Laserfiche WebLink
PERMITTEE NAMElADDRESS pnclude Facility NameR.omnan fDifferen9 <br />NAME ,3L'J°_ yOUgTAIA E9rPGY, IY~. <br />ADDRESSD , ~ .~ ;, q ~ ~ •' I :y t <br />lo:iT ,: J'.!~1'Y 'vk L' '~~ <br />FACILITY 'i A N :~ L'( :- ., ''. 1 _~ U ~ <br />LOCATION <br />NATIONAL POLLIlrANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form ApprOVed. <br />DISCHARGE MONITORING REPORT (OMRJ OMB No. 2040-0004 <br /> °LSJ3 <br /> <br /> rte, ( ~ Ari7' 'tn <br />~ (til;)}. yiy) <br /> PERMIT NUMBER DISCHARGE <br />NUMBER _ ~ I ., A I ~t' , <br /> MONITORING PERIOD ~tP-~'~~ { =~-~~DI P?`iD TC) P':D KF'i lr. <br /> YEAR MO DAY YEAR MO DAY _ <br />FROM ^1 r'I ')1 TO Ol 0' Ji - ~' r 1 <br />. p{'_:~:'0.F. ~; :: ~~ ) #::>k <br /> NOTE: Read Instructions befOre'CDFnpleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~'''~~/9 <br />Fn SAMPLE .:~ ~;: +: -t*::*~+7 .. ( 1~) <br /> MEASUREMENT <br />VJt~.1 1 J 1 :PEAMIF IR44 :.#.~ ';~Atq,I~lErn,. :'`. ,~.-; .: ~, >RAr# - .O ~ ~iKL'Y <br />"~ h' E L J L' ~ P J ,'.'1 ., :; Y A ~ U i- iiEOUIFiEMENT ~ •- ^~'-T n !~'L ~ ~ :' PI X 1 K C, 5 Lt 'k• <br />S.; L.1 ~):i, ?OTA I. SAMPLE •. `~` ` r, r35: C:44 ###G'F rk ( I`a) <br />~. ~~ ; Y : W. ;) L !) MEASUREMENT <br />J J 1 J IJ -PERMIT' - <br />~ lYti~~Itll~' ~ r <br />4` #~.: !a v+ ' <br />-it' "* a' - '}' <br />~`8 <br />~ <br /> <br />'i":.Ut'~~I Grl`>>S i'aLL't <br />REOUIREMENT _ <br />. <br />'~~i.;j = <br />;t-:^~ <br />``-, _ <br />.g . <br />„ <br />M <br />•,.; <br />'. ; . <br />: R <br />:~.,;. <br />~:: i.: U7, .-:.P PL'r qil L:f SAMPLE •,.. ,- `k'`:.a .-:k r,:n#? ( -,~ <br /> MEASUREMENT <br />,!7o-i 1 U U ~-•.PEAMI'1` ~' ^~AifK~r{i}pe' ~9L9ROf': r•r:;: 7+~',y ~~'t;z:, A <br />~ D)' <br />F Y L J `..:. T :, :{ J S S Y A L U F. REQUIREMENT ~ '. C:::.r ~ j r ~: / : ;.. : ~ - <br />' L .. ": f{t. A.i£ SAMPLE .,^:7 ;: ..-r;; ;: r: .,.::: rp ::': ,^-~:;: ;: ~: ~: ( ~ y) <br /> MEASUREMENT <br /> <br />J~ t. 0 1 J U <br />"' :PER(vtlT. = :SIR#',_'# ';?d'#+ptt~iP :':: 44>Or#tt+1k #?D+aeaa q <br />- <br />.F••LUr':T G3Ji~ Y.1LIdE REQUIREMENT ~ - ~ - -q^ jr ., <br />i..)~l, ±':)T 4L SAMPLE ...=: ;: w,: .at:x~ v,.. ( 19) <br />(q ~~ ~ ~) MEASUREMENT <br />{ J y ~ 1 ) U PERMIT 2,ttt#R p4. SkOs#0RP 4 <br />. <br />~ :.: •. ~IOr~!GO# . 5 ", .0 :; s ~ x ~:~. <br />. ~-r L'J E: ~- T G ~{') 5 5 Y A L'J L' hE(JUIREMENT _ . n .., , .,E„4 <br />.. ~i rl, IN (: JYJIIIT :1 r1 SAMPLE ( 93) #:x .x~:; ~~ z=+;t r:sa ##cema <br />' ' r. ~ ~ r• 8 A'P ". Z ~! T i ~ '+'T MEASUREMENT <br />' J •, J L J J ...'PERMIT. ..et'EPO(i? ~`# <br />F'L: F'+I' Gt%.i7 V.1 :.Uc: REOUIpEMENT 3O(S l~i. O'~ ~~~' GD i,~~P +w` - T'~' $$k - t: et <br />'' L hN". :n Er !'A .C SAMPLE ~,:•:':4;: ( ')~) #4#~a .r4".:a: ~=F r,: r:o~:z <br />~ ~ _~ ~ I A L MEASUREMENT <br />- -+ v n •: L J 'J ' PERMIT ' #4iir,#$. . ~ <br />r c..; _) i#i ~ Jk' :- '0Y$>~irpt~$ ~~~ <br />~ ~t)IJ ~:' ,:#~: <br />l v ~* r i- <br />.'E'L.i,. G:. :-, YAL'J k'. REOUIRE_MENT <br /> <br />^ _ <br />- <br />fi llfR -" <br />21'=0 <br />~_~-;--- '` <br />- ~- <br />.. <br />##* <br />'.e r' <br />- <br />NAME?ITLE PRINCIPAL EXECUTIVE OFFICER ICerory antler penalty of law that Nls tlocument antl all anachments ware TELEPHONE DATE <br />l'-y <br />~~ ~'*f `L,~ r l ~ ~ eu ( prepare0 antler my tlaection or supervision .n accortlance wdh a s}stem oeslgnetl <br />to assure that quaifietl personnel properly gelhar antl evaluate Ne inbimaaon - <br /> submihetl. Bnsetl on my inquiry of the poreon or persons who menage the system, <br /> <br />atherin <br />Ne Irrtonnat~on <br />Ne intormatlon <br />onsible br <br />r tho <br />er <br />on <br />directl <br />res _ <br /> <br />~,^iJ. ~- '~ ~ , <br />y <br />g <br />g <br />p <br />o <br />se p <br />s <br />s <br />suhmitted ~s,to the bast of my Nnowletlga antl belief, true, accurate. antl complete. <br />SIGNATURE OF PRINCIPAL EXECUTIVE > <br />/(J <br />b7r~~:-~1 <br />Q1 <br />OL <br />L~ <br />TYPED OR PRINTED lam aware that there are sign cant penalties for submining talso inbrmation, <br />inGUd'n the ssibili of ins and lm risonment for knowin viOlaliona. OFFICER OR AUTHORIZED AGENT <br />OE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Aelerence all attachments here) <br />.i _ I'J1'AL I4.)ti LI::I'I; r:I LL ,. ,' ~il1Yt: .:, F. <G _'•F'. :'PLf 4PLC ;~L.'.DS LI °T'. AP='LT. _") ~')' C=I,'Y -, .: ., 1':. tCiP "Y`:`r!'- <br />. .. I. 4. 1., ~.) Y, F',)P ir'',~UlGtncF:_~. ..'LL - ;°._nr 9='~Jtii'PI`iG-SE£ I. a. L. F, 4'~ Y; I. .~:L' s4`.'i,. . <br />EPA"~orin 330=1 (A 3~9~)y previous e~itlons`rRay be used. ~iIS A 4-PART FORM PAGE OF <br /> O O i O 2 / O J l' 7 i 7 <br />i <br />