HYDRO20415

• Permit No: C1981018
• IBM Index Class Name: Hydrology
• Doc Date: 3/6/2001
• Doc Name: February 2001 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Appreved.
DISCHARGE MONITORING REPORT (OMR) OMB No. 2040-0004
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YEAR MO DAY YEAR MO DAY
FROM '.'1 I'_ TO 71 ;.'Nh=.7. ( ''~`~=
~~ NOTE: Read Instructions betore'CSmlpleting this form.
QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
EX of TYPE
PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ava.rsls
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NAME/TITLE PRINCIPAL EXECUTNE OFFICER I Cediry untler penalty of law That mis tlocument and all enachments were TELEPHONE DATE

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to assure Ihat qualifetl personnel pmpedy gather antl evaluate Ne informaton
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ar those persons directly responsible for gathering the inlonnation
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submmetl is, to the best of my knovdetlge entl belief, true, accurate, and complete.
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SIGNATURE OF PRINCIPAL E%ECUTIVE ~j
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TYPED OR PRINTED I am aware that there aro slgn~caM penalties for submining
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inGUdin the sstbil, of tine aM .m isonmern for knowin violations. OFFICER OR AUTHORIZED AGENT AacA
NUMBER
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COMMEN I S ANU EXPLANA I IVN Ur ANT VIULA I IVNJ (MerelenCe au anBCnmenls ^ere/
EPA Form 3320.1 (REV 3/99) Previous editions may be used. ~ U 5 2 ~. / :) 0 .; ~ ~ ~ IS IS A 4-PART FORM PAGE OF