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COLORADO WATER QUALITY CONTROL DIVISION NOTICE OF TERMINATION www.coloradowaterpermits.com <br />PART A. IDENTIFICATION CONTINUED: <br />2. CERTIFICATION UNDER A GENERAL PERMIT <br />c. Termination for certifications under these general permits requires inspection by the Division to ensure <br />discharges have ceased and may also require a Bond Release if a Bond was issued. If only process water <br />discharges have ceased and the Bond is not released, the certification may be converted to the appropriate <br />Stormwater Only Permit. Termination for these certifications also require up to date submissions of all annual <br />reports, discharge monitoring reports, or other reporting paperwork for the period prior to the termination date of <br />the permit. <br />1. COG850000 Coal Mining Process Water and Stormwater combined Cert /Facility Number <br />2. COG500000 Sand & Gravel Mining Process Water and Stormwater combined C06_8500 <br />d. Termination for certifications issued under the following General Permits requires a Bond Release if a Bond was <br />issued and is terminated based on self - certifying information. Termination for these certifications also require up <br />to date submissions of all annual reports, discharge monitoring reports, or other reporting paperwork for the <br />period prior to the termination date of the permit. <br />1. COR040000 Metal Mining Industry Activities - Stormwater Cert /Facility Number <br />2. COR340000 Sand & Gravel Mining Activities - Stormwater <br />3. AUTHORIZATIONS <br />a. REUSE AUTHORIZATION <br />1. TREATER Termination for the Treater generally requires inspection by the Division to Authorization Number <br />ensure discharges have ceased. <br />2. USER Termination for the user is based on certification by the Treater that usage has <br />ceased and connection has been severed <br />Termination for these authorizations also require up to date submissions of a/1 annual <br />reports, discharge monitoring reports, or other reporting paperwork for the period prior <br />to the termination date of the authoriz <br />b. BIOSOLIDS AUTHORIZATION Authorization Number <br />Terminations for this authorization is based on self - certification that land application has <br />ceased and reporting is complete <br />Termination for these authorizations also require up to date submissions of all annual <br />reports, discharge monitoring reports, or other reporting paperwork for the period prior to <br />the termination date of the authorization. <br />PART B. PERMITEE INFORMATION <br />Company Name K1' (Z �� C c m PAm <br />Legal Contact <br />Title <br />Mailing Address <br />City <br />First name ` / Last name r /-V c2 �' �cJC�G�- V T^" <br />lV]/��,'1 Email of ccxx.I e qma.l 1 + com <br />5 <br />J R-E NGr- <br />State C <br />Zipcode PID-26 <br />Phone J- <br />Page 2 of 5 <br />form last revised March 2010 <br />