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PERMITTEE NAME/ADDRE$$ (include Facilrry Name/Locarinn ijDi$erentl NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORT (OMR; <br />.i ni neni l1]-91 RT 4AD <br />Form Approved. <br />OMB No. 2040-0004 <br />DDRESSr-I)Ln+YO H1ME rnnnn STr, ~ nna a (S'JRp NM) ' <br />57,31 tiTATE !!IGH'rAY 11 `~°~'"`• ;-.~PERMITNUMBER "",piscHnRGENUn+BER <br />-~~ ~, ^~~~~-"~ <br />'~~'=~"~ F -. FINAL ~KOF <br />",GcXFa C~ '11b41 <br />~ <br />7 ~ -•~:~!~; MONITORING~P~OD` ~' <br />AG M?ST PIT 5£D POND Tb TAYLCR CR <br />ILITY <br />~ ~ [YEAR MO ~ DAY ~ ' ~f~ [YE~A9? ' MO DAY <br />DCATION <br />. <br />,FROM QO lOf.•.D~1~' TO Fs ~~f~. 12 31 4#'+' NI] CISCHA 4rf ~,~](~~~ =~+r# <br />this lorm <br />e'b <br />l <br />tin <br />f <br />i <br />b <br />~. TT M : J . G . H A P Y.0 A , G g ti =, c; A L T A S A G E H rzo 2+) (22-23), ~(?a:25)" -26'2])' f2B~291 r3o sr) . <br />Orrlp <br />g <br />or <br />e <br />NOTE: Read Instruct <br />ons <br />e <br /> (3 CeN Ony) QUANTITY OR LOADING'^~.-`~`'~"R'~ 'I""4 Card Ony) QUANTITY OR CONCENTRATION <br />~ NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-81) ~- ~u ~~ :~ (38-45) (4653) (54-61) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM~~.i"y . U S MINIMUM AVERAGE MAXIMUM UNITS <br />r5z-ml ANALYSIS <br />(64-se) <br />s9-70) <br />liL A!tiD ORE.ASF. SAMPLE Rgt#YF LIR ~il) °X##Od'4 t0##&# +:####~'T <br />f T'iU -, L MEASUREMENT ~'~~~~i: . <br />14U6h I 0 U :.:PERMIT <br />~ `- ~ <br />='*~ .-~ !:::=1 .~~ ~~ ~ #~ EEKLX tTSUAI <br />'.FPLUf.eT C.vOSS YALUE 'REOUIREMENT _ <br />~ ~-'xg ~. "~ ~ <br />~.',~.".~ ~-= <br />N 0 = 0 ~;~~'~` <br />3 <br />.~,~, <br />is Y,1 r, r: <br /> SAMPLE <br /> MEASUREMENT <br /> ",PERMIT - <br />i <br />T ~~ *~ <br />~ <br />+, <br />~ - <br />' ~ - <br />+~ - - <br /> REQUIF <br />EMEN _ ,•,,• •,~~,+~! ,'~~, <br />* • <br /> SAMPLE <br /> MEASUREMENT <br /> '~ PERMIT <br />" <br />~ - - ~`" i <br /> REQUIREMENT. -' - <br /> SAMPLE <br /> MEASUREMENT <br /> '-PERMIT - <br />~ ~ <br />~ ~ ,~* <br />~ <br />a Fe - x ar :. <br />~ ... ¢v. <br />'~' ~ `~-~'. <br /> REOUIFEMENT ~ `^ <br />,+~,~ ~.,f; ,-.„,,,~ ~, .. <br /> SAMPLE <br /> MEASUREMENT <br /> ~': P,ERMIT. - <br />~ .. a r ~d'4T* ' `~~!45,~~5w 2, ' t ; <br />~ ~ .., ."r <br />R <br />' REQUIREMENT .. .. 5s- a ~5~ TM U ,j u .;.=~s <br />r*.~ <br /> SAMPLE <br /> MEASUREMENT <br /> .-PERMIT <br />~ <br />~ _ ,~ x~"';,~r~,~ <br />~ ;6 <br />~:. a~ z <br />~~..._. ~ ~ i.~ <br />` <br />~' <br />: <br /> SRE~UIREMENT '. <br />~ <br />' _ '€` ~t~p ~* RG <br />~# .: _ <br />M <br /> SAMPLE <br /> MEASUREMENT <br /> 'P.ERMIT ..." " ~: c ":;e <u <br />`~ r¢ <br />Y t . <br /> REQUIREMENT , , ~ <br />. ..s `- ,~ <br />t <br />, ~.,, :., `k~i5tr. r{ <br />' ~t~ , <br />.?~d..F.'".~r 'M':. ~~: <br />NAME(fITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE ~ DATE <br /> AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. AND BASED ON MY , <br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ` <br /> THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE: ~ <br />) <br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT / ` <br /> <br />~~ ~(/ P1 G , l PENALTIES FOR SUDMITTING FALSE INFORMATION, INCLUDING THE <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. § 1001 AND 33 U.S.C' <br />SIGNATURE OF PRINCIPAL EXECUTIVE ,l <br />~7U 'T I/ <br />G~.7 ~I ~%'7- - <br />O ~ <br />Ul ~ <br /> <br />TYPED OR PRINTED § 1319 (Penalties under Nose stables may inclutle lures up ro E10,000 antl w <br />rtresimum impnsonmenl of OeOVeen6nronlhs ends years.) YOFFICER OR AUTHORIZED AGENT ~` <br />CODE NUMBER;'-. .YEAR 'MO DAY <br />A~" <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) ~ ~ . ~ ... ~ ~ ~ • `~ ~ ' <br />SE;TTLEARLE' SOLIDS LIf!IT APPLi°S OSLY IF <=lUYii,24HR PRECj~P:6~i~Y'.~15 CLAMS"D. IF CL~1Il4.+E~:~~dp1?D E~ W~CU, <br />CSS E: IRON LIEITTS MILL MO'C 9E APPLIED TO RF.PO,RTED. lfP.15118~~'15`~-.~SHE__IrA.~2. pD• 5 Ff1~=?~~OADE.A :bF ASCOT' ~.~ <br />. ,..~~~/, r,~.,~~~ ~,.,.,,,, ~~ ,,,a, ,,,...,~ ~~~,.. T.,«~..,~~ «..;~...,m ..-..~ ...,..: m.,. ,..... o~,..,,~.,:r , .., 0007 q /00 0.40 <br />