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<br /> <br />12. Chemical treatment: Will any tlocculants (settling agents or chemical additives) be used to treat water prior to discharge? <br />LpJ No ^ Yes I(YPS, list here, and include the Material Safety Data Sheet (MSDS): <br />Chemical Name * Manufacturer Purpose In Which Waste Stream? <br />• If the chemical formula is unlmown or confidential, provide the manufacturer's name, conuct person, address and phone number or a copy of <br />the manufacturer's brochure, product label information or materials handling data sheet for each product used. Please list the major constituents <br />or active ingredient(s), if known. <br />13. Are the receiving waters, indicated in item 5, a ditch or storn sewer? <br />No ^ Yes <br />I(YFS, submit documentation that the owner of the ditch or storm sewer allows this discharge. No certification will be processed unless <br />documentatton of approval is received. <br />Note: A discharge permt does not allow a discharge into a ditch or municipal storm sewer system without the approval of the owner/operator of <br />that system. Please provide documentation of approval from the ditch company or owner of the storm sewer for all new discharges. <br />14. Flow measurement: What method of Ilow measurement will be used for each discharge point (e.g., v-notch weir, pump capacity, parshall flttme, <br />etc.)? <br />PAP_s~r~w ~wr~e <br />