Instructions for completing the application are included in the form itself and in the Supplemental Instructions at the back of the application. You may fill out the application manually, or a Microsoft Word version may be downloaded from (Ground Water Quality) and filled out electronically. Timely processing of this application is contingent upon the technical completeness of the submission. Failure to provide all of the information pursuant to Section 20.6.2.3106 NMAC, following notice of technical deficiency, may result in denial of the application. Send two complete copies AND one electronic copy of this application, with the filing fee to: Program Manager Ground Pollution Prevention Section New Mexico Environment Department P.O. Box 5469 Santa Fe, NM 87502 Mining Introduction Facility Name: For Existing Discharge Permits: GWQB Date of Receipt – DP Number: (Department use only) Expiration Date: Type of Discharge (check one): Domestic Industrial Agricultural Type of Application (check appropriate box) New new – facility New existing – (unpermitted) facility Renewal only
Instructions for completing the application are included in the form itself and in the Supplemental Instructions at the back of the application. You may fill out the application manually, or a Microsoft Word version may be downloaded from (Ground Water Quality) and filled out electronically. Timely processing of this application is contingent upon the technical completeness of the submission. Failure to provide all of the information pursuant to Section 20.6.2.3106 NMAC, following notice of technical deficiency, may result in denial of the application. Send two complete copies AND one electronic copy of this application, with the filing fee to: Program Manager Ground Pollution Prevention Section New Mexico Environment Department P.O. Box 5469 Santa Fe, NM 87502 Introduction Facility Name: For Existing Discharge Permits: DP Number: Expiration Date: Type of Discharge (check one): Domestic Industrial Agricultural Mining GWQB – Date of Receipt (Department use only) Type of Application (check appropriate box) New – new facility New – existing (unpermitted) facility Renewal only
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