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<br />= ~ <br />5""' ~ <br />=- -.1 <br /> <br />Notification of Completion <br />of Wastewater Treatment Facility <br /> <br />~~ <br />~ <br /> <br />If you have questions about completing this form or about the Water Quality Permit <br />program, please contact the Water Quality Applications Team at 512/239-5161. <br /> <br />Permit Information <br /> <br />TCEQ Water Quality Permit No.: <br /> <br />EPA 1.0. No.: TX <br /> <br />Facility Information <br />Permitted Flow (MGD): <br /> <br />Phase of Operation (check one): <br /> <br />o Interim <br />o Final <br /> <br />Estimated or Actual Date of Operation (Month/DaylYear): <br /> <br />Operator Information <br /> <br />Name: <br />Class of Operator Certification: _ Operator Certification Number: <br />Employed By: <br /> <br />Responsible Official <br /> <br />Name: <br />Phone Number: <br />Mailing Address: <br /> <br />Title: <br />Fax Number: <br /> <br />Signature: <br /> <br />Date: <br /> <br />This form should be completed when a facility is placed operational or goes into a new phase of operation. <br />The completed form should be returned at least 45 days before you plan to bring the facility on line. <br /> <br />Mail completed form to: Texas Commission on Environmental Quality <br />Permits Administrative Review Section <br />Water Quality Applications Team (MC-161) <br />PO Box 13087 <br />Austin TX 78711-3087 <br /> <br />OR fax to 512/239-0884 "ATTENTION: WATER QUALITY ApPLICATIONS TEAM" <br /> <br />Texas Commission on Environmental Quality <br />formerly the Texas Natural Resource Conservation Commission <br /> <br />TCEQ-20007 (9/2002) <br />