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ENERAL PERMIT APPLICATION <br />STORMWATER DISCHARGES <br />ASSOCIATED WITH <br />SAND AND GRAVEL PRODUCTION <br />OPERATIONS (AND OTHER <br />NONMETALLIC MINERALS <br />For Aeencv Use Onlv <br />COR-50 ,___ <br />Date Received <br />Year Month Day <br />EXCEPT FUEL) <br />(Permit Na COG-500000) <br />Please pr(nt or type. Do not attempt to complete this form before reading the instructions. <br />1. Ia this the correct appllcaHon for your facility?2 77tis application is only for the discharge of stormwater. <br />Do you discharge any of the following process generated wastewaters from your facility? <br />No ^ Yes Product wash waters <br />No ^ Yes Main[enance/equipment wash waters <br />® No ^ Yes Transport waters (e.g., slurries) <br />® No ^ Yes Scrubber waters (crashers or classifiers) <br />® No ^ Yes Mira dewatering (groundwater and/or runoff from the mine) <br />If you answered Yes to any of these questions, do not complete this application. You must instead complete the Process <br />VI'ater and stormwater Discharges Associated with Send and Gravel application for this facility, which is available from <br />the Division. <br />2. Name and address of permit applicant: <br />702 GregpQ~i~uena Vista Co 8]277 <br />CampanyName: ACA PROnTT('.TS 7N('. P n RQy ~ <br />Federal Taxpayer (or Employer) ID#: ,$ ~, 1 ~ Z ~ ~ 3 S <br />Mailing Address: P.O. Rnx 1887 <br />City, State and Zip Code: Buena Vis <br />Phony Number. ( 719 )395-3790 Who is applying for the permit? Owner <br />Local Contact (familiar with facility): <br />~\ <br />Operator <br />Title: PP7m1 t Contnl i anr•a Phone Number. (710 ) 3g5-37Q0 <br />Rayette Hutchison <br />3. Location a[ the facility: <br />Street Address: 1 mile s , h of. ]-Iwy 285/24 East of CR 301 <br />City, State and Zip Code: Buena Vista. Co 81211 <br />County: Chaffee Name of facility: Trout Creek Pit <br />Legal Location (Township, Range, section, 1/4 section):SWI /!. of rho NGii /A .,f Semi nn 7F, and rhp~l/2 <br />Lau andLangit~~e:s 78W 6th P.M. of the SEl/4 of the NEl/ and E 1/2 of NEl/4ofSE1/4 <br />106 05' 14.9 ' 3 48 12.27 <br />Type of Facility: ~ New (beginning operations after 10/1/92) ~ Existing (as of 10/1/92) <br />7/91/sg <br />-1- <br />