Laserfiche WebLink
• • AGENCY USE <br />A??LIGATION NUN,BER <br />K.4TI OVAL POLLUTANT DISCHARGE ELIMINATION SYST ElI DATE DECEIVED <br />APPLICATION FOR PERMIT TO DI SCMARGE - SHORT FORM 1 <br />• MUNICIPAL, INDUSTRIAL YEAR M O. DAY <br />Do no[ attempt to complete this (ortn before reading the accompanying instructions <br />Please print or type <br />1. Name, address, and telephone number of the owner of the facility producing <br />discharge. <br />A. O..ner Elam Construction, Inc. <br />B. Faci 1 i ty nave Chamb PrS Pi Y <br />C. Y.ailing Address 1225 South 7th St. <br />0. city Grand Junction. o. stage (•olnradn <br />E. County Atesa F. Zip Code $1501 <br />G. Telephone Number (303 ) 242-5370 <br />Area [ode ' <br />2. Location of facility <br />A. Legal brief description St-~ Sec 11 and Nt-~ Sec 14, T.6 S. R..93 W North of Colorad <br />River <br />B. Street Hiy,hway 6 and 24 east of Rifle., Col nradn <br />[, city Rifle D. County Garfield <br />• E. state Colorado <br />F. Telephone Number ( ) N/ A <br />Area Code <br />6. Local contact Crusher superintendent when processinp_ <br />). Sanitary di srharges (only for sewage trea tmen[racilities). <br />A. Unit treatment processes utilized N/A <br />B. Design flow (average daily) of facility N/A MGD . <br />C. Percent (i0D removal (actual-previous year) N /A = <br />D. Population served N /A <br />E. Number of discharge points N/A <br />F. Description of discharge location(s): N /A <br />. 6. Name of receiving water(s)t N/A <br />H. Is land appliration used or planned? N/A <br />1. Method of sludge disposal N/A <br />J. (1) Do you receive industrial wastes N/A <br />(Z) If yes, describe the sources N/A <br />. I(_ Attach any laboratory analyses of your effluent guallty N/A <br />