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<br />USA EPA Region 8/CDPHE-Water Quality Control Division C. <br />Y. BIOSOLIDS ANNUAL REPORT <br />'va naa `J <br />SECTION I - BIOSOLIDS LAND APPLICATION REPORT <br />By Authority of 40 CFR Part 503 and Regulation 64, this form is to be used by generators and distributors to report biosolids applied to the land Which are <br />subject to 40 CFR Part 503 and Regulation 64. <br />The information provided herein will be used to determine fees to support the program in accordance with Regulation 64. <br />REPORTS ARE DUE February 19, 2011 <br />Please note: All Treatment Works Treating Domestic Sewage (TWTDS) are required to complete and return this form. <br />** If you did not land apply pleaseput 0 for the tons land applied and return only this Page to the address below. <br />** If you landfilled all your biosolids list the tons that were landfilled and return only this aaue to the address below. <br />4 .-A 4ha hmdarc nnma- <br />n yVU nausea nauJu uwavuua av -- <br />FACILITY NAME NPDES and/or State Permit Number <br />COG650110 <br />PARKER AG COMPOST SITE - CLIMAX MINE <br />FACILITY ADDRESS TELEPHONE NO. <br />(719) 775-9870 <br />CLIMAX MINE HWY 91 <br />CITY CONTACT PERSON and Email luke@parkerag.com <br />CLIMAX LUKE BOND <br />DURING FISCAL YEAR 2010 (1/1/ 2010 -12/3112010 THE GENERATOR/DSITRIBUTOR NAMED ABOVE LAND APPLIED <br /> DRY METRIC TONS OF BIOSOLIDS TO LANDS WITHIN THE STATE OF <br />1,294.48 DRY METRIC TONS 1,284.48 <br />COLORADO <br />OF BIOSOLIDS <br /> TOTAL DRY METRIC TONS LANDFILLED. <br /> TOTAL DRY METRIC TON& INCINERATE <br />1,294.48 TOTAL DRY METRIC TONS OF BIOSOLIDS --?-' <br />GENERATED 0 <br />_ TOTAL DRY METRIC TONS TRANSPORTED OUT <br /> OF STATE <br />TOTAL GALLON T SPORTED TO ANOTHER WASTEWATER TREATMENT FACILITY <br />RECEIVING FACILITY NAME <br />HAULERS NAME <br /> <br />i o convert me mart aysc ka un i ia) <br />I certify tha inform 'o a rovid don this form is true. <br />?? . <br />V " 60 <br />Sia to of thorized Rep sentative . Date <br />1WRILnVV 14MVIC PARKER AG COMPOST SITE - CLIMAX MINE <br />MAILING ADDRESS: 53036 HWY 71 <br />MAILING CITY LIMON STATE CO IP 80828 CONTACT PERSON LUKE BOND. <br />PLEASE RETURN COMPLETED FORM TO: <br />BIOSOLIDS PROGRAM <br />CDPHE-Water Quality Control Division <br />WQCD-WQP-B2 <br />4300 Cherry Creek Dr. S <br />Denver, CO 80246-1530 <br />1 <br />(12/2008)