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City of South Bend <br />Department of Public Works <br />Industrial Prareatinent Program <br />Significant Industrial User - Permit No. 221701-88238 <br />In accordance widi all die terms ol'Chapter 17 of` the City of South Bend's Municipal Code, and <br />widi any applicable provisions of federal or state law and regulations, permission is hereby granted. <br />to: <br />11,13, Fuller <br />2001 West Washington Street, <br />Soudi. Bend IN 46628 <br />for the contribution of wastewater into the City of South Bend Publicly Owned Treatment Works, <br />This permit is granted in accordmice with the application filed on October 1/1 2016. <br />Effective on: <br />Expires Oil flier. <br />Modified on: <br />Uanuary, 2017 <br />5.1anuary, 2022 <br />29 November, 2017 <br />Any violation of the terms and conditions of t1iis permit sliall be deemed a violation offfic City of <br />South Bend Municipal Code and will subject the permitlee to die sanctions set out in section .17-11 <br />dirough 17-13 of flic Municipal Code. <br />The perinittee shall file an application for a renewal permit, a minlinurri of 90 (lays prior to the <br />expiration (late. <br />Approved By: Board of Public Works <br />Gary A. Gilo(, PY. <br />Suzanna M. Fritzberg <br />,(, A Mueller <br />Elizabeth A. Maradik <br />H.B. Fuller Industrial Wastewater Discharge Perinit Page 2 of 30 <br />