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1'ERMITTEE NAME/ADDRESS pear FneYryNer'/~rnrrw UDb...ep <br />NAME iMENTTnILE COlL COnPANT <br />ADDRESSPISN ~R£EK TIPPLE <br />29515 ROOiT COUNTY ROAD 127 <br />0A6 CREEK CO BOY67 <br />FACam <br />LocaTarDAK CREEK CO H0467 <br />ATTN: RICHARD A. nILL~, MANAGER <br />PARAMETER <br />OU9u 1 U 0 <br />FFLUENT' GRU55 VAL <br />uvuu I D u <br />FFLUENT GROSS YALU <br />L v, <br />USPENUED <br />0530 1 0 8 <br />FPLUE:~T GROSS YALU <br />F <br />o5u5 1 0 0 <br />FFLUENT GROSS YALU <br />orAL HtcoresAaLe <br />UyBU 1 D o <br />FFLUENT GROSS YALU <br />Ul5tl2 1 it U <br />dPFLUENT GROSS YALU <br />[LJI, 1R VUIilO1T UM <br />rHRU TREATnErt PLAN <br />yUUSO 1 0 0 <br />EFFLUENT CROSS VALU <br />AVERAGE <br />SAMPLE p040a <br />AEASUREMENT <br />'. ~~ PERMR.~ :~~ ~: <br />RECUIRENIENT: <br />SAMPLE ~~.•.PX' <br />AEASUREMENT <br />.:PERMIT .~ <br />0.0 <br />d <br />~,:. <br />Farm Approved. <br />NATIONAL pLLIRANT glCMMOE ELIMINATION SY3fpA rrNPDESI OMB N0. 2040-0004 " y <br />DISCHARGE MONITORING REPORT /OMRI n rOR .., <br />QUANTITY OR LO/ <br />MAXIMUM <br />0. x163 <br /> <br />694 I <br />(SU9R JC) <br />NUMBER gscNARaENUNeER <br />~ F - FINAL ROUT? <br />A POND "E[' DI SCHARGE ?0 FISH CR. <br />MONITORI <br />IOD <br />M 6 R~ O DAY -- <br /> To v aya NO DISC HARGE, { _{ oaa <br /> NOTE: Rerad MMtrucMotr beta. eomplelhp IhN loan. <br />. r'-~ ~ QUALITY OR CONCENTRATION NO. IREOUENCV <br />OF SAMPLE <br /> <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX AN,urss TYPE <br /> aaaoa~+ <br />3`~sy <br />3aa~~ <br />t il) <br />~ <br />1 fz <br />G,Gb <br />a^ nH0/ <br />1.144 CN <br /> <br />4• <br />4wC SU <br /> ~~ ~ ~ d 3 ~Z ~ Fr.~ <br />as <br /> <br /> d<a <br />L 0. ! <br />~ <br />3~4Z <br />6 rah <br />ara <br />aria ;~t nL/L <br /> aa~aa>x ~. /63 ~, 3 ~ ~ ~ ~~1L (r ipb <br /> NAME/TREE PRINCIPAL EXECUTIVE OFFlCFA Ynvnd •br;M air.crb. er er ~~ ~~~~--~~~~~~~- ~. <br />) FmNOn 1. rmNnnn.hh •.Plem ad[wa TELEPHONE DATE <br /> 1 (( <br />RI [ {~ erd ({l,J <br />(,~/~ ,/ /~ y/~~~~ J <br />~rr`~11 ~i r~ •Irl)r~~l I ~ 1 ~ Ie sirt lh.l.vnenea pnwiel pvpdr prhn.M adu.le the lnlornrllan <br />nihrrlriN. [~dwmT lnlulr~.E Un Mnw ar Frna..he nnn,[e rhn rnre~n <br />or lha prsrs alncllT.vpidhk(w[.Ihed~Ne lnrorrn.lleR lhnlnfomrnon <br />wrlrnlnedK leueblol m~YiwWRn~d bllr[inr.nm.nlr..M mmF4M. <br />I.n..mu.l uen.n nPanonlFmMns for..sMlnn <br />rn. mrornru _ <br />~ <br />n ~.\ y-1~'1 '1/ <br />~' <br />V E FV (i/ <br />UOMATURE OF FRINCI-AL EXECUTIVE <br /> <br /> <br />~ <br /> <br /> <br />~j <br /> <br />'7 <br />.J ~/ <br /> TYPED OR PRMITED [ <br />e, <br />inutl~n[ue pe•IbIYIT of enr nrd iw7Mnnenl Eerhw.ln[.INndwa OFFICER OR AUTNORRED AGENT A A <br />CODE NUMFIER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /R./~rne. ~A'.TAEehm.nh h.r.) <br />r5s LICIT HILL BE MAIMED FOR lOT8F24HR PRECIP EVENT - SEE BURDEN OF PROOF REQUTAP.nENlS UN8=R 3:.A.2, PG 4. <br />OIL E GREASE - SEE i. B. 1. B. 30 DAT AVERAGE IS HIGHEST HONTHLT AVG. DURING PERIOD REPORTED - SEE I.C.12. <br />EPA Form 3320-1 (Rev. 3/99)Prwious editions may be used. OO1B1~OT4 ~O'~a'~~~.~'~.• <br />r. PAGE lOf <br />