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GENERAL FACILITY INFORMATION <br /> Annual Report Submitted Z f 1018 <br /> Permit No State Permit g land apakatfi,t ;*1 t e <br /> Facility C!„ri&A Al, -Qcb�n5„yt. T/ -is Authority Name <br /> Region—' I// Use for Analysis-- <br /> Hydrologic Unit Latitude A//06"//' Longitude u.).,A7,2Z1� <br /> Field Office x Plant Type <br /> Facility Physical Address: <br /> Street City/State 611ntaz, CO <br /> County S�i,ruh, Zip Code_ _T&NZI <br /> Phone L�tf),1elG -.Z160 <br /> Facility Mailing Address: <br /> Street ccJu City/State L�lm�x , CD <br /> County ,,c,nrrJ, Zip Code , <br /> Phone (719) V84,-Zi50 <br /> Operator-in-charge <br /> Title Phone Fax <br /> License No. Certification Grade <br /> Responsible Official <br /> Title <br /> Contact Person <br /> Title E-mail <br /> Phone Fax <br /> Permit Issued Permit Expires Last Inspection Date <br /> Inf. Flow(MGD) mg/L Inf. TSS mg/L Inf. BOD <br /> Active Status? (A/I) Major/Minor?(J/N) Pretreatment?(Y/N) <br /> Indian Lands?(Y/N) Class 1? (Y/N) Report Required?(Y/N) <br /> Facility send biosolids out of state?(Y/N) <br /> ::•'tea: 1� ; .:::... <br /> .. <br />