20210719_DWR

Return PDF of this form to DEMLR CO by email. cc DEMLR RO, DWR SPU. Send a copy to the permittee.
DIVISION OF WATER RESOURCES
MINING PERMIT APPLICATION REVIEW FORM
DEMLR PERMIT:
THIS SECTION TO BE
52-17 Project Acti!7t
OUT BY DEIVILR
Modification Transfer Release
Applicant Name:
Banks Landscaping, LLC
Applicant's Email:
[e-mail]
County:
Jones
Project Name:
Ives Pit
YES
NO
Date Commencing
Have land disturbing activities started??
-
Latitude:
35.05707
Longitude:
-77.45698
Please return comments to (at DEMLR CO):
Jenna Spencer
[e-mail]
Comments due by: 06/30/2021
SECTION• TO BE FILLED OUT BY DWR
YES NO
Is this mine an active permit in BIMS?
Is the RO concerned that the operation, as proposed, would violate standards of water quality?
E71
I
✓
Comments: No r-omments
Does this mine (or previous owner) have DWR back fees to pay?
Ll./
(If Yes, amount):
Watershed/Stream Name & Classification:
DWR Compliance Status of Mine:
401 Wetland Cert. required?
✓
401 Wetland Cert. existing?
❑
✓
(If Yes, Permit #):
Does DWR RO have enough information to determine if a 401 certification is required?
❑✓
❑✓
Is a Pumping Operation & Monitoring (OM) Plan needed?
✓
Are wetlands disturbed at this site?
I
❑
I
❑✓
Does DWR RO suspect or know of nearby wetlands to the site?
I
❑
1❑✓
Is a wetland delineation required prior to DWR issuing the permit?
I
El
I✓
JD
Consultant
Onsite
❑
Offsite
❑
❑
Stream Determination Needed?
❑
❑✓
Stream Determination Completed?
❑
❑✓
Does DWR RO need a statement that no wetlands/streams are disturbed for this project
from applicant?
❑
Buffer Determination Needed?
❑
✓
Buffer Determination Completed?
❑
❑✓
Recycle system permit existing?
❑
❑
(If Yes, Permit #):
New Recycle System permit required?
Enough information to determine?
Rev. April 2021

Return PDF of this form to DEMLR CO by email. cc DEMLR RO, DWR SPU. Send a copy to the permittee.
Non -discharge permit existing?
(If Yes, Permit #):
Will wastewaters discharge to HQW waters with a 7Q10=0?
7Q10 Flow:
Unknown Permittee must determine
Does DWR require DEMLR to hold the permit (e.g. so DWR can review it further or
because DWR requires more information)?
❑
Has Violation
❑
1
EL
I
O&M Requirements
❑
I
❑
HQW/7Q10 Concerns
Pay back fees or renew DWR permit
❑
Other
❑
❑
Please describe the
reason to hold the
permit:
RO contact: 7Tina
Martin
Hold Until:
Mine must wait to dewater until an O&M plan is approved?
Reviewed b
Central Office Date Regional Office
Date
DWR RO Surface Water
Tina Martin
07/19/2021
RO Aquifer Protection Section
Rev. April 2021