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PERMITTEE NAME/ADDRESS pwlr4 FSYiry NwWlan,ee+/DI)JGreQ <br />NAME TI~AP~+FF vT`IIK;., ItiC, <br />ADDRESS TRAPi'ER '!I.`I `~ <br />e.o, ~'C}Y L' 1 <br />~,hAll+ <br />C"J 81h2o <br />FACILITY <br />LOCATION <br />'fTh: a. iOe:CJ.• ~r:TF.PS, :Hi.~/GF'a •!~g <br />NATIq/AL POLLUTMT DISCNMOE ELwINATON SYSTEM (NPOESf <br />DISCHARGE MONITORING REPORT IOMRI <br />I-161 17-191 <br />CD 032115 CO' A <br />PERMIT NUMBER pSCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO ~ a <br />' 1767 /1 112-731 11~-75I 1I6T71 12B-791 (3431/ <br />CISCRAFGF <br />(SUPR FV) <br />F - FIFAL <br />~IaCp <br />Form Approved. <br />T O C O Y K4iPio~oooa <br />App rovelLaxp~rp~05-31-98 <br />NOTE: Reed Ine[ruetlan b~for(eomple[Inp thb form. <br />PARAMETER !3 Grd On/y! QUANTFFY OR LOADING !I Ord Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> (0653/ 15I-sll :38-15/ /0653 (5461 E% OO <br />!37371 <br />AVERAGE <br />MA%IMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MA%IMUM <br />UNITS <br />/E7-sai M= <br />RS <br />/54581 TYPE <br />!5&)OI <br />r':I SAMPLE =);: .74it 11334#;: q{C'.~>'F? ( ] 2) <br /> MEASUREMENT <br />„- :lUU 1 1 Ci PERMIT 3#4' ~#G ~ ~ G1pc.fA.44# f YF ;:# <br />'QeS <br />d.dAd'¢« <br />9:.5 <br />E$R,1.Y <br />IV~LTt <br />:.Fr:.Uf:1i;' GRDS': VA1.!1 REQUIREMENT #Yfi4 !(I.}L~~.gn #tA IlIUTF SU <br />rUL .15, SJ AL SAMPLE `+#6firifi 4=ll:<Nn# ri09ri4L <br />{ 19 ) <br />.i U :i I :; I: i) :; J MEASUREMENT <br /> <br />U (1:, ! J 1 0 PERMIT #~'.. 9i~t. .' : r: #itEk44. :EY0+1 15 ~~: .'. ; : 'NCc"f. j $SB <br />c t FL U c h : ~: 80 5 S Y A L U :REQUIREMENT :. : ~ ~:;i. <br /> <br /> <br />, ~;~::. ~. -' ~:'.~.. ~:., 4 944 :. ~. ~`~ :. <br /> <br /> <br />051' AYG <br />. .. ... <br /> <br />SA - I M.I <br /> <br /> <br />G/L <br /> <br />: ;: . <br /> <br />:.. <br />:MD 'T . <br /> <br /> <br />i . <br />.~JL , i tAn t SAMPLE fi+' 444 443 , ddddf+t ~ ( <'S) - <br /> MEASUREMENT fS~ `~ ~F~~ I <br />.-(/~~15 1 Q G PERMIT ~ >r #4~: =k44¢+'3 44fi Ss #x A+1 T3 OPAL ~ ': FiFOAT ~ NCE/~ ...RAF3 <br />-.r'r'LUENT L;RC)i`i vALU. REnuIREMEN7 4afia 3.QCA .AYG 'CAZIY MIL CL/L r40NTy <br />~F: 1i i~F SAMPLE :I,: ,: +;:~.~ 4.,; tPCri3bQ ( 19) <br />(h:i PE) MEASUREMENT <br />~.iuuS 1 0 'v PERMIT ,a'~4a;i e'-44#$# 4:: ~44#4T14 ?,C H:e{1.:: ~ NC£/ _•RAl; <br />F''LUEN: G$OS:, YAL'J. REQUIREMENT #y;=a ?CCA AYG LAfIY !11L tl.~/L !M1O*:Tf+ <br />' u ~1 ii r, SI' SAMPLE 3=k4;: .1: fiat,, r.:;:# 304LOS :Y. Qp;:S ( ]~) <br /> MEASUREMENT <br />'v j`.~t;% 1 0 [1 t?ERMIT" + >''. ~. #4#all. .4 <br />:. fi„ '?'; #?9driC Od;f klA i"~. .1. jJ. .... ~ n!1T Z'~ 'R~A F! <br />LFFLUIiNT GROSS VALU. : REQUIREMENT' .' ;. :. 4ri4p Y <br />;r: N:9 Y. !1A M1G/L a~'Ai <br />t e, J SAMPLE ~ 03) d44Ltl•^. ritd;[40 dtfi4firi <br />I'dr'l. TR£ATF"EN" :'LAN MEASUREMENT <br />:,OUSG 1 0 J PERMIT i;EPDRT 1!$$OA"!' #:tdb94 d~S.~s~4 4#>td44 :s:t:t„ f'EYLY Lf1.>^A? <br />t: Ff'LUEAT GNUS: Y:, L'J REQUIREMENT 30G1A AYG. $JIILY 11X. MGU ~ ~ "#''4 <br />~• SAMPLE +•3+13 `t ( ] ) <br />~I:ISOLY LD MEASUREMENT <br /> <br />7U19S 1 0 PERMIT ~%•' fib"0 ~~ '~ tF It1iA1 R44CTtT. TRLY ;'rSaP <br />rFFLUENT uPJS ~ lA.L!Jf REQUIREMENT: :O:::r,Y C$SF. AYG. liAIlY hF "". 1:/L <br />NAME/i1TlE PRINCIPAL EXECUTNE OFFICER I CERTI FY UNDER PENALTY OF UW THAi I HAVE PERSONALLY EXAMINED MD TELEPHONE DATE <br /> AM FA MNJM WITH THE INF011MATON SUBMITTED HEREIN; MD BASED ON <br /> MY INDVIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE fOR ~/ <br />~ '- <br />/ <br />W. Rprdon Peters OBTNMING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS ~/~. <br />~~i` <br /> <br />l M <br />id <br />G TRUE, ACCIIMTE MD COMPLETE. 1 AM AWME THAT THERE ME <br />SIGNIFICANT PENALTIES FOR SUBMITTING Fu3E 1NFONAATON <br />INCLUDING <br />enera <br />anager <br />Pres <br />ent ~ , <br />TY <br />MPR <br />T <br />F F <br />E <br />S <br />i <br />EE <br />S <br />C <br />0 970-824-4401 98 10 23 <br /> HE POSSIBILI <br />O <br />MD I <br />I <br />ONMFN <br />. S <br />10 U. <br />. <br />. 1 10 <br />1 MD 3] <br />N f10NATURE OF NIIINCMAL EXECUTNE <br /> U.S.C. 1 1Bte. l/MrtY. MIOr Ohrw ORn,. nIPY A'ICAM, Mr,W ro 110,000 <br />TYPED OR PRINTED wda+nrs/nun irwNaa+mA+l e/blwwnfmanNS rls6YeFra/ OFFICER OR AUiNOR12E0 AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EAPLANA ZION Vh ANY VIOLA I IONS INS7a/~nC/ Ml ~tt~C/1mMf9 betel <br />LJS F, iU3/L 7ftGR 1.INI?'~ »ILL riE. wP.IY~J, A'iC ..LTTLEM1PcL c,JLICS LIC]T AFFLTFt` FCF C=lOYP,~U9R PRECIF ~.YSNT- <br />~hf UURGL(1 GF P.'.OUF Nti~UIkcCEaTS GNDEtI i.A.3. PF.fif7iTTF.E MC5] ?RISE All PEA':CNA?1F. "FA5(1hE3 TO RFibUC": PH <br />IM dCCDi2uAKf'F iATT'1 RF~ST y::er~ Dusrrr^r.'; - cry T_~_S_ Tnc r^UT4neja•r-I.D 3- ATTIC'! `fikaV C.LL1~D.i:-4- T" DM-C, <br />EPA Form 3320.1 108.95) Pravlous edlDOns may be used. (REPLACES EPA FORM T-a0 WHICH MAY NOT BE USED.1 PAGE OF ` <br />90C4]/9~]221-16UG I 2 <br />