|
PERMITTEE NAME/ADDRESS 8~d FmurryNa/L.r.eo. dDrpnvnrl
<br />NAME "(PT~.~' • ~ 1 f -.. ., _ ".
<br />ADDRESS :~ I ~ i • i .. F '.. O <
<br />FACILITY
<br />LOCATION
<br />NATIONAL POLLUTMT OISCHMGE ELIMINATON SYSTEM INPDESI
<br />DISCHARGE MONITORING REPORT IDMRI
<br />!I- I el lI7-191
<br />'~^7271>'J ^l0 A
<br />PERMIT NUMBER DISCNMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM ~ TO 'I+i -+ n
<br />!26711 l71-731 /14151 l76-17/ l18-791 /36311
<br />Fonn Approved.
<br />•-~ r T ~•n.r-. T,TOMB~No:,2040-0004.
<br />r
<br />I r ~, ..l y .) ~ Approval eXpirae OS-31-98
<br />L.._
<br />` - 3i
<br />'. '~'
<br />F+ ^ i (• r 4 V r r I
<br />NOTE: Raed inetruetione bat • co IetinO thin farm.
<br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !4 Grd OnlYl QUANTITY OR CONCENTRATION NO. F EOUENCY SAMPLE
<br /> l46-531 !5461 l38-451 l46-531 154611
<br />EX OF
<br />TYPE
<br />l37-371 MALrsls
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e7-e3l !54681 !64701
<br />~J;+DUCTIYI?Y SAMPLE ,' 3': ::..`- ~, :`r'.';r r;«~:.~~: { ]1)
<br /> MEASUREMENT
<br />]L0911 1 l' 0 PERMIT ##rrLY!=# ~Y'-+X33': .r R+:1;+'°:-^. RE^'!'T "p"'I^YAI •r!^/ : 'TREY ~R0.P
<br />SFFLUC;i ~' ~_ 9'lcs y!r, Lic REQUIREMENT ~ 0rs3# ^P.TR V" .
<br />!?R9'4 !'14X r""_
<br />DH SAMPLE 0#0.".:-^- 4##3tS :'.'':~-'.`~'~ { LZ)
<br /> MEASUREMENT
<br />;10400 1 0 0 PERMIT ~
<br />~ 3v##~$ 4`##0#4 0rtr 5.5 1tR0yX~GrR ~.^, ~ E$lILT iRA~
<br />!''k+FLUP.NT ;RD$S YtiLUs REQUIREMENT ~ #0Xa !I MIRt7R ~ #Ari+lir so
<br />~O:,1D!'F ETTI,?4'3LF. SAMPLE .. `+.:#~ C#C#v~ '.`i7Lrr,:^:` ( ?S)
<br /> MEASUREMENT
<br />](;5l:`i P D 0 PERMIT :"-0#7:a3 :-OGtkrXO 7. '=;,X :°#4~'=:` Av,I+nDa• ^:,L7e^7 f Y^r/ :RR9
<br />:.. =7Mt1':tlt'S B°`..77 REQUIREMENT ;=: FA ~^Op qY., A.l,?Lo *!X Hi,/i. '1.~lrP"'
<br />.:OLDS, SETTLeA~'L' SAMPLE =?t?rt`# R=033'.:: ....... { ~r,T
<br /> MEASUREMENT
<br />L' ~ I! 5 1 0 .PERMIT ITOr~# }" {=3>,=~ lkRY,xr,: D r' r+1'
<br />"''+,UENT GRDSb ':4L:1: REQUIREMENT 03Xaa 3/In4 ,4Y^ L',1TIY xI M!/1, eit13;"•,
<br />7I:. AND G ° SAMPLE ~ `•C;-^•`,`- .:`:3C-'.',#3 .. "'f ." { 1 n)
<br />-, :'M qX?8~G44V M^c T'i MEASUREMENT
<br />;JSSo 1 0 0 PERMIT r"r'tra 00tt3re# r .*. ^ 40>,+`3rAEr G4`-#3a`r. 1.0 f 041"I": :T;F.a
<br />3FFL'JE'JT •-)~$ V4LUE ~REQUIREMENT #~°a ~ j-I5',' iKAX r,r/L f:°`~T
<br />'LJAF "; L7!JDUIT 7R SAMPLE { 7]) roa0n*# 0t3 r,:':•!: ,
<br />PH?U T85iTN4MT PL4NT MEASUREMENT
<br />iU050 1 0 D PERMIT kEPJRF )PTTONAL t<3tr3}`` #^3rlrt:# r:~-~~:~:~ . -.-:.~ •. Fr.,rr y NrTa•J
<br />:PFLUEtiT ;';JSS Yp I,!7-~ REQUIREMENT 30Dq AY:. DATLY !tX CC7 r~c-=4
<br />)_i AN 7 .: .,'4i. SAMPLE :x 03~`~X ( 97) btr'...'.'. ..-~+`•..~.` ': .. x,. i...
<br />I : fl 4 L MEASUREMENT
<br />;jl(?» 1 C• :? PERMIT rx.+xa.xm ) Y c ~.I .wwaA...r rs~:^•'~.•;:• r:!:f•';: i$ #.;:~ y c";LF' I°`)AL
<br />-:'LUE4T G'i ~?'i` 7'. LrIF .REQUIREMENT I*jGT JAAg. yr}c7 :•;r: r: ~:
<br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF UW TNAT I HAVE PERSONALLY E%AMINED MD
<br />AM FAMILIM WITH THE INFORMATION SUBMITTED NEAEIN; MD BASED ON TELEPHONE DATE
<br />
<br />lf±lchard Mills MY INOUIRr OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTAINING THE INFORMATION
<br />I BELIEVE THE SUBMITTED INFORMATION IS
<br /> ,
<br />T (970)870-2712 I O iS 9B
<br />Environmental AAalTager AGNEFCMT PENALTIES FOP SUBMIITINO FALSE N ORMATEON
<br />INCLUDNG -
<br /> ,
<br />THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE to U.S.C. ! 1001 MD 33 810NATURE OF PRINCIPAL EXECUTIVE
<br /> U.S.C. f 131 e. fArWCY. utlr N.r mnma ar.Y Ix/r.W rma .~ ro t IO,OW AREA
<br />TYPED OR PRINTED nw rmuimnr ArrpYrovrivrt o/Mrw.eremoners rW SYrra/ OfFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRelerence el/ srtschmenrs here)
<br />~.:"I LEA TILE 57L'.)ti LTYi^ I3 ;~RIVF,J (LJ~ tPF) ~'LY T° ~1^-vve 7'1-vv v^.rC-rn t.':ryr I~ rr,er,~~~~ ¢r~ T~i~~
<br />,.
<br />l'G LNr ''D'cl 5'1' "~ :r Y"iiY ."_;:'JIr,"1oNTS• -')IL Gq°1$='-gc: cnnwg•)Tp °/• 7, rnT~pT.Y '°':'LI".
<br />': FDIGTTgr TcCT•G"I^m Tn yc_cn'1m NnTP n!
<br />EPA Form 3320.1 108-951 Previous editions may be used. (REPLACES EPA FORM T<O WHICH MAY NOT BE USED.1 ^ O., ~ ~ /~ n Ofl ~ 7-1 ') T !1 PAGE OF
<br />
|