HYDRO21685

• Permit No: C1983059
• IBM Index Class Name: Hydrology
• Doc Date: 1/28/2000
• Doc Name: 4th Qtr 1999 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

PERMITTEE NAME/ADDRESS llryiriFrlGry Ns./Loranm dDlp.•.ne
NAME TExdDG ~3rES ~Utl~a~iY
AoDRESSTExnOR REEK LUAU~UT a
1d4U IiI.'+xYAT 133
PAONIA
CJ 81428
'FACILITY
LOCATION
~ATTN: bLLLt PxIT3LtR, DE'2itATiUNS "•;R
NATIONAL POLLUTMT DISCHMOE ELIMINATON SYBTEM INPDESI
DISCHARGE MONITORING REPORT IDMRI
I-!el 117-191
CJ,;d5UU29
PERMIT NUMBER DISCNMGE NUMBER
MONITORING PERIOD
YEAR MO DAY YEAR MO DAV
FROM IRO ~
12611) 127-731 12M I rl 116-271 128-791 (363!1
Form Approved.
CJ ~> J U 1'r.7'. D T. O x gtY~e,rylo. ]i04~-~((0~74'U N
($Ui2x MC) Approve1e~~I~eg~05-31-9R
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NOTE: Rssd instruetioro baton eomplstiny this form.
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of SAMPLE
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SAMPLE k,~.#43SF 04O C++F9 Isd ( 1.~.)
MEASUREMENT
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-PFLUENT GRUSS yALIE REQUIREMENT ~~

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MEASUREMENT
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(A:. F E I MEASUREMENT ,
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'PFLUENT GkJ$S /AL'JE REQUIREMENT >r:~a ~ppA yt, :.'~~j '~. }I x: RG/L rfpbTH
UNEASE SAMPLE %0#P*~ ..#;J .:l P?rGO;= #;=d br ( 19)
MEASUREMENT -
3~92 1 0 U PERMIT OL-07i•# t;lx~Ci#p O'>r,-" itC;F9cy. ~>i4:~'; *~ 'QiItYN ARAB
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, U SAMPLE ~..- RCIR#.: #.'iG:-~:-~ .-. ,. #~ ~. i9) -
I$$OLYF;D MEASUREMENT •.
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'FPLUENT GRO3S VALUE :REQUIRE.6IENT .. ~ #~a# ` ^.''«'^,. DAILT rt>< RG/L
NAME/TITLE PRINCIPAL EXECUTNE OFFICER ~ I cERnFV urIDER PENUTr of uw TNAT I NAVE PERSaNAUY ExAMI NED Mo TELEPHONE DATE
AM FAMIUM WITH THE INFORMATION SUBMITTED HEREIN: MD B ASED ON
MY INQUIRY OF TNOSE INDIVIDUN.9 IMM WIATELY RESPONSI
OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORM BLE FOR - .
ATION IB j '.
TRUE, ACCURATE MD COM0.ETE. I AM AWME TNAT TN ERE ME ~(
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KELLY FR I T2LER SIGNIHCMT PENALTIES FOR SIIBMITTINO FALSE INFORMATION, IN 0.WING
i SR
97D 29-
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THE POSSIBILITY OF RNE MD IMPNSONMENT. SEE 1B U.S.C. 11001 -
MD 37
U.S.C.1t]1Y. IPrWtl++I+Wr rMr ~~grylByme•.I.r irrAN+B++wroJID,000 8~ TURE OF` ICIPAL EXECUTNE
If ALIT ORIZED AGENT
OFFICER AREA NUM6ER YEAR MO DAY
TYPED OR PRINTED rvsnr+Ym+n irWlevnnrW Nrw+n?nwndr+uMerArA/ O CODE
COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rs/~rsncs ell sttechmsnts hare/
SETTLEABLE SOLIDS LI!1CT dPPLIES ONLY IP G= lU-YR, 24-94 PBd~IY i.VEN3 T$ CL\INED. IP CLAM? AP?RJYED RT
Y~CD, TSS IROY LI"IITS .TILL NO'f Bb APPLIED TD .REPnRTE4 'f4A.iUi.ctGN!.i--5 E I.9.LA, PG S 8ND I.9.1D, P:, 6.
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EP Fwm 3320-T 108-961 Previous editions may be used. ~ (REPLACES EPA FORM T-0O WHICN MAY NOT BE USED.1 :' O1 S 9/ 9 ] 0 tj 19-125 u PAGE 1 OF