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s• <br />4. Indusirla~s charges (industries, mines, gravel p~ water treatment plants, <br />etc.) <br />A. Description of facilities Gravel Plts <br />B. Principal product or raw material Sand and gravel <br />C. Haxlmum amount of principal product produced or raw material consumed <br />per daY_ gflf]_tnncLrlau _~. _ -.- _ <br />D. Check [he month(s) the discharge occurs. <br />J® F® M® A® N~ J ® J© A® S~ 0.© N® D VJ <br />E. Unii treatment processes utilized settling pond <br />F. Number of discharge points One <br />southern end of Extraction Area <br />G. Description of discharge location(s): ri'a } * *ho v. flee attached <br />N. Name of receiving water(s) Rig Thompson River Mining Plan) <br />I. Is land application used or plannedT NO <br />J. Attach any laboratory analyses of your effluent quality NA <br />5. Additional information (sketches, etc.) <br />1 certify that 1 am familiar with the information contained in [he application and <br />that to [he best of my knowledge and belief such information Is [rue, comple [e, <br />and accurate. Please review signature of application on Instruction sheet before <br />signing. <br />Printed Name of Person Signing <br />ride Secretary-Treasurer <br />Date Application Signed <br />'s--cC J <br />Signature of Appllc /~/_ ,~~'~ <br />