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HomeMy WebLinkAboutWQ0030979_Application_20200716DWR U+r171Dn a Widrr RcJ<�u rr {T mate of Nprrh C miLlm x I ]t•p:art meal C�f F=n0Ve)0me9Lty 1 {FoaLitp• af4yjIon4F�%i441T RcJfpIlrC{3 xlj%d:I•F.-FANirLS kF CIrfFyiT WJ"%TFAI ATER Ikp7C..kTION SYSL IPM FLE-N F-WA'. FORM-' NIFRVr WRY-R ^ IS l,bib form r¢ Iw —Lwdil wflhnut dkadlrkol" ivr de jlidrrnallX re-Adts+t! 7rrd~fr iff-Hpdai "i;ni ps rmhL Fnrmu•r ^4p� 61)0 - Uuir i A r Wa frr, QMd riff pf.—Iii PW SW -e'i &M-.4'Ji AV -"* SC PL tk , Fr.RMrT E.ti'R' 11 Y % I I I }v. �SCrrie� 1,�1[IL `-! L:•I-dDjgr Slr �' 'r— dtadr- * X q�naYi7 a �ignirure tuihaei 'a Manx: I.rm am qiPLL fi c. dct" owner cc 1,; p l rto*strclmisr 1 �. 1 �,• rds,+c►c orlx�;a� k�� hral�dri�l:t�a �,.r,.aw. col � ll+(M�U�I.�U�ia _ Ci4r fir. permalh`'s nw IIinj mUpu {It dif frmL 50D *bu%r D City— ZiF 6 Parm m's otroraYCr; ice: P.,.M rY{'{d:--bCL a•iIln_%Ik+rim MQt r.a ai+tnk.Ar C31I]j� -9- 3:b3 Prm=�'r tELLI sd&sh} r--L�lo_'�rs�w� . ke�andw%- I-'oacra: Rlr►yr'ilierriII PlrpeteUniW. .12D_ 9-A9 Sg4CH d+rk crnnl adder rrl'aI@aA ro- 7. F3la 03c ;}mm been hsulLad? M Yes Pr C! No Appblrjml':pOrd rkerjun p;v ISh NUAC VXK.UlDbiblz L Lynn M9rs[£mim _-Morin ___ . aIkg t}m1 Ihix nr{kAI .14%!icnian has berm rr+•icwrd by ari. rd is y-r,agragdrawFr4*wNic�wnFniVL7kml*e. IurdenLuA;halany urm6LIcYiacdJIB:I,mepvawA4aEwmeTfrontLhisr.on-6sc:hxi- r vy� taJmr:fwe waLerrr arbr lord " t !j5 a3 c Rvt :errata rtooa Lhii mm7u chsdrrr;il pcnalLwm inyw-"pec C*.Iitf. arrd'c+. S:rm coal ph5ib4 9 will make ao claim s*mm err Vibipis+ qi W*w M&w� cei drwM r -zoadim iort of t1iis permit he vin12Lvd I aIxl wry QL 0411 mr-I W pmu aFdhis ippIxriion azr nat rgrnplrced. Ih14 WV iC#4on inary bo Tq= W t0 ee4 t6 ulprrrgpL= 1 fvnhcr cerb'y that the Applicad oT nny PsISTII_ l6 4w)-, or -LEXT afI'flizat: aftSe *PPr .. has as been caovicied of an cnviranrrno=i rrlmc. Ld eoI ztm wth:-,t�E t usjd:k%mff faciJity wkh" Prw cloSutt- to hFv# 10 OVVJ; Rk-r% C el+-lI pmaIly whc r all Rp4 Is We kpw ckhamkd yr aa3rkvn . am �jrillpl)Wg %hlh srp' aMVC cmmplimov srhr d -k. and dors nal Lan c my 9vadue ?mnu:rl f:c4L — _ DMrlG�r.T± T13F [ OMPTITEii .hPPLIC•ATI{Xti MULL BF ?iljk IMEIDTO; A I ti wsr; •]ti•ilaa �i ' N.. -:ch C617MASertuc • ,r.w ftkft KC 21699,161, r -1 L A 1C4 C n4�lfn; o+�F]rb h+r3e llraa*h- At KWC 942W S 11 N ",ali+iury Sc TF:LEP34 %, F N L; %119F.kL 019] ; OT-3654 FORV 6FR14WlS-R fK-I Nip 1 0 r Ctite of Narth C3kr01in■ DWR t7rprrlin+nlfif E'.a�•Ironmtolali;ulYlNg fiLvioLon of WirLi!a E ewu t �i'%c.; 1 •1 %%iri.Y IRE-41DEM F: WA6'%TW.%4hAF.R Mlt[i:!,7ION' SVIF-31 tl rw%icinn i�f WAdrr Rrwur%ri CP ;}#.i I RM AND AkiUF.F..MFN-F FORM: qFP!%-W15-0&.M 49-3* perrnitCre: i,ynn 1I_uK cn it (LeL, &Il deeded lrroratk cmmm) 7-Kt pt-mjrkx agrs4�t W *pM:3k aMd tlhlfsn%;n d+* $jMjf4.dreaily (a#idCnee wrmtewnter bMwMwm ae:d iRhgmion frtuwr- 46 �allo4�: ], Ir*Txxq Lhe sVc tvik anramll ', and pump nuL .alias. Lis neealerl- is 2. rwpecI endcImaIhc wTLictan k cMLxnt FiIufmmLLaIIy. tifalvpfirabre) IM 3. [next the leblel chlt+rinatar %wirly 1L�id wveLrou �cor �r c�lflrirrr Calxbted le. lcivm hyp hlcml ] I�il . S%irorniargpool grade rhlanmctahlecs arrnoLnttcpLab1c. (if irffbfe) 4. [aspect the uILrikwiale1 4r�in(ix Lim t�miL-w"kIy. -Cftm of Tw w Lire Tampa and q LraiU SIB as TLoO W. ap�lira e) 5. raslect aLI swmgc rarnkb. mpg, �jpd 8ra+ln6 =11onIhS y. perffovc dC fix) scum la}•cr in aLl gumpw%�Lumgc tanks ahenpunnping rhe�Mlc wik wlIk*a. 6. rnqrocI the se ray irripiia_n.suxtem mmLhty to �•rrify: prnpc•r u, craLiLxr of Lhc 5pma hcaLL3: LheL LhcTc amtto LcA5, Chet v&fig jL�Y mouth yn_� hnt rrbAmd Lbe.;pity heads: tlrw Li ]TEl'.al xza[ru•aIL:r i% nsiL pLm?d LnS m do ran rar V, ciffih* (Ic:signslpd iniRXipn area; and Lhe Item are no dh1 4 dionab Le odors` (efe{I3RfjraMe) 7, jrxp;xtthc drip irri2aGrrn x}3Lem n-oarah Iy Lu KcoL -. pmperuptraLLanufthe drip dines; that tnerp AM rLci leaks; IlraL wWa[nrc-groulrh dca notobsW I the dn]l crnitL -,tbat Rh i rfi Smod vc&v ip&-4 rr is no; pg;WLnginor run ninRoi'f tlrc drxsSrmIcd Lrri2;A6M UCJ: and 1FA9 hW-'C 3-M" D c:rjec;ionnhic oriioc6. C ffaMic1uUrl i. Kfainlnin n !ml qfI h iknm•approwtd rrVimming plEm and specifit-suoms. �. Pay ICI[ rtquimd annual f&- C. Regwest rcrww..r] cif this permic on !]rsiyiCM,apprDT'td Porn i nu Lalcr-I n M hy& prior Lo "pintinn. I . Sign and poa6k a C bmot of (wnmhip applikatim io any funut ovL•rLLz rcridcn:c wa_';LcVr.Latt tnwtmcnk and in igailm 5prem for Oeir ccrnTledcm and 5ubmi!;6im io Lhc INviilun 41 r Waitr TtC."O vts yid Kra wrdsuur i dw alvve rg •rcr 3tnu and agree ao- stlrrLi as paat of 0ie 3'SlU-2d parmit. : i ld 'J" — M- All d ft r-bd I b" i�i