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S. IndrWrlal aelivlty: Describe the primary industrial activities which rake place on site. Include the type of (acility (power plant, petroleum
<br />rclirtcp, etc.) plus a bncl descnptrorr of the nature of the busirrcu end lire industrial proceaus used. (The appliranl may wen! to submit s process
<br />ttow shat.) If this is a seasons) operation, Iisl the months ofopcraliort. Indicate the nunrbcr of hours pct day or week of operation.
<br />D (AAA- Mtrat= wrrH
<br />_ INCwsDt% c9FF(Ct=r S ^St+OPSr c,o~pt2cNOUSc
<br />AHD TRt)CK i.,oA'DOJ'i, ~__
<br />6. Prsrductlon: List Ne principal prorluet(s) praluced end rrraximum production ram.
<br />C:b Ai.._ "Z 1~+\1 L~.rON `=O HS 'FCC: (~ ~t. i~f~
<br />7, Intermittent dlaharga: Fxapt for storm mnolf, arc any of the Jixhargd intermit(cnt or seasonal?
<br />No ®Yu ^ Describe the (rcquency, duration and Oow rele vl'cech discharge o«urrencc.
<br />S. Other Envlrotunental Perndts: Does this (acdity currrnrly have nny cnvironmrntel pemrirs, or is it subject to rcgulnlion,'anucr my of ::,r.
<br />!allowing programal
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<br />i Prnnit Nsmc Ycs Nn D:rrc Applied For Pcrmil No.
<br />.) Colorado Division of Minerals ar+J Crcology
<br />(tormcdyMl,RD) y~ ~•~~. rrS9~o
<br />b.) Undcrgrourrd Injection Control y\ ``I
<br />c.} Drwge or GII permit under Scetion 404 of the Chan -` i
<br />
<br />Water Aa (CWA) (Army Corps of Grgiaccrs)
<br />)L
<br />I ~
<br /> _.__ ___ ____._+~
<br />1
<br />c.) Resource Conservation and Rewvery Act (I:CRA) 1<
<br />_ `.` +
<br />
<br />fJCDF'SSbrmwakr X ~tO~ COQ-~~~~ ~
<br /> 1
<br />g.) Colorado State Air pollution Program ~ I ~'
<br />C- E B s 9 C(~
<br />!:.~' Ckhcr (i.c. CL•1(CLA) 1` _
<br />t
<br />If Ya to item tl.a), please include Mined Land Hecf+matiun [hard permit anniversary :iut••: ,.__ _ ,_ _.,,.~._,....
<br />If Yes to Item tl.Q, please Include + copy of the lncilily's Stornrx•ater M1tau'r;,cnv:rt "lac.
<br />If Vea to item B.a.), b. ). r.) or hJ and disdrargr h to Cmand V~der, please complete Appendlm L S F, as +i:propriate.
<br />9. Laalion m+p: A location map of the feeility anJ surrounding srca, based on the USG;i 7.5 minute yundeml!1•.: runo(rrxphic u~.~p w.: s nr
<br />wmprabk map, shall be submitted with the following information: (a) facility locntiorr; (h) drinking water wells within a one rnik radius of li+c
<br />facility iu an YrMrn aver or mrnl arse for SURFACE' WATP.R ONLY died:age, or (he drinking water wr.As/ir~ga:ion vsc1:: wi!r•:a r. r;c milt
<br />ratios In cr. yiban area snJ a Ova mile radius in a meal seen Cor a GR6(IYD WATP,f{ O?;S,'! Jixhmg:. ;•~) on; ~•.; •+i'rH; ar iuicctios w-t'. ~•:m:•r
<br />,are n:wr ire ntilc u(the facility, (J) the irngatnm wills within nor rrdr n.J•~, of 11,.. C„:;in i and indio+lc'i~ ~ ~"~~ ~•• ~ ~•"~~' ~:,^+~ r? .~. ••
<br />. _ ,,.
<br />inigaltr•:r rode ~5x Appcndia G,'Statc Gnginccr` I: (c) Wprrgraphy-it:c~.:J~::r'i;ac Ia.nily d:rcm,h49 c+,;..:,.,... ~•-: 0•. 5: ~. - . ... .. ~ : +..:
<br />trcwrr ccrtaec uu contaminelion or soiVground-water anWmrinau.~n nren; Ihl uiJic:h: me inar:ion o' nr. -~... - ...: , ..
<br />.rcmnenr'Y.vagud+apos+l fecilrtics end (h) o North n+rnw. roinp nurse t., n~ I ;:~cr rir;m I f 7, ! ' irn;ht.
<br />Site s::err. rc A legible sketch oi'the facility sire shed be subm~tlut ecJ ,:+. ~.,~.;+..e r,,.GJL• .. ,..aJa.:iLLta.:., t~,.......~..,...,. ..
<br />impwrndnecnds), land sppliuliun arras. any xptic systems enA monitor: q: :• .i: ?oa•:rra.. ~..: ~cnte ii ,:, iar ..:, r., ~.;.:.. ' . . .
<br />nc~ sa+.:+ utr tti- ace in the surface water discs huge prnnil, if nn edditivsrf •.d:,• °~~ ~~• . , . .... , f~,~..:..
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