Laserfiche WebLink
PERMITTEE NAME/ADDRESS (Include Facdiry A'amdLacanon ijDij(erenr) <br />NAME <br />yLOR ISOUNTAIti t"IEk>Y, Iti~, <br />ADDRESSD ES ERA DO I9INF: <br />io07 JC7UNTY 1tOAU 65 <br />FAClurv RAkaLY L'0 tl1545 <br />LOCATION <br />`I APTti: JEFt' D'JaI!~12 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM MPDESJ Form Approved. <br />DISCHARGE MONITORING REPORT (OMRJ OMB No. 2040-0004 <br />`: I !. ~ <br />,S (SURR NY) <br />r• PEflMITNUMBER DISCHARGE NUMBER F - FINAL 36LA1 <br />MONITORING PERIOD DP-1 SEDI POND TO SCULLCUa (+UL <br />YEAR MO DAY YEAR MO OAY __ <br />FROM 70 t~"` N7 UT.;,rN0.F~GI~• ~__- -"~=' <br />NOTE: Read Instructions before completinD this form. <br /> <br />PARAMETER OUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. <br />EX FREOUENC <br />of SAMPLE <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM. AVERAGE MAXIMUM UNITS ANALYSIS <br />JIL ANU ::RY,AiF SAMPLE "caxax ( au) o«a~ta aa~~s;~ ~:::x~~x:-: <br />~ <br />VISUAL MEASUREMENT U G ~ <br /> <br />eaUb6 I J 0 <br />~~; ' <br />~. <br />g°..I <br />f <br />av*'~"~'~lki - <br />>;_r ~ <br />:~. <br />r:FFLUENT GRD55 YALU ,,~ u. <br />'FS ..•~-., T rw ,x t'0=U ., ~'s.a;o~ I * ~, '~y: C#;-: N <br />SAMPLE <br />4SUREME <br />SAMPLE <br />\eeSSUREME <br />Ir~yr d <br />~W <br />SAMPLE <br />. .,.:m:-r ~a -- <br />SY L; <br />y} -s . -_. <br /> <br />SAMPLE <br />SAMPLE <br /> <br /> N .'U w r~° ~ r- :3- ~ <br />m`s"•" +°kF ;tix rrr 4° <br /> <br />E .f'~r <br />w ~ = <br />. dY 4 drr '. <br />4 .. <br />NAME?ITLE PRINCIPAL E%ECUTIVE OFFICER ICediry under penalty ollawthaN his document and aA attachments were TELEPHON E. DATE <br /> <br />~ ~' p ]y ~(j r7 ~ f prepared under ery direcvon or supervkbn in accordance wlth a system designed <br />to assure Ihat qualified personrnl ploperlygather an0 evaluate the imormagon <br />submitted. Based on tmy lrquiry dthepet5on or parsorn who manage the system, <br />or those parsons directly responsfble~r gathering the inlonnation <br />the inlormatbn <br />L <br />l )V i Y~ , <br />submitted is, to the best of my knowledge and ballet, true, accurate, and complete. <br />n SIGNATURE OF PRINCIPAL IXECUTIVE w b~s j'~~ Ol fJ ,:~ <br />TYPED OR PRINTED Ism aware that Nereare slQnifpant pe <br />alties for submitting false inlonnahon' <br />including the possibiGN OI Me ntl Smorisonmem for knowing violatlom. OFFICER OR AUTHORIZED AGENT <br />fbDE NUMBER. YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence al/attachments here) <br />I'S5 G TOTAL I$D4 LiEITS MILL PF: .AITED, ANU SETTLEASL~: SULI05 LIMIT APPLI60;POR <=l0YR~24HR PRECIY EVSIJT- <br />Si:? I. A.1, PG V, FOR }iEQUI RE:`fE YTS. JIL E GREAS= R°PORTTNG-SEE I. 9.1. F, P; YIZ. QRTkL~'SdKPLZ MG <br />EPA Form 332.0.1 (R~1~,~/99) Previpus edi_tioris may be use51. ART FORM PAGE OF <br />~-~ <br />