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ATTACHMENT B <br />ORDER NO. R5-2006-0054 <br />INDIVIDUAL DISCHARGER CONDITIONAL WAIVER OF <br />WASTE DISCHARGE REQUIREMENTS <br />FOR DISCHARGES FROM IRRIGATED LANDS <br />NOTICE OF INTENT <br />TO COMPLY WITH <br />ORDER NO. R5-2006-0054 <br />INDIVIDUAL DISCHARGER CONDITIONAL WAIVER OF <br />WASTE DISCHARGE REQUIREMENTS <br />FOR <br />DISCHARGES FROM IRRIGATED LANDS <br />1. TYPE OF DISCHARGE <br />Farm > 200 acres <br />❑ Farm <200 acres <br />❑ Organic Farm > 500 acres <br />❑ Organic Farm a 500 acres <br />❑ Managed Wetlands <br />2. REASON(S) FOR FILING <br />Nursery > 10 acres <br />❑ Nursery:5 10 acres <br />❑ Farm that discharge only stormwater <br />❑ District which have operational spills and/or other <br />discharges to surface water <br />❑ Other: <br />New Discharge or Farm/Facility ❑ Changes in Ownership/Operator <br />❑ Existing Farni/Facility <br />❑ Expansion ❑ Other: <br />3. FACILITY INFORMATION <br />Type of Irrigated Land <br />❑ Managed Wetland <br />❑ Row Crops <br />❑ Nursery <br />❑ Orchard <br />❑ Other (please describe); <br />❑ Irrigated Pasture <br />Acreage of Irrigated Lands: <br />Source Water Supply: <br />Estimated Water Usage: <br />Average: Maximum: <br />Other Information: <br />_7- <br />