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PERMITTEE NAME/ADDRES wlrn Vn1AE..n// <br />NAME Ti'.APPER <br />ADORESSTi{APPEH <br />P•D• RDY 187 . { <br />~RA1G ~ ::7~ :'. <br />FACam <br />LOCATION <br />AS~fv: "a. GORDJ?J PETERS. PHP.~/:; F.+. I'r;K <br /> <br />NATIONAL POLLIRANT dSCNMOE ELIMINATION SYSTEM rNPDESI <br />DISCHARGE MONITORING REPORT (OA1Rl <br />~ r <br />PERMIT NUMBER dSCNMOE NUMSFII <br />MONITORING PERI00 <br />YEAR MO DAY YEAR MO DAY <br />FROM 1 ", 1 .? J 1 TD ~ 12 31 <br />t1INOR <br />(SU9ii VY) <br />P - FINAL n.GtAT <br />DISCHAP.GE TO Y£ST HORSE I_:CLCH <br />aaa NO DISCNAR~~E )~) '~r- <br />NOTE: Rud Mwtruatlar b~lon e711pNOnp Ihb loan. <br />PARAMETER ~ OUANTTTY OR LOADING ~ <br />Quality or Concentration N0. alECUtlICY SAMPLE <br /> EIF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ;:ri ~~F«~~ ,:~,I•.:~; ~: )f94Ys44 ( 12) <br /> MEASUREMENT <br />. r <br />J )4JJ 1 U U ,:?.::'<.PEAMIT:~:'.::.: <br /> <br />a <br />E .;.:. ~_: .:. ::~. <br />~ >t«:R~ :.,:,. .... <br />.~V°w~.:$;X <br />,:•; •. zts:..:,;,..,::y. <br />~/,:k .,~ .. <br />' <br />Y <br />~~~~~~ .. r;: 'a <br />~do~ ~ ~~, <br />;~ '..a,: <br />.Y ~: <br />, .. <br />)i~t i.Y~ <br />11.$.`iTU <br />t. 'FLUEST 6R VA U MENT <br />gE <br />UIR <br />~ Y:•:a k ` <br />".";. :, <br />` .LIDS, TOTAL SAMPLE r:sr p,. ,^. ~.l xis iirr)i400 <br />" <br />" !~~.. <br />" <br />` ; > P E N 0 E D MEASUREMENT ! ; <br />+ 2' ,_ <br />~ <br />V ~ 3 U 1 U U ~::. PERMIT.. ~.~~. 1} i:mx G'S (s . t a::iF6 tiu . q:f:.. .:Si ~ ~;~ ~;~;w~:; .>uwy. <br />l~,'." ;'i~ :.;~Krc...~r <br />~ <br />~ .. :.i?.~. :., C:H ~hA 8 <br />F' P L U E N T G O S S V A REOUIREMENT. ~..•,,, . . <br />..: <br />; <br />3iLIUS, SETYLI:AHLB SAMPLE .,~.~n; <:,;ar-r, aaso .. _( 25) N. <br /> MEASUREMENT ~ <br />UJ5J9 I D U ~~".:`:PERMIT:%.;y.; ~.'."v'~4',!.„>?.'~':4::;i::: .~.;~ ~~t;lro~.:~~ ~ <br />~ :-,. r: ~~ .. ~ii!.QLC!5k~ ; ;~:.. ~0((~~~~~:~;::. <br />~1P/I`X 4 '°,:~ ..:........::.........: <br />'1)$)r~Y7'1' : ,:::.:.:~. ......... <br />~CP.Jr': .. <br />.RAR <br />i' r' L U E `l T 5 S Y L ;REQUIREMENT.: .":. `~..: ~,.. ~" <br />,~ <br />- ' ~ `.... .:. ":C . - bf - i!" . . <br />j Ik', 'TUTAL SAMPLE a-. r'^x <br />.....:.: .. . <br />.:, <br />+ 6b~ fir, ( ly) <br />(AS FE) MEASUREMENT <br />. I <br />~5i~t5 1 0 0 :.~':::..:"PERMIT,.' .:::.: <br />.... .... ... ::::.::" .[si ~:... <br />,~t; ,R:~a~. ~~ ... <br />.~~~':">g`: a'r'. <br />~ " <br />r,:~p~ .: .,.........:... <br />;.,~s.. #>k:##'~"}: <br />" -~ :.:.. <br />:~'~fl'~:~"~~~~'..``iSS~" <br />' <br />' <br />' . <br />~6:`-::.#3.~>'~'s;:':.~'.';;:.' <br />-- <br />.,'.~'r" <br />C~~:;:"..:~ <br />"r <br />~RiA~ii. <br /> REQUIREMENT ~ ~ ~ <br />~ ~ <br />~ <br />)IL AN'J GREASE SAMPLE ,. ,, .':':aa ;~r.:f+t~ I~ ,-: r.:,;~ap Pu;:'~~? ( lq) <br /> MEASUREMENT ` <br />I ~ ~ <br />I'Jd2 Z 'D `.' ~ f?a;>'PERIiAl7<i.,~:.r( :~-rf$~4~~k(._:.LI " .:..:. .: .::: ..:k?A ~ ~.. <br />:.... <br />' <br /> <br />N <br /> <br />, <br />. <br />E4 ....: .. .. .. .. .... .. ... .. :.. .~.::: . .. ;::.:. ~.~ #71Cfi S:"': ~ z. <br />~ :~: :; .5::!js<sai4:' ~ MG '.?~ °~.:Y~:~~fj' .'.a'"~ <br />FLId, .N CONDUIT OR SAMPLE ( 03) >;:CG•t;tE~ :g:ya <br />ca4 ~;;:r'x{- <br />P ~i :.U TR EA1!tl~NT PLAN' MEASUREMENT <br />SU.1SU 1 U 0 >zS4RERMIT::.;.'s`:. ": ;~~r~R~P~p3~3~~;' T~..:.. <br />~;BEP <br />~~~ f~.:,G"41KlG4TOi~ ~. ~:.~.; 1ktC <br />'JC.>.`•~.i: t~.°.ALf"#.;~~%~jP~".. <br />:~~: #Yt~ ':: ~.If <br />BK~~.Y~ "~113~'1'AN <br />. RenuiaEM~rn;:. ..:.. . <br />. <br />.... . . <br /> <br />. . . <br /> <br />.:...... . . <br />S C, L.I DS, TOTAL SAMPLE 71 ~/%R4YS 1FCt%«~ 91CIF#t/R ( 19) <br />DI~SJLVED MEASUREMENT <br />7J29> 1 0 9 ;=:;.PERr~IT'.:.; '.`r'.fils+ClR~aOe:,t": .";:';f3?aaot'~t:!~: 4~a=A ?:'#~1~3Sti~?;` ORA`L'::;<: <br />~P~ <br />~ a..~RBP.fi.RT;: : <br />; 'ABET NAR <br /> bEt1UIREMENT? ~, : . <br />- ~ <br />' . . <br />r•e N `::: ~:~aa affil A, <br />. S :l~t:iF <br />~~ NG~L <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER '°"i1J° "4`""1°I"In.l ul, d«VIIIrnI.M.II.tlKl,mrnU+en <br />prtP•rta unarrm/al..rnnn or.,,rr.l.l°n ln..mN.me.bb..nlrm dalpwd <br />TELEPHON <br />E _ <br />_~_ DATE _ <br /> <br />_ ,°.,nnd,.l,..bn.d,rn.nnrl~.,..1"..•M.,,I..I~n.,n!°,.d.llm.- <br />'l <br />- <br />T ~~~ 70-824-4401 Ol OL 16 <br />1'i. GOtd08-~Petfls - ~- . w,bMllyd. <br />.wd°n ml n <br />~ry wur P./wn or p/sn wb°mu,r[e tlw.lNim, <br />' <br />l M <br />a or lh°Je pmn,p dlrtclllrta,°Mbk f°r[•IbeAn[Ibe ln!°"1mtl°", IbelMmmwl°n <br />anager <br />nata <br />President/G e,bmlOrd4 blbe bm,°!m)nro°Nd[e nm 6r[rf, Ir„r, rrtvnN. rnd wmplrle. <br /> Ln.w.nwq mert.rtl,Nbunl pntltle f°rgbmlltln[nbeln!°/mtlbn SIONAELIRE OF fpINCI-AL EILEt <br />'tlTNE <br /> , <br />b <br />/Nx <br />iWl <br />wb <br />A . <br />TYPED OR PRINTED !m <br />e p°. <br />nt l <br />q <br />na.nd Nnp <br />cnx.nl lnr tno.m[.Iwrtl°m. OFFICER OR AEITNUR2E0 AOENi CODE NUMBER YEAR MO OAY <br />n-. <br />GVMM[Nli APIV GArLnnn nvn yr n~.• •.v~.. nvna In•/I/mcI w/.n.c/n//.n/a n./q <br />I.:~ 6 POTAL IRON LINITS YILL. BE YAIYBD, ABD SETTLRABL2 iOLIDS LI!fIT APPLIED FOR <=1DiR,24RR pRECiP EVENT- <br />:;?E rURDEN OP Pk00F REQUIRENENTS UNDER I. A. 3. TDS !!ONI?ORING - I.B.3. OIL 6 CREASE - SEE I. fl. l.(u). 30 <br />EPn or - ~ /9 d use ° • n„r.,.._TJtisisa.4-Iwn_Pnr.n PARE ne <br />sn..rw~'"',~a~~' <br />9INI~C <br />1INE ~ +~ <br />