Laserfiche WebLink
APPLICATION for DISCHARGES ASSOCIATED WITH SAND & GRAVEL MINING AND PROCESSING <br />5. RECEIVING WATERS <br />(If discharge is to a storm sewer system, ditch, or manmade conveyance, include the name of the ultimate receiving waters.) <br />Immediate Receiving Water(s): Devil Creek <br />Ultimate Receiving Water(s): Piedra River <br />Are the receiving waters indicated above a storm sewer system, ditch, or manmade conveyance? ? NO 13 YES <br />If discharge is to a storm sewer system, ditch, or manmade conveyance, approval from the owner of the system must be obtained <br />before discharge. <br />6. OTHER ENVIRONMENTAL PERMITS <br />nnae thie facility ct irrantly hnva nnv anvirnnmantnl narmits nr is it ci ihiaet to rani dntinn i inriar aithar of tha fnllnwinn nrnnramc? <br />Permit Name Yes No Applied For, Date Permit No. <br />a. Colorado Division of Reclamation, Mining and Safety- Q ? 12/26/09 M-2008-019 <br />permit anniversary: <br />b. Underground Injection Control ? a <br />c. Clean Water Act (CWA) Section 404 (Army Corps of <br />F <br />1 10/13/09 SPK-2006-75335-DC <br />Engineers) <br />- <br />d. Resource Conservation and Recovery Act (RCRA) ? El <br />e. CDPS Stormwater ? <br />f. Colorado State Air Pollution Emission ? ? 2/18/09 08AC0745F <br />g. Other ? <br />7. MAP (Provide as an attachment to the application) <br />Map attached? ? NO [j] YES <br />Map: Attach a map that indicates the site location and that CLEARLY shows the boundaries of the area subject to the application. Maps <br />must be no larger than 11 x 17 inches. <br />8. SITE SKETCH (Provide as an attachment to the application) Site Sketch attached? ? NO 0 YES <br />A legible general sketch of the site MUST be submitted, showing appurtenant facilities (buildings, ponds, diversion ditches, stockpiles, <br />etc.), stream location, numbered discharge points, sampling and flow monitoring points. The map must be no larger than 11 x 17 inches. <br />The outfalls shall be labeled to correspond with the numbers listed in the Outfalls list. <br />9. SITE-SPECIFIC CONDITIONS: <br />a. Does this facility have bulk storage of diesel fuel, gasoline, solvents, fertilizer, or other hazardous <br />materials on site? ? NO ? YES <br />b. Is this operation located within one mile of a landfill, or any mine or mill tailings? <br />? NO ? YES <br />C. Does the dewatering area have or possibly have groundwater contamination, such as plumes from <br />leaking underground storage tanks, etc.? ? NO ? YES <br />If YES for any of the above questions, show location of the landfill, tailings or possible groundwater contamination on the location map in <br />item 7 or in the general sketch in item 8. Please explain the location, extent of contamination, and possible effect on the discharges from <br />MIS <br />d. Is all stormwater runoff from the facility discharged with the facility's process water discharge (s)? <br />Page 3 of 5 <br />? NO IN YES <br />Revised 12/2009