HomeMy WebLinkAboutMinimal Wasterwater Discharges form Facilities FOR AGENCY USE ONLY
�L was�wa�R
DISCHARGES FROM INDUSTRIAL FACILITIES PERMIT NUMBER
C O G - 6 0
COLORADO DEPARTMENT OF PUBLIC HEALTH
AND ENVIRONMENT DATE RECEIVED
YEAR MONTH DAY
Please print or type. Do not attempt to complete this form before reading the instructions.
New �or Renewal ❑ If renewal,existing permit number: CO-
1. Is application for a short term certification(certification will only be effecrive for 90 days after issuance)? ❑
OR
Is application for a regular term certification(certificarion will be effective for 5 years from issuance of General Permit)? ❑x
2. From the list on Appendix C,page 9,please indicate the category letter code of the permit that you believe corresponds with your discharge most
closely.
3. Will dischazges occur in multiple locations (Mobile washers,for example)? Yes ❑ No �
4. Name and address of permit applicant:
Company rrame: Hvder Construcfion Inc.
Fedetal Taxpayer(or Employer)ID#: 841042347
Mailing aaaress: 543 Santa Fe Drive
ciry,State and ziP Code: Denver, CO 80204
Phone Number:(303) 825-1313 Who is applying for the permit? ❑Owner ❑x Operator
Local Contact(familiar with facility): SCOtt MIII2�
Tic1e: Proiect Manaqer Fax Number: (3031 825-3223 Phone Number:(303 ) 882-6238
5. Name and address of property owner if operator is applying for the permit:
Name: Vail Resorts Development Co.
lvtailing Address: 137 Benchmark Rd.
City,State and Zip Code: AVOn, CO 80160
Phone Number:� 1 Fax No.:
6. Location of the facility:
stre�t Aadress: Vail Road and Gore Creek Drive
City,State and Zip Code: V811, CO
Co�ty: Eagle rrame of�iliry: Vail's Front Door
Legal Location(Township,Range,Section, 1/4 Section): 5S. RanQe 80 W, NW1/4 Of S8
Laritude and Longitude: 39° 38' 23"N, 106° 22' 17"W
t�urm7nrr.ir� 5
7. Standard Industrial Classification(SIC)Code(s)for this facility. (Include up to four,in order of importance.)
a� 1531 b� 1541 �) 1629 d) 5032
8. Industrial activity: Describe the p�industrial activiries which take place on site. Include the type of facil'ty(car lot,gas starion parldng lot,
potato processingplant etc. plus a bne description of the nature of the business and the industrial processes used. (The applicant may want to
submit a process flow s�eet.� If this is a seasonal operation,list the months of operation. Indicate the number of hours per day or weeks of
operarion.
Construction of a parking garage.
If the discharge is from a hydrostatic test,are the pipes or vessels being tested new❑ used❑ If used,what materials were being stored or
transported by the pipes or vessels in question?
9. Production:List the principal product(s)produced(if any)and maximum production rate.
None
10. Intermittent discharges:Except for storm runoff,are any of the discharges intermittent or seasonal? No�Yes❑
Is this a one time discharge? No�Yes❑
Describe the frequency,duration and flow rate ofeach discharge occurrence. Total discharge based upon otherprojects in this
area will be approximately 35 gpm.
11. Other Environmental Permits: Does this facility currently have any environmental pemuts,or is it subject to regularion,under any of the
following programs?
Permit Name Yes No Date Applied For Permit No.
a.) Colorado Division of Minerals and Geology(formerly MLRD) X
b.) Underground Injection Control X
c.) Dredge or fill permit,Section 404,(Army Corps of Engineers) X
e.) Resowce Conservarion and Recovery Act(RCRA) X
f.) CDPS Stormwater X
g.) Colorado State Air Pollution Program X
h.) Other X
NOTE: If a construction dewatering permit is needed along with the minimal discharge pemut for work on the same facility(such as a construction
dewatering permit for the trench dewatering,and minimal discharge permit for the hydrostatic test),one permit may be issued for both.
Another example would be:the construcrion dewatering permit for the construction of an underground pazking structure and the minimal
dischazge permit for the sump to dewater the facility once construction is complete.If both peimits are needed,list the construction dewatering
dischazge as discharge point 001 in items 20 and 21.List the other discharge(minimal discharge)as discharge point 002 in itetns 20 and 21.
hIINDI APP.1/99 6
12. Location map: A locarion map designating the facility property,intake points,discharge points,each of its hazardous waste treatment storage or
disposal facilities,each well where fluids from the facility are injected underground,those wells,springs,other surface water bodies and drinking
water wells listed in public records or otherwise lmown to the applicant and the receiving waters shall be submitted.
The map shall extend one mile beyond the property boundaries. The map shall be from a 72 or 15 minute USGS quad sheet,or a map of
comparable scale. A north arrow shall be shown.The mau must be on naner 8 2 g 11 inches or orocessin�of vour oermit will be delaved.
13. Site sketch: A legible general sketch of the site shall be submitted,showing appurtenant facilities(buildings,ponds,diversion ditches,stockpiles,
etc.),stream location,numbered dischazge points,sampling and flow monitoring points.The outfalls shall be labeled to correspond with the
numbers listed in items 20 and 21.The mau must be on nauer 8 2 x 11 inches or urocessin�of vour permit will be delaved.
14. Sit�specific conditions:
a)Does this facility have bulk storage of diesel fuel,gasoline,solvents,fertilizers,hazardous,or toxic materials on site? X❑No�Yes
b)Is this operation located within one mile of a landfill,or any mine or mill tailings? ❑X No ❑Yes
c)Dces the dewatering area have or possibly have groundwater contamination,such as plumes from leaking underground storage tanks,etc.?
�No�Yes
If YES for any of these,please show location of the landfill,tailings or possible groundwater contaminarion on the location map in item 12 or in
the site sketch in item 13. Please explain the location,extent of contamination,possible effect on the discharges from this facility.
N/A
15. Chemical treatment: Will any chemical additives or other materials be used in the water or to treat water prior to dischazge?
""No ""'Yes If YES,list here and include the Material Safety Data Sheet(MSDS)with the applicarion.
Chemical Name* Manufacturer Purpose In Which Waste Stream?
� jQ mmti�uau rc.a,e icge�aqsJ,irkmxv. mm s�e,cmnn,mm, m P e n a.m,y u iue. t «mmon ar v s ase
16. Used or manufactured tozics:The applicant must provide a]ist of any toxic products which the applicant currently uses or manufactures as an
inteimediate or final product or by product.
None
17. Flow measurement: What method of flow measurement will be used for each dischazge point(e.g.,v notch weir,pump capacity,parshall flume,
etc.)? Designate whether currently installed or proposed. Identify the minimum and maximum flow measurement capability.
Pumo caoacitv flow meter at discharae location
18. Improvements:Please provide a description of any construction,.upgrading or operation of waste treatment equipment. Also include here a
description of any changes to the facility since the previous peinut renewal.
N/A
19. Is or will land applicarion of any wastewater be practiced? No X Yes Briefly describe the process:
MINDI APP.I/99 ?
20. Average flows and treatment: Please provide a narrarive idenrificarion of each type of process,operation,or producrion area which contributes
wastewater to the effluent for each outfall including process wastewater,cooling waters,domeshc wastewater and storm-water runoff•the average,
maximum and design flow which each process contnbutes;and a description ot�the treatment the wastewater receives including the u�timate
disposal of any sol�d or fluid wastes other than by discharge. Processes,operations or production areas may be described in general terms. The
average flow of pomt sources composed of stormwater may be estimated.
Use additional pages as needed.
OUTFALL WASTEWATER TREATMENT AVERAGE DESIGN DAILY
NUMBER SOURCE USED FLOW FLOW MAXIMUM
gpm* gpm** FLOW
gpm
ooi Groundwater Only Frac Tank/Floculent 30 gpm 30 gpm
002
003
004
005
*gpm-gallons/minute
"'If sediment pond,indicate appmximate vol�e of water.
21. For each outfall provide the latitude,longitude and receiving water.
LATITUDE LONGITUDE
OUTFALL RECENING WATERS
DEGREES MWUTES SEWNDS DEGREES MINUTES SECONDS
Seeinsuuctions
001 39 64 35 106 37 30 Mill Creek
002
003
004
005
22. Will the dischazge enter a ditch or storm sewer prior to entering the receiving waters? ❑No �I'es See item 32.
r,m�mi ner.vv� 8
23. Discharge Quality:Analytical data for the following pazameters,may be required by the pemut drafter in order to complete the certification
properly,and if so shall be submitted from at least one grab sampling of each dischazge point.If this information is required,the legal contact will
be contacted and said data wilt be requested.Do not nerform and submit data for the parameters listed below unless requested bv the Division or
unless data from analvses are alreadv available and�ermittee wishes to inciude this information with the application.See instructions.
PARAMETER DETECTION PAR.AMETER DETECTION
LEVEL LEVEL
Total Dissolved Solids,mg/P 10 Total Recoverable Iron,mg/P 0.3
Flow,MGD NA Total Residual Chiorine,mg/P 0.05
pH,s.u. NA Fecal Coliform Bacteria,#/100 ml NA
Oil and Grease,mg/P 5 Nitrate, mg/P as N 0.1
Dissolved Oxygen,mg/P NA Chemical Oacygen Demand,mg/P 30
Total Alkalinity(as CaCO3,mg/P 10 Biochemical Oxygen Demand,mg/P 1
Total Suspended Solids, mg/P 10 Temperature,BC Summer NA
Hardness,mg/P as CaCO3 10 Temperature,BC Winter NA
Total Ammonia,mg/P as N 0.05 Total Phosphon�s,mg/P 0.05
24. Whole Eflluent Toaicity Testing:If required,the WET tesring shall be conducted on 100%ef�luent and be for both Ceriodanhnia dubia and
fathead minnows. This requirement is waived where routine testing is currently required under an exisring CDPS permit. The test shall be an acute
test.The Division reserves the right to request WET testing as part of the application review process. If so required,the permit application will not
be considered complete until the additional information is submitted.Do not perform and submit data for this parameter unless requested by the
Division or unless data from analyses are already available.
25. Additional WET Testing:All applicants must identify any biological toxicity tests which have been performed within the last 3 years on any of
the discharges or the receiving water in relation to a discharge from this facility.
None known
26. Additional monitoring:All appiicants must review the parazneters listed in Appendix A and Appendix B to this application,and indicate whether
they l�ow or have reason to believe that these pollutants are present. For every pollutant expected to be dischazged,the applicant must briefly
describe the reasons the pollutant is expected to be discharged,and report any quantitative data it has for any pollutant.
Discussions with Bill Carlson Town of Vail none known.
27. Discharge duration: When wilUdid the discharge commence? Mdy 2006 What is the estimated duration of the wastewater discharge
? DeC 2006 . List the actual,total duration of the dischazge only,not the duration of the whole project.
28. If intermittenddiscontinuous,describe expected schedule or periods of discharge.
29. Pollution Prevention Plans:Please describe any pollution prevention or best management plans currently in place which could result in the
improvement of water quality. These could include solvent recycling programs,material containment procedures,education,etc.
Stormwater discharge will not be mixed with groundwater. Groundwater will be filtered, "settled" prior to discharge in
"Frac"Tanks and settling pond accordingly.
�vurroi ner.v� 9
30. Please include any other infom�ation which you feel the Division should be aware of in drafting this permit.
31. Signature oi Applicant
"I certify under penalty of law that this document and all attachmenu were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated 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
possibili f fin d' priso t for lrnowing violations."
5�� e � � �� �y
Signature Owner D Si ' ed
�Z(G./E. �sz, �ic.. `�c�Sl �1�2',f��'"-�. .
Name(printed) Title
.%� y/��/�.�
Signature of Operator Date Signed
SC07 7 I3• I""LL F� P�.J�C�7 N1����
Name(printed) Title
32. In the case of facilities that intend to discharge to storm sewers,permission to discharge into stormwater systems must be obtained from
the owners or owners agents of each system into which the permittee intends to discharge.
"I certify that I have read and understand the preceding paragraph and will comply with it by obtaining permission to discharge into the
stormwater systems from the owners or owners agents of each system into which I intend to discharge".
ye-����
• Signature Date Signed
SG�77 �. �tr..�.�� ��ZtiJ�7 �`�./�''�C-�
Name(printed) Tifle
MiNDI APP.1/99 � 1�
. It
��
TOl3�1V OF tiAIL
�_partnrent of Public i3'orks & Transportation
1309 Elkhorn Drive �
Yail, Colvrado 81657
970-479-2158
FaY: 970-979-?166
�ti vtivtiv.ci.ti ail.co.iu
Sept�mber 2,2003
Colorado Department of Health
Water Quality Control Di��isiun
1�'QCD-PE-B?
4?00 Cherry Creek Drive South
Denver,CO 803=�6-1�30
Attn: P�rmits Unit
; �
Re: Vail's Front Door Project � �
Dear Sir or Madam:
The purpose of this letter is to satisfy Item 10 of the Construction Dewatering Applicltion
submitted by Hyder Constn�ction for the above referenced project.
As tl�e o�vner oFMill Creek West and Gore Creek,the To�vn of Vail grants pecmission to allow
dischar�c into said canveyances or the stornt se�ver system leading into either stream for the
purposcs of utility construction on the Vail's Front Door Project. Please contact my office with
any questions or concerns.
Sincerely,
G
G g Hal��
irector of Public 1�Vorks
���RECYCLEDPdPER
VAIL'S FRONT DOOR
SITE EXHIBIT
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