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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) b) c) d) <br />• <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 />33 RVAQ LAW T-->tTz.H Goz neADo i2! W6:9- <br />6. Industrial Activity: Describe the primary industrial activities which take place on site (e.g., sand and gravel mining, gypsum mining, sand washing, <br />gravel crushing, stationary or mobile asphalt/concrete batch plants, etc.). Indicate the status of the facility (active, inactive, being reclaimed, etc.) <br />:?-,AmD Auip 42Av6i MI#JJId4::;'XAVF4-- GRU-9M.W4 <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 Permit No. <br />a.) Colorado Division of Minerals and Geology <br />(former) MLRD) <br />b.) Underground Injection Control x <br />c.) Dredge or fill permit under Section 404 of the Clean <br />Water Act (CWA) (Arm Corps of Engineers) V <br />/l <br />d.) Resource Conservation and Recovery Act (RCRA) X <br /> <br />e.) CDPS Stormwater / <br />f.) Colorado State Air Pollution Emission ?EGEwt 17,15 12- <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 />• <br />4