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tsr* USA EPA Region 8/CDPHE-Water Quality Control Division n4'c?o <br />Yx BIOSOLIDS ANNUAL REPORT <br />aytqPRikt?" $78. <br />SECTION III - FINAL USE/DISPOSAL PRACTICES (reporting year 2010 ) <br />Permit Number( COG650110 ) <br />1. LAND APPLICATION (total) 1.294.48 dmt <br />Bulk Biosolids: 0.00 dmt Derived Materials: 1.294.48 dmt <br />Agricultural Land: 0.00 dmt Agricultural Land: 0.00 dmt <br />Range Land: 0.00 dmt Range Land: 0.00 dmt <br />Forest: 0.00 dmt Forest: 0.00 dmt <br />Public Contact Site: 0.00 dmt. Public Contact Site: 0.00 drat <br />Reclamation Site: 0.00 dmt Reclamation Site: 1.294.48 dmt <br />Sold or Given Away: 0.00 dmt Sold or Given Away: 0.00 dmt <br />Lawn or Garden: 0.00 dmt Lawn or Garden: _ 0.00 drat <br />2. Surface Disposal (Total) 0.00 dint 3. Landfill (Total): 0.00 dmt <br />With Liner and LC 0.00 dmt Landfill Disposal: 0.00 dmt <br />Without Liner and LC 0.00 dmt Landfill Cover 0.00 dmt <br />4. Incineration 0.00 dmt Landfill Name: #Name? <br />5. Transported to Another Facilty 0.00 dmt 6.Received From Another Facility 0.00 drat <br /> Name <br />Name <br /> Address <br />Address <br /> NPDES# <br />NPDES# <br /> Phone <br />Phone <br />7. Other 0.00 drat 8. Stored 0.00 dmt <br />9. Certifications: (*Please Attach All Required Certification Statements) <br />Pathogen Certification? (select one) © YES ? NO ? N/A <br />Vector/Attraction Certification? (select one) W YES ? NO ? NIA <br />Management Practice Certification? (select one) ? YES ? NO R NIA <br />CPLR Certification? (select one) ? YES ? NO © N/A <br />- CPLR Site Restrictions Certification? (select one) ? YES 0 NO ? N/A <br />**dmt = Dry Metric Tons <br />**CPLR: Cumulative Pollutant Loading Rate - when pollutants exdeed Table 3 concentrations (mg/kg) <br />If you have any questions about the preparation of this form contact the CDPHE/EPA biosolids program staff person. <br />3 <br />(1212008)