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F£RMITTEE NAME/ADDRESS fl,~.~6e•+re,ry n.,.,.. c~.r~u,.• un~..•.~,. <br />NAME TkAnPEk 'IIYIhI", rg^, <br />ADDRESS TPAPPfA. rrla~ <br />C!:A;G "D 81`25 <br />fACILITV <br />LOCATION <br />ATTN: il, LOrn D7* PF:T£P5. ?RES/GEN lIG9 <br />HAl10NAL POLLUTMT DISCHMGE ELIMINATION SYSTEM rNPOES/ <br />DISCHAgGE MONITORING REPORT IOMRI <br />/)-I51 /1)-l91 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEA MO DAY <br />FROM I TO /t ., i ] <br />O(1J 11 UJ-0il OLJ51 H!`J%1 OA-JOI fiM1i/1 <br />Form Approved. <br />T M i7 R OMB No. 2040-0004 <br />(4 n R R R Y} Approval expires OS-31-98 <br />~ - ?L.RAI N7PtT• <br />~~ SCHA RGF. TO °LI)rSP. GUL('k <br />sae w~ DI SCH~RrE 1~,% ~ ear <br />NOTE: Rud inatmctiona 6afor DMtino thin lorm. <br />PARAMETER l3 ~Grd Onlyl QUANTRY OR LOADING !1 4N On1y1 QUANTITY OR CONCENTRATION ~ NO. .FliEDUENCY SAMPLE <br />J <br />3 !46531 !54611 13B-I51 11653! 151-6I7 of <br />! <br />)- <br />71 E% MALVSIS TYPE <br /> "AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS IFI-a91 !5/.58/ l58-)Ol <br />(iIL ANU :; ~1:.~SP SAMPLE teaoaos ( 94) aa+laan ill:t rzh Drs a?a!-•+7rs <br />YISUAL ~~ MEASUREMENT <br />h4066 1 ` U :1 PERMIT txaaavla [P.PDe* es=i Caaaeer vsFY~a>~#.. .:..:m~.>aLtEr~#: :. "a~c~ ~:.:,::< <br /> <br />:! <br />i :.::.::::. <br /> <br />~:~K~"Y <br />h <br />~4II~1 <br />EfpLUE1ET G!!n55 r11L0 REQUIREMENT ... r <br />' <br />___ ___ t aaa <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />- <br />- RGOUIREMEMT <br />~_. <br />- ~ <br /> SAMPLE <br /> MEASUREMENT /(/~ ~J~ Cpl <br /> PERMIT <br /> REOIJIREMENT <br /> SAMPLE <br />~ MEAS;UREMENT - <br /> PERMIT <br /> REQUIREMENT ~ ~ - <br /> SAMPLE <br />( MEASUREMENT <br /> <br /> PERMIT ~: - <br /> "~REQUIREMEf~J - . ~ ,~ " <br /> SAMPLE <br /> MEAUREMENT " <br /> P RMIT <br /> ",REQUIREMENT ~~ ~ ~ - <br /> SAMPLE <br /> Jy1EACiUREMENT <br />'" <br /> PERMIT ~ . <br /> REQUIREMENT ~ ~ ~~ <br />MEITITLE PRINCIPAL E%ECUTIVE OFFICER i cERnFV uwDER PENALTY of uw THAT I NAVE PERSONALLY ExAAIINED MD <br />AM FAMILIM WITH THE INFORMATI <br />T <br />" TELEPHONE DATE <br /> ON SUBMI <br />TED HEREIN; MD BMED <br />ON <br /> MY INOURY OF THOSE INgNDUAl9 IMMEDIATELY RESPONSIBLE FOR <br /> OBTUNING THE INFORMATION, I BELIEVE THE SIIaMITTED INFORMATON IS L - <br />Gl---- <br /> <br />Gordon Peters <br />TRUE. ACCURATE MD COMPLETE. I AM AWME THAT THERE ME ~,C, 970-824-440 99 04 3D <br /> SIGNIFlCANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLVOING <br />sident General 1.18 HY THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 18 U.S.D. 1 1001 MD SS <br /> <br />TYPED OR PRINTED U.S.C. F t 3t a. lPrlYtl„ utl\r fMa mM„ fn,T isAq, lw, W ro f 10,000 <br />e <br />N <br />: SIGNATURE OF IMIINCIPAL E%El.VTNE <br /> .n <br />wmu <br />xnl <br />nyicnnrN el nf...A af/Nem,WSy,ral OFFICER OR AUTHORIZED AGENT C <br />E NUMBER YEAR MO DAY <br />~~••\•C~~TC 11 \IIl LVeI A\/ATI/l\I /,L .,\IV \IIIV ATIII\IC /e ! _•• u •. ,____. OD <br />T"55 S TDTAL IRDB LIrITti HILL BF RAIiP.D, 11RD SBTTLEl1RLE SDLTDS Lr~t7T sn4!.TFn vnN <_7ne~~~U!+F DPgCIP PrrYT- <br />Sgb' NDRDF.N OP PROOP RF,iDiRP!!EYTS DBDER. I.A.3. PERI17TTgE R04! *.FRf ILL Pn6r.ntrA9Lp I+gA~t1RE~ To RP.DtICF ag <br />r• r <br />A Form 0-1 10 Pr4viow s I[idna mey a ud - (REP T•4 C ED.1 ~ ~' 0 T ~ O ^ ~ ll ~ PAGE OF Z <br />1-1Q33 <br />