NC0045144_Wasteload Allocation_19790323

NPDES WASTE LOAD ALLOCATION
Routing on Reverse Side 'r
Facility Name:
i, %
Date :
10 -- 3 0 - 7
County:
Permit No.:
Pipe No.:
00
+ ,1
Receiving Stream: _6
T _ '
Design Capacity (MD):
o U 11S Design Temp.:
Requestor:
p
-
�0�
/l1 1J
-
-
Sub -basins C
Drainage Area:
_ ONO/
7Q1O:
p
Other Stream Affected:
O OFT 0 WA)iZLEhIn
Of= Class:
G
fCN9/?G�
••
Limits circle one
( one):
Effluent or Later unlit
Q r
AV g Stream Flow:
v DO Sag Pt.
(mi.)
,Fecal Coliform
Prepared by:
Reviewed by: Date: L3
is -si its

LOCATIO^1 FORM
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I,,
Facility
Name:
County :
Permit No.
Preparedl�5
by:Coble—
Date:
G �
Community
'Name:
2.f )l Plazin- ng Area Code. -
Raver
Code :/�)? Code : ? ni—basin
Code
Fa ci `J:
Cede •
�_}•i:'..^_
F'T'� r'i ?ruT Discharge Pipe:
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: a '."�'Orid.`� ;
�•
-
J,-rc:.-a-'`' P '��.:
J -.zr .,�
tYl'�i,F'S •
t'CO:=S
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TO: -zz i .
7-6
North Carolina
Ftsources 8N.
'} DATE: (� 5 -LS �" '
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SIIBJECT:;1L.�.:-�
Departrr ent of Natural
Comrflunity Development