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PERMITTEE NAME/ADDRESS n~dr FsNiry NsWfocalm dDlQrnnq <br />NAME ~PP~:U-, ..... ... LL .Y _ .._-~ . <br />r <br />ADDRESS .hI Y~~., :.r7.. 'i-i II T'. r F .,; .; ... ., n <br />FACILITY <br />LOCATION <br />NATIDNAL POLLUTMT DISCHMOE ELIMINATON SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT (DMRI <br />11-I51 117-191 <br />CJO'127151 ^"~ <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM '+ "~ TO '! Y ~' <br />I1PI11 171-731 !14751 116771 179-191 (36311 <br />Form Approved. <br />• - I - - +~. OMB~Noa 2040-0004 <br />. r ~) APProva) eRPi+s_05-31-98 <br />(-_ rT - <br />.., -~. <br />NOTE: Raad instructions belon eompletin9 this form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !I Grd OnlYl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> !46531 !5461 I3&-<51 /4653 !5/-61 EX T <br />PE <br />137-371 MAyyyg Y <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !eT-sal 164581 !6¢701 <br />C ..,-•'~ <br />'ri ~,t <br />^!~ r <br />c SAMPLE <br />MEASUREMENT .. ~ . ,. ~ ~ ~. ~; I`#^~... <br />~~Z <br />~ ('~ <br />QY~ 1~ ( 1 ~) <br />O {- <br />7 Q <br />C <br />~CACT <br />, <br />L a ,~OY i 1 <br />CS ILI 1 G f: r PERMIT #.xSx55 ##L<54~I <br />, ... ::•##'=^.+ 1.IJ nvFnFtT H3cr/ ;vAc <br />~:'i'i,U'~!= "PJ:>~ VALII* REQUIREMENT ##SY 3AbA .SYC !~}*LY :!% MG/L .LION N . <br />S?L'+tiZt 20TFY *T a, I.LY SAMPLE #~C':L## ;:#5#r# ###t=:-# ~ lq~ <br />);.SSOI,Y,? , MEASUREMENT OrOOOZ ~fOOO(D O ' RF,$ <br />)1~1.C ~ () ~ PERMIT #:.9185 }'#544:' #:.`? :1kr71>r`+Rtr tf.00j 0.079 RRF.E/ :R1r,8 <br />'x''LL '11 vii03'~ YAL7r REQUIREMENT #.•`x 3~0A AV.^, AI2.Y Rx ~'/T t77p'p <br />•OP?^',{ iOTF.i ri AL1,Y <br />t c <br />' SAMPLE <br />MEASUREMENT :R @':': ~:: 5.`•:kC^.•'= <br />' Aix n; <br />OOO3 <br />~ <br />O~, <br />O <br />f , J, <br />O <br />31 - <br />4a~$ <br />j <br />i J:.4 -; i) I t 31 <br />J1 i('.ti 1 O (' PERMIT ;.+t5;.,^. ir~ .'r "':^L~,< .. 7''#rX r~•, r~~ r77 ". :.? Vj al~'•/ :RA$ <br />'F'i~LIJE:;'T GROSS VgLJ? REQUIREMENT ;r1P~ :p^ r,Brl,'! +!y •1~;/; KOw•rq <br />". P. iI ;ANDS ::F TJTAr SAMPLE 5":^.# .::; ~':#~.`• <br />~ :4 e'a:: f..; ;. <br />~ <br />d <br />l <br />2 <br />7D <br />D ( 19) <br />O <br />T <br />( <br />Q~ <br />'4CJYERA 4Lr MEASUREMENT D <br />t - <br />e J <br />I ~ <br />t~3 L 0 :) PERMIT '=##ir4p ~~ ~'~555# y~y.. ;:;:r„Y,<K::;; nr~O aT p^Fr!"r S r?y. T.• ~RA4 <br />~~. 1,7 i:QT, I;"lS5 YgLC REQUIREMENT ~ . p±sk lllgl, r1Yr' r+^~?.IY ?S$ MC./L <br />'LO.it I°1 ~7NJ11I; :.1R <br />' SAMPLE <br />MEASUREMENT ~y~ <br />O <br />IF~p~ T- ~ <br />u /-p <br />`1~V0 <br />~ ( J3) #a:;:+:; ,k ,•r: ~.~• ~r ~,.,. ,_:, O ~I IgSYAI~ <br />r :i ii TNd1TMF.NT PLAN° <br />L I <br />T F 31 <br />/ <br />p,iSrJ L 0 O PERMIT i???7qT RF,POR?' ~saP##>% >`:t'.#i,~.!: ,-?'.`-',,,L;`•? .. L EI?~:T,Y •fr..ASi <br />rLU':N'I ::ROSS Y9L11` REQUIREMENT )nJa ;Y;Y ORLLY "Y AG9 <br />:1!. A:10 !;4?RSF SAMPLE .. . ..`.t <br />O ( a~) :`-3##:4 rk ##':3C.^ ': ,*#',:#= <br />D <br />~~ <br />{I51'.gL MEASUREMENT ~' ISUA <br />~4v lD i 7 PERMIT '#'• 1 1! S=L 544"" - Y, -., ~`•'•. #,. 4:?: +. `+,': {- F?SLY ~T`i I)4F. <br />:'c' ; i. U E N I S F' 1 .i i V "-. ', r!' ~ REQUIREMENT (>,° 3 T ° ~A Y `~'~= ~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEITITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF lAW THAT I HAVE PERSONALLY FXAMINED MD <br />MILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON9BLE FOR <br />Richard Milis OBTAINING THE INFORMATION, I eEUEVE THE SUBMITTED INFORMATION IS /~~ <br />~ <br /> TRUE. ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME <br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING / <br />~'K <br />970 870-2712 <br />8 <br />21 <br />98 <br />environmental il4ana er <br />9 , <br /> THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 13 U.S.C. 1 1001 MD 3] 610NATURE OF PRINCIPAL EXECUTIVE <br /> U.S.C. E 1310. !lMWeY. u,l~r rMS mluM. mrY !"rA.W rvws ~ ro t 10,000 AREA <br />TYPED OR PRINTm .,,eamuinun irNVivnl.Tt oY Mnrwm emanNSrg6Yw..1 OFFICER OR AUiHOR12E0 AOENT CODE NUMEIER YEAR MO DAV <br />`. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRetersnCe sl/ ettec/lments natal <br />:L1e':tRlIT~ Ltxlr:5 ['r.n m_y 3g'fTLFgiLF >~LI~S (L"1C Earl q'TI,v rlaly Tp r- +.~_ve~ 7(1_un nn-,.-Tn e,r` <br />CL-I".F.6. S4 ..4.2. I'^ 19, FJ:•l ''741`:'S J° I:~JOt' Fr^7I~^'• .. ~ ,. F "r^eg^-_ ,~ r,.r)mvT°. r/t ^'- 2. <br />EPA Form 3320-1 108-95) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ~ ~ T n • ., ~ I PAGE OF <br /> <br />