_GENERAL DOCUMENTS - C1981017 (302)

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t. . WATER QUALITY CONTROL DIVISION COLORADO DISCHARGE PERMIT SYSTEM APPLICATION FOR CONSTRUCTION DEWATERING WASTEWATER DISCHARGE REVISED DULY 19 1997 This application is for use by all dischargers engaged in the dewatering of groundwater from a construction site. This application is applicable for coverage under a general or individual permit. For an electronic version of this application please contact the Permits and Enforcement Section at 692-3500. WATER RIGHTS The State Engineers Office(SEO)has indicated that any discharge that does not return water directly to surface waters(i.e. land application,rapid infiltration basins,etc.) has the potential for material injury to a water right. As a result,the SEO needs to determine that material injury to a water right will not occur from such activities. To make this judgement,the SEO requests that a copy of all documentation demonstrating that the requirements of Colorado water law have been met,be submitted to their office for review. The submittal should be made as soon as possible to the following address: Colorado Division of Water Resources 1313 Sherman St. Rm 818 Denver, Colorado 80203 Should there be any questions on the issue of water rights,the SEO can be contacted at(303) 866-3581. It is important to understand that any CDPS permit issued by the Water Quality Control Division does not constitute a water right. Issuance of a CDPS permit does not negate the need to also have the necessary water rights in place. It is also important to understand that even if the activity has an existing CDPS permit,there is no guarantee that the proper water rights are in place. GENERAL INSTRUCTIONS Application Due Dates: At least thirty days prior to the anticipated date of discharge,the owner(or operator if the owner does not operate the facility)of the facility shall submit an application as provided by the Water Quality Control Division(the "Division"). Permit Fee:For all permits issued for less than one year the permit fee will be$61.00 per quarter. With a minimum fee payment of one quarter. All quarters will begin on the date the permit is issued. For those permits issued for 12 months or longer the fee is$245.00 per year. You will receive your bill at the time of issuance for your certification. Payment is due upon receipt. Application Completeness: All items of the application must be completed accurately and in their entirety or the application will be deemed incomplete,and processing of the permit will not begin until all information is received. If you have questions on completing this application,you may contact the Division at(303)+692-3500. The original and two copies of the completed application shall be submitted,only to: If you need an extension of this permit you are required to per ply for all additional quarters requested,and the request for extension must be made 30 days prior to the expiration date shown on your permit. The Certification and Authorization to discharge will cease on the expiration date shown on your permit if additional quarters requested are not prepaid. Colorado Department of Health WQCD-PE-132 4300 Cherry Creek Drive South Denver, Colorado 80246-1530 SPECIFIC INSTRUCTIONS Item 1 - Self explanatory. Item 2- Self explanatory. Item 3- This item is needed to identify who will receive and be responsible for the permit. Item 4- All owners of the property must be identified.