Laserfiche WebLink
PERMITTEE NAME/ADDRESS pkro FrrNryNaWLxurw IJDyGran/ <br />NAME .r n A E' L• %; ' : ', r , C ~ . <br />ADDRESS T H A 2 i' [. 'i f` i ; ~' <br />P.U. :,~;.°, j ,7 <br />CHA IJ Cu r11~2L <br />FACILITY <br />LOCATION <br />!.7"[ri: ri. 6')NC~7. p~:;f.., .S/;Z4 ,^G3 <br />NATIONAL POLLUTMT OISCNMOE ELIMINATON SYSTEM INPDES/ <br />DISCHARGE MONITORING REPORT IOMRI <br />Z•I6l 1I7-19 <br />000032115 017 A <br />PERMIT NUMBER DISCNMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ~ TO _ <br />r~avrl n~a91 v~-~61 vanl nw-zol caa.Rn <br />form Approved. <br />S U N C F F /!'INF. M T k 9Q4~Bd+V•t?o~749D~1 <br />(S U E F N M) Approvelpx~3rHa, 05-31-98 <br />F - FIpAC <br />MINCA <br />t <br />^Y.-7 NC. DI50HAH^. P, ~__( rf+'• <br />NOTE: Raad Inatruetlau batora complatinp thiB corm. <br />PARAMETER !3 Gre Onlrl QUANTITY OR LOADING /1 Grd Onlrl GUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> I~6-531 151-6/ l3B-r61 16-63 I51-6F/ DF <br />/31-371 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MA%IMUM <br />UNITS EX <br /> <br />!a~-19! <br />MALres <br />15I-681 TYPE <br /> <br />/69-701 <br />L1L ~.. ~:- SAMPLE IOJ~#~: ( 94) Ot}004d L[.0>',tt Ct=tOn# <br />V 1 ~ 1] A j, MEASUREMENT Q ~ / r/JW~t <br />1,U000 1 0 U PERMIT rXt;t.' YAIy BEPpgT .: ES=1 ~.IoOto+C at>w4bp >ao~axa~l. s~c~ EStCL YZSLA <br />,.FFLLIENT L;R045 VALU ,REnuiREMEN7 <br />. <br />::INST::'~71X <br />MC= <br />0 <br /> <br />,' <br /> <br />a~aa <br /> SAMPLE - ~ <br /> MEASUREMENT <br />- <br /> PERMIT ~. , ... .. <br />:: ... <br /> <br />~ <br /> <br />~ . ~..: <br /> REQUIREMENT ~ ... ~ ~ ~ <. i ~ • ~ :... .. <br /> SAMPLE <br /> MEASUREMENT <br />.~ PERMIT ~ ~ ~ -~ <br /> REQUIREMENT ~ ~ :. <br />}; SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ .. <br /> REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> ~REQUIREAAENT~ ~ ~. <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I NAVE PERSONALLY EXAMINED MD <br />AM fAMIUM YATN THE INFORMATION SUBMITTED HEREIN <br />MD BMED ON TELEPHONE DATE <br /> : <br />MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br />Gordon Patera <br />W OBTNNINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />~ <br />. TRUE. ACCIIMTE MD COMPLETE. I AM AWME THAT THERE ME <br />SIONIFICMT PENALTIES FOR SUBMITTING FUSE INFORMATION <br />INCLUDING ,~ <br />970-824-4401 <br />98 <br />10 <br />23 <br />President 6 General Mans 8r <br />B , <br />THE POSSIBILITY OF NNE MO IMPRISONMENT <br />SEE 10 U <br />S <br />! 1001 MD 3J <br />C <br /> . <br />. <br />. <br />. <br />S <br />E <br />P <br />' gONATINIE OF P111NCMAL EXECUTIVE <br /> <br />TYPED OR PRINTED U. <br />.C. <br />1918. I <br />srNrWE YMr tAaas Nrv1.. AIrY AKbFI R <br />M. y ro J/0,000 <br />rWu•Ar..bRnI ArP+aM.wlr we.n.«nemwlNE reds rAVA/ <br />OFFICER OR AUTHORIZED AGENT <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />GuMMCn I o qn V urLgnw I Ivn yr nn r vrvLn I was InaFaFawGl m aRICn/rII/Ir5 narq <br />:_~ E TOTAL IR7~ LI".IT_i MILL sE RAIY£J1 AFL SETTLEAbLP. 571. ICS IiCI7 AFFIIED fCF C=lUCh,24NH Vp~~,Ip F.Yh;N?_ <br />,c:: RORD2N OF PROOF RE.jUikE"eNTS UNDE3 Z.A.3. TLIS CONTTORIFC - 7.P.3. OTL E CFFA: E - sEe I.`'.1. {i.>) . <br />JL1 J.iY AVFRAGF TS li 7C ASST M!14 TH1Y ay~uar nnDTUa p~Ojnn DF~D~gZyi <br />EPA Form 3320-1 108-961 Prevloue edrtlona may bs used. IREPLACEb EPA FORM T.tO WHICH MAY NOT BE U8ED.) Q 017 4 / 9 71211-16!1 G PAGE .pf <br />