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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) 14'0- b) c) d) <br />1 0 <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 />?3 JZDAQ Alu ?tT'G H LOLO,ei4D0 R/ 6! <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 />n'5,AuD Aar. 4<2AVEt- M/IJ(NG ; <:;RAVF4- GJzv-ZN1a4 <br /> <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 <br />(formerly MLRD) X <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) X <br />d.) Resource Conservation and Recovery Act (RCRA) X <br />e.) CDPS Stormwater <br />f. Colorado State Air Pollution Emission F.; 2 21w$ <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