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' 11. Sae•apacific moditioas: <br />t <br />' a) Does thin 6eility love bu0t storage of ditxJ fuel, gasoline, aohrada, fertiliras, <br />or other hanrdow vweriaL oD sic? ^ No ® Yes <br />b) V this operation located within om mik of a YrdfiO, or any m'a¢ or mtll tuliggs? ®No ~ Ye <br />' e) Does the dewatering am Gave or poas3ly have groundwater m^••~*:^•~~n, such u <br />plume from lnkiog tatdergDtmd mtsge tadrs, etc.? ~ No ~ Yn <br />' 1f ~S (or any of tbae, plnse show lontioa of the LadGll, W1iop or potubk: patmdw+ter oone•~^ts=n oa the bcatioo map ~ Oem R or <br />rn the general sketch in itan 10. Anne esplain the beation, ettod of w~r•..;.,„,,, and possible eflea on the diselurges bom this facility. <br />' 12. Cbemiul trntmmt: Will any fkteculanu (aw)ing agents or ehrmieal add'Rivu) be wed b fret water prior to discharge? <br />1 C No ^ Yea ifZP.S, h,< bae, andetclude the Material Safety Data Shea (MSDS): <br /> <br /> <br />i <br />1 <br />CEemiul Name • Maaufieturc Turpaae to which waste Seem? <br /> <br /> <br /> <br /> <br />• if ar damioi famuL 'r aatao•a a eafiaemd, po+iae ar aruf~mdr sas, aem F>a4 dE,ras ed phme aumbe a • mpy d ar m.aulacmm'a braNurt, <br />~IOA~rI Ybd efarmtlia• ar eataid. Yank W glee far oil /vale sE. pert Yt ae arie am[tiamU a arrive i~rtd'ranuq, d moon. <br />' 13. Are the receiving waters,etdinted in itan S, a ditch or norm newer? <br />®No C Yes <br />If YFS, submit documentation that the owner of the ditch or abrm sever a0ows this discharge. No eeniLeation wi11 be procasrd unless <br />documwution of approval is received. <br />Note: A discharge permit does col allow a dueharge iota a ditch or municipal panne sewer syatan without the approvl of the <br />owner/operator of that aystan. Anse provide documentation of approral from Nc ditch company or owner of the storm sewer for all new <br />diaclurges. <br />' 14. Plow mtisuremet: Whit malrod of bow ateaaumnnt wtll be used for neh discharge point (a.g., v-~mteh <br />aseir, pump npacay, paraha0 flume, etc.)? i t)=m)l.__. a~~1.T_~• <br /> <br /> <br /> <br />aAMD IWD OIAVPl 71W '~ <br />