NCS000309_OTHER_20131115

-- STORIVIINATER-DIVISfON-CODING-SHEET
PERMIT NO.
NGSpDO 3Dl:;,)
DOC TYPE
El FINAL PERMIT
❑ MONITORING INFO
❑ APPLICATION
0 COMPLIANCE
�j OTHER
DOC DATE
❑
YYYYMMDD

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Count : -SAM PSC OV
'Regional Office: -'VjL-LF-
Receivin Stream: ����
Name U -T -ro I&IML I M S a�t ALL 3e k
Classification I C� _5+�✓
Index No. I IT- CT-1 --1 D
Location
River Basin
GA-CE
Sub -basin
123 — O6 -- 9
Latitude
3SQ of / 2-1t"
Longitude
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