee mints. <br />^' Global Positioning System (lips) unit accurate to within 30 yards. <br />^' Global Positioning System (lips) unit aceurste to greater than 30 yards. <br />^' Global Positioning System (lips) unit aceuracy umknown. <br />^' Point on ori¢hral USGS topographic map. <br />^' Engineering dmwing/ptan with latitude and longitude reference. <br />X Other Ponds were surveyed <br />L3. Bath House and Sanitary Wastewater: Is then: a bath house at this facility? No X Yes <br />Are there sanitary wastewater facilities or sanitary treatment systems at this facility? No X Yes <br />HYes to either question, what is the dispositffin of any wastewaters snd sludge generated? <br />7A. Ditches and Storm Sewers: Is any receiving water indicated w item 22 a ditch or storm sewer? No X Yes See Item 40. <br />?5. Certified Operator. Do you have a certi5ed operator? No X Yes HY~ge. please list name(s), certification number(s) end kvel(s} For information <br />regarding required certification, contact the Colorado Pffint Operators Certification Board at (303) 692-3500. <br />26. Discharge Quality: Analytical data for the parameters specified in the table beginning below and continuing on the next page, unless waived by the Division, <br />shall be submitted fora[ leas[ one grab sampling of each discharge point which is not solely made up of surface nmoff or domestic wastewater as we0 as state <br />waters upstream of each discharge. Upstream data should be flora non-runoff periods, to the extent possible. Instream sampling is not required if upstream <br />flow is intemuttent or represenffitive instream data exists on tile. For new mines, please submit a mvtimum of one year daffi for those parameters listed below. <br />Such data must have been obtained on at least a quarterly basis and must be reflective of the water quality prim to any mining activity. See instructions. If this <br />is an apphration for renewal, reduced sampling maybe appropriate, conffict the Pemtihs Unit at (303) 692-3500. <br />Not Amticabla Umstream fbvr is intermittent. <br />