|
PERMITTEE NAME/ADDRESS R:Nb~r F.MryN~/r.rrre.. yDIC•.."p
<br />NAME $c: !, c:CA C'J+L .; Q': e'.~':Y
<br />ADDRESS r• J. d u x L 7 U
<br />H,1YGEt7 CO Clbi9
<br />FAaLm
<br />Lod7roN,i k Y: ~. ,.. J d 1 s S 7
<br />CT'1: KI .n:" '!,C:;AL t1Ai'nl~
<br />NATIONAL POILVTMT DISCHMOE ELIMINATION SYSTEM lVPDE$I
<br />DISCHARGE MONITORING REPORT /D R)
<br />~ ~~
<br />PERMIT NUMBER DISCNMOE NLMBDI
<br />MONITORING PERIUb
<br />YEAR MO DA'Y++~ . ~ YEAR MO DAY
<br />FROM U4 'TO i) U:: 'J
<br />4~~~.
<br />+I ;,urn ~ .
<br />(SU:l li ,:_~
<br />F - F ! ., n 1. t; 11 :i':
<br />:.L;~ TO TP,ID/DNY Ci•.'r,E:!t '
<br />~`'` ti''1 GI3CYARG.t -v*Fa
<br />NOTE: RuA ImtnietlaEr bd I eompMlMO thb loan.
<br />PARAMETER QUANTITY OR LOADING
<br />Quality or Concentration NO. E>tEDUENCr SAMPLE
<br /> oT
<br />
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNfiS ' EX MALY99 TYPE
<br />,~'! SAMPLE
<br />MEASUREMENT :::x rx ;raY akaar:. r,: '7l( /1 (y/
<br />v ° CI V
<br />=a :::...
<br />i~ J ~ ~ (
<br />( 12)
<br />Q ~1
<br />P/~ V
<br />~~~ 5
<br />1 J i
<br />::UaiY :: ...:::'PERMIL::.I;.a
<br />
<br />.. :~:::. ~,ii.<t ~Y~?"k ~ `. ?.i`:~~I?T::.d.;~1's ~t ~. ..
<br />..
<br />t ~ ~ :ii y;. .;; ~'::. X: ::
<br />_
<br />~ ~~~ ~ ~ r L.
<br />r• r
<br />... FLUt!i'. ~:cOi,S Yf,LU" REQUIREMENT:.
<br />.. ..:.....:.... t:.. .::..:..'.
<br />.:::. .. ~.:..
<br />rr05:
<br />...
<br />~U ,<., ...
<br />:...
<br />"~1~R3N
<br />'
<br />~uLI ~S, l.,fr1L
<br />" SAMPLE
<br />MEASUREMENT x:::r:•-.x-: .,nr,.^44 Strs44$a ~
<br />U .~J, ( 19) ~ '~/C
<br />'1 ~
<br />11
<br />
<br />?"~ P E N i I
<br />•, L'
<br />v J
<br />-1 V V,
<br />'
<br />rj
<br />J,.~J'J 1 i U :.PERMIT Cr,~;.l};t .` -`...::;"' ; •, ::: :.=a#64e "~ti: 7v ' NC 8/ :hAt'
<br />`:f FL'J ~:. 1" r0=3 YALU" :REQUIREMENT. ..
<br />, ~~:A 7
<br />~~O ~:.'Ly a'r .
<br />:
<br />l'~
<br />~s•:K -/L
<br />r .I•
<br />tw ?: :~L
<br />, , ,.~, .v
<br />DA i
<br />.
<br />: , .
<br />7_'LI~S, 'CTTL°.A:iL~: SAMPLE +4)G'.i: -+`::;.x o40ar4 I
<br />l n
<br />i
<br />~ ,
<br />( 1 ~)
<br />~
<br />?/
<br /> MEASUREMENT D o
<br />l V~
<br />~
<br />do G
<br />~~
<br />U.15~17 i U 0 ~::.;:':PERMIT:':;..:: .: ..~r, rt,.`~~:. IS. ~•.:; .r~r:r: ~
<br />..
<br />:
<br />..:. ~
<br />~..
<br />y: C•~~#.,::':«. S~~X:£~f°~>~•iI3'..;' '~£::;:':d:£:'~K~ki:r~:;'r:
<br />~ ~ -~ ):NCF/ ~f7i K.
<br />
<br />
<br />.+
<br />F k.,U ~', c,hOSS Y.4LUk ~REUUIREMENT
<br />' .:....:...... ......
<br />
<br />.:......... ...
<br />~:::::....~ ~ ..~ ::..:
<br />
<br />. ... .
<br />.
<br />
<br />..
<br />::x~:•:
<br />
<br />~ ::':.
<br />',:., .
<br />. ...: ..:... .. , ..
<br />..: i:'
<br />:::•I:~.b
<br />°L/L
<br />
<br />
<br />~.::~:.
<br />
<br />
<br />:.MGi!a i 7
<br />i ;'.1 'I, TJ(AL
<br />'
<br />' SAMPLE
<br />MEASUREMENT ... ... ~.... ~::u;i+s.ka
<br />3 I
<br />O
<br />'
<br />3 I 1)
<br />( )
<br />0
<br />~/
<br />(~
<br />~ f
<br />E) f O, ~~
<br />7
<br />Y4
<br />~j1")4', I V U :.;:'.:PERMIT::' ~.~ ~~~:. ai:::; t+ek .': ~
<br />
<br />~ :'. :?.: rit: :: ~
<br />
<br />
<br />~
<br />'i .' :. i2.:v~r'y:a.iT. .:
<br />
<br />.. .. ~
<br />~y
<br />'~ i
<br />;;. ;+S'~_"1
<br />. ";'j'~
<br />:~~:~::"
<br />
<br />~~;: ~:::: :::.~: :~'~:
<br />:~ .Ali
<br />
<br />.~<::<
<br />..
<br />
<br />~. :.C:~~.:.
<br />
<br />..
<br />6Ai+
<br />' r
<br />.,I'r'LU:: , 1 ,,hJS:. YALU' REQUIREMENT
<br />.. ....... ~'.: ~ ..
<br />.: •: , ..
<br />.. .. ... .. .
<br />;
<br />JX;~ ~ '5..i1'Y:~ ..
<br />...
<br />:'.t:~:1t.I ~'~::. (1'X
<br />°„/ L
<br />:' =
<br />ri~!(3:1 !i
<br />:,iL AV'; ;::SAS; SAMPLE
<br />MEASUREMENT .,::?.:x :: ... .. F:r r:; ;: .:: ylq.#¢'kC
<br />~ ~ ( I1)
<br />J
<br />
<br />U1:71 1 G U ;::.'PERIiAIT:'.:".: i:".:.Q[Spj:(i;!rrt. '.:.~r@~4.;r4.s .:...:,: :. .7r,tl~~~'.ap
<br />?:':
<br />4~~#IAi!i'Yf~ls;::: }'~'::r''::;r:::.'.:.;;:.
<br />
<br />`:; TI"S
<br />
<br />Z:O
<br />N kACi .
<br />u
<br />.... :I ~ . ,.. . ~
<br />
<br />..r h L,~~.1 ,rtOS~ YALU ~NEQUIRENIENT:
<br />
<br />... .... ..: ... .. .~:•:~.~~~: ~ ~~.~~:;.: ~: ~ ..
<br />
<br />.. ... . : ~..:.
<br />
<br />..: ~' ~'~ ::~: ~.;:'
<br />
<br />:: ~r: .. .;:~ .. .. .
<br />
<br />:.:. .~. ... .
<br />
<br />..,,.. .:~~ :'.:::'':~::': ":
<br />
<br />:~';;:~:f~:5'7"":"°: (1~7L~
<br />
<br />K: /L
<br />
<br />~' ~;i
<br />.
<br />aCx L~td3`. ~ .
<br />
<br />.: ':~'.
<br />FL.;N, 7t. CJNDUIT it SAMPLE
<br />MEASUREMENT J~ ()
<br />~
<br />I~ v
<br />~
<br />'~
<br />O ( p1) ':a::.. a#':Y+Ce at ,;;~,>::~:;tn
<br />~ ff
<br />i!`:,v :'i[F.,TflF;NT i'LAN• 0
<br />C/> .
<br />O O ~ 1~5
<br />
<br />,~,,~J L U 1 :. PERMIT:.:
<br />:::.:..:... ...: ~ _ 5.. .... ~
<br />~~'.:~<i.::F~Ck'1.~.~::.
<br />!':.:~:~.R$:~P~~:2:
<br />;,t:~~==;~
<br />4~t+q..>a~k`
<br />~:~.;.:R~a..A~4bPxll'~'.
<br />•
<br />>:.;::x
<br />:
<br />'a4E~S.T
<br />IRSTA
<br />,
<br />Li'FLUttT ,.I's055 YALU I REQUIREMENT
<br />:::..:.....::..:......::
<br />: 3OU'.A AV.y' ,, .
<br />':ay':AI;:Y ~iC.
<br />"Gi,
<br />'~:,:;:'':1: ,;
<br />.... .... ..
<br />:
<br />:. i.;:::".::":.:.`' ...:
<br />... .. ...
<br />,~a:r:F
<br />':;)1:O:f.~'N
<br />......
<br />'I~ -~ ~,_
<br />J 15 ti J L'i' t: u SAMPLE
<br />MEASUREMENT s".^~:.:.
<br />+_ ~: rrx' 3 1 6 5 3 ~/OV V ~l~O ~,/
<br />7 _-1''S i U U ~.:~:..; PERMIT;:.';
<br />. ~. i~..~..>^a:x :X'hR'- '':. f:.~k$~?a°yrs I .Y.. :x -x~aSS?#;: AY ~:': Ci~F'~Tluao~A'L~• ' .;: '~.PLL R
<br />'F
<br />..
<br />.. ~'T~:iL GliAii
<br />..krLU°'~~? ~.;:iU55 YALU .
<br />~kEQUIREMENT.~: -:.~...:.. ..:
<br />: ':.'.r.:: ~ ~ .:
<br />....:..:.: ..... <:: ~:,.
<br />......<': u$TTs.:A::Y;G .
<br />.
<br />'
<br />.:;:~:1t:~':G:F:' :HY ;iG/L '
<br />NAME/TITLE PRINCIPAL EXECUTNE OFFlCER "`^"r
<br />pnpu.ed ° rra"•'rnl.+rb"In
<br />uMer mr dlrrt,l°n eraM i'd°"'"'.",.nd pu..~licnme"°"^
<br />nbl°n In urt°nfnue .lib•gNem drC
<br />nM +~ TELEPHONE DATE
<br /> p
<br />le court rb.l gmMOM prronnd pruprlr plher.M ophau the Inreroblbn ~~
<br />'
<br /> abMI,N. EeM °n mr Inquiry Nue Peron or pero,u wbe mpnge IM.PIem.
<br /> er Ihme peromdlrtcrlr rrtpelNbN ror {°iherln~ Ne Inrenurl°ry the Infenall°n ^
<br />
<br />abmlrrrd h. b the brtr or mr browkdpe ntl teller. rae. N<vnle, aM nmplNt.
<br />Lm.".n ua men.n aEmnr,m
<br />en.mn ror
<br />b
<br />lum
<br />nla
<br />ro
<br />
<br />SIOMANRE OF PRIN
<br />M E
<br />E ~
<br />L ~~
<br /> p
<br />a
<br />m
<br />E
<br />"
<br />rm.uon.
<br />I.
<br />r
<br />el
<br />M
<br />l
<br />lll
<br />r ,C
<br />X
<br />CUTIVE
<br />TYPED OR PRINTED _ e
<br />n
<br />nE r
<br />pen
<br />rr o
<br />b
<br />nm•.nd lmprhen~nr rpr bra"Inp .leleuwa OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />.,..mmcn r ~ nnv cn~..e.n :..:.....+... .,.,c.. r rvna Innvmc~ sn nr~cnm~nn nnq
<br />i :: .; ~, ihn4 LIPII,S 4~1LL 'n.'^ SkSIYEL AND ~-:I"CL(. n:iLt =OLIL:; LIfI'I' APPLI EIS Fu4 c=iOYh, lu N9 PHiCIP EYC"IT; TSS E
<br />litJv LI SITS 'eA1YEl1 POh >1J Y!t, 2UH F. PP.ECZF £Y Fhi SU:'J hl'T "CU JU RJCN Oh' I'F.O~iF IV I.A.I. OIL ~ '.;h k:A iE-icE
<br />EVA°FwSn`1J'Z'O-1 3/99 ~ Pediod`s'editions ma ~ ~ ` ~ ., ~ PAGE of
<br />y fie"used. U O G 3 d/ OT~IV 1slat~RaI~:~YIm. 1
<br />
|