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12. Chemical treatment: Will anY floceulants (settling agents Or chemical additives) be Used to treat water prior to discharge? <br />aX No ~ Yes tf}~$, fist here, and include the Material Safety Data Sheet (MSDS): <br />Chemical Name` Manufacturer Purpme In Whidr Waste Slrgm? <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />' If the chenural formula is unlmown or confidential prmide the manufacturers name, contact person, address and phone number m a copy of <br />the manufacturers brochure, produG label in(ormalion or materials handling data sheet fm each product used. Please list the major wastimrn¢ <br />or active ingredient(s), i(krwwo. <br />I3. Are the receiving water, imlicated in item 5, a ditch or storm sewer? <br />~ No ~ XYes <br />If YFS, submit ducumenmtion that the owner ol'the ditch or storm sewer allows this discharge. No ccnification will be processed unless <br />doamentation of approval is received <br />Note: A discharge permit does not allow a discharge into a ditch or municipal smrm sewer system without the approval of [hc owner/operator of <br />that system. Please provide docrunentatiort ofapproval from the ditch company orownerof the storm sewer For all new discharges. <br />14. Flow measuement: What method of flow measurement will be used Cur each discharge point (o.g., v-notch weir, pump capacity, parshall flume, <br />etc.)? <br />