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PERMITTEE NAME/ADDRESS R.~drficrGryxar/Laculm dDlerralp
<br />NAME TRAPPER MINIY6, IN[.
<br />ADDgtssTH1PPER I!IN8
<br />P. n. ROIL ls7
<br />CRAIS [D E1b26
<br />FACILITY
<br />LOCATION
<br />ATtN: I{. GORDOIa PCT£A5. PRF.S/CER FICR
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<br />NATIOMK POLLUTANT DISCHMOE ELIMINATON SYSTEM /NPDESI
<br />DISCHARGE MONITORING REPORT IDMRI
<br />'/1-15/ t7-191
<br />PERMIT NUMBER DISCHARGE NVMRER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM Q9 1 1 TO OQ 03 3
<br />114111 l12-231 l1I-1bl ~ !1617/ l18-19/ 134311
<br />Form Approved.
<br />P T M ~ g OMB No. 2040-0004
<br />(SliPR NSI) ApProvel s><pires 05-31-98
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<br />R7NtIP~/!I NE YTR TO OIIC CDL!:N
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<br />NOTE: Rud Mrtruetlorr~sforJ t73RIpNdnO ~~ form.
<br />PARAMETER !3 Grd OnA'1 QUANTITY OR LOADING !~ E1rrd OnNI QUANTITY OR CONCENTRATION Np, FnEDUwcr SAMPLE
<br /> 116531 /5L5/ (38-451 146531 !5651 EX .
<br />(31-37) ~y,1kV9S TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 41ss lµ551 l69-l01
<br />PN SAMPLE p40#¢6 i00F66
<br />~ 4#n4#6
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<br /> MEASUREMENT
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<br />IB:]Y, TOTAL SAMPLE #04660 R4R664 44#R6# ( 19)
<br />(AS PP) MEASUREMENT O,G! Q,(,3 V
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<br />ErrLUBNT [:ROSS P11LU. REQUIREMENT '30D~'416 8'iLLY:.Mi fIGD 044#'
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<br />S~ SAMPLE Qtassa 60s600 11gr>Oltttr ( 19)
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<br />ErFLUERT GROSS PALO. REQUIREMENT 0468 (1RTR Af~. O~II.2 !!I. Rr/L
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CENTIFY UNDEfl PENALTY OF LAW TH~i I HAVE PERSONALLY EXAMINED AND ~ TELEPHONE DATE
<br /> AM FAMILIAR WITH THE INFO RMATION SUBMITTED HEREIN; AND BASED ON
<br /> MY INDUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTAIIIING THE INFORMATION, I BELIEVE THE SUBM4TTED INFORMATION IS
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<br />970-824-44D1 '
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<br />~. GOLdon P{Case TRUE, ACCURATE AND COMPLETE. I AM AWME THAT TNERE ARE
<br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLIAING ~
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<br />$tealdant/Ga»tral Maaagar ,
<br />THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S,C. ! 1001 AxD 3]
<br />r SIGNATURE OF P111NCIPAL E%ECUTIVE
<br /> U.S.C. f 131x. lPIrWAir wlWr Mar rorvnr mrY iecAM
<br />aNa Ip ro 710,000
<br />TYPED OR PRINTED nrewmuimMn:nparmrnr or Mlr..nsmannSF aAe6 varra.l OFFICER OR AUTRORRED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND E%PLANATION OF ANV VIOLATIONS /Reference e// ettschments here/
<br />TS:i E TOFdl. IRON L7rIT; yILL 8r. YAIrP.p, alND S[TTLERBLE SOLIDS LT!MIt IIPPLI?D f:OR <=lOYR,24RR PRCCIP E'fP.NY-
<br />SEE BURDER OF D3t0(7F RY;ULRERENTS ONDER I. rt. 3. TDS Il09IlORIIIG - I. A. 3. O[L ~ f:RP.lISE - SP,E T. R, I,(D).
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<br />rpn PoIm 9310.1105-95) Previous edldon: may ba use .1 ~ O 111 USED.) QnI 39 /99 OL~1-1 O1N PAGE ~OF
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