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DIETZ IRRIGATION 2B9 833 1288 P. OT <br /> FRUIT LLy ..n ^�«•... �. ,_._. p4�1 �5�� <br /> lAw 'u',," aR�ND vaViUR6 TALK PRO14W FEE LGR <br /> • + • FACiL(IY �d�E <br /> S FACILITY SITE NA�tI£d.�+ <br /> SITE 471CsiE X Nith AREA 406fi <br /> TAMAf& <br /> E FACILIT AD 2 �� x <br /> K STATE ZIP COOS Y o, TANKS <br /> r� -' <br /> CITY ��,�l( 9,5114, 'T SITE <br /> A r7c'r"�, APPLYN AGT Nair; <br /> P APPLI-UCyA,NY/SILLING NASt4E s �drld ! -- --- <br /> L /,r1- / V" _N_Y- f APPLICANT P1dRE S 91111 AREA CODE <br /> 1W JF-- S3Z~2-(10 <br /> C NAILING AAORESS .,AT __ � ' <br /> A �-- ' TYPE Of APPLICAYIC4 E..lO� <br /> 64 95376 erg.) <br /> w <br /> CITY (Ctssurk� Installation. <br /> TOTAL <br /> 19®6 1981 1969 1989 1990 <br /> ANNUAL FACILITY FSE (prior ca Sanuary 1♦ 1991) = 5700.OD XXXX XXXX XXXX XXXX XXXX S XXXXXXXXXXXXX <br /> A XXXX Z= Km XXXX XX%X S XXXXOXIOIXXIC(il <br /> C <br /> 7 FACILITY DENALTY FEES ASSESFED (If APpI c a) sinflANK (After lawary 11 1991) <br /> 1 snuar 1.1991) <br /> V TANK FEE ' S50,00/1ANK (Prior cod Y 1942 1993 1994 1995 1996 <br /> E 1966 1987 1986 1999 1990 1991 <br /> P (mLciPLY K by fee For XXXX XXXX xX11X XXXX XXXX <br /> Aj euh yter apptica ke) S <br /> C' XXX% XXKX <br /> 2 TANX PENALTY FEES ASSESSED %XXX XXXX XX%% <br /> L <br /> t SURCHARGE _ S56.00 each 25257 <br /> TANK (Sue <br /> SfAfE evRy 5 Years) See GtiforrtfR X & S [oda, Seottw <br /> T .� 199, ,llrousiT 1996 i,�l/•Jc16s <br /> 1988 shrwRh 1990 ) <br /> Y� Y Tanks X 6.06 y S /1 �/ Do <br /> j (Enter a�aewe and 55 .tar) <br /> 11 JTO TANK I.O. rts) /N✓ <br /> C PERMANENT CLOSURE CRgagvsl or Autharizad Clo4ure-In-Place) _ gq <br /> L <br /> •''� N YANK(s)--.L— X (234.00 - 1 Z7�•� <br /> 0 CLOSURE FEE = 179.00/hour (3 hour9 nlnlwuw/ AN <br /> Sw TANK I,O. *(5) , <br /> U TEMDORAR7 CLOSURE (Pian RevieN A Inspect{W1s) S S <br /> R <br /> E TEXPORARY CLOSURE FEE • 179.GO/hwr (S hwrs Pi11iaXP�/YACitIYY) 5234.00 win soon <br /> P1 LNS7ALLATIOX PLAY CHECK CP(an Review & Csn9 <br /> Lr1lerion Incpact{ansl TANK I.P_ n(al <br /> A 9634.00 winious <br /> 1 <br /> Y PLAY CHECK FEE = .78_00/hour (8 halts nin/ww/FACILITY) <br /> R REPRtR FEE (yo(Nplan Review 8 CCnstrueLien Illspacticm) <br /> TANK I.O. R(S) _. <br /> E <br /> X 1234.00 <br /> P TANK LINING REPAIR FEF = STB-00/hour <i hoofs winiawJTANK) $ TAW(s) S <br /> A a SZ34.00 mini" <br /> I TANK RETROFIT REPAIR AE4 = 370.00/hour (3 hour% win•/FACILLTY) _ `•� s1{mmuw S <br /> R <br /> PIPING REPAIR FEE a 578.00/hour (3 hcu s winistsn/FACILITY) <br /> S <br /> N TRANSFER PEE = s20.00 UNAUTIiPRIZEc RELEASE EYALUAYtaY ' 178.00/hr 1 - <br /> 1c ST6.00lhf 4 f <br /> S SAMPLING iNSPECTtOq FEE <br /> CONSULTATION FEE s S78,001bt YOYAL OUE S lf/•� <br /> FOR OPf1C>_ USE ONLY A/tASY RECE] EY XacRiYED <br /> e � CODE 0[ST 000E AMOUNT CESLF� C <br /> 3 SLEEPS 4 LOAM 8R Y <br /> X .15. <br /> . OR <br /> 10 <br /> tAC <br /> s <br />