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SR0083415_SSNL ADDENDUM
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SR0083415_SSNL ADDENDUM
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Last modified
2/24/2022 1:21:10 PM
Creation date
2/23/2022 5:06:40 PM
Metadata
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Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL ADDENDUM
RECORD_ID
SR0083415
PE
2602
FACILITY_NAME
88 MARKET & GRILL
STREET_NUMBER
21850
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
02120024
ENTERED_DATE
3/16/2021 12:00:00 AM
SITE_LOCATION
21850 E LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Drinking Water Source Assessment and Protection (DWSAP) Program <br /> Transient Noncommunity System <br /> Possible Contaminating Activity (PCA) Inventory Form <br /> Ground Water Source <br /> Page 2 <br /> Instructions: <br /> 1. For each PCA listed, indicate whether that type of activity exists within the protection zone by entering a <br /> Y(Yes), N (No) or U (Unknown) in the column indicated. <br /> 2. If a contaminant has been detected in the water supply that is potentially associated with that PCA, <br /> enter an asterisk in the column indicated. <br /> 3. In the Comments column, identify detected contaminants. <br /> Notes: <br /> 1. Concentrated Animal Feeding Operation: Animal Feeding Operation (requires NPDES permit)with greater <br /> than: <br /> If pollutants discharged (directly or If pollutants not discharged <br /> Indirectly)to navigable waters <br /> 300 slaughter or feeder cattle 1,000 slaughter or feeder cattle <br /> 200 mature dairy cows 700 mature dairy cows <br /> 750 swine 2500 swine <br /> 150 horses 500 horses <br /> 3000 sheep or Iambs 10,000 sheep or lambs <br /> 16,500 turkeys 55,000 turkeys <br /> 9,000 laying hens or broilers (liquid 30,000 laying hens or broilers(liquid manure <br /> manures stem) system) <br /> 1500 ducks 5000 ducks <br /> 300 animal units 1000 animal units <br /> 2. Animal Feeding Operation: lot or facility where animals (other than aquatic) have been or will be stabled or <br /> confined and fed or maintained for total of 45 days or more in any 12 month period. <br /> Transient GW forms 2-2003.doc <br />
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