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PERMITTEE NAME/ADDRESS pM,a. FxreryNw/(oc,na IJDIDi.ap <br />NAB YQ1tIIERftORN CCAL COMPANY - " <br />ADDRESS kUAUSISC 'l.t+E, :~ L S PORTALS <br />P.U. RO% 1'~3~ <br />PALISADE CU B152b <br />FACUIrv <br />LOCATION <br />AT'!'N; ,IOHA A. AChAt, PRd5iDENT <br />I PERMIT NUMBER I I DISCNMGE NUMBER I <br />- MONITORING-PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM Q j TO Oj 12 31 <br />!361/1 I?1-131 !II-151 !1617/ 118-191 !34311 <br />---- ~- ~A7PNAETER ~- 136rd OnlYl QUANIfTY OgLOADING /1 Grd OnlYl QUANTITY. OA CON <br />131371 !46531 154-511 l3BJ61 l~653 <br />ANAirss <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ref-e]1 l61-5(tl 159-701 <br />PH SAMPLE #Ga#L'r #4##t'+JI #>::9A: ( 12) - <br /> MEASUREMENT <br />UODUO 1 0 D <br /> <br /> <br />' ';.";PERMIT :. <br />~....: <br />REQUIREMENT . •. #iK~e¢#a <br /> <br />: <br />~ <br />~ ~ ~ iiOt+OiG# s>x# ,5 <br /> <br />~ ~ : >04##sfa <br /> <br />~~~ 9,{} $$6I,Y ltSYTU <br />tFFLUEN <br />f GR055 YALU .: <br />;:....,~,. . <br />:,: <br />..,.< ,.:: : #traa <br />SULIDS, 'TOTAL SAMPLE #aa#aa #aa##s #ssAV# ( lg) <br />.iUSPENDED MEASUREMENT <br /> <br />OS.iO 1 D 0 <br />PERMIT '.. <br />:'?-N}7lOL,¢1A':.. <br />~ - <br />.':!F#+1~~~::. <br />~ ' <br />' _ <br />i## <br />R;~YAi~~~ ::. <br />~ <br />.~5..,,:. ..; .. : <br />~ :t <br />:.::. <br />:: <br />: <br />7~ z <br />~~£f <br />ilt,~kB <br /> <br />EFFLUEUx GRDSS YALUF REQUIREMENT: . <br />i <br />#va# '~ <br />~ ~ : '~ <br />~ . <br />. <br />. <br />. <br />sULID3, 51;.[' TLEAHL~ SAMPLE .aa~a~r a###~xal #s#a## ( Zg) <br /> MEASUREMENT <br />OS45 I 0 0 PERMIT R~>NTS: ,~.¢#4:r# >~4G fFq~rs## RE FORT AEpORT. NCE~ :4AB <br />EFFLUENT CROSS YALU REnu1REMENT 34d4 0 V6 <br />~~ I' <br />1 hUN, TOTAL SAMPLE :.z;,F g;sa;F #Ys.70## s##v## ( 19) <br />(-S PE) MEASUREMENT <br />1045 1 0 0 PERMIT ##~#~+D :SQ##+ILIR #~ fa###4# 3.5 7ir0 NCE! +RAB <br />~F'FLUENT riNOSS YALU REQUIREMENT #~.# 3 <br />UIL ANU GkEASE SAMPLE :aa#aa ;##.t#, ##4a#.' ( 19) <br /> MEASUREMENT <br />35ii2 1 0 0 :.PERMIT ###e~s~: s00tlp?71q #CR #4~aes~a RL-FO:RT : lb. <br />.. OIfTIN iRAB <br />r,r'r'LUSNT CfI055 YALU REQUIREMENT a#a# ($ , <br />. <br />YLuU, IN CONDUIT :7R SAMPLE ( p;~ ##ssi# •?04## o##bo# <br />iHt{U TREA=tlENt PLRN MEASUREMENT <br />,UUSU 1 0 0 PERMIT REPd$T R£pOR* #s91-s#tr s~ea>~is~: #u+1#:,~i aa# tEt~LY .NSTAN <br />~F'FI,U$N! 6a05S YALU REQUIREMENT 300A AY(i '.DAILi JII- NGD h### <br />~oLIDS, TOTAL SAMPLE #>kmars assass ssecr+t# ( 29) <br />I=iSOLYBD MEASUREMENT . <br />70ty5 1 0 0 PERMIT 4Fts14lj## ?S#### saa a loaafs AE PQ R! >3EfOR! TRLT ,RAB <br />tF'FLUEtiT GROSS YALU REQ!RREMENT #### R. N Ay RTa MA tlG/L <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I cERnFV uNDEfl PENALTY of uw TNAT I NAVE PERSONALLY EXAMINED MD <br />AM FAMILIM WITN THE INFORMATION SUBMITTED HEREIN: MD BASED ON TELEPHONE DATE <br /> <br />T F- -~~li{~~ - --- -- _ - MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOfl <br />__OBTANINGINE INfORMATION, <br />SUBMITTED INFORMATION IS <br />IJELI EV~LNE <br /> <br />l _ <br />_ <br />TRVE <br />ACCUMTE MO COMRETE. I AM AWME HT I1~TN[fl~M~ __ _ ~ _ - <br /> . <br />SIONIFICMT PENALTIES fOfl SUBMITTING FALSE INFORMATION <br />INCLl1DIN0 ~'J <br /> <br />~ <br />+ <br />A , <br />TH <br />SSIBILITY <br />F RNE MO IMPRISONMENT <br />S <br />C <br />1 <br />01 AND <br />P <br />EE <br />8 U U /O <br />~• ~ I D <br />~ <br />~ / <br />G ( <br />h . B <br />. <br />. 1 <br />O <br />O <br />1 <br />. <br />0 <br />J] <br />E IONATURE OF PRINCIPAL EXECUTNE <br />" ~ ~ ~ ]~ rF,wrl,. mww- N,r .,NUro, In,r hcA,d, rxw. ly ro s ra,DDD AR A <br />TYPED OR PRINTED Anfdsrwlvrr erbM„nemana„M6Y„nl OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO ppy <br />T <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference ell effschmenss here) <br />SETTLEABLE SOLIDS LIHIT APPLIES OHLT IP <=lOTR/2uRR PRECIPITATION EVENT IS CLAMED. PER!fITTE° HAS <br />FiUHDEN OF PROOF 4NEN REQUESTING RELIEF FROM SETTLEAHLE SOLIDS PPItlART LIMITATIONS. <br />Form Approved. ~ <br />fOT~-.1 TOE-CCY~'RAL~ 00'Qq <br />03+'3 <br />• <br />(SUBR iC) ^~'p '4} s; <br />+ <br />F - PHIAL <br /> <br />MINOR 0 <br />;~ <br /> _ <br />##t HO DISCHARGE ~~ ~'~'# ~ <br />NOTE: Reed instructloru before o pletln9 fhb form. <br /> yi_ <br />CENTBATION <br />~ Np FREQUENCY SASE , <br />151-511 EX °f TYPE ~. <br />EPA Form 3320.1 108.951 Previous editions mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED./ Q 0 5 T 7 / 9 P (~ ~ 3- j •' S t+ PAGE i OF <br />c <br />