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<br />3. Speci_`v whether:- owner or operaror i ,_ makinfe npp'icstion for rile ,emit. <br />G <br />•'+. Location of Operation <br />Legal description: CTownship, Range, 1/4 Section) S E ~ SEC a 9 R 3 W1'3 S N <br />Street P. o. Qox S~3Ga-- <br />City pg~p,54~"-S~t//19S State eo~0. <br />County A Y`GhU.~ffi0. Zip Code 8~>ls7 <br />5. Indicate the type of operations at the facility; sand 6 gravel mining, <br />washing, and/or crushing. List principal products and months of <br />operation. Please specify what type of discharge will be associated <br />with each operation; pit dewa//tering,rwash wat/ers, transport/waters, or <br />other processes used. 7~(e rN~OC a~T oo~fu.Tioit_f 4~ f~f ?a L, ~~ f"y ar <br />f /J//i7 ei[ ~/~~iea•~/cts <br />Glr~ riyC~ ~//i an ~( Cr/Sl~ec.~. rsg0 /iL GcITG . <br />6. Do you anticipate the need for changing or adding tie discharge point(s) <br />as mining progresses? If so, briefly explain. O. <br />7. A location map designating the facility property and discharge points <br />shall be submitted. The map shall be from a 7-1/2 or 15 minute USGS <br />quad sheet or a map of comparable scale. A north arrpw shall be shown. <br />Any public water supply intakes within a 5 mile downstream of the <br />facility shall also be identified, if known. Mafia ctf{0.LI~eQ • CExk~6'~~'~ <br />8. A legible general sketch of the site shall be submitt=d and include <br />appurtenant facilities (buildings, ponds, diversion ditches, stockpiles, <br />etc.), stream location, numbered discharge points, sampling and flow <br />monitoring points. Sketch shall be on paper 8 1/2 x 11 inches. Please <br />label the ou[falls on the sketch to correspond with numbers listed in <br />Table 9A. /SAP a ~'aCG+e~( - ~E,~,-6if E~ <br />~/~/~ 9. For each outfall provide, on fable A, a description of: (1) ALl <br />operations contributing wastewater to the effluent, including water <br />associated with crushing or washing, sanitary wastewater, groundwater <br />and stormwater runoff; (2) The average flow contributed by each <br />operation; and (3) The treatment received by the wastewater plus an <br />identification of chemical additives. Continue on additional sheets if <br />necessary. In~tirma_{~~ ~,-~ p~Ch f-Gt, , <br />