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City of South Bend <br />Department of Public Works <br />Industrial Pretreatment Program <br />Significant Industrial User - Permit No. 221701-88238 <br />In accordance with all the terms of Chapter 17 of the City of South Bend's Municipal <br />Code, and with any applicable provisions of federal or state law and regulations, permission <br />is hereby granted to: <br />Royal Adhesives and Sealants <br />2001 West Washington Street <br />South Bend IN 46628 <br />for the contribution of wastewater into the City of South Bend Publicly Owned Treatment <br />Works. <br />This permit is granted in accordance with the application filed on October 14, 2016. <br />Effective on: <br />Expires on the: <br />6 _lanuary, 2017 <br />5 _lanuary, 2022 <br />Any violation of the terms and conditions of this permit shall be deemed a violation of the <br />City of South Bend Municipal Code and will subject the pernuttee to the sanctions set out <br />in section 17-11 through 17-13 of the Municipal Code. <br />The permittee shall file an application for a renewal permit, a minimum of 90 days prior to <br />the expiration date. <br />Approved By: <br />Board of Public Works <br />Gary A. Gilot, P.E. <br />Suzann M. Fritzberg <br />es A. Mueller <br />Flizabeth A. Maradik <br />Therese J. Dorau <br />