HYDRO20295 - Laserfiche WebLink

Home Browse Search

PERMITTEE NAME/ADDRESS I Include F~cl/i!y N~ me /Loc.lion if d)//aen(1 NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES J ~ o NAME-Y.~ ~ ~'1F~.~]=~~Qb ~~.-~L~r_-- DISCHARGE MONITORING REPORT (DMR) - (1-I6) (ll-l9) n ~o ADDRE55lLE~ - U L I~LIL roc`--_--___ _ ~Lw _ r .IOOL'V.: :L j '.i;)7 h -- ~11 ~]] ~~~ ~ ---~Y`••••~~_-_---_-_- - PERMIT NUMBER onc.gwcc RURSCw ~nr•T n `TENOR (S I; i3 R 4 C) Fjgrpgqp~ovad. r" - FINAL OMB No. 20400004 ++-~Y~+~+ -------_'S`tL ~1-"-- MONITORING PERIOD :5 t3HV[! 4 A'TL'TY,"[I'L'rb'-VRlri'wAb; FACILITY --------'--------------- YEAR MO DAY YEAR MO DAY LOCATION ____ _ _____ _ ___ FROM 1,•I •1 TO ~y ~~ '+t+Y++ 11O DISCHARGE ( ") '~~'# A T: n: R. L A Y C is 4 A U E M; N E M E N A G E S (zazu (11-7J) (a+-zs) ns-v) (18-79) r7o-JU ~ NOTE: Read Instructions before completing flits form. I (J Grd Only) QUANTITY OR LOADING (4 Grd Only) QUALITY OR CONCENTRATION ~ I ~ `~ ~ PARAMETER (46-SJ) (5461) (J8-45) (+6-SJ) (S+bi) NO., oF 8'°'MPLE (J1-17) EX ~ lyyl~Yy9: TYPE I AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UN1T8 - II SAMPLE MEASUREMENT ,: {+#LY ~:.',: #':^.::# ~ ~1 / ':t Y,::.`-:;t iF tt ~ ~ / \ 12) GI I % V Oul?J 1 0 J PERMIT-- 1FMQ.rfAiL. '#4't.¢~S'=ft. ': ::+ ~,~... ~tl#ri#u 9.0" 's! "`-8, .FFL'JENC LfiJS:~ VALUi ~°u1REMENT °=:T :' HIRItlUM tIFIIMU SU . ':tea . .. :. ''~.`'' • :'=`}I u.,IDJ, 'cC'iAL ` SAMPLE MEASUREMENT !:f:;Y:Yt:- :Y;::nir.i ~ / - ~ /: '~ 1 /yr ~I J~'j ( 19) ~ /f- l . ~ ,I jP ~N D?:) , - yv , J "1 0530 1 0 V "t'FLUENT GROS; VAL'Ji: PERMIT REauIREMENT ~~' DD QYj '~#A>r 1:o4 I; : :: ~ - ~ UPTZONAL 9TH AVG 35 30DA`. AVG 7Q ' DASLY. AX NG/L ~`;•Y .:' `"t';~s,l iOLID,S, :it:TTLf;~.:iLE SAMPLE MEASUR '?'L"'~y' `t?t'-'t~~=•' ~ t.l/" / /' "J' ~ J J = `r(l, ~J /( 25 ( ) /~- ~ EMENT (J (r./O Q U.`ilr5 1 0 u P~exT Nlti~i4#ri #lu#xtol# ::: _ OPTIONAL REPaRT R,Ep '~. '"- at LMS - . . 1 F'F'i.UF,.':T GEi?55 VAE.U:; wEnuIREMENT ::::Y.; aR"R AYf. 30DA AYG - ''f)J~3L~` AX ML/L ' , - , , - . J ~ .- kON, TU'CkL ' SAMPLE MEASUREMENT ~.i•'.'%F:V1; i YY:tY4^.4-'.f n ° y ~ 7 , s•t ' ~ (.19) // ~ ~ ' (A S F ~ ) VL ! J 3~ ~/ 1045 1 0 G PERMIT suss#~t B>;:I;:alxrf =:; ?TIONAL 3.0 ~ 8.Q '-"~, -' ) 'FFLUENT ~ROS:i YALU_ pEnWr~IENT ;1=Y:=~ ;1RTR AVG 306A AYG DIkIL~"NY 1,/L ::Yt )II. AND i,F ASii SAMPLE MEASUREMENT v`O',f+l1Y,: :!:#C::#:Y ;; :x:~ Y=.~ 1±plxvr,::: q ( 1 ) L/ ~ I n / Y.' ~ J 3562 i U ~J -PERIAIr '~#p4K!17 Clp;an:?tt - ;t:= #4dIIa73!G 4+OIrY.+Y+kb ., p -. -:. ''FFLUENT i;R05~ YALUE ~9tan¢MErrr ~ tr,::;=:< x ~x~~ Y HG/L LJW, IN CONDUIT ON. ~ ' " ~ SAMPLE MEASUREMENT 1`I~IO` I 1 r~ / \ 4)) riuFF Y:t C: 1711}##+t::t -q>;1#¢QI{[ - ~~ ItRU TREATI . :. NT iyLA1 • ' _ J Ov50 1 0 0 •. PERMIT RSPORT RrPORT ###Yfun ¢#(rrra010 =; YQI #ra - P.FFLUENL' GROSS VALUE ivenuw~aErrr 3:: DA AYG DA'.tY P1X "I;D - =zdrsv ~ 'OLIDS, TGTAL SAMPLE MEASUREMENT :1+'=~'+IfVY: 1}f:ftQ~S:f :/:/,t':;tY: > ! J 1 3 o /~ ~ /~ \ ( 191 ~ 4 ~!' rd Z S 5 OL Y E D - (/ J :J~ 0295 1 U U rEawuT oo4d#a ##ttfi+Ct4 - ff-:: ###IY## hEf'OST ` OF'fI0}IA~ dFFLUENT l~ftOSS VALUL; RenuufgMENT i1:Y1Ft: QRTR ~A,Y6 ~'&.IdA1I, MG/L NAME/TITLE PRINGPAL EXECUTIVE OFFICER I cERnFr UNDER PENALTY oc LAw THAT I HAVE PERSONALLr ExgMINED TELEPHONE DATE J AND AM FAMWAR WRM THE INFORMATILW SUBMDTED HERE W: AND Ell{D = 7 w ~ / I I CFl MY INOURV CF THOSE INgVIDUALv IMMEDNTELY RED SIBLE F(M G14rANJIND T1fE WFQ4MGTLVL I BELIEVE THE SJPMITTED WFORMATIQV IS IMATE P TR E CO ~~ ` /r U ACC AND M LETE I qM gWpRE THAT THEgE APE SGNIFIUNT PENALTES FOR SLIBMnTINO FALSE INFORMATI(Y1 INCLUpNG ]/j ~/ ~T ~6 ~~ 1 9 ~ w / f I' 1, P ~ / s rrI / THE P0551BILrTY of FINE AND MRwBONMENT SEE le us C. f IWI AND 33 USG f 1319 lu R i N f 5 NATVRE OF pRINCI AL EXECUTIVE (~ 7. ! ' - - - - - TYPED OR PRINTED ( nn t! under ut ipNtu maY nclutle mu up to f1000d Ntl or m.umum :mOrimnmenl of berwan 6 months .nd 5 yun.) OFFICER OR AUTHORIZED AGENT '4RE ~ NUMBER' YEAR ' MO DAY J ........-.-.-.....- _.-. -........-.- -. .-.... -.__.-......... L....~.........~...~..,,......,~.~r T:i:i t; FE LZ'1IT5 ir.LLL ilE wAIVFP ' SETTLP;6Rl.F SOLIu~ LINT AF11Lic:P FO:ti <=l0YR,24Hfl PRECIP EVENT ONLY NHEN A:INOFF COkSTITUTES MAJOfiITY OF L`JAC-~F°. I, A.; (D), i'G V, FOR P':(jJIR,°.M E':iS. 'JET EC?ION LIflITS-SEE I. T. 2.