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PERMITTEE NAME/ADDRESS pweYi iwl6'ryNwWlormlw UOId.eY/ N. <br />NAME -.(.-! .l f .,..J+S"""~, 7 ') <br />1, <br />~ <br /> ~ ` <br />,! ~,/ <br />[ <br />: c <br />ADDRESS p .'..r ~~; 1. 4 ° I '1 F <br />,. ,}, ... „ a :: ~ . B . ~ LF <br />~ <br />i <br /> ~ 1? 11 l~.e.. <br />. u e <br />1./uu.F Q: <br />~~ C v u .. + v. l l c r N 4'[~ <br />Facum <br />•IE~~ry o v~~:+~---mac ..~ <br /> T NcW EIA. N: nC <br />LOCATION i' ;'f 18 p, L. ~l'i ;:0 <br />y N I O V 1 FRO/ <br />,t PT4: J..>~.L'...y ~~-Y•,^~nc :•ry ERII I. !:R_ <br />r"r`: '1FF i i19'I <br />(111 F~.. .-p) <br />_ vT.~kr <br />F•[vhll <br />Form Approved. T <br />/1. ~, O <br />S O rove! X Nee O - 1'-~$ <br />7..7/IS ) <br />Tfl ~ 4 •t j r: •: v(l i71 'i~~An,:v :;: __... <br />.Ye'' l36-771 !PB-I91 !3631/ ,NOTE: Reed Mutructlarr bilor Ndnp th'r form. <br />PARAMETER 13 Grd onryl QUANTITY OR LOAD/ l On/Yl QUANTITY OR CONCENTRATION NO. FREOUEHCY SAMPLE <br /> 146-63 16661 I38-d5 (46-63 7566/ EX DF <br />13I-371 <br />MALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /sa-esl /6666/ 166701 ~'~ <br />:, _{ SAMPLE ~.R R4 r•'- ,F :GRCE :1 p. T:nx.~..; ( ~'') <br /> MEASUREMENT <br /> <br /> <br />!3(!ul)? 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"RD"S VA D {JEOUIREMENT <br />.:....:. ~ ~ <br />:; ~~ <br />::'.:::.;: <br />~::o <br />~ •F <br />AI- <br />r•a <br />r L )a, [`1 ~DMn'71 r Ilw SAMPLE ( 03) ,. ,-pr.~ w•'r C~: ~~ . -.... <br />,''~°:~:i 'ia°ni~PRP nLAN MEASUREMENT <br />}I)ii ~') 1 D n ~~ ~PER.MIT..- NLP.fl:~'~' <br />':: <br />` 1l~(..'P!~q R~T ~ <br />::~::~ <br />; r'e Ktirsfi:": 70G~4;E.D:~: ~~~rY4h ~. e': •. rv.Y.LI' fB^.'^at. <br />:: Fr'1.:1 :: !I'T ~ 75!. V ~ f 'NEQUIRENIENT~ .. <br />. <br />. <br />~ ~ ~ z~. ; <br />: <br />:.:, ~~~ ~... ~ r ~ ~ •-{: <br />:IL A"fi ;?FASF SAMPLE 4:R"~p4 ( '. t!) .,-,... -. .. . .. . <br />V I ~ I I A( MEASUREMENT <br />:tU ()~!• 1 0 1: PERMIT ~~ R?R44,i'IIr ~..;:. ::.:~.~R&F~ORT F."=1 ~ ar~fi:~, G't!:~R~s ,UE:nsa ..: . ..:.pR crq LY j-*~ft <br /> <br />;.: .F h'L'J h:?JT ;R75S YALU ~REQUIREMENT~ <br />~. .... ~ ~~~.~:": <br />~ ~.:~..,: :~.~ <br />:::.: ~ ~ ~. :.: <br />7~1= <br />.. ~ <br />... ~ <br />~ <br />f#S^: <br />NAMER[TLE PRINCIPAL EXECUTNE OFFICER I OERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSOryALLY E%AMINED AND <br />AND BASED ON <br />AM FAMIDM WITH THE INFORMATION SUBMITTEA N ON TELEPHONE DATE <br /> ; <br />MY INQUIRY OF THOSE INDINDUAl3 IMMEDIATELY RESPONSIBLE FOfl <br />1 BELIEVE THE BUBMITTED INFORMATION IS <br />OBTNNING THE INFORMATON <br />-- V <br />A ~ <br />Q ` ~ ~ , <br />TRUE <br />ACCIMATE AND COMPLETE <br />I AM AW/111E THAT THERF ME ~ ~ <br /> , <br />. <br />INCLUDING <br />BIONIFICANT PENALTIES FOP SUBMITTING FALSE INFORMATION ~ ~ <br /> , _ <br />_ ! <br />M Y , ` ,. THE POBBIBILITY OF FlNE ANO IMPgIBONMENT. SEE to U.B.C. ! 1001 AHD 37 <br />IONATUR OF PIIINCIPAL EXECI7TIV ) Y <br /> u.s.c. F /BIB. lh,ww. uHr rMw lOIVM1• mrr iYpdn rww+w ro TIO,DDD ~ AR A <br />TY D OR PRINTED .ee «m..inR.n Im«iwmwnt er Mtwwn a menfea YItl B v..r>) OFFICER OR AUTHORQED AGENT CODE MBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS lRr/erencs sll errsenmenfs oars/ <br />IU uTY AV?P,~° T; III".J "'i t' '1 DtI Y:!LY 4V:,. D'1 ~+I'I :; ~'P.I np I•:1„~„^r),~ OIL r, R'iA^: - SF:=' T. R.I.D, ^. 7. "S; <br />I'UT4L Ik)~~ LI^[^S ~+[L:. :~!? FIAIVt:D, AMP iFTTL?A°L? SOLIDS LIrI25 1lPPLIE^ F7H G=10C°,2LLHR PR;?CIP F.VVRT-:^'^. <br />A' FdFrii 3 B=95 6iou oLioone be se • A R O HI ~ A O 8 ' ' ' ' ~~ "'' ~ GE• OF ' ' <br />