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-INSTRUCTIONS- WATER QUALITY CONTROL DIVISION COLORADO DISCHARGE PERMIT SYSTEM PROCESS WATER and/or STORMWATER COAL MINING DISCHARGE APPLICATION ' T7tis form may be reproduced. For information on electronic copies, please contact the Permits Unit at (303) 692-3500. This application is for use by all coal mining facilities with process water and/or stormwater discharges. It is applicable fm both general and individual pemrit cove The Division has other industry-specific permits including: sand & gravel mining, construction dewatering, gasoline clean up sites, water tmahnent plants, hardmck mining/milling, placer mining and minimal discharge. If the facility falls under one of these activities, please contact the Division for the appropriate application inste this application. ' WATER RIGHTS The State Engineem Office (SEO) has indicated that any discharge that does not return water dvecUy to surface waters (i.e. land application, repid infiltration basins, has the potential for material injury to a water right. As a result, the SEO needs to determine that material injury to a water right will not occur from such activities. ' ' make this judgement, the SEO requests that a copy of all documentation demonstrating that the requirements of Colorado water law have been met, be submitted to office far review. The submittal should be made as soon as possible to the following address: Colorado Division of Water Resources 1313 Shemratr Street, Room 818 Denver, CO 80203 Should there be any questions an the issue of water rights, the SEO can be contacted at (303) 866-3447, M-F, 10:00 am - 3:30 pm. It is important to understand the ' CDPS permit issued by the Division does not constitute a water right issuance of s CDNS permit does not negate Me need to also have the necessary water m place. It is also important to understand that even if the activity has an existing CDPS permit, there is no guarantee Urat the proper water rights are in place. GENERAL INSTRUCTIONS Application Due Dates: At least one hundred sod eighty (180) days prim to the anticipated date of discharge for new facilities m the ezpuation date of an existir permit, the owner (m operator if the owner does not operate the facility) of the facility shall submit an application as provided by ffie Water Quality Control Division "Division"). ' Permit Fee: Annual permit fees set by state statute and are collected by the Division. Do not send env oavment with this apmlication. You will be billed once you m covered under a permit Effective Jury 1,1998, there is also a fee for pmtnit amendments. Application Completeness: All items of the application must be completed aceurately and in then entirety or the application will be deemed incomplete, and proses the permit will not begin until all infomration is received. If you have questions on completing this application, you may com~ct the Division at (303) 692-3500. Th original snd two copies of the wmpleted application stray be submitted, only ta: ' SUBMIT APPLICATION TO: Colorado Department of public Health and Environment WQCD-P-B2 4300 Cherry Crselr Drive South Denver, CO 80246-1530 SPECIFIC INSTRUCCIONS (Use additional pages whenever necessary) Item 1 - List here the names(s) of the person, cempany, corporation, etc who will be responsible for the pemtit. ' Item 2 - List here the owner of the property if it is different than that Gated in item 1. Item 3 - Self explanatory. ' Item 4 - Provide a discussion m an organvational chart which lists the corporate structure of those companies which operate the facility m own the mirrerel tigh properly from which the discharges covered by this pemrit originate. The discussion should extend to the ultimate parent company of each company G: ' Item 5 - The Standard Industrial Classification (SIGH Code fm the facility must be listed. SIC Codes are assigoed according to the primary activities performed I company. They are often assigned fm insurance purposes or when a busutess registers as a cotpomtion. Industries can also determine thew SIC Codes 1 checking with thew trade assceiatioq Chamber of Commerce, legal counsel, or local library fm the SIC Ivfmual.