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PERMFILE102801
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PERMFILE102801
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Last modified
8/24/2016 9:56:33 PM
Creation date
11/24/2007 9:16:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1992038
IBM Index Class Name
Permit File
Doc Date
7/22/1992
Doc Name
Industrial Wastewater Discharge Application
From
Sand Creek Farms
Media Type
D
Archive
No
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<br />20. For each outfall provide, on Table A, a description of: (Z) All <br />operations contributing wastewater to the effluent, including water <br />associated with crushing or washing, sanitary wastewater, groundwater and <br />stormwater runoff; C2) The average flow contributed by each operation; <br />and (3) The treatment received by the wastewater plus an identification <br />of chemical addltives. Continue on additional sheets if necessary. <br />21. I certify under penalty of law that I have personally examined and am <br /> familiar with the information submitted in this application and all <br /> attachments and that, based on my inquiry of those individuals <br /> immediately responsible for obtaining the information, I believe that <br /> the information is true, accurate and complete. I am aware that there <br /> are significant penalties for submitting false information, including <br /> the possibility of fine or imprisonment. <br /> ~ <br />l.) ~ 7/22/92 <br /> A. SIGNATUR 0 0 (s) B. DATE SIGNED <br /> Wayne Pi vi <br /> <br />Sand Cr Pk FarmG, Tnr_ President <br /> C. NAME (PRINTED) D. TITLE <br />2,) 7/22/92 <br /> A. SIGNATU F 0 TOR B. DATE SIGNED <br /> Wayne Pipkin President <br /> C. NAME (PRINTED) D. TITLE <br /> Sand Creek Farms, Inc. <br />-7- <br />1569M/0488M <br />
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