HomeMy WebLinkAboutNOI FEB-23 -2001 13:41 FROM -FF Development L.P. 8176408481 i -43T P 002 /002 F -807
THIS FORM REPLACES PREVIOUS FORM 35104 (8.98) Fonn App. d. OMB Nil 2040-01ed�
See Raman for Instructions
NPDES FORM � Noe T Manion
ACTIVITY Under
Submission of ibis Make a Intent consommes neaps Vier dm pony Montano In Seaton 1 of ova form Intends E bs suitiorfs.0 by s NPOES pert* Issued
ter storm aster discharges associated wen aa+sauedan womb/ M m. StateAr .an Country Lana darMMO In Section If a this bum. Submission of We Notes
of Imam also conemutes nods* mar me pony Issndeod in Sedan 1 of tent lours mesa me nlglbllty requiems= In Part UL of no grrw04 perms gnawing
ng
Ors* mime(' to plos.don of snd.ngamd spades aesnnisd hough Os puowoutes m Aaa.n ii A of me lad permit,. uncommon stet continued
iud111 izmion ea dadlerge I. ao drigem co malrupirdtg pond sepiliitg and eat Impiisnensdon al the State Mbar Fblulon ()motion ken rsqulrs0 mow
Pert IV of tie gsrwel permit wilt begin u ON time ors psrmisae mmmsness wont an Ms cone .don preform ids nllteo In Sedan 11 imaoa. IN ORDER 70
OBTAIN A11THOMIZAT1ON, ALL INFORMATION REQUESTED MUST BE INCLUDED ON THIS FOAM. SEE INSTRUCTIONS ON BACK OF FORM.
4 OwnsrlOperwsr (Applicant) hM/et.tlsn
M.1n*: _ trig `�// _ • _. E,_ • - •e • - Powwow L IZIt114•1 ftOICI WI
Malls Name: la it, PitSi IM IPA ay, ,7141c) ,7141c) 1Si flEi t21SIDI 1 i I , 11 , t j 1 O nsoV ;
o: K1 IPataiiP iPIrLAr f feu Ii(1 t 1 l l t 1 1 1 f Stele: ZlpCda: 17 slots) us -I 1 1 1 1
ProfearSito hdwesden Is ale i.•alY located an Indian
Cmawy Wes?
Project Norm IF Orin/ I C 1 & I Al p t I L i ill 441 Zi P I I t i tE11cm I t I i 1 yes ❑ NO ®
Plgaa Adeneasrleeeden 1LtF 1t 1 1L4 Le lie Q) T, oft/Eisen I 1 1 J r 1 1 1 1 1) l 1
C14y IC tutu L_i rr bet 14ry 1 Arn1 1O, & I 1 t t t I t I Sow: = L 1 a y Coca: 1 7 4 1 4 1 - 1 ( I 1
Latitude: 1 I SI m . : IDti.Z l0I Si 31 t I n I n n a 1 1 1 I l I n l I n 1 l l
. Hes Me Slant Muter Polulcn Pr.w,aon Plan (SWPPP) Men Wup.n0 late X N. ❑
(Wong Address of Weldon of
SWPPP our Wowing ❑ Addles in Sedan 1 Lbws fid Address in Session II above
Cyst sodium (M I0r01N1) tler.nr.
swPPP Phone:
Agra 1 1 1 1 i 1 t t L I I I I 4 1 t l 1 1 ( 4 1 1_ 4 1 4 1 1 4 1 1 1 1
Cay: 1_ I 1 1 1 1 t I 1 1 M 1 1 1 1 1 1 1 1 t 1 1 1 Stan: [,_ j J tip Cade I I I I I 1—I l n 1 1
Nam* aRscalvingMfetr: I1tI I I TF1 Cdr , 1 1 1 1 1 1 1 1 1 1 3 1 J
In, Z 2 I (r 1110101) 1 W1111144 I491G(21 Based on rreanleson peridos in Addenaaa A et tr pelmet. am
Ill ns err +ter mem Day ter Mere any Mud endangered es threatened species. or designated
Estimated Co is uda► sear Der Emtrn.Ud Compation Date crigo.l MINIM in Ina puofent arse
Esemste of area d be o4quMed Bo arras! sore): 121 1 rA 1 IF S l lose ❑ Na
Essm.l. of UkMWeod of Dlaetwge (doom may as); I have sataAed peed epBiuy.lia+ mend st prolamin b!
«Angelus amiss ineouo dm Mama *scion al Part t LS * -(
1. 0 Uni kNy 3. p one per week 5. 0 w .{ a eer Me permit (e re. o Ot11106 bbow
II. Dig Once per mash S. ❑ Once per dry () RJ 0» ❑ (c) ❑ (d) 0
115 CsrdfIcedert
I Laney under penalty of few list oils document and alt adeavnents won prepare(' under my ahed0e at wrp.Mebe In eeaebanee won a system
designed to usury Mat quelled pommel preps y gadw.nd .valu ore idormeaorl submitted. Brea on my Inquiry of me minion or persons sow
menage ibis eyrie. or moss persons dhycyy reepeneble kl growing me Ntsnnetoi, tie inlaarsdon aubnWllsd i& w as oat a of my knowledge end
Decal. sue, sowrea, and compNw. n am swam met flan we algremdlo paAaIMa for suendetng toss m*merman. Indualrrg aw poslibBIY rat twee moos
Lmpnsonmsrr tor knowing vitiations.
Print Nees: L = C .� — a INpy: (o, 2.LtiLloll- f
Spasm
EPA Fam 35104 replaced 9610 -6 (1-011)
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