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picture1_Certification Pdf 226920 | Self Certification Form


 84x       Filetype PDF       File size 0.19 MB       Source: www.nyc.gov


File: Certification Pdf 226920 | Self Certification Form
SELF-CERTIFICATION FORM FOR PERMIT TO DISCHARGE 10,000 GALLONS PER DAY OR LESS OF GROUNDWATER TO A SANITARY OR COMBINED SEWER ONLY DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF CUSTOMER SERVICES ...

icon picture PDF Filetype PDF | Posted on 01 Mar 2023 | 2 years ago
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...Self certification form for permit to discharge gallons per day or less of groundwater a sanitary combined sewer only department environmental protection bureau customer services official use please print type all pages this must be completed incorrect incomplete applications will not reviewed write n if applicable return new york city collections unit th junction boulevard floor corona ny location tax block lot project name borough house street zip is dep yes no funded applicant last first m i legal business telephone address state contact person owner ownership individual corporation partnership llc government other agency dewatering discharges and accumulated duration days stormwater flow one year rate gpd indicate number than gravity pump capacity gpm wastewater resource recovery facility size in point method hose an onsite manhole hard pipe connection drain public catch basin prohibited explain pretreatment equipment oil water separator carbon air stripper settling tank have minim...
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