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HYDRO20341
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HYDRO20341
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Entry Properties
Last modified
8/24/2016 8:41:41 PM
Creation date
11/20/2007 1:28:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
Hydrology
Doc Date
4/18/2000
Doc Name
1st Qtr 2000 DMRs
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITTEENAME/ADDRESSpncludeFaciliryNamr/laarioniJDifferent) NAT{ONALPOLLUTANTDSCHARGEEllMiNAT10NSYBTEMMPDES) Form Approved. <br />NAME DISCHA GE MONITORING REPORT (OMR1 OMB No. 2040-0004 <br />COT.ONYU CDAL CGrFANY, G.P. R-,S nT-tsl MINOR <br />Approval expires 05-31-98 <br />ADORESSrOLONTO BINS COII045161 004 B (SOBS NN) <br />SZ31 STAlE 6IGHNAY 13 '~~.°"`,'~PERMITNUMBER DISCHARGE NUMBER P - FINAL BOP A7 <br />BEfi66R CO 81641 N°'g"'-'°` l7INING FIi TO GULCR A POND <br />FACILITY -~~ MONITORING PERIOD <br />LOCATION - YEAF,~ NiMO DAY= - _ YEAR MO DAY <br />`'t, <br />~~~ ND CI SC HARGE <br />~~ ~++ <br />" <br />1 <br />7 <br />~ <br />p VV V J1 <br />. FROM ~. <br />Vl .y <br />~ <br />A?TN: J. D. ESARBON. GENHilI~AGER rzaz,) Rz-zsl.IZ4z~.~ ', Rssr! haze) (EO,7q NOTE: Readlnstruclionsbeforecompletingthisform. <br /> ~ ' ~CeN Onry) QUANTITY OR LOADING '~ (4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> PARAMETER 46-53) (5461) 38-45) (46-53) (64-61) EX OF TYPE <br /> (32,77) AVERAGE MAXIMUM UNIT3~ MINIMUM AVERAGE MAXIMUM UNITS <br />(61m) aNALYBt9 <br />(64-68) <br />69-70 <br /> ~U Ll US• TUl-A SAMPLE -`V;'V i~ i'a FGSY ~ i14t113IIi ~ ( 19) <br /> 3USPENDBD MEASUREMENT `~y~ <br /> DD53O 1 D O sx' PERMIT~~: a- , ~Og ~~, ` <br />~ r <br /> EPPLUEN? 6R055 VALUI ,AlrguiREMEr_rT. <br />,. <br />.. - 1 r *~;~~ '` <br />_ '~ ~#9r , <br />~~ -~~ NG/L =~y <br /> LttUN SAMPLE ~V,~c~7 ~~uirfi.~; `. i~##9# ( ]9) <br /> [OTAL @ECDI ENABLE MEASUREMENT <br /> D0980 1 U 0 >2 ~ERMITp ,. '~ <br /> EPPLUENT GR055 VALUE REOUIREMENT~ ; <br />~ <br /> ~ <br /> FLUY, N CONDUIT UR SAMPLE ~ ( 03) ~#b~'~#; ~. #~'*### ~aL;~~'~ <br /> THRU TREA?BENT PLANT MEASUREMENT <br /> <br /> OUSO 1 U ~O +:~~ <br />PERMIT`+'-" ` `~" - .~ ~~# <br /> EFPLUENi GROSS VALUP - <br />RELiUIREMEN7 <br /> <br /> SAMPLE ~~ <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />NAMERITLE PRINCIPAL IXECUTR/E OFFICER I CERTIFY UNDEfl PENALTY OF <br />AM FAM <br />AR WR <br />HE <br />NF <br />M LAW THAT I HAVE PERSO <br />AT <br />BM NALLY EXAMINED AND ( - \ TELEPHONE DATE <br /> ILI <br />I <br />H T <br />OR <br />INQUIRY OF THOSE INDNIDUAL ION SU <br />ffTED HEREIN; AND BASED ON MV <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~ <br />\ <br />` <br />f <br /> <br />THE INFORMATION, I BELIEV <br />E THE SUBMITTED INFORMATION IS TRUE, )„ <br />~ <br />) <br />j <br /> <br />J \ ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITDN I AM AWARE THAT THERE ARE SIGNIFICANT <br />G FALSE INFORMATION <br />INCWDING THE ~ <br />/ <br />z <br />/~ <br />}~ <br />l <br />+' <br />ll ll i (.\.1 POSSIBILITY OF FINE AND IMPR , <br />ISONMENT. SEE 16 U.S.C. § 1001 AND 33 U.S.C. <br />' . <br />y <br />~ <br />SIGNATURE OF PRINCIPAL EXECUTIVE ~ ~V V ~ I ~ I~I)~ 0 J I ( <br />TYPED OR PRINTED nes upbE10,000 aM ar <br />mvimum ~mpnsmme~ol~roea em~wrc~end 6u~~ OE~ICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relarence all eThichments here) <br />HONI?08ING REQUIRfi0ENT5 SEE I.B.1.B, PG. 5. BURDPN OP DROOP REQUIREBEN?S - SEE I. A. 2, PG. 4. <br />EPA Form 3320.1 (OS-95) Previous editions may not be used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.) PAGE OF <br />~0~,8,;~,Q~F 99~Q S0 ~-1457-: i <br />.._-.._~.~_.._._ __._.__3.,...ae.-.:mss-::L.e~.~.V1._r ....ak...~_-~.a,._._.__.__'~~.__~....-.. .~ac.,~..~i.~a:.w'eennb~'i9w~ ^+1~s ieN~;fa 2 <br />
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