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PERMRIEE NAME(ADDRESS Qndvde Faai7iry Nanrltocarion jDigemq <br />~E--6~LONIO CO-L CCI!FANYQL.P-.. <br />IRESS~OLONYO !LIME. [;LJ O~ <br />~_ 5731 STATE 1FI69YAY ]~ N <br />ILITYNEEICER V ~ 81 <br />~ m 4TION ~ :-'.'rte, <br />~m <br />~ [N: J. D. 4pi?'SON, GgESI _~.°~ <br />- "vr~r 3,~~~s~ <br />PARAMETER <br />~ (32-37J AVI <br />PN SAMPLE O` <br />MEASUREMENT <br />D0400 i O 0 s -' pERM1T ~ <br />EFFLUENT GHOSS.AA4U 8~REOUIREMEN7 <br /> NATIONAL POLLUTAMDISCNARGE ELIMINATION SYSTEM (NPDES) FORn AppfOVed. <br /> DISCHARGE MONITORING gEPORT (OMR <br />rz~lel rn~~s) <br />lIINOR OMB No. 2040-0004 <br /> gpprovaf expires 05-31-98 <br />g :. <br />~ cooouslbl oD~ A (suaR rN} <br />~y PERMIT NUMBER DISCHARGE NUMBER f - FINAL SOFA". <br />41 <br />0 STREETER GULCH TO GOOD SPGS CR <br /> <br /> FROM ~## NU CISCNAHGE ~~~ #*:- <br />RR. rzazrr (zz~zs/ ~zsj (zazn rza2sl r~wo NOTE: Read Instructions before completing this form. <br />1nry) QUANTITY OR LOADING (4 Card Onryq QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />66-53/ 54-61) (38-45) (46-53 (54-61) EX OF TYPE <br />',RAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(ezra/ ANaLrs/s <br />(64-68) <br />670 <br /> l.~1 ! ~ •~~ ~~ /IIG Tr r~l~ <br /> <br />5ULLUS, TUTU, <br />SUSPEN <br />L' ~ <br />SAMPLE <br />'"`Y'`"~' .,4 <br />~~#~' <br />~ r - - - <br />"aasaai <br /> <br />~ sue:+r-~ w. <br />~ <br />~ <br />' - <br />(V19) <br /> <br />~r <br />I - <br />/ - <br />... <br />/ <br />t( <br />OE MEASUREMENT <br />~ ~, ~ _ ~t_ ~ <br />` <br />~ <br />DDS30 1 U 0 <br />.- <br />PERMIT°~~ <br />I 4~ <br /> <br />' <br /> <br />~ ~ . T~~*_-, <br /> <br />~ ]~' ~;~ <br /> <br />" <br /> <br />" <br />EFFLUENT GROSS FALU[ RE <br />UIREMENT' <br />G m ~ s. <br />r-' . ..c <br />_?: <br />. <br />~ #+~yk# om;; MG/L '+"- <br />~ 4' <br />* ': <br /> ~ rl <br />~• ,. <br />, r m - <br />SU lUS, SETT LEAS E SAMPLE ~~u:"Y "`~'~'~~`~ 004t <br />'~. - <br />~ ( 25) 1 <br />I 1 <br />U <br /> MEASUREMENT ~ X0.5 ~•S C' 3U (~b <br /> <br />X0545 1 0 0 ~ <br />PERMIT ..' <br />~r <br />' <br />` <br />'!~E'A~ <br />~ :Yr <br />~r <br />j -~ <br />i, '~`~~'`•~ <br />~ " .w <br />-, ~~ <br />EFFLUENT GROSS VALUE REO <br />UIOEMENT :';. <br />~ ~'~ arc. ~" ~~„~ l1L/L ; : <br />-. <br />• <br /> _ <br />. <br />- , <br />`-t x !:~': SFr, ~ <br />- <br />m <br />NUN, TOTAL SAMPLE ~"+^vFSF fir rF>r: ^.^. ~, #4;~~ - <br />3Z <br />o 3Z <br />~ ( 19) ~ ~ Gr.lj <br />(AS FE) MEASUREMENT ,~._: . <br />. , ~ <br />J 1 U 4 5 1 0 ~ 0 =PERMITS -:;' <br />' ;1141OaR}7R.' <br />~ C# .- ~ <br />' ,5 +e ,; '- , <br />EFFLUENT GROSS 1ALUE tREpUIREMENT ~ • 433C ~« <br />`~: <br />d = 17G/L <br /> 4Yi~, _, <br />; <br />J L ABU GNEASE SAMPLE ""~"# ''"'~##: #####? .~ ';07+kg## <br />. ( 19) <br /> MEASUREMENT ~ n /a C <br /> <br />)3582 1 U 0 PERMIT' • <br />' r 1/M_ 4F <br />' ?i#cii~ik~f", GY:f <br />EFFLUENT GROSS YALUC ~C?Ut~iEMENY -,~# <br />~ rk ~ .~ F r;w# ~~L <br />FLOP, IN CONDUIT ON SAMPLE ~) <br />D <br />~" <br />(P <br />C7 ( 03) ###### ###### ####k# <br />~ <br />~H/ <br />' -~i,_•'.~ <br />PN NU TREATMENT ?CANT MEASUREMENT . <br />~ J <br />. ~ <br />G' <br />50050 1 0 U yt~ PERMIT" '~' ° ~~~ <br />~ T' . - ~'," <br />~ ~ - ~ r ~ <br />' <br />~ r## <br />EFFLUENT GROSS YALOl CIU~EMEN7 ~ NGp ~ r ,~ M '! ,,,p C~C## <br />iVLLUS, TOTAL SAMPLE ~'~#T`C# #?G~## ~~ #~'#~~ <br /> <br />- ~Zp~ ~ .T ,., <br /> <br />L <br />'~ ( 19) <br />a ~j <br />~ <br />G 1 <br />' ISSOLY$D MEASUREMENT L~- ~ ra) <br />)0295 1 0 0 ~ ERMIT~j`*1 ' + ` <br />~~' "~'~ - G## T <br />~ <br />EFFLUENT GROSS YALUE EOUIREMENY <br />~R ~= ~ ##r# ~.~° ~ +G/L <br /> , : , <br />NAME/TRLE PRINCIPAL DLECIlTNE OFFICER I CERTI <br />AM FAM FY UNDER PENALTY OF <br />IUM WfrFl THE INFORM LAW THAT I HAVE PERS <br />ATION SUBMfrTED HER ONALLY EXAMINED AND ^ TELEPHONE <br />EIN <br />AND BASED ON MY DATE <br /> <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPO ; <br />~ <br />NSIBLE FOR OBTAINING ' <br />I <br />~ <br /> THE INFORMATION, 1 BELIEVE THE SUBMITTED IN J <br />FORMATION I$ TRUE, <br />~ J~~~ <br /> <br />~- <br />I, <br />1 <br />4~ ACCURATE AND COMPLETE. I AM AWARE THAT TH <br />PENALTIES FOR SUBMITTING FALSE INFORMATI [ <br />ERE ARE SIGNIFICANT <br />{ <br />ON, INCLUDING THE <br />$ ZN ~ <br /> <br />% <br /> <br />y <br />. <br />. <br />rz r mo n POSSIBILfTY OF FINE AND IMPRISONMENT. SEE 16 U.S. I tooa <br />C. 4 1001 AND 33 U.S.C. :,(SIGNATURE OF PRINCIPAL EXECUTIVE q1o c <br />c i ~ <br />TYPED OR PRINTED 4merimum~a~ismmem ol~Mae ~em~enr/5~.e ml la l °P mi10,00o arM Or OFFICER OR AIrTHORIZED AGENT „~~~ NUMBER YEAR MO DAY <br />SETTLEABLE SOLIDS LIRTT APPLIES ONLT IF G=l0YR,24 R PRECIP R~80T IS CLAMED. IP CLAIM APPROVED BT YuCD, <br />TSS E IRON LIRITS HILL NOT BE APPLIED TD REPOHTSD tIEASORElIESTS - SBE I.A.2, PG. S POR BURDEN OP PROOF <br />MONITORING~PERIOD <br />YEAR MO DA VE ~~uwr. YEAR MO DAY <br />u v1 .~ iTp uu u1 t <br />G ynN TOPr orwc n:• ! ru ri .`O T n + r nLn <br />EPA Form 3320.1 (0&9~ Previous editions may not be used. ^ ` (REPLACES EPA FORM T-00 WHICH MAY NOT BE USED.) ~ `~ ~~+ ' ~ ` ~ ` ~ s PAGE OF ... <br />.., . .,_ .. I pe._k~,-'~'Y„'~~,':. ,_y7~9~Q5QS .~USI. :_ ._.~ _. 1 <br />