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Home My WebLink AboutDWQ-2024-006759Notice of Termination (NOT) for Coverage Under the UPDES General Permit for Treated Groundwater, UPDES Permit No.UTG790000. NOT Submission of this NOT constitutes notice that the operator/facility identified in section I of this form is no longer covered under the UPDES General Permit for Treated Groundwater, UPDES Permit No.UTG790000. I. Facility/Operator Information UPDES Permit No.UTG790000 Coverage No. UTG79 . Name and location of facility (Include County name) __________________________________________ _____________________________________________________________________________________________ Facility mailing address (if different from physical address) ___________________________________________ _____________________________________________________________________________________________ Telephone Number __________________________ Name of Operator ________________________________ II. Reason for the Termination of Permit Coverage Reason for permit termination (attach additional sheets if necessary)_____________________________________ ____________________________________________________________________________________________ III. Certification I certify under penalty of law that all construction dewatering and/or hydrostatic testing operations at the above facility that were authorized by the UPDES General Permit for Treated Groundwater, UPDES Permit No.UTG790000 have been eliminated or that I am no longer the operator of the facility. I understand that by submitting the Notice of Termination, I am no longer covered under the general permit. I also understand that the submittal of this notice of termination does not release an operator from liability for any violations of this permit or the Water Quality Act. Name (print) _____________________________________ Title ________________________________________ Signature ________________________________________ Date(mm/dd/yy) ______/_______/_________ Where to File the NOT Form: Division of Water Quality 195 North 1950 West P.O. Box 144870 Salt Lake City, UT 84114-4870