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<br />s <br />• • <br />PAGE 2 <br />3. Will We permittee continue to have a discharge point, such as pipe, <br />conduit, unlined lagoon, etc? ^ Yes ^ No <br />4. Under what conditions could a discharge occur: Storm Flow, change in operation, <br />accidental spill, etc. <br />5. If this is a mining facility or operation, indicate whether any mine <br />drainage exists. Discuss whether there has bees a historical flow. <br />6. Is there a downstream water user, water supply intake, etc.? ^ Yes ^ No <br />a. If yes, whom and where? <br />b. Could Way be impacted by a discharge or a spill of <br />any pollutant on-site controllable under an SPCC Plan <br />or other condition of a permit? ^ Yes ^ No <br />NOTE: THE FOLLOWING SHOULD BE KEPT IN MIND <F YOUR PERMIT IS TERMINATED: <br />The permittee will still be responsible and subject to any enforcement action for any discharge or spills into state waters. <br />Should you operate your facility aker your permit has been terminated and a discharge could occur, you must apply for a <br />new permit no less Wan 180 days prior to We discharge. It is unlawful to discharge pollutants from a point source to state <br />waters without a permit. Section 25-8fi08 of We Water Quality Control Act provides for assessing civil penalties of up to <br />510,000 per day for unlawful discharges. <br />2. In general We continued existence of a discharge point will be We basis for not terminating a permit at We request of We <br />permittce. <br />I certify under penalty of law that I have personally examined and am familiar wiW We information submitted herein and based <br />on my inquiry of Wose individuals immediately responsible for obtaining We information. I am aware Wat Were are significant <br />penalties for submitting false information including the possibility of fine and imprisonment. See l8 U.S.C. 1001 and 33 U.S.C. <br />1319. <br />AuWori~ed Representative <br />Date <br />Based upon my verification of We above information obtained during my site inspection, it is my recommendation that this permit <br />be terminated. <br />District Engineer <br />Date <br />^ Yes ^ No <br />