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_ _ _ _ ,~ TFE NAME/ADDRESS UrY4 FrYlryNawJLronm UO/Q ml~ ~=_ ... -NATION ISGHAROE{EjMINAiIO STEM-~~SF T- ~=- "-~--~aUN-A pr 1 .. YOYU~gUO$L.~4AL _~O I >< .: _ ONtxoRING$EP- !y ;`s~Afa$IDf.-MINE, N E 5 Fd1[~-IT,S"~ ^0 Z '46 -- (5UBR {IC) o e ~ p• O. (: O X 14 3 0 PERMIT NUMBER DISCHMGE NUMBEA F- F I N A L ~~ pALiSADir CO 5 f i 1 26 rTNOR _ y ~ MONITORING PERIOD ~ YEAR MO DAY YEAR MO DAY - iON ~ FROM U '4 TO 0#~/_ NO CISCNA - - i s J O rt M A. M C N A B, ~+ R E S Z D E t; T /2670 117-131 174151 116771 l78-791 136311 NOTE: Rud Imtruetiorte befor e com pbt -.! -:. . this form. .- PARAMETER. 13 r..e onryl OUAIQTITY OR.I,4ADING lalard.ONr/__..QUANTD:Y QR COtlOENiHQT10p1 __.~~~ {,/g, EAEauENrx. S-AMPLE /15-53/ 154-81/ I3B-151 !<653 154571 EX GF T 137-371 ~ ANALras YPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !at-ea! (64581 /58-701 (1 if SAMPLE ##6cIfi4 #66fi00 Ot000$4 ( I2) / MEASUREMENT ~ 7 uU400 1 0 0 PERMIT 4fi#¢+i+k figtLt?QO01 006 ~.5 .. >s+oe+a4la . :gtfl ~ ~~ KY.t C.YSI1' EFFLUENT GROSS YALU :REQUIREMENT .. .:~- ~ ~~~ Ofi00 tl:l !'~Ai! '~ •~ ~~~~~ ~ - SOLIDS, TOTAL SAMPLE ##aa61s aaaoa~ t>Aewoo ( 14) ~ SUSPENDED MEASUREMENT ~ 5 ~ 5 ~ VUS30 1 0 0 I PERMIT 04?QO~sO '; r'i:•:~wR~,,,r: •Ca.. ^:~< #Y~.,;:~:.:5; :;~.1~;.<;. v.:..:. :~. ±~ / aRAB GPFLUEYT GROSS Y/LU ;REQUIREMENT. ..- [r. ..::'',,;:::.;.,..J t000 _ "'<::.?~"_:"~:r; .....:3: d...~'rfS, ::..itl _~ ~' NUN, TOTAL. SAMPLE .'r4##00 000000 4000ta0 ( I9) ! (A$ FE) MEASUREMENT O .4 ~ ~- ~ . Y 1045 1 Q 0 ~ PERMIT ~ #OyrII00::.:: .: ;00000+01 S fi04- ~ aA0AA0 ~3•S ~7~~0. ~. :~ ~ ~ ~11CPJ~ i~ EPPLUBNT GROSS YALUF RenuiliEMEivT ~ aria 3QOA AYG DA .IY .l4Y MG/L •` :!lC1N~'H '.' k El$E SAMPLE ;i :Ob4# 0+:##06 Ofififi9C ( III) MEASUREMENT N ~/~ -~ N /Q N ~~ 3552 1 U PERMIT L'fiCe06# #Otus# 0fiC 40gOfifi R8>rOAT 10 ~ 'OR`PiA 3R~B t:Ff'LUENT c: E$ YALU REQUIREMENT ##6fi 30DA AYG INS.T' M.AX C/L C8 T FLON, Ik C UZT JR SAMPLE ' ( 03) ##0000 #~#afi;: #fififififi ~ HRU THE-TlftNT PLAN MEASUREMENT X27 3~p ~. /7 SJJSO 1 0 U PERMIT. ;2 EPO.RT dEPOA? a.00~7QtA . .. ".~i0a>!!D!F ';txx#:?~;4>k# a>;Ifi EEKLY N5TA EFFLUENT GYOS$ YALU :REnuIREMENT: .3UDA AYG DA LT 1!Y NGD ~.. .. .. .. ... ... :.~:....~ ~ .. ...; ~;~. yr:: S.::. . 000 ;. S , T j L SAMPLE #fi 00fi# 000#Ofi 0Qtp00tp ( 19) UIS30LYED MEASUREMENT I rOV ~ 1/7!1 / lULyS 1 0 U : PERMIT .~ #00400. fi01i#00 a06 ~ a~p#10.?dtfY ~~ .~:: ~ADEC+A3 ~~ ~~~ ~R~~..iOf~I' ~ T ~ Y iAAB cFF'LUEhT GROSS YALU REQUIREMENT OfiI:•fi ~Rjp .J}t~. .4RT:Il dA.x. MG/L G SAMPLE fifi OyAO# ( 94) 000400 Ofi000fi #.O fFfifiO Y I SU A L MEASUREMENT ~ ,(~-~- 4Ubb 1 U D PERMIT:: 0 EFFORT ES=I II:II~eiNl+p #llOtl>b+'4 01h1010fi1@- Ofio EEK S ISUA EFFLUENT GROSS YALU RE.QUIRENIEN7 ... .:. :.INgT.:a411X NCsO 004? NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERnw UNDER PENALTr DF AM FAMILIAR WITH THE INFO uw THAT I HAVE PERSONALLr ExAMINED AND RMATION sUSMITTEO HEREIN; AND BASED ON TELEPHONE DATE T E ~ { l7 v P r ] MY INOUIRr OF TXOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OeTNMING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS WARE T E ARE TE T T - -- ' TRUE, ACCUMTE AND COMPLE . I AM A HA HER INCLWING IGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION - /' . S EE D ~/I Lf (!I/ ~ ~ / ~ 7 [ ~ ~ O H ~ ^ 18 U.S.C. E 1001 AN 3] THE POSSIaILITY OF RNE AND IMPRISONMENT. S 610NA OF PIIINCIPAL EXECUTNE 7 J I . / U.S.G. E taro, lAwtlu.+ utlr ewsr mnm+ m+r IncNn„ rvw+ IO ro t 10,000 AREA ~ TYPED 011 PRINTED snl rntuim+n inpirwrwlt a/bfw•erlmanrh+•n05 F•IVa/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV ~! ,; S ~.~ , 7Q,((I `/A ~'. i".u1 COMMENTS AND EXPLANATION OF ANV VIOLATIONS lRdannn Id/ sttechmsnts heal 'L'NZS OUTF>IILL IS NOT ELLGIdLE POR EXEMPTIONS FfiOn TOTAL SUSPENDED SOLI CS (TSS), 7CTAL IRON AND/OR r :.ETTLEAFsLE SOLIDS LIMITATIONS - SES I.A.2. EP=1 Farm 3320-1 (08.951 Previous editions mey be used. IREPWCES EPA FORM T~0 WHICH MAY NOT BE USED.1 0 0 3 4 0 / 9 8 C 2 2 3 -12 S 6 PAGE i F J _ _ _ _ _ ~ .~. _._ - ~ "_ - ~ r a..