HomeMy WebLinkAbout20191080.tiffSOIL INFORMATION
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Soil Map —Weld County, Colorado, Southern Part
Map Unit Legend
Map Unit Symbol
Map Unit Name
Acres in AOI
Percent of AOI
1
Altvan
slopes
loam, 0 to 1
percent
8.1
2.6%
21
Dacono
clay loam,
percent slopes
0 to 1
15.8
5.0%
29
Julesburg
sandy
percent slopes
loam, 0
to 1
84.3
26.8%
30
Julesburg
sandy
percent slopes
loam, 1 to 3
7.4
2.4%
35
Loup-Boel
percent
loamy
slopes
sands, 0 to 3
1.2
0.4%
44
Olney
loamy
percent slopes
sand, 1 to 3
1.2
0.4%
47
Olney
fine sandy
percent slopes
loam, 1 to 3
19.8
6.3%
69
Valent
slopes
sand, 0 to 3
percent
37.8
12.0%
72
Vona
loamy sand,
percent slopes
0 to
3
68.7
21.9%
75
Vona
sandy loam,
percent. slopes
0 to 1
56.1
17.9%
76
Vona
sandy loam,
percent slopes
1 to 3
14.1
4.5%
Totals for Area of Interest
314.4
100.0%
USDA Natural Resources Web Soil Survey
a Conservation Service National Cooperative Soil Survey
4/18/2018
Page 3 of 3
APEN PERMIT
Mining Operations APEN - Form APCD-222
Air Pollutant Emission Notice (APEN) and
Application for Construction Permit
All sections of this APEN and application must be completed for both new and existing facilities, including APEN
updates. An application with missing information may be determined incomplete and may be returned or result in
longer application processing times. You may be charged an additional APEN fee if the APEN is filled out
incorrectly or is missing information and requires re -submittal.
This APEN is to be used for mining operations (i.e. quarries, pits, or mines). This APEN may also be used to report
haul road activities at non -mining facilities. Additional APENs may be required for process equipment located at
the mine. A specialty APEN may be available for the process equipment (e.g. asphalt plants, crushers/ screens,
concrete batch plants, engines, etc.). If a specialty APEN is not available or does not satisfy your reporting needs,
the General APEN (Form APCD-200) is available.. A list of all available APEN forms can be found on the Air Pollution
Control Division (APCD) website at: www.colorado.qov/ cdphe/ apcd.
This emission notice is valid for five (5) years. Submission of a revised APEN is required 30 days prior to expiration
of the five-year term, or when a reportable change is made (significant emissions increase, increase production,
new equipment, change in fuel type, etc.). See Regulation No. 3, Part A, II.C. for revised APEN requirements.
Permit Number: AIRS ID Number:
[Leave blank unless APCD has already assigned a permit # and AIRS ID]
Section 1 - Administrative Information
Company Name1: Hunt Water, LLC
Mine/ Pit Name: Hunt Water, LLC Gravel Mine
Mine/ Pit Location:
Mailing Address:
(Include Zip Code)
17295 US HWY 85
Platteville, CO 80651
14460 WCR 40
Platteville, CO 80651
Mine/ Pit Location WELD
County:
NAICS or SIC Code: 212321
Contact Person: David Hunt
Phone Number: 970 737 2437
E -Mail Address: david@huntfeedyard.com
Use the full, legal company name registered with the Colorado Secretary of State. This is the company name that will appear on
all documents issued by the APCD. Any changes will require additional paperwork.
2 Permits, exemption letters, and any processing invoices will be issued by APCD via e-mail to the address provided.
Form APCD-222 - Mining Operations APEN - Revision 12/ 2017
di I Aiy
COLORADO
repau,.ro d Pubic
Fitalitttsykatenta
Permit Number: AIRS ID Number: I I
[Leave blank unless APCD has already assigned a permit # and AIRS ID]
Section 2- Requested Action
■
■
•
NEW permit OR newly -reported emission source
-OR -
MODIFICATION to existing permit (check each box below that applies)
❑ Change fuel or equipment ❑ Change company name ❑ Add point to existing permit
❑ Change permit limit ❑ Transfer of ownership3 ❑ Other (describe below)
-OR-
APEN submittal for update only (Blank APENs will not be accepted)
- ADDITIONAL PERMIT ACTIONS -
APEN submittal for permit exempt/ grandfathered source
Additional Info & Notes: This mine is currently bing permitted with the DRMS. M2018027
3 For transfer of ownership, a completed Transfer of Ownership Certification Form (Form APCD-104) must be submitted.
Section 3 - General Information
General description of the activity: (additionally, provide a topographic site map)
Sand & gravel is mined from an alluvial deposit along the South Platte River, Processing to include screening only. The reclaimed mine will be water storage.
For existing sources, operation began on:
For new or reconstructed sources, the projected start-up date is: Winter 2018
Normal Hours of Source Operation:
12
Seasonal use percentage: Dec -Feb: 20
hours/ day 6
days/ week 50 weeks/ year
Mar -May: 25 Jun -Aug: 30
Sep -Nov: 25
Commodity Produced: (check each box below that applies - as indicated on the applicable Division of Minerals and Geology Permit)
I
I
Aggregate / Sand and Gravel
Stone
Coal
Minerals or Metals (type)
Ot her (describe)
top .soil/Overburden
Form APCD-222 - Mining Operations APEN - Revision 12/2017
COLORADO
beluatuipm
Permit Number:
AIRS ID Number: I
[Leave blank unless APCD has already assigned a permit # and AIRS ID]
Section 4 - Processing/Manufacturing Information & Material Use
❑ Check this box if APEN is for Haul Roads only (not located at a mining site) and complete the applicable sections,
Section 4H - Raw Material Transport and/ or Section 41 - Finished Product Transport on pages 6 and 7. Otherwise
complete all of Section 4.
From what year is the actual annual amount? 2017
Actual Annual Production (tons)
none
Requested Annual Production4 (tons)
350,000
4 Requested values will become permit limitations. Requested limit(s) should consider future process growth.
Section 4A - Topsoil
Removal
Topsoil removed daily (tons)
Topsoil removed annual (tons)
917
275,000
Proposed controls for topsoil removal
■
•
Moist Material
Water Spray
Ot her (specify)
Removal
Stockpile(s)
Maximum stored on site (tons) 65,000
Proposed controls for topsoil stockpile
❑ Watering
❑ Chemical Stabilizer
❑ Compacting of Piles
n Enclosures (choose one option from below)
Section 4B - Overburden
Equipment used for removal Excavator/Loader
Tons removed by dragline (daily) N/A
Tons removed by dragline (annual) N/A
Dragline drop height (feet)
Hours scraper operated (daily)
Hours scraper operated (annual)
N/A
10
1000
Proposed controls for overburden removal
■
■
Moist material
Water Spray
Ot her (specify)
❑ Complete • Partial
Revegetation (must occur within one year of site disturbance)
❑ Other (specify)
Stockpile(s)
Maximum stored on site (tons)
60,000
Proposed controls for overburden stockpile
■
■
■
•
■
Watering
Chemical stabilizer
Compacting of piles
Enclosures (choose one option from below)
■
Complete • Partial
Revegetation (must occur within one year of site disturbance)
Other (specify)
Form APCD-222 - Mining Operations APEN - Revision 12/ 2017
3w°
COLORADO
frepartripni NILE
IRWIN raVilitkrallfi
Permit Number:
AIRS ID Number:
[Leave blank unless APCD has already assigned a permit # and AIRS ID]
Section 4C - Drilling and Blasting
Drilling
Number of holes drilled (daily) None
Number of holes drilled (annual) NA
Proposed controls for drilling
■
■
■
Water injection
Bag collectors
Ot her (specify)
Removal
Material removed daily (tons)
Material removed annual (tons)
250
Blast area (acres)
Number of blasts (daily)
Blasting
N/A
Number of blasts (annual)
Type of blasting material
BI asti ng material used (daily)
Blasting material used (annual)
Section 4D - Raw Material
75000
Maximum drop height (feet) 12
Specific moisture content (o) 8
Proposed controls for raw material removal
■
■
Moist material
Water spray
Ot her (specify)
Stockpile(s)
Maximum stored on site (tons) 10,000
Proposed control for raw material stockpile
Watering
❑ Chemical stabilizer
❑ Compacting of piles
n Enclosures (choose one option from below)
■
Complete • Partial
❑ Other (specify)
Section 4E - Conveyors and Transfer Points (not assigned to process equipment)
Include a map detailing the conveyor system layout within the site.
Conveying
Material conveyed daily (tons) 0
Material conveyed annual (tons)
Proposed controls for conveyors
■
■
Enclosures (choose one option from below)
■
Complete
Ot her (specify)
■
Partial
Number of transfer
points
Transfer Points
0
Proposed controls for transfer points
■
■
■
■
Watering
Chemical stabilizer
Enclosures (choose one option from below)
■
Complete ❑ Partial
Other (specify)
Form APCD-222 - Mining Operations APEN - Revision 1212017
4 ' Aki.."
COLORADO
fiervirraniPUKE
Reath
Permit Number: AIRS ID Number:
[Leave blank unless APCD has already assigned a permit # and AIRS ID]
Section 4F - Processing Equipment
Will processing (i.e., crushing, screening, etc.) occur on site? (yes/no) yes
If you answered " No" above (i.e. no processing/ manufacturing equipment will be located on site) check the box
below and skip to page 6, Section 4G - Finished Product.
■
Check this box if no process equipment is located on site.
List any additional emission sources and related controls (e.g. concrete batch plants, crushers/ screens, engines,
conveyors and transfer points associated with process equipment, HMA plants, etc.) Additional APENs for any such
equipment may be required. The following Specialty APENs are available: Form APCD-224 Concrete Batch Plants,
Form APCD-221 Crushers and Screens, Form APCD-233 Diesel Engines. If a Specialty APEN is not appropriate for the
additional equipment, use Form APCD-200 General APEN.
Additionally, complete the section below regarding crushing and screening performed on site.
Emission Source
(or equipment type)
Control Equipment Description
Permit Number
(if available)
screen
deck
water spray,
moist material
portable screen
water spray,
moist material
Primary Crushing
Maximum crushed per year (tons)
NA
Design process rate (tons/ hour)
Duration of daily crushing (hours)
Secondary Crushing
Maximum crushed per year (tons)
Design process rate (tons/hour)
Proposed control for crushing
■
■
■
■
NA
Moist material
Water spray
Enclosures (choose one option from below)
■
Complete • Partial
Ot her (specify)
Screening/Classifying
Maximum screened per year (tons)
Design process rate (tons/ hour)
Duration of daily screening (hours)
100,000
200
12
Secondary Screening/Classifying
Maximum screened per year (tons)
Design process rate (tons/ hour)
Proposed control for screening
■
Moist material
Water spray
Encl osures (choose one option from below)
❑ Complete
Other (specify)
■
Partial
Note: Completion of this section does not relieve the applicant from the requirement to submit APEN forms for
process equipment subject to APEN or permitting requirements.
Form APCD-222 - Mining Operations APEN - Revision 12/ 2017
5 I ky
ICOLORADO
haraimpia Pak
Permit Number: AIRS ID Number: I I
[Leave blank unless APCD has already assigned a permit # and AIRS ID]
Section 4G - Finished Product
Stockpile(s)
Maximum stored on site (tons) 125000
,
Proposed control for finished product stockpile
■
■
■
■
■
a
Watering
Chemical stabilizer
Compacting of piles
Enclosures (choose one option from below)
Complete • Partial
Revegetation (must occur within one year of site disturbance)
Other (specify) moist material.
Annual on -site transfer:
Section 4H - Raw Material Transport (raw material removal to stockpiles)
350,000 tons
Haul Vehicle 1
Haul vehicle capacity: 40
Haul vehicle empty weight: 35
Max number of trips per day: 30
Haul road length (avg. one way): 1500
Posted speed limit on haul road: 15
List all air pollution controls used for the haul roads:
■
■
Haul Vehicle 2 Haul Vehicle 3
mph
Paved Surface
Street sweeping: ■ No ■ Yes
Unpaved Surface
Watering: p None Fl As needed
Surface is graveled: ■ No p Yes
Chemical stabilizer applied: p No ■ Yes Type:
■
tons
tons
feet
Frequent: times/ day
(e.g. mag chloride, resin, etc.)
5 If "Frequent" is selected, your permit may include a requirement to water haul roads daily as often as listed in this APEN.
r 6
Form APCD-222 - Mining Operations APEN - Revision 1212017 6 I r u °
COLORADO
midIkatic
Ikea f Earkaturna
Permit Number:
AIRS ID Number:
I
I
[Leave blank unless APCD has already assigned a permit # and AIRS ID]
Section 41 - Finished Product Transport
Annual off -site transfer: 350,000 tons
Haul vehicle capacity:
Haul vehicle empty weight:
Max number of trips per day:
Haul road length (avg. one way):
Posted speed limit on haul road:
Haul Vehicle 1
25
18
50
500
15
List all air pollution controls used for the haul roads:
■
Paved Surface
Street sweeping:
Unpaved Surface
Watering:
Surface is graveled:
Chemical stabilizer applied:
■
■
■
■
No
None
No
No
Haul Vehicle 2
mph
■
O
■
■
Yes
As needed
Yes
Yes
Type:
■
Haul Vehicle 3
Frequents:
tons
tons
feet
times/ day
(e.g. mag chloride, resin, etc.)
If "Frequent is selected, your permit may include a requirement to water haul roads daily as often as listed in this APEN.
Section 5 - Site Information
Geographical Coordinates
(Latitude/Longitude or UTM)
40.2503582, -104.816067
Attach a topographic site map indicating location.
Total site area (acres) 180.2
Total disturbed site area (acres) 101.55
Proposed site controls
r4
■
■
Watering (choose one option from below)
■
Frequent (2 or more times per day)
As needed
Chemical stabilizer
Revegetati on (must occur within one year of site disturbance)
■
Seeding with mulch
Seeding without mulch
Other (specify)
Form APCD-222 - Mining Operations APEN - Revision 1212017
r r
7 �
tipaimini Pak
COLORADO
Permit Number:
AIRS lO Number: I
[Leave blank unless APCD has already assigned a permit # and AIRS ID]
Section 6 - Applicant Certification
I hereby certify that ail information contained herein and information submitted with this application is complete, true
and correct.
Signature of Legally Authorized Person (not a vendor or consultant)
Ij
Name (print)
let Pi
Check the appropriate box to request a copy of the:
Draft permit prior to issuance
Draft permit prior to public notice
■
■
(Checking any of these boxes may result in an increased fee and/or processing time)
7-25-18
Date
7-25-18
Title
This emission notice is valid for five (5) years, Submission of a revised APEN is required 30 days prior to expiration
of the five-year term, or when a reportable change is made (significant emissions increase, increase production,
new equipment, change in fuel type, etc.). See Regulation No. 3, Part A, II.C. . C. for revised APEN requirements.
Send this form along with $152.90 to:
Colorado Department of Public Health and Environment
Air Pollution Control Division
APCD-SS-B1
4300 Cherry Creek Drive South
Denver, CO 80246-1530
Make check payable to
For more information or assistance call:
Small Business Assistance Program
(303) 692-3175 or (303) 692-3148
APCD Main Phone Number
(303) 692-3150
Or visit the APCD website at:
Colorado Department of Public Health ant#y.ylitimmlopdskagicgpbe4cd
Form APCD-222 - Mining Operations APEN. - Revision 12/2017
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COLORADO
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Hunt Water, LLC Gravel Mine
Mine\Drawings\SHEETS\COVER_E STCOND_DHF dwg, 5/21/2018 8:52:02 Ail
resin -1 O5\DHF-Grave
11381
SITE COORDINATES
LAT: 40.2503582
LONG: -104.816067
LOTA- RE3994
NORTH
PROJECT LOCATION MAP
SCALE: 1" _ '1000 UNITS
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CDPHE DISCHARGE
COLORADO
Department of Public
Health & Environment
Dedicated to protecting and improving the
health and environment of the people of Colorado
APPLICATION FOR CDPS GENERAL PERMIT COG500000
DISCHARGES FROM SAND AND GRAVEL MINING AND PROCESSING
Please print or type. Original signatures are required.
Photo, faxed, pdf or email copies will not be accepted.
For Agency Use Only:
Permit Number Assigned
COG50-
The
application must be submitted to the Water Quality Control Division at least 60 days prior to the anticipated date
of discharge, and must be considered complete by the division before the review and approval process begins. The
division will notify the applicant if additional information is needed to complete the application. If more space is
required to answer any question, please attach additional sheets to the application form. Applications must be
submitted by mail or hand delivered to:
Colorado Department of Public Health and Environment
Water Quality Control Division, WQCD-P-B2
4300 Cherry Creek Drive South
Denver, Colorado 80246-1530
A. PERMIT INFORMATION
Reason for Application:
Applicant is:
a NEW CERT
❑ RENEW CERT EXISTING CERT i#
• Property Owner • Contractor/ Operator
The applicant requests authorization for the following discharge type(s).
i
Mine (pit) dewatering: includes any water, such as groundwater, seepage, and stormwater (precipitation and surface
runoff), that is impounded or that collects in the mine pit (surface or underground workings) and is pumped, drained, or
otherwise removed from the mine through the efforts of the mine operator. In addition, for construction sand and gravel
facilities and industrial sand facilities only, mine dewatering includes wet pit overflow caused solely by direct rainfall
and/ or groundwater seepage;
Process generated wastewater: includes any wastewater used in slurry transport of mined materials, air emissions
control, and processing exclusive to mining.
Water used in processing the mined commodity: includes water from washing, sorting, screening, crushing,
classifying, etc.
Stormwater runoff, comingled with the above listed wastewaters before the discharge point.
Stormwater runoff (not comingled with the above listed wastewaters) from facility pollutant sources:
includes runoff from stockpiles, disturbed areas, roads, maintenance areas, etc.; asphalt batch plants (SIC code 2951);
concrete batch plants (SIC code 3273); or asphalt and concrete recycling activities conducted at the facility.
Note: the following discharge types are not eligible for coverage under CDPS General Permit COG500000:
• Stormwater discharges associated with construction activity that disturbs one acre or more;
• Process water discharges from asphalt batch plants (resulting from the production of asphalt concrete);
• Process water discharges from concrete batch plants, including drum and truck wash water (concrete wash
out
• Stormwater and process water discharges from placer mining industrial activities (SIC Major Group 10).
• Process water discharges from the SIC codes identified in Appendix 1 of this application.
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B. CONTACT INFORMATION
1. Permittee Information
Organization Formal Name: Hunt Water, LLC
Permittee Name: the person authorized to sign and certify the permit application. This person receives all
permit correspondences and is responsible for ensuring compliance with the permit.
Responsible Position (Title): Manager
Currently Held By (Person): David Hunt
Telephone No: 970-737-2437
Email address: david@huntfeedyard.com
Mailing Address: 14460 WCR 40
City: Platteville State: Colorado zip: 80651
This form must be signed by the permittee to be considered complete. Per Regulation 61, in all cases, it shall
be signed as follows:
a) In the case of corporations, by a responsible corporate officer. For the purposes of this section, the
responsible corporate officer is responsible for the overall operation of the facility from which the
discharge described in the application originates.
b) In the case of a partnership, by a general partner.
c) In the case of a sole proprietorship, by the proprietor.
d) In the case of a municipal, state, or other public facility, by either a principal executive officer or ranking
elected official.
2. DMR Cognizant Official (i.e. authorized agent) the person or position authorized to sign and certify reports
required by permits including Discharge Monitoring Reports [DMR's], Annual Reports, Compliance Schedule
submittals, and other information requested by the division. The division will transmit pre-printed DMR's to
this person. If more than one, please add additional pages.
o Same as 1) Permittee
Responsible Position (Title):
Currently Held By (Person):
Telephone No:
Email address:
Organization: LLC
Mailing Address:
City: State: Zip:
Per Regulation 61: All reports required by permits, and other information requested by the Division shall be
signed by the permittee or by a duly authorized representative of that person. A person is a duly authorized
representative only if:
a) The authorization is made in writing by the permittee
b) The authorization specifies either an individual or a position having responsibility for the overall
operation of the regulated facility or activity such as the position of plant manager, operator of a well
or a well field, superintendent, position of equivalent responsibility, or an individual or position having
overall responsibility for environmental matters for the company. (A duly authorized representative may
thus be either a named individual or any individual occupying a named position)
c) Submitted in writing to the Division
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B. CONTACT INFORMATION (cont.)
3. Site/Local Contact (contact for questions relating to the facility & discharge authorized by this permit.)
o Same as 1) Permittee
Responsible Position (Title):
Currently Held By (Person):
Telephone No:
Email address:
Organization:
Mailing Address:
City: State: Zip:
4. Operator in Responsible Charge • Same as 1) Permittee o Same as 3) Site/ Local Contact
Responsible Position (Title):
Currently Held By (Person):
Telephone No:
Email address:
Organization:
Mailing Address
City: State: Zip:
5. Billing Contact a Same as 1) Permittee
Responsible Position (Title):
Currently Held By (Person):
Telephone No:
Email address:
Organization:
Mailing Address:
City: State: Zip:
6. Other Contact Types (check below) Add pages if necessary:
Responsible Position (Title):SENIOR PROJECT MANAGER
Currently Held By (Person): MICHAEL HATTEL
Telephone No: 303-665-1400
Email address: mhattel@msn.com
Organization: APEX CONSULTING SERVICES, INC.
Mailing Address: P.O. BOX 369
City:
LOUISVILLE State: CO Zip: 80027
• Environmental Contact
o Facility Inspection Contact
o Consultant
o Compliance Contact
o Property Owner
o Other
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C. PERMITTED FACILITY INFORMATION
Facility or Project Name Hunt Water LLC Gravel Mine
Street Address (or cross streets) 17295 Hwy 85
City Platteville
Colorado, Zip Code 80651
County WELD
Type of Facility Ownership
❑ City Government o Corporation . Private o Municipal or Water District
❑ State Government o Mixed Ownership
Facility or Project Latitude/ Longitude — List the latitude and longitude of the center point of the facility.
Latitude: 4° 250382° Longitude: -104 816067°
(Provide coordinates in decimal degrees to 6 decimal places (e.g., 39.703345° ,-104.933567° ))
Standard Industrial Classification (SIC) Code(s) for this FACILITY (include up to 4, in order of importance)
Note: see the SIC codes covered by permit link (general permit COG500000) on the division website for
descriptions of SIC codes associated with this permit.
1. 1442 Constructio 2. 1442 Construct 3. 1442 Construct 4, 1442 Construct
D. PROJECT DESCRIPTION - Provide an overview of the industrial activities that are conducted at the facility.
The proposed permit area includes a significant deposit of sand and gravel located in the alluvium of
the South Platte River in Weld County. The site is located west and east US -85. The western
portion is west of State High 60 and east of Weld County Road 25.5. The eastern portion is directly
east of the BNSF Rail Road and north of Weld County Road 36. It encompasses 113 acres +1- on
the west and 26 acres +1- on the east. After the slurry wall installation, scrapers will strip the topsoil
and overburden material from a given phase and place them as berms surrounding the site. Any
excess material not needed for reclamation may be sold or hauled off -site during the life of the mine.
E. SITE MAPS AND SCHEMATICS - provide as an attachment to the application - no larger than 11x17 inches
1. Location Map - Application must include a location map that shows the location of the project/facility, the
boundaries of the area subject to the application, and all receiving water(s). A north arrow must be shown.
2. Legible Site Sketch - showing all surface features (buildings, ponds, diversion ditches, stockpiles, processing
areas, batch plants, other pollutant sources, etc.); stream location(s); numbered outfalls; and direction(s) of
water flow at the facility indicated by arrows (stormwater and process water). Label outfalls to correspond
with the numbers listed Table G.1 of this application.
Are the required maps/ sketches attached? • Yes
o No - Application cannot be processed without required maps
F. SITE -SPECIFIC CONDITIONS - Nearby Sources of Potential Groundwater Contamination/ Facility pollutant sources
Note: The division may require representative analytical data of the effluent (e.g., mine pit water or discharge) as
part of the application review process. The division will notify the applicant if any additional information is
required. Failure to provide this data may delay permit application processing until such data is submitted to the
division.
Note: see Appendix B of Application Guidance Document (Construction Dewatering - COG070000) on the division
website for resources useful in identifying ground water contamination near the facility.
Page 4 of 8 - Revision 11/22/2017
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1. Has the applicant reviewed the surrounding area for possible groundwater contamination, such as plumes from
leaking underground storage tanks (LUSTs), hazardous waste sites, or additional sources? Applicants are
expected to exercise due diligence in evaluating their sites prior to applying for a discharge permit.
• Yes ❑ No
❑ NA (no water leaves the pit, or stormwater-only discharge)
2. Is an open LUST located within 0.5 mile of the site? e Yes ❑ No
*!f yes, BTEX analytical data for the mine pit water or discharge must be included with the permit application. Failure to
include this data may delay permit application processing until such data is submitted to the division.
3. Is a Superfund site or National Priorities List (NPL) site located within 1 mile of the site? ❑ Yes • No
*If yes, analytical data for the mine pit water or discharge, for those parameters associated with the Superfund or NPL
facility, must be included with the permit application. Failure to include this data may delay permit application
processing until such data is submitted to the division.
4. Is a UMTRA facility located within 1 mile of the site? ❑ Yes • No
*If yes, analytical data for the mine pit water or discharge, for those parameters associated with the UMTRA facility, must
be included with the permit application. Failure to include this data may delay permit application processing until such
data is submitted to the division.
5. Is any other (non -LUST, non-Superfund, non-NPL site) known source of contamination, such as a Voluntary
Cleanup (VCUP), Environmental Covenant, open RCRA Corrective Action site, or brownfields site located within
0.5 mile of the site? ❑ Yes e No
*If yes, analytical data for the mine pit water or discharge, for those parameters associated with the known source of
contamination, must be included with the permit application. Failure to include this data may delay permit application
processing until such data is submitted to the division.
6. Is the sand and gravel facility is within the footprint of an historic landfill?
❑Yes eNo
If Yes for any of questions 1 - 6 above, show location of the source(s) of possible groundwater contamination on
the maps required in Item E of this application. In the box below, describe the location, extent of contamination,
and possible effect on the discharges from this facility.
THERE ARE VARIOUS OIL AND GAS FACILITIES LOCATED WITHIN ONE-HALF MILE OF
SITE, AND HISTROCIALLY GAS AND OIL SITE HAVE BEEN KNOWN TO LEAK. ALL OF THE
COMINGLED STORM AND GROUNWATER WATER WILL BE DEWATERED FROM INSIDE A
STATE APPROVED SLURRY LINED MINE. The LUST is located on the CDOT site to the north
east as shown on the map. If any dewatering water is to be discharged the water will be inside a
state approved slurry wall and no contamination should enter the site.
7. Is concrete truck washout conducted at the facility?
If Yes, please provide the following additional information with respect to this discharge:
❑ Yes e No
• Location of concrete washout water discharge. Check all that apply.
❑ to surface water ❑ to a lined impoundment or excavation
❑ to the ground ❑ washout water not discharged - water is reused, or
❑ to an unlined impoundment or excavation evaporates
• What is the proximity of the discharge to a lake, pond, stream/ river, intermittent or ephemeral creek,
drainage, irrigation ditch, wetland, etc?
• Is the discharge within the DRMS permit boundary?
• What is discharge volume and frequency?
8. Does the facility discharge stormwater runoff from a concrete batch plant? (SIC code 3273)
9. Does the facility discharge stormwater runoff from an asphalt batch plant? (SIC code 3273)
10. Does the facility discharge stormwater runoff from recycled concrete?
11. Does the facility discharge stormwater runoff from recycled asphalt?
Page 5 of 8 - Revisio►n 11/22/2017
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2. Are any of the receiving waters identified in the Table G.1 above a storm sewer system, ditch, or manmade
conveyance?
❑ Yes . No
Note: if discharge is to a storm sewer system, ditch, or manmade conveyance, approval from the owner of the
system must be obtained before discharge.
3. Did the applicant obtain approval from the owner of the storm sewer system, ditch, or manmade conveyance?
Yes ❑ No o NA - discharge is not to a storm sewer system, ditch, or manmade conveyance.
H. CHEMICAL ADDITION/TREATMENT
List all chemical additives, settling agents, flocculants, or other materials to be used in the water or to treat water
prior to discharge. Include the Material Safety Data Sheet (MSDS) for each chemical with the application.
Chemical Name
Manufacturer
Purpose
Dose rat e
Concentration
in effluent
I. OTHER ENVIRONMENTAL PERMITS
Does this facility currently hold any environmental permits, or is it subject to regulation, under any of the
following programs?
Permit
Name
Yes
No
Effective Date
Permit
No.
1. Colorado Division of Reclamation,
Mining and Safety
Summer 2018
2018027
❑•
2. Underground Injection Control
❑
❑
3. Clean Water Act (CWA) Section 404 - US COE
❑
❑
4. Resource Conservation and Recovery Act (RCRA)
❑
❑
5. CDPS Stormwater
❑
❑
6. Colorado State
Air Pollution Emission
❑
❑
7. Other
❑
❑
J. ACTIVITY DURATION
When did the activity commence?
What is the estimated life of the activity generating the discharge(s) ? 10 years.
Winter 2018
Page 7 of 8 - Revision 11/22/2017
COG 000 Permit Application wwwicoloradowaterperrnitsicom
K. STORMWATER MANAGEMENT PLAN (SWMP) CERTIFICATION 1 required ONLY for applications requesting
stormwater-oniy outf al is
The_ S for aerneot Plan rust co l ted Dior tali . t1.,,, fatfallorintatiMajig
A Stormwater Management Plan (SWMP) shall be prepared prior to applying for stormwater coverage under the
general permit, and the following certification signed.
"I certify under penalty of law that a complete Stormwater Management Plan has been prepared for my activity. Based
on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the Stormwater Management Plan is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for falsely certifying the completion of said SWMP, including
the pd_ sibil " &lament for knowing violations."
Sig .attire of Legality
Q.l1 Ise
Responsible Person or Authorized Agent
otr--
Name (printed)
L. REQUIRED CERTIFICATION SIGNATURE [REG 61.4(1)(H)]
7-25-18
Date Signed
Manager
Title
"I certify under penalty of law that this document and alt attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel property gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is to the best of my knowledge and belief, true, accurate and
complete. i am aware that there are significant penalties for submitting false information, including the possibility of
fine and imprisonment for knowing violations."
Signatu of Lie liy Responsible Person Authorized Agent
et4,, _ 4
Nan (printed)
e4
7-25-18
Date Signed
Manager
Title
This form must be signed by the permittee to be considered complete. Per Regulation 61, in all cases, it shall be
signed as follows:
a) in the case of corporations, by a responsible corporate officer. For the purposes of this section, the responsible
corporate officer is responsible for the overall operation of the facility from which the discharge described in the
application originates.
b) In the case of a partnership, by a general partner.
c) In the case of a sole proprietorship, by the proprietor.
d) In the case of a municipal, state, or other public facility, by either a principal executive officer or ranking elected
official.
DO NOT INCLUDE A COPY OF THE STORMWATER MANAGEMENT PLAN with the application
DO NOT INCLUDE PAYMENT - AN INVOICE WILL BE SENT AFTER THE CERTIFICATION IS ISSUED.
Page 8 of 8 - Revision 11/22/2017
Attachment �I
Process water discharges not eligible for coverage under CDPS General Permit COG500000
Process water discharges from the facilities listed below are excluded from coverage due to the potential
toxicity and wide variety of pollutants, the minimal operations in Colorado, or Federal ELGs that require no
discharge of process water from these facilities:
Facility types
no discharge
of
that require
process water
40 CFR
Subpart
436
SIC Code
Gypsum
air
facilities that do not employ
emissions control scrubbers
wet
E
1499
Asphaltic
mineral facilities
F
1499
Asbestos and wollastonite facilities
G
1499
Barite
wet
processes
facilities that do not
or flotation
employ
processes
J
1479
Flourspar
media
separation
facilities that
or flotation
do
not
employ
processes
heavy
K
1479
Saline from brine lake facilities
L
2899
Borax
facilities
M
1474
Potash facilities
N
1474
Sodium sulfate facilities
O
1474
Phosphate
Rock
R
1475
Frasch sulfur facilities
5
1479
Bentonite
facilities
V
1459
Magnesite
facilities
W
1459
Diatomite facilities
X
1499
Jade facilities
Y
1499
Novaculite facilities
Z
1499
Tripoli
facilities
AF
1499
Asphalt
batch
plants
40 CFR 443
2951
Concrete batch
and drum wash
plants, including associated truck
out
---
3273
Appendix Page 1 of 3 - Revision 11/22/2017
Attachment 2
Instructions for com s letin ! Table G.1 in Item G of this a • ' I icat ion see su . erscri s is 1 -12
1. Latitude and longitude: Provide the latitude and longitude of each outfall location (NOT the center of the facility)
in NAD83 format.
The discharge location is the point where effluent sampling will occur. This location must be at a point after
treatment and before the effluent joins or is diluted by any other waste stream, body of water, or substance. If the
discharge is to a ditch or storm sewer system, include the name of the ultimate receiving waters where the ditch
or storm sewer discharges.
Note: facilities that discharge stormwater via sheet flow must identify an outfall at a location along the line of
flow that is representative of the facility's sheet flow discharge. This location is where the sheet flow exits the
facility, or enters a surface water within the facility, and where samples can be collected, if required.
2. Activity Description(s): Briefly describe the activity (or activities) that contribute water to each outfall.
Examples include:
-stormwater runoff from stockpiled gravel;
-construction sand pit dewatering;
-stormwater runoff from an asphalt or concrete batch plant;
-industrial sand wash water;
-stormwater runoff from concrete recycling or asphalt recycling activities;
-stormwater runoff from facility haul roads;
-other (give a description).
If more than one activity contributes water to an outfall, list all activities in the space provided.
SIC code: Identify the SIC code(s) associated with each activity identified above (the SIC codes covered by permit
link (general permit COG500000) on the division website for descriptions of SIC codes associated with this permit).
If more than one activity contributes water to an outfall, list all SIC codes for the activities in the space provided.
4. Process water or stormw►ater: Indicate if the discharge water is process water or stormwater. The discharge is
considered to be process water if it is described in the bullets below.
Note that the stormwater provisions in the general permit CO NOT apply to process water. Therefore, it is
very important that the division understand the contribution(s) to each discharge from the facility to
accurately develop the permit certification for the facility. If the permittee identifies that the discharge for
all outfalls is solely stormwater and does not comingle with process water, the division will issue a
stormwater-only certification.
Process water includes:
-Mine dewatering, which includes
• any water, including groundwater, seepage, and stormwater (precipitation and surface runoff), that is
impounded or that collects in the mine pit (surface or underground workings) and is pumped, drained, or
otherwise removed from the mine through the efforts of the mine operator;
• additionally, for construction sand and gravel facilities and industrial sand facilities only, wet pit overflow
caused solely by direct rainfall and/ or groundwater seepage.
-Process generated wastewater, which includes any wastewater used in slurry transport of mined materials, air
emissions control, and processing exclusive to mining;
-Any water used in processing the mined commodity such as washing, sorting, screening, crushing, and classifying;
-Stormwater er runoff that becomes comingl ed with the above listed wastewaters before the discharge point.
Appendix Page 2 of 3 - Revision 11/22/2017
Examples of comingled ngl ed discharges considered to be process water under the renewal permit:
o Stormwater runoff from mine haul roads that is directed to and discharges from the mine pit. The
resulting discharge is considered process water;
c Stormwater runoff from construction activities at the mine facility that is directed to and discharges
from the mine pit. The resulting discharge is considered process water, and the activity does not
require separate construction stormwater permit coverage even if the disturbed area exceeds the one
acre threshold;
o Stormwater runoff from asphalt or concrete batch plants that is directed to and discharges from the
mine pit. The resulting discharge is considered process water.
o Stormwater runoff from mine areas that commingles with product wash water prior to discharge.
5. Discharge type: Indicate the discharge type (for example pumped or passive pit dewatering; other process water
discharge (such as product wash water); detained stormwater (such as detention or sediment ponds); stormwater
sheet flow; etc.
6. 7. & 8. Flow: For all process water outfalls, indicate:
• whether the discharge is measured continuously or instantaneously,
• the specific flow rate method the permittee uses (v -notch weir, pump capacity, parshall flume, etc.), and
• the average flow rate in million gallons per day (MCD).
Note: the division will apply the flow rate provided in this application supplement as a 30 -average flow limit in the
facility certification.
9. Chemicals: Identify all chemicals used in industrial activities at the facility that have the potential to be present in
the discharge. Chemicals in this context include, but are not limited to, chemical used at any point in the
treatment process, release agents, etc. If the facility does not use chemicals, please indicate 'NA' in the table.
10. Pit distance to receiving water: As applicable to the facility, provide the distance from the pit to the immediate
receiving water. If the facility does not have a pit, please indicate 'NA' in the table.
11. & 12. Receiving water: Receiving waters include lakes, ponds, rivers and streams (perennial, intermittent or
ephemeral), drainages, irrigation ditches, wetlands, etc. Identify the immediate and ultimate receiving water of
the discharges from all outfalls for the facility (immediate receiving waters are those that the facility discharges
directly to; the ultimate receiving waters are those directly downgradient of the immediate waters).
Appendix Page 3 of 3 - Revision 11/22/2017
Hunt Water, LLC Gravel Mine
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