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HYDRO23521
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HYDRO23521
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Last modified
8/24/2016 8:44:00 PM
Creation date
11/20/2007 3:53:06 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
Hydrology
Doc Date
7/28/1999
Doc Name
2nd Qtr 1999 DMRs
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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2 <br />a <br />PERM: AME/ADDRESS Qndude Faciliry Name/LocaHOn ifDi$ermrJ <br />NAME <br />ADDRESS rA;; (•r. rR! -n. pr_c~~~ <br />P.t. F^Y <br />ChaiC ^0 'll~•?5 <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISOHARGE ELIMINATION SYSTEM (NPDE3) FOrtn AppfOVed. <br />DISCHAR GE MONRORING REPORT lDMR; OMB No. 2040-0004 <br />!'r- Bl Approval expires OS31-98 <br />PERMIT NUMBER DISCHARGE NUMBER ~ _ r..; 5 : r ~ ~• , <br />MONITORING PERIOD ` "~ c H ~ 'r ~ ~ ' "~ F T !. I. a " F ' " <br />YEAR MO DAY YEAR MO DAY <br />FROM 07 :,ti QZ TO ~~ ^~ 'n x!4''1 N7 C'T c('Ngr-°` -- y:" <br />(zo-zr) lzz~zsl !2a-zs) (ze"zr) (28-2B) l3wrl NOTE: Reed Instructions before `plating this loan. <br /> (3 Card Ony) QUANTITY OR LOADING Card Onry) GUANTITY OR CONE NTRATION ~ NO. REOUENC SAMPLE <br />PARAMETER (48-53) (54-61) 385 (48-53 (5487) EX OF TYPE <br />(3237) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ava'YSrs <br />70 <br />69 <br /> fst6T) 84-BB - <br />;;OLIDSe T,:7T'1 SAMPLE r~rr,:r,an C:::tr.~t n'kb4~.. ( 1'1~ <br />J I S `: C~ L V r. "~ MEASUREMENT <br />702'1 ~ 1 ~ 7 "" PERMIT 6bICr4t i ~'~tRl!!9o.p(IR ' '~' O416r~'NI <br />°F <br />~~~~~' <br />!~R~3'[x$#~ - <br />~ <br />'~'~} <br />~ <br />,ix~~:-: <br />r:F°'?.UcK'C GP'1 ~ ; ~~g! p REQUIREMENT i <br />~~~,~ :' j <br />0". r~ M wri•. • <br />- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - + ~ - - <br /> REOUIREMENT ~~ i-~'' '` <br />Ya <br />. - <br /> _. 4Ri ~M1Ey -, <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ~- PERMIT - - ~- - I " <br /> -REQUIREMENT -. _ ~`„_ "" ." _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ''~'~` ^^'- ~ •" <br />~~'~ <br /> REQUIREMENT ,.; ~~~'-. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT e <br />~~ - -~' .. - <br /> - <br />- <br />-REQUIREMENT - _ , <br />; <br />^~-T°+' ~ _ ~f,.~r - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT_ ~~ ° ~-°~ <br />~ <br />~ <br /> REQUIREMENT *~•~ - ~~ ~ ' i <br /> FY= <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br />- <br />,, <br />~'.y, ~ ' <br /> <br />~ <br />~~ <br /> REQUIREMENT ~,=~~ - ~ <br />NAMErTITLE PRINCIPAL EIIEGUTIYE OFFICER I CERTIFY UNDER PENALTY OF I <br />AM F <br />AR <br />R <br />THE I <br />F AW THAT I HAVE PERSO <br />ATION <br />MITTED <br />flE NALLY OUN11NE0 AND <br />AND BASED ON MY <br />IN _ TELEPHONE DATE <br /> AMILI <br />W <br />H <br />N <br />ORM <br />IN <br />OF T <br />INDIV HE <br />: <br />SUB <br />S <br />MME <br />ELY RE <br />NSIBLE F <br />R OBTAIN <br />NG ; <br />" <br /> QUIRY <br />HOSE <br />IDUAL I <br />SPO <br />I <br />DIAT <br />O ~ ~ ,.~ <br />/ <br />Richard Mills THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE, <br />' <br />• <br />J <br />~ <br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT ,'~ <br />~ // <br />/ <br />~c~~, <br />` <br />` <br />970-870-2712 <br />7 <br />28 <br />99 <br />Environmental Manager PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE <br /> POSSIBILITY OF FINE AND IMPRI SONMEM. SEE 1B U.S.C. § 10D1 AND 33 U.B.C. SIGNATURE OF PRINCIPAL E%ECUTIVE <br />TYPED OR PRINTED meWmum~pisanmeM Or~MS¢n8 r~rronvis and Sr ~rsrlise up ro Ere,ee0 end w OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a/I attachments here) <br />.. ~. !'T L°AFLi SILT T.~ t_T,,._ U~.I7~:I T~)!t )jr`,Tu•?Gvu n~FrTr, cq,>;+_arr T. 7. 1• n,- •q• "OR o~~...urycpT~. ,.T, r <br />GSi-ASE .ring ~7°'L° 44!!'i SIB ~F'~i1T?^0 rc yrrlgl c ~nr. F~`'G (tnq ar.q cr~• '1n •^n•r -9MPl.f if f. T~:^ROgrpTrT .I :_r• t <br />EPA Form 3320-1 (OB-95) Previous editions may nol be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF <br />nr)fl~[/on~pT f-1S'77 <br />
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