xxx/xxxxxxxxxxxx. This Service may not be available for up to thirty (30) days after location activation.
xxx/xxxxxxxxxxxx. If this application results in a Special Discharge Agreement, Applicant agrees to indemnify, defend, and hold harmless, including attorney fees, CWA Authority, Inc. against any and all claims, damages, losses, costs, or other expenses or liabilities resulting from CWA Authority, Inc.’s acceptance of the Applicant’s wastewater. Applicant’s Name: Applicant’s Address: City: State: Zip Code: Contact Person: Phone: Email: HOW WILL THE WASTEWATER BE DISCHARGED? (Check one) Discharged to Sewer? Manhole # (Attach map if available): Maximum rate of discharge (gallons per minute): Total volume of discharge (gallons): Expected timeframe for discharge: Hauled to Belmont AWT? Name of Authority Permitted Hauler: Hauler Contact: Hauler Phone: Hauler Email: If yes, provide a description of the wastewater treatment process, include process equipment, design capacity, and operating conditions. Attach a wastewater flow diagram. Attach additional sheets if necessary Attach laboratory analytical data of the wastewater to be discharged to the sewer system. Provide an explanation of where and when the sample was taken, what type of sample was taken (grab/composite) and how many samples were analyzed. Analytical methods shall conform to 40 CFR Part 136 or equivalent. Name: Title: Company: Mailing Address: City: State: Zip Code: Phone: E-mail: I CERTIFY UNDER THE PENALITY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. PRINTED NAME DATE SIGNATURE Regulations at 40 CFR part 403.12(p) and Resolution No. CWA 2-2011, Chapter 3, Section 3.13 require that Industrial Users (“IUs”) report any substance discharged to the CWA Authority, Inc. (“Authority”) sewer system which, if otherwise disposed of, would be considered a Resource Conservation and Recovery Act (“RCRA”) hazardous waste as set forth at 40 CFR part 261. IUs are required periodically to complete the Hazardous Waste Statement to confirm their discharge status. PART A: APPLICA...
xxx/xxxxxxxxxxxx. For additional information on how to avoid foreclosure, including help for military servicemembers, you may also visit Freddie Mac’s My Home web site at xxxxx://xxxxxx.xxxxxxxxxx.xxx/getting-help/relief-for- homeowners.html/ and #HelpStartsHere at xxxxx://xx.xxxxxxxxxx.xxx/ceros/sustaining-homeownership-in- a-crisis-an-interactive-guide-for-homeowners.aspx Please contact us any time at [SERVICER PHONE NUMBER], especially if you experience another event that may prevent you from making your mortgage payment.
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xxx/xxxxxxxxxxxx. I have read and understand this agreement and give permission for the school to allow my child to use the El Monte Union technology devices under the terms and conditions set forth above.
xxx/xxxxxxxxxxxx. You must complete the camp application and provide parental consent when you apply online. A third party vendor provides online registration so an additional pro- cessing fee will be applied to the camp price. No re- funds will be provided for online registration. You may mail in the attached registration form with a required $50.00 deposit or full payment by check. Please make checks payable to: Rochester Volleyball. Camp applications can be sent to: You may also pay in person at the Xxxxxxx Athletic Center. The U of R camp staff will handle any refunds or reimbursements. Any cancellations after July 1 are subject to a $50.00 administrative fee. Registration prior to June 1st is advised to ensure a space in the camp. July 14-16 Girls Ages 10-14 Ages: 15-18 Resident: $375 Commuter: $300 Designed for high-level high school varsity girls and club experienced players. In- struction includes advanced training in techniques of passing, setting, attacking, serving and defense. Additional training is given in game strategy, competition situa- tions and game play; campers are divided into courts based on skill level, age, and experience. This session includes a re- cruiting seminar. Ages: 10-14 Resident: $350 Commuter: $275 Designed for beginning and intermediate level Junior and High School girls. In- struction includes developmental training in techniques or passing, setting attack- ing, serving and defense. Additional training is given in court movement, game play and competition situations; campers are divided into courts based on skill level, age, and experience. UR Camp: Name of Camper: Emergency Contact (1): Phone Number: Emergency Contact (2): Phone Number: Insurance Company: Policy Number: Insurance Company phone number: Policy Holder: Policy Holder D.O.B.: Name: D.O.B: Address: Phone number: Email: Roommate Preference: Position (circle one): OH MB RS L S
xxx/xxxxxxxxxxxx. Xx the best of SLC’s actual knowledge as of the Effective Date (excluding knowledge held by Xxxxxxx X. Xxxxxxxxx but no other director or officer of SLC), the Assigned Assets as delivered to NSC by SLC hereunder do not infringe any patents, copyrights, trade secret rights, trademarks, service marks, or other intellectual property rights of any kind of any third party. SLC has not received any notice or allegation of any of the foregoing and does not reasonably anticipate receiving such notice or allegation from any specific claimant.
xxx/xxxxxxxxxxxx. The parties mutually agree to use commercially reasonable efforts to maintain effective registration statements with the SEC with respect to the long-term incentive awards described in this Article X, to the extent any such registration statement is required by applicable law.
xxx/xxxxxxxxxxxx. In other news, on May 14th, in partnership with Local 25’s Softball Team, the EWMC hosted the 1st An- nual Texas Hold ‘Em Poker Tournament at our union hall. Dozens of our brothers and sisters, family, and friends attended the event and it was a great success. If you missed out on the fun this time, watch for an- nouncements of future tournaments. President, EWMC NY Region Chapter
xxx/xxxxxxxxxxxx. XXX xxxx xxx xxx, xxx xxx xx xver owned, ----------------- any subsidiary.
