HYDRO24636

• Permit No: C1981041
• IBM Index Class Name: Hydrology
• Doc Date: 7/10/2001
• Doc Name: 2nd Qtr 2001 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

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ADDRESS ROADSIDE `IYP., N C 5 POdTALS
P.U. b0Y 1430
PALISADE CO ~1~$b
FACILITY
LOCATION
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PERMIT NUMBER DISCHMDE NUMBER F_ F I 11 A L
MONITORING PERIOD '1 I. u 0 R
YEAR MO DAY YEAR MO DAY
FROM O1 04 U TO CI 6 T #'}# xfl sISCH~AH(ai !~~ '}'^'k
n47/1 na73i r1~-a5~ 176771 118-791 !34311 NOTE: Ree Irntru arle • or pMtin9 the form.
PARAMETER l3 Grd Onlyl QUANTITY OR LOADING
~~ !~ Grd Only) QUANTITY OR CON_ CENTRATION
~ NOS FREQUENCY SAMPLE
!06531
1546/ !5451
r38-e51 !4653 EX Mr TYPE
l3I-371 yS
M
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /e7-ei! !64&81 !5&701
PN SAMPLE ##9'}k+} ##aaa# #Aa099 ( 12)
MEASUREMENT
0040 1 0 U ':PERMIT
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REQUIREM.E.NT ~ ~~ ~ ~-
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SOLIDS, TOTAL SAMPLE ,x>::a„,; aatit/0a Ip~ii6M0 ( 19)
vUSPEFUED ~ MEA¢,UREMENT
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MEASUREMENT
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MEASUREMENT
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rFFLUEN'f GROSS YALU :REQUIREMENT 30DA ~ ##x0
SOLIDS, TOTAL SAMPLE ##0##,a #aa##9 O9a#0# ~ { L9]
UISSULVED MEASUREMENT
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r:FPLUENT GROSS PALO REQUIREMENT :~ ~~ ~~
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NAME/i'ITLE PRINCIPAL EXECUTNE OFFICER I CERTFY UNDE11 PENALTY OF
AM FAMILIM WITH TNF INFO lAW THAT I HAVE PERSONALLY E%AMINED MD
RMATON SUBMITTED NEREIN; MD BASED ON TELEPHONE DAT'c
1
S+o v P ~
E MV INDUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
OBTAINING THE INFORMADON, I BELIEVE THE SUBMITTED INFORMATION IS
T
~ O
•
L 1 HERE ME
TRUE. ACCUMTE MD COMRETE. I AM AWME THAT
MT PENALTIES FOR SUBMITTING FALSE INFORMATION
INCLUDING
F
,
$IGNI
IC 7 L~~
~~
1 , ~t 7
THE POSSIBILITY OF FNE MD IMPRISONMENT. SEE 18 U.S.C. 1 1001 MD SJ IONATURE fhtlNpPAL EXECUTIVE 4 L
- ~
U.S.C. ! t]tY. llinNL. udr IM1rr. eb,vM1. mry MFkW hrs ,q ro f 10,000
_
' •,, TYPED OR PRINTED .nrrmvlnwnf~nprimr,rtr oFbrNwt env,du rM6yrn! OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV
COMMENTS AND EXPLANATION OF ANY VIOLATIONS l7rsrersnee ui sttscnmsnrs oars!
SE'TYLEABLN SOLIDS LIMIT APPLIES ON LT IF <=1OTR,2riHH PRECIPITATIC!1 lVEIT IS CLAI!!CD. PERMI2Tl;E HAS
BIJRUL/x OF PROOF YHEN REyUESTIMG BELIe:P FR017 SETTLEABLE SOLICS VRIRART LIMITATIOFS.
EPA Form 3320-7 (08.961 Previous editions mey bs used. (REPLACES EPA FORM T~0 WNICN MAY NOT BE USED.1 PAGE OF
~ 00,53/98[223-12°G i