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~~ <br />~~ <br />Itt~ <br />~~ <br />~~ <br />ICI <br />PERMITTEE NAME/ADDRESS R.wbM F«vLy Nmr•~Lomrlm iJng..~p <br />NAME i .. ~ ~ ~.. I - i ~. i 4 ,. } <br />ADDRESS ,I ,i , .. ',, ,~i, .d .~ <br />FACILITY <br />LOCATION <br />PARAMETER l3 Grd Onty! QUANTITY OR LOADING lI Grd Onlyl QUANTITY OR CONCENTRATION NO. NtEGUENCr SAMPLE <br /> !de-531 150.81 - (3BJ5 146-53 16481 <br />l31-371 EX MNV9s TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS a1-Ea/ 164681 /89-701 <br /> SAMPLE ..: %k# 'k'k :=kfi=: .- ( ~_7~ ! r <br /> MEASUREMENT 8j ~ ~~ ~ Q A irL-~r~Ll- <br />J~J i ~ ~ ` PERMIT xkk-. '. ~ ""-#;`~Y-.j:# ~ #'~'.>: ~~.~ ;k;», Le:,F ; e <br />-, c ' I, ~ ~. t ; <br /> <br />? REOUIREMENT - '"'~ r ~q I>N.~h il i~i_ ' <br />tI~XIN}UM ~ <br />Sii <br /> <br />:j <br /> <br />~ . <br />:L} )-'.r ..'.'i <br />!.':-'~i," SAMPLE .r.-r..- .-..r-r. ~ r".i:$:<:~ vv~,.w+; ( Zri) I ~ <br /> MEASUREMENT 0 O ` <br />•4p <br />;t; '1: I - PERMIT r~k ;K k::•. r#~tX:;:~r. PAZ' /. <br />Yl!YY1•l,~ Y'f: 4---F ;ti 05 )1CF./ R~AR <br />', r' [ `, J `, Y ; • ;. I ; <br />- REQUIREMENT <br /> <br />~ -~ -art k ~ - ' <br />"[!KIEV !'SX <br />'7L/L <br />lK~R H <br />: <br />~ L L. k N v SAMPLE <br />MEASUREMENT .. -k .=; r,-':.°-; ti ~ - <br />rL/~_ <br />( A~) <br />~ <br />~~~ <br /> <br />J3'r : ! i ) .I PERMIT -., i`-vx~'k "•k `-~F t~'.~'f <br />^ =;;k:;: : tc._k :="v..° i.<.•F .`-:."• ;k 1.7 N~TIY RAR <br />"[..+ ~ , I~ . r,+. :. , -, :REOUIREMENT <br /> <br />.. ~.. :k #r;» <br />i)dLLX ~tX <br />"iG/L <br />.ytNT <br />r'L.?Ar iln ..,i~i~:;f ~~ 1? <br />' <br />~ SAMPLE <br />Q <br />~ ( ~3) ....-.~. .-. ,. .. ~,.-,:"" i <br />~ v <br />'f <br />li%~d ~ <br />r+' i. " ~ ~ -' f. '. 'i 1' <br />L MEASUREMENT i~ <br />~ ~ 1.pJ <br />at. <br />IJ ).)J ?_ ~ i PERMIT i~il7'3.(lL< RLl'I?i`')RT~ `-vi'i is i-P,•0 i=-'~~`,:=;~; Hwr :=$# .. <br />. <br />NCE/ S <br />,N_TA <br />-. E. 1 -1„ .. ,'.,) ~ : d i.'. 'i 'REQUIREMENT )!,nA <br />.) V I/+'4 A YG ~ DA. I L Y: ~. L1 X ~, N GD <br />."SOHTH <br />Jl c. .i ei - ': '+ ~,. SAMPLE r#k5k# yq <br />v I ., J i 1. MEASUREMENT Q 1 ViSua <br />I l:l~:t 1. } 1 PERMIT ##R k1Fr ? .'.IEPJRP. ES=L ~r#.:M;? t:###" # :XiyX,'%k#]Z - ;t#+ NSF./ ISUA <br />r' - }..!': L ~ d + ', : ::REQUIREMENT ~ ~ I7tST :'rtA X "' NO=D ~ "## ~. <br />n~Nrit <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT. - <br />D REQUIREMENT - <br />n <br />n SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />~ <br />~ <br />~ <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIM VNTH THE INfO11 UW THAT I NAVE PERSO <br />MA710N SUBMITTED H NALLY EXAMINED AND <br />EREIN; MD BASFD ON ~ TELEPHONE DATE <br />- n <br />~ZlC~~ • /~w~.50+~ MV INOVIRY OF TH09E INDIVIDUALS IMMEOIATELV RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, t BEDEVF THE SUBMITTED INFORMATON 19 <br />~la_ <br />_ <br /> <br /> <br />/ <br />~ <br />C <br />TRUE. ACCVMTE AND COMPLETE. I AM AWARE THAT THEIEE ARE <br />SIGNIFICANT PENKT(E9 FOR SU9MITTINO FALSF INFORMATION <br />INCLUDING <br />I` <br />9 <br />~/ <br /> <br />~~ / <br /> <br />~ <br />l~~J <br />~V~ <br />~~ <br />V I , <br />THE POSSIBIUTY Of NNE AND IMNUSONMENT <br />SEE 19 U <br />S <br />C <br />] 1001 AND 3] - E <br />639 <br /> . <br />. <br />. <br />. <br />nl <br />us <br />c <br />E t]tD <br />lA <br />M <br />d <br />I4 <br />4 <br />M <br />IO <br />D SIGNATURE OF PRINdPAL EXEd1TR/E . <br /> <br />TYPED OR PRINTED . <br />. <br />. <br />wb <br />rA u <br />sA Ip ro t <br />r <br />wr mans m.Y <br />rt <br />rdo <br />,OO <br />~~dwmuMvn ,HrPdwlwN OFbrwwn anNntluWawn.l <br />OFFICER OR AUTHORIZEb AGEM AREA <br />CODE <br />NUMFIER <br />YEAR <br />MO <br />D <br />~.~mmcn~a n~~~ r~nnn w.. ..r ..~.~ ....~..~...~..,v... o. o~..o o.. o..a~.~...onm .rein <br />i:,,:.'' :...~. . _/t,l: t.L }. 2 -t :fir^; i1 k'tYd L~-YR~ l9-HR 2R?.':CL'2 '4;{N L' Ju_.~t...'1' T`I "ilRp';ti ;Ir X8';7' ^.,."++.lTR';21E8P> Iti <br />,'t iC i...l..~Jr p. ,. ;C:fli~tBAS*;E RxNIl;E481Yn ?LAN DUn L-L-7:i. <br />Fam 3320-t <br />may <br />NAIIOHAL POLIU I AN 1 DI5611AI W L LUMINA I W u <br />DISCHARGE MONITORING REPORT DMRI <br />2-18 17.18 <br />caGasao32 oUi a <br />PERMIT NUMBER DISCNMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YE R MO DAY <br />FROM TO <br />!20211 !12.131 !24151 !18271 128-291 136311 <br />NOT BE USED.I <br />f)?~ q/ )7;Ja1`?-1754 <br />~'i k; C L L'.1 . ,.. vIA~~Nu.11040 p0 . <br />(SUER $E) Approval eYE31{P~QS <br />F -~ FINAL ~ 1L `y, <br />t7INOR ~ ~ 7i~' a <br />... NG DISCIiAftG'' I__I #'-"` <br />~. NOTE: Raad Inatmctiom baton compMtinp ttda twm. <br />L <br />