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NPDES PERMIT APPLICATIONFORM 1 ARKANSAS DEPARTMENT OF ENERGY AND ENVIRONMENT DIVISION OF ENVIRONMENTAL QUALITY OFFICE OF WATER QUALITY 5301 Northshore Drive North Little Rock, AR 721185317www.adeq.state.ar.us/water

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Form 1-01062021 refers to a specific form used for reporting certain information to the relevant authority.

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The purpose of form 1-01062021 is to collect specific information for regulatory or compliance purposes.

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