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HomeMy WebLinkAboutCertification, Colorado Discharge Permit System.pdfSTATE OF COLOMDO Bill Riller, Jr.. Governor Martha E. Rudolph, Executive Director Dedicated to protecting and improving the heaUh and enVIronment of the people of Colorado 4300 Cherry Creek Dr. S. Laboratory Services Division Denver, Colorado 80246-1530 8100 Lowry Blvd, Phone (303) 692-2000 Denver, Colorado 80230-6928 TOD Line (303) 691-7700 (303) 692·3090 Located in Glendale, Colorado hltp:llwww.cdphe.slale.co.us November 5, 2010 Todd Ohlheiser, VP Aggregates Lafarge West Inc 10170 Church Ranch Way Ste 200 Westminster, CO 80021 RE: Certification, Colorado Discharge Permit System Permit No" COR340000, Certification Number: COR341592 Dear Mr./Ms. Ohlheiser; Colorado Department of Public Health and Environment The Water Quality Control Division (the Division) has reviewed the application submitted for the Cerise Sand & Gravel Pit Property and determined that it qualifies for coverage under the COPS General Permit for Stormwater Discharges Associated with Sand & Gravel Mining and Processing (the permit). Enclosed please find a copy of the permit certification, which was issued under the Colorado Water Quality Control Act. Facility: Cerise Sand & Gravel Pit Property Industrial Activities: Sand & Gravel mining and processing. Potential for ready mix concrete paint and portable asphalt batch plant. Garfield County SIC Code 1442 legal Contact (receives all legal documentation pertaining to the permit certification): Todd Ohlheiser, VP Aggregates Phone number: 303-657-4000 Lafarge West Inc Email: todd.ohlheiser@lafarge·na.com 10170 Church Ranch Way Ste 200 Westminster, CO 80021 Facility Contact (contacted for general inquiries regarding the facility): Dan Knox, West Slope Plant Mgr Billing Contact (receives the invoice pertaining to the permit certification): Phone number: 970·215·4329 Email: daniel.knox@lafarge-na.com Walt Wright Env Mgr Phone number: 303·657-4466 Lafarge West Inc Email: walter.wright@lafarge·na.com 10170 Church Ranch Way Ste 200 Westminster, CO 80021 Any changes to the contacts listed above must be provided to the Division on a Change of Contact form, This form is available on the Division's website at coloradowaterpermits,com, The first Annual Report for this permit certification is due February 15, 2011. The Annual Fee for this certification is $75.00 is invoiced every July, Do Not Pay This Now. The initial invoice will be sent to the legal contact shortly. Please read the enclosed permit and certification, If you have any questions please contact Kathy Rosow, Environmental Protection Specialist, at 1303)692-3521. Sincerely, (',-,) i" i'C'7(/,utf /I Debbie Jessop, Program Assistant WATER QUALITY CONTROL DIVISION Enclosures: Certification page; General Permit; Highlight Sheet; Annual Report Form xc: Regional Council of Government Garfield County, Local County Health Department D.E., Technical Services Unit, WQCO Permit File /dkj eert STATE OF COLORADO COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT WATER QUALITY CONTROL DIVISION TELEPHONE: (303) 692·3500 CERTIFICATION TO DISCHARGE UNDER COPS GENERAL PERMIT COR-3400000 STORMWATER ASSOCIATED WITH SAND & GRAVEl MINING & PROCESSING Certification Number: COR341592 This Certification to Discharge specifically authorizes: Lafarge West Inc to discharge stormwater from the facility identified as Cerise Sand & Gravel Pit Property to: Crystal Creek -Roaring Fork River Facility Located at: 86 CR 104, Carbondale, Garfield County, CO 81623 Latitude 39.414, Longitude -107.186 Certification is effective: 11/5/2010 Certification Expires: 9/30/2012 This certification under the permit requires that specific actions be performed at designated times. The certification holder is legally obligated to comply with all terms and conditions of the permit. Signed, 0-1J) ~---(i I OJ Gary Beers, Unit Manager Water Quality Control Division Page 1 of 22 STATE OF COLORADO Dedicated 10 protecting and improving the health ;.nd environment ollhe people of Colorado COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT Water Quality Control Division 4300 Cherry Creek Drive South B2 Permits Denver, Colorado 80246·1530 Color.HiD Depanmenl of Public Health and ErlYirolllllcnt For Agency Use Only Date Received __ , _ , _ Complete _____ _ Paid Effective Date __ , _ , _ APPLICATION FOR TRANSFER OF OWNERSHIP FOR ALL PERMITS, CERTIFICATIONS, AND AUTHORIZATIONS PHOTO COPIES, FAXED COPIES, PDF COPIES OR EMAILS WILL NOT BE ACCEPTED. TO BE COMPLETED BY NEW PERMITTEE: Permit or Certification or Authorization Number {(;liZ 34 l(Jq() I hereby apply for a transfer of ownership of this Colorado Discharge Permit, Certification, or Authorization listed above, which was issued to (permittee listed in Part 2, page 2) ... L"'o."'.f-'-"!CI.:..'""Iq"'e"--'W..llJct';"'+"","'::L="'-"c_?<-_______________ ' I have reviewed the terms and conditions of this permit and accept responsibilities, coverage and liability (including Storm water Management Plan where applicable), If all information is correct, form is complete, and transfer approved, I request this transfer to be effective OnJ'-<ly 19, 2013 I have ensured that all of the following requirements have been met: BOTH parties have completed and signed this form -pages 1 and 2 ORIGINAL Form mailed to Division 30 Days Prior to the Transfer Effective Date (which may be the date property exchanges hands. Copies, PDF versions, and Faxes will NOT be accepted and will delay the issuance of the transfer. All existing invoices paid and verified by the Division, Payment MUST be received prior to transfer issuance PROJECT OR FACILITY INFORMATION Project or Facility Name: .JCJ~er"--"i1\::c(''''-,--___________________________ _ Facility Add ress (location )_..LC...,O"'(j,"'iJJ"-'!..rL't-'te~ <O"-Lj,"'O"'3'--f.l=IU'::t:l'______'/,'_'_'1.:./=6.:..:11_=W.::.:~.:.Y,---"f,-,2,,-____________ _ City: (!,/.Ii\&)/lJtJaLC State: -,-Ck",-__ Zip: _______ County: _G""""L)."'R."'F. Lt..,U"".4'--__ _ NEW PERMITTEE INFORMATION (fill out all appropriate contacts) Company name: OL;J(!/JSrL£ S.cJ GI(()(jjJ, INC-. Mailing Address: P.O. SOx. 360'1 ' City: CRa"} iJ JVNClI"J State: Co Zip: f?I S" 02 Telephone No: 97D 2q'3 7'9'06 • Legal Contact: will receive all future permit correspondences and is legally responsible for compliance with the permit Name: &-reR J', [;iE6hi{/ttJtJ email addresSOSlf6m.;..;(J(3.tJt4MSTU.lY!llr£t:14tS.c.o .... Title: If, I. Telephone No: I 1'70 ,2'/37'[(}o F.rr 1222 • Local Contact: will be contacted for questions relating to the facility and the discharge authorized by the permit for the facility, Name &R&r KERR, /{)M I</IJOK I Title: I?AlJ//,<p",)/lJUrt1-i.. PQ() /YJllrV/Uf"u!' email address J))S eRA t?--lIAlI Tt:() ~ 6J. C-<> In Telephone No: 110 2'13 "'/7'00 e<-r IZtZ • Authorized Agent(s) • may sign reports (such as DMR's or Annual Reports) required by the permit. Authorized Agent JflsonJ 18{1-<I{[Y email address.iliwke1& t!t~i0SIl[/Y!4rUI4u;.w"" Title: /iA;y;,erJl/J/lJVzji'/J(.. , if[5rJt/~,t (}'J6 R. Telephone No: '/'70 2"13 «'fIJi> ex."1 IX2-q Authorized Position Telephone No: _______________ _ Currently held by: ________________ email address: ______________ _ Revised 2·2010 APPLICATION FOR TRANSFER OF OWNERSHIP FOR ALL PERMITS. CERTIFICATIONS. AND AUTHORIZATIONS • Billing Contact Information -if billing address is different than legal contact Name: ____________________ 'email address, ______________ _ Company Name: ____________________________________ _ Mailing Address: ___________________________________ _ City: __________ State: ______ Zip: ______ Telephone No: REQUIRED SIGNATURE: Signature of Applicant: The applicant must be either the owner and/or operator of site, Refer to Part B of the instructions for additional information, The application must be signed by the applicant to be considered complete, In all cases, it shall be signed as follows: a) In the case of corporations, by a principal executive officer of at least the level of vice-president or his or her duly authorized representative, if such representative 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, ranking elected official, or other duly authorized employee if such representative is responsible for the overall operation of the facility from which the discharge described in the form originates, I certify under penalty of law that I have personally examined and am familiar with the information submitted herein, and based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate, and complete, I a hat there are significant penalties for submitting false information, including the possibility of fine and imprison ent. Sig nature(Legally Responsible Party)I-:6~~~'-.l=-!::!=7F~~~--------Date _--,9,-,'/.,--2~~/,-,/.--,/~:J,--_ Name (printed) _~A'-"''£_'I..::"£:...:f(__=J__'.____''--''-'''-' __________ Title _ _''_tl_',.:...f_'.. ______ _ PART 2 -TO BE COMPLETED BY PREVIOUS PERMITTEE As previous owner, I hereby agree to the transfer of the above-referenced permit and all responsibilities thereof. Company Name: Lo.tD.{'l'--Nnt-:LV\c~ Mai Ii ng Address: -"2>Cl.7"'O'-'O~1- ''N'"'--''?,=c¥'fJOV\__lM}L!,o=''','_',_rl=v.'p'-'-,5?","","", '-'t<'-"'--')-'=o""o-'--________________ City: CbC£'o/2 State:_'f""l)!'i\ -ct1=-"'t/--O~~~~1~9~3'-'.1--Telephone No: 203-609-7d3 /Signature (Legally Responsible party),_~~~=_'_y __~ W;_'__ _________, Date --"<?"..,/.~aZ::,7'-j'-'/..:.$-Name (printed) Slr»'f 'Ve..tVODn Revised 2-2010