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2004-078
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2004-078
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Last modified
8/26/2016 2:07:31 PM
Creation date
9/30/2015 7:26:44 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Manual
Approved Date
04/06/2004
Control Number
2004-078
Agenda Item Number
11.J.1
Entity Name
Department of Utility Services
Subject
Utility Services Water Wastewater Utility Standards
Archived Roll/Disk#
3210
Supplemental fields
SmeadsoftID
3719
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INSTRUCTIONS TO FILL OUT WASTEWATER DISCHARGE PERMIT APPLICATION <br /> All questions must be answered . DO NOT LEAVE BLANKS . If you answer " no " to question <br /> E . 1 , you may skip to Section 1 , otherwise , if a question is not applicable , indicate so on the form , <br /> instructions to some questions on the permit application are given below. <br /> SECTION A — INSTRUCTIONS (GENERAL INFORMATION) <br /> 1 . Enter the facility ' s official or legal name. Do not use a colloquial name. <br /> a . Operator Name: Give the name , as it is legally referred to , of the person , firm , <br /> pubic organization , or any entity, which operates the facility described in this <br /> application . This may or may not be the same name as the facility. <br /> b . Indicate whether the entity which operates the facility also owns it by marking the <br /> appropriate box: <br /> (i) If the response is " No " , clearly indicate the operator' s name and address <br /> and submit a copy of the contract and/or other documents indicating the <br /> operator's scope of responsibility for the facility. <br /> 2 . Provide the physical location of the facility that is applying for a discharge permit. <br /> 3 . Provide the mailing address where correspondence from the Control Authority may be <br /> sent. <br /> 4 . Provide all the names of the authorized signatories for this facility for the purposes of <br /> signing all reports . The designated signatory is defined as : <br /> a . A responsible corporate officer, if the Industrial User submitting the reports is a <br /> corporation . For the purpose of this paragraph , a responsible corporate officer <br /> means : <br /> (i) a president, secretary , treasurer, or vice president of the corporation in <br /> charge of a principle business function, or any other person who performs <br /> similar policy — or decision-making functions for the corporation , or <br /> (ii) the manager of one or more manufacturing , production , or operation <br /> facilities employing more than 250 persons or having gross annual sales <br /> or expenditures exceeding $25 million (in second-quarter 1980 dollars) , if <br /> authority to sign documents has been assigned or delegated to the <br /> manager in accordance with corporate procedures . <br /> 25 <br />
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