GENERAL42619

• Permit No: C1981017
• IBM Index Class Name: General Documents
• Doc Name: General Permit Application
• From: Stormwater Permit Folder
• Permit Index Doc Type: Reclamation Project
• Media Type: D
• Archive: No

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STATE OF COLORADO
+ GENERAL PERMIT APPLICATION
STORMWATER
DISCHARGES ASSOCIATED WTPH HEAVY AND LIGHT INDUSTRIAL ACTIVTI'Y
AND METAL MINING
This application is for use by all industrial stormwater dischargers engaged in light or heavy industrial activity,
metal mining, and coal mining (if not covered under the coal general permit, COG-850000), as indicated in
Appendix A. This form may be reproduced.
Application Due Dates: At least thirty days prior to the anticipated date of dischazge, the owner (or operator
if the owner does not operate the facility) of the facility shall submit an application as provided by the Water
Quality Control Division (the "Division").
Permit Fee: Do not send any_pavment with this application. You will be billed once you aze covered under a
permit.
Application Completeness: All items of the application must be completed accurately and in their entireri or
the application will be deemed incomplete, and processing of the permit will not begin until all information is
received. One original copy of the completed application (no faxes) shall be submitted, only to:
Colorado Department of Public Health and Envirorwtent
Water Quality Control Division
WQCD-Permits
4300 Cherry Creek Drive South
Denver, Colorado 80246-1530
Attention: Permits Unit
If you have questions on completing this application, you may contact the Division at [phone].
INSTRUCTIONS
Item 1 - Provide the name and address of the permit applicant, including the company name, local contact,
and mailing address. Indicate whether the applicant is the owner or operator of the facility. Include
the applicant Federal Taxpayer Identification or Employer Identification number (this is a nine digit
number in all cases). This number will be used as an identifier for billing purposes.
Item 2 - For the approximate center point of the property, both types of descriptions (legal, in terms of
Township, Range and '/a section, and longitude/latitude, to the neazest 15 seconds) must be included.
This information is easily obtainable from a U.S. Geological Survey topographical map, available at
azea map stores, or call the USGS at [phone].
Item 3 - The Standard Industrial Classification (SIC) Code or codes for the facility must be listed. SIC
Codes aze assigned according to the primary activities performed by a company. They are often
assigned for insurance purposes or when a business registers as a corporation. Industries can also
determine their SIC Code by checking with their trade association, Chamber of Commerce, legal
counsel, or local library for the SIC Manual. See Appendix A for a summary of SIC Codes
applicable to the stormwater program.
7/97/Itun -i-