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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 NAME/ADDRESS~(/nc(wie Faci(ip• NamdLOCalion ijDigereny <br />NAME CYP4ti5 F,'"VtR°. rCP";)?AT[;19 <br />ADDRESSEAGL F, ~[VF ^0!".P4°Y <br />P.O. d~A 53 <br />L'?AL;; C7 81525 <br />FACILITY <br />LOCATION <br />hTTN: AGi;OR,;F °.. 4AJDA, Y.P. <br />NATIONAL PoLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) Fortn Approved. <br />DISCHARGE MONITORING REPORT (OMR~ OMB No. 2040-0004 <br />!z-ts) f+T~sl ~jtA~b Approval expires OS-31-98 <br />'^ n ~ ~ ^~~ {S+IqP NVl <br />PERMIT NUMBER DISCHARGE NUMBEfl P ~ p T y d l M~ r A <br />MONITORING PERIOD ~`IRn V~~ *FT ~'~"TT Nr, AT X22 <br />YEAR MO DAY YEAR MO DAY <br />FROM 99 9 J1 TO 94 Dfi T!1 x~' y~ ~T CHAR;: Y. ~~~ #.Y <br />rxiz+! !zz-z3/ lzazs! !zs-zzl hazel l3as+l NOTE: Read Instructions before'CDlnpleting this form. <br /> (3 Card Onry) QUANTITY OR LOADING (a Certl Onry) QUANTrTY OR CONCENTRATION NO. FAEOUEN SAMPLE <br />PARAMETER ~ (46-53 (54-fit (3B-05) (46-53) 5a-5+ EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS avursls <br /> /sz-0sl (sa-ss) 69-70 <br />oEFFECT STAT4F 7D4T SAMPLE r~:ORX"` `%f``'z~ ~' UO • ~ ~ ~ ~ %i"•`•-`-#:= ( ~J) 0 I/ <br />CHR CERIODAP9N[? MEASUREMENT 9 COM <br />tCP3 B 5 D 7 PE(3MIT5 .#V 4t „ ##p1r~ ,_ Ana ~ .,~.: M#IORIItA ! ~~I11rAb#a# FR- l~ti!' ;(I~ <br />SEE conntNrs RNL7i± AEOUIREM~N'[ _ ,r ::-:: <br />~ <br />~ <br />. I ~ rc~•^~ <br />XEFfF.CT 57ATR~ 7nA• SAMPLE cr•~Ya•~ a~za,a \ T xx*a.` _;h-~~; ~ 2T~ [ <br />l <br />C9H PI!16PMlLF.`i MEASUREMENT / ~ O~ ~ 9 ~un, <br />TCP6C $ O ') PERMIT." ;`GA~R#p #tRO¢At:_- ^'t ": <br />~~x ~~ ~ , '~R#R#~ b#I[Ifi~# co_ <br />Tt€L~ <br />t)l~~~ <br /> <br />TEE CU~!'I F.N[ i 9F.'L7a <br />~REOUIREMENT <br />:~f" <br />- '` <br />rc y+ . <br />. . <br /> SAMPLE <br /> MEASUREMENT <br /> a <br />• <br />". ~~~ ~~' ~ ,- <br /> REQUIREI <br />)EN7 •. <br /> SAMPLE <br /> MEASUREMENT <br /> . PERMIT. - - -.: .~ „fib:; ~ ,. .' - - <br /> REQUIREMENT -, T - "" <br /> SAMPLE <br /> MEASUREMENT <br /> -.-PE~1MLTa: ;: _t - - <br /> _ <br />REf]UIREA$~NT <br />t-~. <br />~ ~ _ <br />- <br />. ``~~~. <br /> SAMPLE <br /> MEASUREMENT <br /> ~'. P~RMI'P.-. ,..-s: a .^- ~ - - - - ,. <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~ } t <br /> RE~UIgEMENT ~ <br />. ~, ~. '~ ~ ;' }~ -m4, ;: Y' k <br />NAMFJTITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />M <br />A <br />H THE <br />F <br />RM <br />W LAW THAT I HAVE PERSONALLY EXMIINEO AND <br />UBMITTED HERE <br />AND BASED ON MY <br />TI <br />N <br />N ~ _ <br />/~ TELEPHONE GATE <br /> <br /> <br />Ri <br />ha <br />d Mill A <br />FAMILI <br />IN <br />A <br />I <br />; <br />R <br />IT <br />O <br />O <br />S <br />INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />I <br />E <br />EV <br />T <br />E S <br />MIT <br />ED IN <br />OR <br />AT <br />ON IS TR <br />E ~~~ <br />// <br />A <br />/ <br />/ <br />c <br />r <br />s <br />vi <br />n <br />tal Ma <br />a <br />er <br />E THE INFORMATION, <br />T <br />F <br />, <br />B <br />LI <br />E: <br />H <br />UB <br />M <br />I <br />U <br />ACCURATE AND COMPLETE. 1 AM AWARE THAT THERE ARE SIGNIFICANT / <br />~ <br />(/ <br />S <br />C <br />1 <br /> <br />97O-E7O-27[$ <br /> <br />7 <br /> <br />2S <br /> <br />99 <br />g <br />n <br />ro <br />men <br />n PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE <br />POSSIBILITY OF FlNE AND IMPRISONMENT. BEE 10 U.S.C. 4 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED meximum~~~onma~rt of Ge~nvae ne morlW m~tl Suds lirren uproEf0,000 entla <br />P yeersJ OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference B!1 attachments here) <br />SFE I. B.3 F03 9?T4ILS• R^P:3T LRTftALITT ~2P[YAT[OVS 4c ":PRFY^_T", 9n!1kT°/?~'^^1DOt'^Tn4 AS ~TOET('IT7". PjT <br />LOyf;ST EFFLO°.4T AT GRZCH STMT STG4IF 6IPP RF.T~F.F.9 i°ST r CD9TRDL YAS OaSIIR9?D U57N6 TtST COPP °r", T^7° <br />.. ~~ <br />rr <br />~~- , c~-~ ~. ~.•:'!-If 1. t. 1n~-uRISStlun n.l ~. IPfiOE OF <br />EPA Form 33211"1 (08-95)~- Previous edi[io`ns m`ay noit e'used. - " ~ ~ " "(REPLACES'EPA FORM'T WHIC ~ Y NOT BE US D.)' 4701 II B / 99 Dq 1 Z :~3 1 <br />
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