Laserfiche WebLink
ERMITTee NwM elwoow[aa (lndudr <br />rrL/fy Hamrlf.Orllbn !J dllfrrewr/ <br />( ;,. <br />ADii__'i .._~_l-1-------- ~ --- <br />wclurv_ -- <br />OCATIOM ~~~~~~~----~~-~- <br />-_____-_i---- <br />NwnonwL rDLwrwnT DncNwwc[ cu MlnwnDN •rsrcM (.YYp!'A <br />DISCHARGE MONITORING REPORT lD.NRI <br />7.16 l~ <br />` PERMIT NUMB[R DIECNwwcr wVMarw <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAY <br />FROM "J J v: `. TO I '.• v V <br />rJ/LJlr /JJ.J 3r /J/JU ~ lJ . 1 /JA. 01 / 6 I <br />• ~ ' _. ~' Form Approved: <br />(~ ; ' ' •~ ,' OMB No. 2040-0004. '. = <br />1' - "~; '~ ~,1.Approval expires 6-30-91. <br />r~u~. <br />NOTE: Reed instructions before completing this Corm. <br /> (J Curd OMy) DU ANTITY OR LOADING ' (~ Card Only) OU ALITY OR CONCENTRATION <br /> <br />~ <br />FREDU[NCY <br />BAM PLE <br />PARAM lTER (/e-JJ) (J/df) (Jd~J) (16.fJ) (Jldl) EX DF TYPE <br />(33-37) <br />AVERAGE <br />MAXIMUM <br />UNIT[ <br />MINIMUM <br />AV [RAGE <br />MA%IM UM <br />UNITe <br />67b7) AN AL rsls <br />(6ALdl <br />1139-711) <br /> ll4 "f.::il A;T S;: r,: }:.: :..• 1 =Z~ <br /> 6AMPLE <br /> MEABUREMENT <br /> <br />• - ;:~ ~ -~ "6*t+' <br />''a PGRM r7 ~f'~' .. <br />ye k <br />• <br />:'~`. r:y~ : $ ''atf <br />..~ <br />'' <br />ac ~y4 <br />~ .•~~`' ,r~iq„',`',_ zf^ y'> <br />yg^Y <br />'>:e sip"+l„ '?ryY'+' <br />° t+ <br />~ .bye ~*}\r <br />`.' ~ WW i ,"'•4' <br />N9 s <br />I I I r <br />i <br />~ '~E <br />•4~i~ ~~~-r ~'s~~ ~ ~~ } <br />n :<4"r Y , <br />~+~3 ~3 <br />six-~$'~ , <br />rv 4 <br />.f~ a <br />:t . ,~C '~ r ?: <br />~ \ <br />: ; <br />' ~ „ . f.. d•rNq~ . , + ^ . <br />'L. • ir'.~ <br />6AMPLE r:nti: :1 (I ;1 h:7C:` jl '.T¢'.;..; eY:r ~ ( /) <br />_ <br />' ,_~ <br />` MEABUREMENT ~ ' <br /> <br />~~~~ ~ A ~ ~.~ ` - i"h• <br /> <br />~ 4 <br />R ;~'~ <br /> <br />' r <br />~ a .T ~. '. <br />~ <br />Y w 4Y•.•.•L <br /> <br />rSe. Ar <br />F)t+ ••'~WS'F <br />- f-.a Vi f'-0~~t:~i,'.o+`l <br />r§•,^^ ~ <br />~s~F(;• , <br />i '}.i'i <br /> <br />1 <br />~ <br />.,,e. <br />~ IMJ.a e <br />` <br />~ EN <br />1(l <br />Ep( ~ <br />--T Y <br />r <br />~~•{ <br />r r <br />~ <br />~ <[< <br />/: 6 w Y <br />$~~ .F <br />• fir <br />J~( ~ <br />? ~ ~ <br />~~ 7 <br />1 <br />a l <br />.. R <br />~ <br />a <br />.:'. <br />f ~' r . <br />.c~.. <br />44 <br />. 's+i'.`^ <br />'P,.C <br />. a.~ <br />. . ., <br />~H~ ;. a r ,+5 , ... <br />\-.. SAMPLE a: n i:RL r:. , I - .•l <br /> MEA6UREMENT ~ <br /> <br />. <br />- <br />1£~....,. ...~:~ <br />MLRM't7- <br />•:*.tg J'' <br />c'L'~~~ x n <br />:a <br />~~yd. ~ ~ A <br />¢ <br />' <br />~ <br />•~, <br />~~ y <br />l <br />:\:+ V '~s+Y.C <br />~ +x "t <br />d <br />~ <br />` <br />~y <br />'~` r`j,>:•:+:t'r'l~.L^s', <br />te:.eN- v"~ <br />d;•_•' <br />~.- .ter. <br />'A:~f <br />e' +~f~ <br />-~" ~Ej);r nr <br />a~ r3 ~, <br />~ <br />~ R~Qti11RSM'€t~T ~~. ~ <br />~~y ~ t <br />b11` <br />Tr <br />- <br />' <br />+;J• " ~'F y. <br />r,~ vt ..r. <br />/. <br />ei+ <br />l~ <br />s?+~;~t ,~~: <br />' <br />' <br />~.' <br />C: P <br />: / r f <br />': <br />~' '~%~ <br />~~^' } r ? <br />1 3 t <br />t ~ <br />r • , <br />. <br />S l , .)~,r <br />: <br />. <br />:. <br />a ~ ~. <br />. ~-• <br />° <br />~ <br />T { <br />t3~ :r.} .. 1: Gr Y`l~i ~3': ::).;..;i: T <br />.• <br />Uv. <br />'J <br />\, - • SAMPLE ~ <br />~r <br />. ~ ~1 I:: 1.y- <br />` MEASUREMENT ~ <br />.. ' <br />' <br />~ ~ ..:fin ~ ~.-.. <br />4 <br />F:. ' i' vr~y ~v\:: <br />ur `J. <br />~ <br />. <br />~t <br />c <br />fir. <br />'i: h <br />-' <br />~ <br />'~ <br />f ,-F":''.'[.~".: <br />-XY.y <br /> <br />' %lflfS~WIREM~ry7~ .~ <br />i ro <br />~ ~, e ~~,;,.. <br />t <br />-/ <br />' <br />- ~, ~ <br />~~ <br />x~r~ <br />?i <br />' <br />1 <br />1 a~ ;. <br />~ ( <br />-~ ~ <br />~} <br />0.. <br />4 ~f ; <br />Y_ <br />E1T <br />~ <br />' <br />/ - <br />I '. ~ J t 1.'1': - :?"x PR" -t( <br />. ~~ ~i (1 L ~ <br />1 <br />~ <br />... ~ +( F-. ~~•b. <br />ry <br />.~~" , . <br />. , <br />Th ~. <br />. <br />. .•l:: Y <br />.1 3).}?;r:: i: " G,f°. ;~;I :e t~l;}:k tl ;..k .. { 1Fjj <br />• .. ~ • ~ ~ 6AMPLE . <br />~ - <br /> <br />~ MEABUREMENT ~_ <br />1 <br />., ., .,G,v Rkj2 .A7,'.sv'v^ t"'x <br />r" <br />'` <br />Si` <br />' <br />SL <br />~ <br />rV i-C•. :/ <br />~ <br />~ ~•.1 <br /> <br />~ -,.; G xRs'e~ <br />,'3: :~-•rl '~., JyY,z <br />`46r +w~\'t' J.v <br />.Ee <br />l^ -cr?)r~ sH3",`, <br />~ "S. <br />• ; ~Mf T} <br />A >~'f4IP <br />~' , <br />f. y <br />~~ : <br />A <br />jr <br />: ~ ' ^ <br />: <br />`- <br />~' <br />i <br />r` a•'. ~'1-$' r 1 t~+ 9: <br />e~ ~... ,.t~,.s:e i ..v:- ~ F / ` e .t ~ L k~ ', '. <br />~.'I:r~ PS f' +ri-,` <br />3 <br />. r X~. <br />a } s± <br />w <br />c <br />• <br />~ <br />. <br /> <br />~~ :•. •. •••.. 6AMPLE .. " <br /> MEA6UREMENT <br />. P <br />Eh z <br />~ ~ <br />~ .• <br />' <br />"~° ~~" ' '~*"~y'a~ <br />._ -. _ _ <br />. yL~y <br />~ <br />~~4-bd3tl. <br />^° <br />` <br />S jv <br />.,~~, r <br />yy 9 do ^I~ / vE'e > >T. <br />- ~ '~~ r~ <br />?• <br />z ~r:4,.~. <br />$t~ <br />3tr <br />' <br />x& t <br />1 v <br />` <br />r <br />' <br />" ~ <br />. ?~ 1 <br />%' t?, yM <br />1 r) <br />. f r ` (. ' ~ . •) • <br />, <br />~ [ <br />T "st ~..iTr,, ,t . uhw.'V.. . t - J .I- <br />. <br />'~ . <br />s. ,a.. , <br />. <br />-X <br />>•± a? 1 <br />- <br />a? <br />'F - 1 <br />~c n +..,i <br /> ~~ <br /> SAMPLE ~ ~ ~ <br /> MEA6UREMENT <br />` <br /> ' ~. v r~ <br /> <br />' n /r F,[(`A <br />~ ~Y Gr <br /> <br />64T ~. •u4>~:-:' 'S <br /> <br />'' vry~'~ <br />~ b <br />~ ~.) .6 <br /> <br />0 ~ 'v . .~ <br />`~' ...7 'is'S <br />N <br />M .9`r a <br />f r .: V+'G~! <br /> <br />~: H,~y - <br />. <br />• '/xr~`• ~,. k<t <br />~~ <br />~ <br />d y'aa.: ~t :~~.• yrri,~-' <br />nSy <br />]ET1 K(( +.v~ to ^~)5x. <br />P F <br />V <br />'YL '.L r.•.. <br /> <br /><` -:l:'nF?•, (, .+r: <br /> <br />'}•Q i <br />v • - ••,-.' ~iii;% <br /> <br />~ i <br /> !1{~p <br />~ <br />~ }~ <br />~ <br />J`. 0~f ~, <br />~' { <br />~~I <br />~ <br />' ~ <br />'.~h ^ <br />S <br />~~' ~ . <br />y r <br />«~ W <br />44 <br />~f :'~i <br />R i <br />( <br />" Q <br />' <br />~ ~ ~ 6. <br />e <br /> aN.k'r .f <br />- w.'A~T. 4 <br />.+N~°t 3 <br />~. <br />.Y •} <br />-m <br />d•.. t ., <br />R . <br />i . <br />MAM!/TITLE PRINCIPAL E%[CUTIVE OFFICER I CERTIFY UND03 PENI1LTr OF LAw THAT I NAVE .P[R60nALLr [wM11n[D <br />Y <br />0N S <br />f <br />N <br />w5 TELEPHONE D A T [ <br /> AT1 <br />wND AM FAMILIM WITH THE MFp1 <br />UBMT <br />EO MREIN A <br />D B <br />E0 <br /> <br />~ <br />~ 1' ON MY INDIIIRV OF TRO6[ INdVID1JAL$ IMMEOIATCLV RESrDNBIBLC FDR <br />T <br />M <br />TT <br />ATION <br />E 6 <br />F <br />'~ ' <br />/r ~ I <br />II <br />"~ <br />/ i j: 1: I - <br />' OBTwINING THE INFOPMATq.V, 1 BELIEVE <br />H <br />UB <br />I <br />ED IN <br />ORM <br />RATE MD GWRETE 1 AM AWARE THAT TMIRE AR! SIG <br />TI <br />ACC ~. -. <br />~Y <br />, <br />/ <br />~ <br />r, - <br /> IS <br />NL <br />U <br />FOR 6V91RT:NG FALSE INFORMATON WCLUpNG <br />NIFICANT PENGLTIFS : <br />~ <br />'i <br />~' <br />' ' <br />j/ <br />/ <br />~ <br />J r <br />/l <br /> , <br />SC[ IB uBC 1 IWr AnD <br />me IY);SibuTV OF <br />FINE AND iMMe:ONM[NT ,~ <br />r ~ . / / / <br />/ T ,~ / <br />r <br />~ "' - , <br />, <br />rFr~ Nermr. n:er .nrLdr lrvr <br />b. tlgrul <br />]] V SC' 91T9 IR <br />h <br />M BIONATV RE OF PRINCIPAL E%ECUTIVE y"` <br />u _ <br />_ <br />' TYPED OR PRINTED y <br />,M <br />wn v <br />n <br />n..1..r rnna,mulni.~pnunnlrnr,/Mlu+.n Fi ~nunfM1Y On/.i ).nr.r OFFICER OR AUTHORIZED AGENT '~ NUMBER YEAR MO DAV <br />:OMYFNT AND [XPLANATION OF ANY VIOLATIONS (Rr)rrrnrr ull urruTlrwlrnrr nrrr) <br />x <br />cPA Form 3920.1 (Rw. 9-!E) Pmrfoud editlonB maybe used. (R[PLwc[B [PA FORM Tre MNICN MAY MOT [[ D[[O.I '} ~ r/ 1 r )_ I PAC[ aF <br />