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' .14. E,ytlier Environmental Permits: Does this facility currently have any other environmental permits, or is it-subject to regulation,under any <br />+ of the following programs? <br /> Permit Name Yes No Date Applied For Permit No. <br /> a) CO Div. of Minerals&Geology (formerly MLRD)* X <br /> b) Dredge or fill permit under Section 404 of the Clean X <br /> Water Act (CWA) (Army Corps of Engineers) <br /> c) C tormwater** X COR- 850026 <br /> d) Other-(list) L i <br /> • If Yes to item 14.a), please include Mined Land Reclamation Board permit anniversary date: <br /> •• If Yes OR No to item 14,f), please read and comply with items 37 and 38, as applicable. <br /> 15. Site-specific Conditions: <br /> a) Is this operation located within one mile of a landfill, or any mine or mill tailings from a historic site? No © Yes ❑ <br /> er <br /> b) Is there actual or suspected groundwater contamination such as plumes from leaking underground storage tanks,etc.? No 0 Yes <br /> If Yes for any of these, please show location of the landfill, tailings or groundwater contamination on the location trap in item 11 or in <br /> the site sketch in item 12. Please explain the location, extent of contamination and possible effect on the discharges from this facility. <br /> 16. Chemical Treatment: Will an flocculants/settling agents or other chemical additives be used to treat water or otherwise be in the <br /> discharge? No ® Yes If Yes, list here and include the Material Safety Data Sheet (MSDS) with the application if not <br /> previously submitted. MSDS should include aquatic toxicity data. Use additional sheets if necessary. <br /> _Chemical Name • Manufacturer Purvose In Which Waste Stream? <br /> • If the chemical formula it unlaw"or confidential,provide the manufacaulces oamo.contact person,addtas and phone number or a copy of the manufaaurces brochure, <br /> product label information or materials handling data sheet for each product used. Plase list the p major comuments or naive ingrediatt(s),if known. <br /> 17. Used or Manufactured Toxics: The applicant must provide a list of any toxic products which the applicant currently uses or manufactures <br /> as an intermediate or final product or byproduct. <br /> None. <br /> 18. Flow Measurement: What method of flow measurement will be used for each discharge point(e.g., v notch weir,pump capacky,parshall <br /> flume, etc.)? Designate whether currently installed or proposed. Identify the minimum and maximum flow measurement capability. List the <br /> last date calibrated. <br /> The pond has never discharged. There are no discharge structures. It is an <br /> incised pond which would have to be dewatered by pumping, should that be necessary. <br /> 19. Improvements: Please provide a description of any abatement requirement, abatement project and projected final compliance dates if subject <br /> to any present requirements or compliance schedules for construction,upgrading or operation of waste treatment equipment. List any <br /> changes from previous permit. <br /> None. <br /> 20. Lund Application: Is or will land application of any wastewater be practiced? No L1_J Yes ❑ If Yes, please provide a copy of <br /> the material submitted to the Division of Minerals and Geology on the discharge and include a copy of the DMG approval where <br /> applicable. Briefly describe the process: <br /> Coal Mining App.4/96 3 <br />