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HYDRO23521
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HYDRO23521
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Entry Properties
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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~- <br />PERMITTEE .1DRESS ITnclude Fociliry A'amvJtocarion i/D~rrenq <br />NAME rrnrcc ~ ~ "?^,: <br />ADDRESS 1 _ ± T .::: •- r+. rc ~, [. r •{ <br />FACILITY " <br />LOCATION <br />ATTN: A%60r~:F P v~irA- v. p. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) FORTI Approved. <br />DISONARGE MONITORING REPORT (DMR~ OMB No. 2040-0004 <br />rz~'6) n7. sl " - . ~ ~` " Approval expires 05-31-98 <br />"`n '1T/1nl non r^.. 'to apt <br />PERMIT NUMBER DISCHARGE NUMBER T <br />C - C v ~. r.~... <br />MONITORING PERIOD ° 7 ti r' "~ n F, N-'11 7 T^ " "' ' '• r " c ~ <br />YEAR MO DAY YEAR MO DAY <br />FROM ?9 011 8 TO 90 ^r, Tn Otr6+ N~ -'-':-: r.p ( rtfa <br />/zozo fzz-zsl (z9•) Reza na~29) r3a3f/ NOTE: Read Instructions bef a plating this form. <br /> (3 Card Ony) QUANTITY OR LOADING (4 CeN Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (4&531 5x8/1 3e-a5) (4G53 (54-er EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS avALrs/s <br /> f~~l (64-681 6&70 <br />'~( SAMPLE :t rcC4 Cr. :*aatr~.. ~,.,.:., ( ~) <br /> MEASUREMENT <br />UU4UU 1 p 'J - ~ <br />= PERMIT -.~~#RrQrP~' ~ -ttSt4kgciF4.. '-+ n <br />rat`` r <br />~ <br />- Oil+:tlRftlt <br />~ - <br />~wA ._ <br />"" ~ <br />~(.'~.~ ~3 <br />`~ <br />,'° <br />is F F L U i-; `: T F P ~ 5 <br />g 1' A 1. I' ' REQUIREMENT '} " <br />~It'~'1F ` ~ , , S r, - /~ ° <br />p <br />~rl l,i D:,, -' .??1.~'~ ~, .. SAMPLE ... R!:n r. :)trrr +: e•: r]'F'~.'! t )S~ <br /> MEASUREMENT <br />CJ`-.'IS 1 f. PERMIT O~rlipfSQe R7C6CR <br />` # ',! none :^ <br />~` t~ ~ {~ i <br />~lTf RA <br />~ <br />'F'FLUh'":" ::;'15_ ;~.,rIc AEOUIREMENT r <br />,.l: .ga't an[^ >f'7b~ hat * / ~T/T <br />::Ii .. ~P=,A::r SAMPLE '-4:;: rr. ..~,.:; ~ ,. - .. ( ' 4) <br /> MEASUREMENT <br />I;J`..`,'J 1 '7 '? PERMIT.. A~#iIAI# RIRaROIpc ?`^^ hpl(! _ b~ri}#t?~' 3 ^ "'' !t9'~li7 u)<EP <br />E F h' L U t' f: T. f: (; '1 S i Y A (. • r e AEQUIREMENT .. .,..., n ' . .! ~ ~ <br />~! <br />~ / t e`er <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~-- -~'t~ - ._ <br />~ r~ ~= - <br /> REQUIREMENT ~$i" .. y*ki <br /> SAMPLE <br /> MEASUREMENT <br /> ' kPEAM1T "`_'`' <br /> _ <br />REQUIREMENT #';~. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT '. '(:., ~ ~ <br />.. ` . ,k*~ ~ ..: ; <br /> REQUIREMENT ; <br />"# `_. ' °" " ^' ' ` <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT "'`-~"'' - <br /> REOUIPEMENT ~° ~" Syr f..: ~ - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HERE NALLY EXAMINED AND <br />AND B4SED ON MY <br />IN <br />'1 <br />•" TELEPHONE DATE <br /> <br />P <br />ictlard 5 <br />lill ; <br />INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION <br />1 BELIEVE THE SUBMITTED INFORMATION IS TRUE / <br />r <br />- <br />) ' <br />~ ) <br />. <br />, <br />s , <br />. <br />ACCURATE AND COMPLETE <br />I AM AWARE THAT THERE ARE SIGNIFICANT ~ <br />~ <br />~ 'l•` <br />/° <br /> <br />Environment <br />lana <br />l t <br />r . <br />PENALTIES FOR SUBMITRNG FALSE INFORMATION <br />INCLUDING rHE ~ ~ ~~ <br />. <br />9 <br />v <br />ge <br />a , _ ~ 970-E70-2712 7 28 9 <br /> POSSIBIt7TY OF FlNE AND IMPRISONMENT. SEE to U.S.C. y 11101 AND 33 U.S C. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PAINTED mafr3imum~nnso mem orDe~een emontienld suds fires up ro Sf0,000 entl o• <br />P N>~ ) OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />:'PL•:F?;. } ~~),?•, r• IrvT" ::4?VF.~ F'T9 > 7Yn ''IIgR p'+.. r- r •r n•_"rr ?~l,7 ^r Tv "~: '.. •r r ,- <br />~t:.:.;,o~ '. ~< i' '-r,rn(C a. vela rr,'1 P^ v rr" '~N^C n^;nYc, np^•UrV ^1r T..r•w <br />w .T' {IT 7 T v.. 1 R{,F' 4 f ^: n ]. '•T r•.'- .; grtT•T2n~t^-'.'.". <br />EPA Form 3320-1 (08-95) Previous editions may not be used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.) PAGE OF <br />
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