2008-03-27_REVISION - M2003016 (5)

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n Item 5 - Identify thf: receiving water. Receiving waters are any waters which are contained in or flow in or through the state of Colorado (except water withdrawn for use until use and treahnent have Ueen corpleted). This definition. includes all water courses, even if they are usuall dry. Item 6 - Self explanatory. Item 7 - Indicate whether or not your facility has or is subject to the following environmental permits (not including the one now being applied fc a) Irdicate your Mined Land Reclamation Board permit number in item 7.a. The anniversary date of your mining permit issuance by d Colorado Mined Land Reclamation board is also required. b) ]f yon rurrenlly have a permit from the Division for the discharge of stormwater, include the nwnber in item 7.f. Item 8 - This application covers the discharge to receiving waters of two types of effluent: process water and stormwater. It is anticipated that, generally, all nomnetallic minerals production operations will come under the stormwater portion of the application, while only some of operations will also have a discharge of process water. Process water discharges: Submittal of this application is required if you discharge any process waters. Process generated wastewater include: product wash water, maintenance/equipment wash waters, transport waters, scrubber waters (crushers or classifiers), mine dewatering (groundwater and/or runoff), and stornwater runoff which mixes with process generated wastewater prior to sampling. If yo discharge includes any of these sources, you must complete items 9 -19 of the application as well. Il'you answered /1~o~to all tl~e questions, please skip to item 18. stormwater discharges: Submittal of this application is required from nonmetallic minerals production operations if there is a possibil of discharge of stormwater that can come into contact with any overburden, raw material, intermediate products, finished products, byproducts or waste products located at [he site of snch operation, except as specified above under process water. Por example, runoff haul roads, ex)uipment storage areas, or shipping and receiving areas world be considered a stormwater discharge. Item 9 - This map is indicated to serve as an area map attachment to the permit. A legible submittal is reyuired. The map should be on paper 8 11 inches. Item 10 - This is a facility sketch for inclusion in the permit. A legible submittal is regtured. The sketch should be on paper 8 2 x 11 inches. Item 11 - If you answE;red YES to any of these questions, include an explanation of the situation. For example, explain why yott suspect or know groundwater contamination, and what has been done to remedy the situation. include any applicable analytical data. item 12, 17-Self explanatory. Item 18 - This reyuirement applies to all facilities. Completion of a Stormwater Management Plat (SWMP) is required. (Submittal of the ac plan is not required.) The permit application shall include a signed certification that the SWMP has been completed. For a detailed list c SWMP requirements, see Appendix B of the application. Item 19 - The application mast be signed by both the operator and owner to be considered complete. The person who is applying for the pernrii owner or operator, as indicated in item I) and who silms the application will be the legally responsible party. In all cases, it shall be sign• follows: a) In the case of corporations, by a principal executive officer of at least the level ofvice-president or his or het duly authorized represenl:ative, if such representative is responsible for the over-all operation of the facility from which the discharge described in the application originates. b) In the case of a partnership, by a general partner. c) In the case of a sole proprietorship, by the proprietor. d) In the case of a municipal, state, or other public facility, by either a principal executive officer, ranking elected official, or other duly authorized employee.