Laserfiche WebLink
00/26/1999 80:17 303-782-0390 <br />C[Mi W(~CD WQCC <br />PAGE <br />03 <br />6. Deeailx tLel~a1 aeNvkias which WY piwe on rice. GR2~ i`rf7 v~•v(r~ De~vH'/e2/,~•~ <br />~vlS~ ~LPmrd//YG~ /Loc K S/~~LLw~ Con-ST 2 ~[ Tlii ' OLe `.p~eTit rioc~ <br /> <br />Other Faviraom~al Permfits: Does rho facility ourreatly have arty mvlra~l Permits, or is is subject to <br />regulation. order any of the following lam'! <br />N°.~ ~'r,~~~PcmoitN or 1Dl ~~ <br />a) Colorado Dlschar8e Permit $ytxtm (COPS ~ NPDB$) _~ c a o 0 0 0 3 9 6 <br />b) Aesotttt;e C.oaservati0n gad Y Act (Rt3tA} ~ _ <br />- If ~, is your facility a Traurmt. Storage or Disposal facility!+ _ <br />c) Colorado Division of Minerals gad Gwiogy (formerly MLRD) _ .~ <br />d) SuperfutW Ameadmeots a~ Reauthoraatiar Act (SARA). Tsdk III <br />(Emergeo~y Platmv~g and Cortmnmity Righato-Krpw Act), Briton 313 ~ ,~ <br />NOTE: Bottrltesaa 8 and 4 ~ be Ngmed to order for the appitak[e~a to be pnooesaed. <br />8. 9torn-water Mresage:omt Play <br />a) Haary Ia~7, Light Irrdtrstry, Miaiog: a Stosmwater Maaagaaeot Ptaa (SWMP) shall be prepared prior ro <br />applying for coverage under a genus al permit, and the following certification sued. See StIVMP mquiremeors in <br />Appendix 6 (Light aml Seavy Irahttary) or Appradrx C (Mining). <br />'I certify ~ of law that a ooatplete Sto~cvater INaaagemeat Plan (SWMP), in camrpliaax wkh <br />SeP7eri/~2. ~ _/~/? ~ <br />Sigaswre of Permit Applicant Dam Signed <br />S"J~ ~e.v G - ~e ~vn-¢/L /P2a J~ c /- /`7iin-9'G-~ /L <br />, <br />Name (printed) Title <br />Appenditt ldrelt erne) of the. application, has been prepared for ttry facility. The SWMP was pupated <br />under my direction or supervision trod with a system designed to assure that qualified peraannel properly gather <br />and evainate the indormation aubmiaed. Based on my inquiry of the person or peraoas who manage the system, <br />or those persom directly responsible for gathering the itda~etioa, the SWMP is, ro the best of ray lmowledge <br />gad belief, true, aa'rtrste, and complete_ I am aware that these nre significant penalties for submitting false <br />intotmatioa,, itcluding du possibility of fine gad iarprisonmeat.' <br />b) Henry Iradtartry: the pertttimee shall also submit a copy of the SWMP to the Division with the perttdt application. <br />SWMP eactased? ^ No ^ Yea <br />9. Siptltaa of Appl3caat 4~Y ~~ Fmk <br />"I artily mtdes pmatty of law that I have personally exataiaed and am famfliar with the i~ormation submitted in <br />thin applita<tion a~ alI auachmmta gad that, based on my inquiry of those individuals it~iatCly reapoosihle for <br />obtaining the it>formasion, I believe that the iuformuiou is true, accurate and complete. I am aware that there sn <br />significant penalties for sobmitting false information, including the pwsibIIity of Lae aDd hnpaiso>m>out.' <br />/fn.~h"7 <br />~~ <br />_~ <br />N <br />title <br />S'wncz [i/ <br /> <br />