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PERMI7TEE NAME/ADDRESS pnrrd.JaNryNr'lc•naw I/DlQirwu) <br />NAME SEN::CA CJAL CG'1'A;:Y <br />ADDRESS E• 0• J J !( 6/ U <br />4AYJEN CD 41639 <br />FAdLm <br />L~TKK+"4Yf~F:4 CO 916,3U <br />w'i TN: .: x?['.G RITCh E+.. Cr.V::N AI. ;tA N.S (. F. '-: <br />eATIONDISCtHARGE MON TOR NG REPORT (D (RIPDESI <br />:iLGfl;.iJl 1111MA <br />PERMIT NUMBER DISCNIwaE ROMem <br />MONITORING}~PERIDD <br />YEAR MO DAY YEAR MO DAY <br />FROM U1 ~U4 !.)1 'TO P' U1 V6 JU <br />.,. w+r.. <br />:!INJh ,~' <br />(SU9R JC) <br />F - FINAL F:GUTa <br />'iE}. i'~J is USCG4 T'J I:: I:AS~Y CNIS• <br />NOTE: Reed Imtrucdarr b•lor• eompNthtp th6 loan. <br />PARAMETER QUANTITY OR LOADIN G ''~r QUa~It <br />Y Or Concentration NO, pREOOF"C' SAMPLE <br /> - ~ , E% E <br /> ANALrsls TYP <br /> AVERAGE MAXIMUM ;UNITS MINI <br />M <br />U <br />M <br />~ AVERAGE MAXIMUM UNITS <br />t'~'. SAMPLE <br />MEASUREMENT tI S; L173a 444;1}rt ~ ~` 1 1. <br />~ <br />(y <br />C <br />( Oli ~k ;~;+tt~ ~~() <br />U . ~ ~f <br />5 ( iz) !\ <br />(J ~/n! <br />S ~~. <br />J~t4U0 1 J 1 PERMIT ' :.:.::.:,-::.t.f... ...1%~~4~;9: ':^r. <br />4. `" ~.:~~~'['?°`.; 3'-.-,.:;!. <br />-; `d <br />.:;: ~%': " ~ : ~ :::: <br />. 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L: L <br />.. <br />. ;=1.P+. i, <br />~~ . <br />I N,;}8, TUTkL SAMPLE <br />MEASUREMENT ~. .:~s ,., .: r. rl #K.4:k #tR: sir <br />~ I <br />~~ <br />I <br />Z <br />~ ( ~ I) J <br />~ ~ <br />/ I1 <br />(A, ~ E) <br />,x <br />.~ <br />V <br />(] <br />J+~ul~ <br />U1'J4~ 1 U 0 ~~:~~:~PERMIT; . ..x::., ~ s', {;rv:{:!;~ i .': z: D.V.Ctd+'-'s:.i <br /> <br />~.:e <br />.. .. <br />";'~., r:.~ ~ <br />~::.7 ~.::::;. `.:.. ,. .'f ,tiA. <br />~FFL'uE!:'C i,hC53 VALUc REQUIREMENT •r: ~ L(,/L hT- <br />:}li, nAD is [: A:iL SAMPLE <br />MEASUREMENT - .. ~ ~.: p;:;: :, >w'4644C <br />~ ~ RI <br />t ~ ( J) <br />O <br /> - <br />_~ <br />11 .1 x!11 1 U 0 ~. ~ .PERMIT: .. <br /> <br /> <br />... <br />. ~ ~ •r.... .:.. is t~:.. <br /> <br /> <br />:. ~ <br />. - ... ... <br /> <br /> <br />~ <br />.. <br /> <br />•: <br /> <br /> <br />. <br /> <br /> <br />•~F , <br />EF FLUEi:'C GNJSS YALL'i . <br />.. <br />:REQUIREAAENT . <br />. ... r_ <br />•: : . <br />_ <br /> <br />.....: <br />..: - . <br />'„ ~a !{G/L E; ii p: s . <br />.°'LJ'A, I:: C:)ti DUi T. Oh SAMPLE <br />MEASUREMENT <br />oa~ i <br />o <br />a:aa7 I ( ..,)~ •r:f:~::: r: ~0{: {.ydt .-h'x.~p44f,14fi (\) ? <br />/ /1, ~ <br />1 <br />Tg3U 'iac9Tl9kNT PLF 6' . ,,E j'. `~ ~(~ _V <br />Su JSU i U 1 ':.~PERMIT~~:~ ~. .ii >;.:'U~~z~'.. ..-'.r, i, ..,:,. ~. <br />' ~. 'c: .~.Y#;,:~: ~ .<;,>~.r,.c •:o.. :-. k~.~i~fr~~`.:.. to~x# <br />L'FFLUt.JT GHOSS YALU REQUIREMENT '?'~;;r FYv. .[.Lr <br />"° ""', `_:i ~pIYOK< ~?:).hT6 . <br />x <br />5(iLll,~, TOTAL SAMPLE :: :k:::k::;c -:u::.rr: ~{::}~:f/rF {~`l <br />~ ( !` <br />~ <br />~ <br />L <br />•` 19) !\ <br />l <br /> <br />i'3 ~ J L Y ,: J <br />MEASUREMENT Ov V <br />I <br /> <br />y <br />• V <br />3U <br />~ <br />IL1?5 1 U U PERMIT r-;;:;r;-aa: <br />e..,, <br />.. ~~y:n I ;rrtC i:aiXlKr;:. <br /> <br />~ :itV'iIO;Y:i R'(;:'r:"v`.ti: , ~':4iL'1 <br /> <br />". U:vi+r.' <br />EFFLi;t:tl GRUiS YALU :REQUIREMENT~ ::~~, ~ :. ~.: ...' ~ - r:r-;: .. ;;.xs~Tii~.~kC:G ~ ::F"I~LY !;~ G/L <br /> <br />`S <br />. <br />NAME/TITLE PRINCIPAL EXECVTNE OFFICER '°""t' "^`""t° '"n'•I N <br />pnp•rN antler mp dinrn•n •r mR lr d•aumenl .na al "Irrn:nnu.r^. <br />nhion In ac°rd•:ue wllh up:rm dd <br />nN TELEPHONE DATE <br /> , <br />Io mart IM1•I qualnN pemn:M pr•prd, prner •:M o•lu•Ir Ihr Inr•rmrllon <br />1 <br />1 <br />~ <br /> mhr:dllM. emd •n m~ Irpulr, al lnr perm a permm wh• m•n•p IM.tr:rm. / <br /> or lhm prom tllncnt mp•ndhN f•r PlhednF Nrlnform•nm,Ine lnr•metl•n ~ <br />/\A Q~~~ ~ <br /> mbmlllra 4 aloe her of m, hrow"tlR •rd Mllef, lne, ra<unle, •M nmplele_ <br />1.m.w.n lna mrn.n dPlmna <br />nane f~rnhmlmn <br />nlw l <br />ro <br />n <br />eIONATURE OF MINdPAL E%EdffNE <br />'~-~' ' U 7 ~„`~ <br /> p <br />, <br />n <br />rn. <br />on, <br />I <br />f <br />al <br />h <br />I <br />ItI <br />I ' A A <br />TYPED OR PRINTED rn <br />u <br />nc l <br />r POV <br />h <br />I,• <br />dnr•ntl lmprlmn:renl ror hla.In, .IN•uola OFFId:R OR AUTHORRED AOENi <br />CODE NUMBER YEAR MO DAV <br />cummcn I a nnv cnr~wnn I Ivn .rr r.r. r •w~n I was Irt~nrmcP ai ~rrscnm~nta nn~l • <br />:. J G illJN LI'1iT3 "LLL ~ :AIVF'L A8J ScTi'LEAF,LE' .iUL'^:i LI°II ARPLIF:' f'ur`. c=LUYh,14f(~~ pRECIP t'it6T; 'i~-+ <br />ih~:R LIMBS YAIYi:G FGh >lUYH,1unE: FRCCIP iVt;NS SUdJBCT 70 SOHDEN DF PROOF IN j..Rsv$~1`~• OIL E GE.EASE-SL'c: <br />OO1G0/OTlh <br />a~S_pai ~ orm. <br />