I. FACILITY Permittee Organization Formal Name: Permittee Mailing Address: Permittee City: Permittee State: Permittee Zip Code: Permittee County: Facility Site Name: Facility Site Address: Facility Site City: Facility Site State: Facility Site Zip Code: Facility Site County: Is the facility located on Indian Lands? Facility Site tribal land indicator: or yes no Facility Site Latitude/Longitude (ex. 34.543, -84.804): If there are any NPDES Permits that are associated with this facility provide the corresponding NPDES Permit No. and check the applicable box(s). Associated NPDES ID Number(s): Associated NPDES ID Number Reason: Effluent Trade Partner (ETP) Associated Permit Record (APR) Switched To An Individual Permit (SIP) Switched To A General Permit (SGP) EPA Major (check one): Primary Industry (check one): or yes no unknown yes no SIC Code(s) (4-digit in order of priority) SIC Code Primary Indicator: 1st: 2nd: 3rd: 4th NAICS Codes: NAICS Code Primary Indicator: Total Design Flow (mgd): Total Average Flow (mgd):
I. Permittee Organization Formal Name: Permittee Mailing Address: Permittee City: Permittee State: Permittee Zip Code: Permittee County: Facility Site Name: Facility Site Address: Facility Site City: Facility Site State: Facility Site Zip Code: Facility Site County: Is the facility located on Indian Lands? yes or no Facility Site tribal land indicator: Facility Site Latitude/Longitude (ex. 34.543, -84.804): If there are any NPDES Permits that are associated with this facility provide the corresponding NPDES Permit No. and check the applicable box(s). Associated NPDES ID Number(s): Associated NPDES ID Number Reason: Effluent Trade Partner (ETP) Associated Permit Record (APR) Switched To An Individual Permit (SIP) Switched To A General Permit (SGP) EPA Major (check one): yes no unknown Primary Industry (check one): yes or no SIC Code(s) (4-digit in order of priority) 1st: 2nd: 3rd: 4th SIC Code Primary Indicator: NAICS Codes: NAICS Code Primary Indicator: Total Design Flow (mgd): Total Average Flow (mgd): FACILITY
NOI%20for%20Noncontact%20Cooling%20Water%20-%20updated%20Dec%202017.docx