Laserfiche WebLink
f4RMTTTEE NAME/ADDRESS NrYI.F«WryNs./leculan UDrDfn«r1 <br />NAME :,i;A;u VALI,t'Y "uA.L C:1hPAMT <br />ADDRESS gUv.,2h CA')YDti ~INP <br />[.OHA CO ;'15211-7070 <br />FACUm ,,y;t,t,, YALLFY CI)A1 C;1'`.'A'tY <br />LOCATION <br />nTCVe _Icl-J ... M_ r[[.^4'O~_ °t. •teC4A <br />NATIONAL POUVTMT gSCHMOE DJMINATION SYSTEM /NPOE$I <br />DISCHARGE MONRORING REPORT IOMRI <br />rs-r5/ 17-191 <br />f ;l (1 n A7 n!1 'l <br />PERMIT NUMBER DISLHMOE NUMBER <br />FROM <br />TO <br />FoBrRmg NA1ppr2opvqepd.q],.~~QQ <br />"! I •S E: k :' R !'; :1 C N G Tryppp)ovel e p reA•OS*31~98 <br />(SU?q aC) 12345 i <br />P .- FIx.a6 i ~~ <br />P.INGit ` <br />Rn pIISrripp Rt•E '.may/I ')'~''p <br />,`NOTE: Reed fnettucttom befor~plstlnp thle loan. ~ <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING /I Grd Ontyl QUANTRY OR CO CENTRATION <br />_ NO. FREQUENCY SAMPLE <br /> 146-531 /5a-5Il !3B-IS !4469 <br />~.+~61 --- -EX- <br />/32-371 MALY 5 TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /es-s.T/ !5q-Bg) !63701" <br />PH SAMPLE {.-#4R'3 #G:tp#:Y <br />o <br />O: •'.1'.:#; <br />( I ]) <br /> MEASUREMENT <br />'JULLUU L U U ~. PERMIT ~.~ ~.... <br />:r.>raasc ... <br />#t¢tzta~: a <br />- <br />aa;: .. .. <br />65: ;'.: .. .. <br />>tioria#E~.. .. <br />y;p :: :.: <br />~FRL <br />~ .. <br />Ci1SIY <br />ii E'FLULU'" _: YA - REQUIREMENT ~ ~ <br />~ prgyy :.u .~ l'E! .k ~ r <br />:M tx I <br />~ULLG-`iF T~IYAL SAMPLE 4y 44X: a4CC~:: #'.><ilQy;: _ ( )~' <br />;i U:-• r E N `.~ .: ,^. MEASUREMENT <br />Ut)»li 1 U 0 PERMIT oaaRa# -: ~ '1ka#+P~tll+ilt:~ #:# ~ ~~~txgrpiiplp; .~ 35 .. ~ 74 .. ~ 7~t[CE1 $Af. <br />:F:'LU .HT J 7S5 V tt REQUIREMENT <br />~ ~' #,.^-^ ~ ~ ..t 'i ~ e,'/ w <br />I4U`i~ T'~rTAL SAMPLE :t,.aac': O:XS-4#'` fi3##9r ( lrk) <br /> MEASUREMENT <br />UlU'!h 1 U U PERMIT, ##Rp>x.#.:- >fii!?IR4# aae >rsx#~yFq 3.5 7.t7' 1vC~l • +AA6 <br />;: FP1. '1dT S V REQUIREMENT ~ ~ b~# ~ ~ .tF as ~• Ie- ..N <br />JIL ANU I: r(EA51. ~ SAMPLE #^-4Cav 4##t%4•t +T3fi.^. S.r.~ O-'.•-:=4r:: [ 17j <br />+ ~ MEASUREMENT <br /> <br />~)J~nl L 0 U PERMIT . <br /> <br />` ~ ~ ~ ' <br />a;r:=tea;- ... <br />., na>faaa <br />a;nY <br />s?itral+R~rP <br />~»ttaa~.. <br />I.O. '. <br />nHYjM <br />'liAl+ <br /> <br />EFF tiXT l.Rn$~ I E REQUIREMENT <br />~.. :... <br />.. .:~ ~ ~~ ~.; <br />~~~ .:.. ..:... <br />..;y <br />;. ~ . .~ ~: <br />,.r i' ~~aF <br />rr f <br />~ <br />rv <br />FL7tl, [.'+ CONDUI'C nR SAMPLE ( 03) :-C4L+4;c :.`. t.:!: ;::.": :-Yp':: ':': <br />THnU TH'•ttT!IENT PLA!: MEASUREMENT <br />7UUSU 1 U U ~:.~~~PERMIT~ ~ <br />• ~ ~$&Pfl4T4 <br />. .~ .ASPOtt7 ~ ~IP~fiEA~fiG~r. #tlrri~2:5t ~ «;~tr,«,;,~ : <br />' ~''- t: <br />r, <br />Y LT <br />[NSTAt <br /> ~REQUIREMEFIT . , <br /> <br />:i lI L.IUir 1~iTAL SAMPLE ;;;=4~k :;t CTF 4:=^: a#L`;+'d:T ( t7) <br />~1,`,Jn LY ~. [t MEASUREMENT <br /> <br />,) <br />/LIZ 1S 1 0 <br />PERMIT- <br />#aa#II<Or . <br />: ~YAtTC¢# <br />aa:x <br />~#~I~Yi± .' <br />...H.LF1#~~ <br />R'':PCiRT .. <br />iTRtY <br />"RA:' <br />GFFLUk:hT GRJS :; 'JAL'!• REQUIREMENT " I•=XL`1C its y wr; <br />r <br />UIL A411 ..:n E^`:~ SAMPLE L:4 .xFtt ( '~4) fi4?'=#Y ?;`##=A t= ,. ~::;-~~;~ - <br />Y I S 41 A L MEASUREMENT <br />-JUUe6 1 U t: PERMIT ~.~#ax~aca.: ?EPF7AT ES=1 r-~zYas#td #aaasA ~ ~ ~#0<1^~ ~: :a:tr.. E€KLT I;',t'~1i <br />YFPLUEIrT GROSS VALd, REQUIREMENT. ... <br /> <br />+ Nn A= <br />':O C <br />NAMElTiTLE PRINCIPAL E)(ECUTNE OFFICER I CERTIFI' UNDER PENKTY OF <br />LAW THAT 1 HAVE PERSONALLY EKABIINED MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED NEREIN; MD BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPON98LE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION le <br />JOHN M WALTERS TRUE, ACCUMTE MD COMRETE. I AM AWME THAT THERE ME <br />SIGNIFILMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />MANAGER OF MINE SERVIC S , <br />THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 18 U.S.C. 1 1001 MD ]]/ SIGNATURE OF %IINCIPAL E%ECUTR/E 97n AriR - iRM 7 ~ T <br /> u.s.c. E r ata. rawer, uner eT.« man, nNr hdW, rPw, w ro t ro,000 AREA <br />TYPED OR PRINTED .nswnwxinun;mprbemlrlr Oran.«n6manNS «d6ywA1 / ~ OFFICER OR AUTNORI2ED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS IHSrerenCe en effec/lmenfs Here) <br />v <br />„UAnTENI.Y !In!fIT(1RI':G-"''$ [.C.i1, :^. 9. '10 LAT ATEPA:.£. TS f'I:H°ST `!'.tfiTHLY AVC. F~UF.LRC P?I°IOn Pf'PO{"^pf+. <br />JI1. L G91iA5F - ~R3 I. i.1.'_'. <br />EPA Form 3320-1 108-951 Previous editions mey be used. (REPLACES EPA FORM T40 WNICH MAY NOT BE USED.) 007,10 / !.l PAGE TOF <br />q_.,7I7.iL~Cd <br />t <br />