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III IIIIIIIIIIIII III <br />999 <br />('jt?WFiRA7. PERIy!lT~PPLICATION <br />STORMSaJATF~t rJISCIIf,?[0135 ~;~ , ,~/~ d P_~ <br />ASSOC'IATEU WITH -U'`-:• Q <br />~,~-,w-~~. _.. <br />BAND AWl7 CRAYJEL P$ODIICITON <br />OPERATIONS (AND OTHER <br />1~011TMETALIdC hddNERAIS <br />ESCEPT F`iJ~ <br />(Peru No. tbC3-300000) <br />Please prim or ippe. Iu not attempt to complete this form before rending the ivatrvctions. <br />1. ~ fhik it-e t+x'rdci. applitxtiou for pour fadilty?? ibis applicaiin is only for the uu;chaz$e of stortnwater. <br />Do yov discharge any of the [uliowing prviceas geaeratal wastewabars from your fac0ity7 <br />~I No D Yes <br />® No ^ Yes <br />(~ No ^ Yes <br />{L]1 Nv ^ Yes <br />hio ^ Yes <br />Produd wash water <br />MRintenance/equipmeat wash waters <br />Ttat~eport waters {e.g., slurries) <br />Scxvbtxrc waters (crushers or claaalRera) <br /> <br />MAY 16 1994 <br />Civ!^icn cr rrinerzis rs ~ec,cgy <br />ivime dewaterittg (groundwater and/or runoff from the mine) <br />If you aruwered Ys~ to any of these quAtions, do not complete this application Yau mast instead complete the <br />Process water and Stormwate DisrtrarEes Associsteti rriW Sand surd Gravel application for thla fadltty. Nhich is <br />available from the Divisioa <br />2. Name and xdAress vr~mit agglt~rtt: <br />Company Nerve: i, F i1L1 N1.cf P-- r,-t.t.~~ . - p~• <br />Federal Tacpayer (or I atployer~1DY:..~ ~ 1 . f2 Z <br />Mailing Address: ice. G ~.~~7 w <br />City, State and Zip Corte: ~_ (•~~?t-ti! ~_~ _x <br />Phone xumber: [ 71R ~ ?_ ZC _ 7!~ S ~ <br />Luca! Contact {familiar ith facilhy): ~ + 2i/~. <br />Title: I~ I n ~ ~ ,yt ~. c <br />3. Loa6m of the <br />S1reN AMress: <br />City, State and Zip Code: _ <br />Conroy: ~rP_.wtL1v <br />Legat Location (rawaship, <br />Latitude Aad Longitude: <br />Type of Facility: ^ New (beginning operations after 1011192} ~ F.zisting (~ of IU(Il92) <br />7tvory -1- <br />tr0'd 50LT6926TLT Ol SNOIlf1~G5 ~J1N3WN0211 ~N3 LlOeld Wdi~:L'0 7661-T2-b(d <br />who is <br />5~ <br />for the permitT LYj Owner U Operator <br />phone Numb: (~ ~ 9 ) ~ 7 S - 75 5 S <br />Name of facility: t ~ r'iyc~ <br />sedioo, Ili section): T 9p ~. <br />