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4. Standard Industrial Classification (SIC) Code(s) for this facility. (Include up to four, in order of importance. See Appendix A.) <br />a) 140 - b) ~~ ~) 323 d) <br />5. Receiving Stream: The name of the receiving stream(s). (If discharge is to a ditch or storm sewer, also include the name of the ultimate <br />receiving waters.) <br />L;+~e `~rt~ ~+~e~ ~~b~~~~, ~,- Sit ~:~~. <br />6. Industrial Activity: Describe the primary industrial activities which take place on site (e.g., said and gravel mining, gypsum mining, sand waslrurg, <br />gravel crushing, stationar}~ or mobile asphalUconerete batch plants, etc.). Indicate the status of the facility (active, inactive, being reclaimed, etc.) <br />Sfln~i G ~ tmtrl~,t~. sAn~ e„1~4uh.~ °. UR~t,•e/Z cruls~in„ ~ (~sibi~ <br />J r (~ <br />('~ri cr~-~er ~cl+~ ;~I~nf , ~I~,~ ~ ptZ('~°SS-~v- ~. ~3~R-~c~ 1 U'7oc~°}-. <br />7. Other environmental Permits: Does this facility currently have any other environmental permits, or is it subject to regulation, under either of <br />the following programs? <br />Permit Name Yes No Applied For, Date PernitNo. <br />a.) Colorado Division of Minerals and Geololry <br />(former] ML12D) ~A <br />1"1~ 3 orb <br />b. Underground In'ection Control <br />c.) Dredge or fill permit corder Section 404 of the Clean <br />Water Act (CWA) (Army Co s of Engineers) X <br />d.) Resource Consewation and Recovery Act CRA <br /> <br />e. CDPS Stotmwater ~/ <br />/~ <br />£ Colorado State Air Pollution Emission <br />g.) Other <br />If Yes to item 7.a), please: include Colorado Division of Minerals and Geology (Mined Land Reclamation Board) permit anniversary date: <br />1~" 16 nn lire 2~~t`tn ~~,~ `~ ~~ 2~6 <br />