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HYDRO28215
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HYDRO28215
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Last modified
8/24/2016 8:47:29 PM
Creation date
11/20/2007 9:07:47 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981018
IBM Index Class Name
Hydrology
Doc Date
2/26/2001
Doc Name
January 2001 DMRs
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITTEE NAME/ADDRESS (lnc/ude Faciliq•Name/Loranon ijDifferenr) <br />NAME <br />i'.L:i. •.J.ir:sAIrl ~tr.3.7Y, f:~. <br />ADDRESSG :;- r i a :i ~+ L N E <br />d7J/ ~JVI'v -iJ'rlr n5 <br />FACILITY ~~ h, L Y .. i b 4'1 <br />LOCATION <br />~. p.~ Ipt. F. .1 it ~. -1 ," <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NFDES) Form ApprOYed. <br />OISCNARGE MONITORING REPORT (OMR) OMB No. 2040-0004 <br />"IV7"~ <br />...,nr lane nr.• (S7dK 5N) <br />PERMIT NUMBER DISCHARGE NUMBER ~ - <br />MONITORING PERIOD t A- 1 L n A '- C;; T T O @ %. ~; a P. 51i <br />YEAR MO DAY YEAR MO DAY __ <br />FROM '!1 01 ~1 TO ~1 J1 71 .+..' P=~C,~;~. F. :, r'. tt ~~// ~~ ;t:t# <br />Y NOTE: Read Instructions befo+e'COtripleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> ~ EX of TYPE <br />PARAMETER <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNaLVSlS <br />'LIEOiiM, i'CCAL SAMPLE -'0 `f `^'" ~:~rR'`~ % ,c%~'%° ( 13) <br />-:.1 I. ry A L MEASUREMENT ' <br />7 i J'.', ,. D rl .~ -'PERMIS "'~~+4'~+(aRj6t AK~{'Q'{A#!R- ^~ :. ~IRrJi###~ ~.~Oia ~: 040 • M / <br />t:r°I,.IP.!:1' Ut:.i55 YALJc REQUIREMENT. - :} #_: ~ ~ <br />JIL a!:~ .;F~:1.; .: SAMPLE 4'+=~X::ax ( qy) ##Gt##t tk#4GC:x ':k K: :-::: ,:- <br />6 I;~ I h L MEASUREMENT <br /> <br />JJn9 1 J :) <br />~ ~~P~QMCf' "-' `„# ~ <br />' .• -.•. <br />' ' °S=1 " .. # ,*~' # ##~~ <br />° s# <br />FrI.UFMT r7-i> 4ALU= REQUIREMENT :`" x,~ <br />~~ Nn_D F,.' r I,v_ <br /> SAMPLE <br /> MEASUREMENT ' <br /> ;. P~~MIx =~ <br />~ .,r-,. ~~ . a+v r - <br />~ ~ <br />~'~ <br /> REQUIREM~NT ~ ` <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ~ <br /> AEtSU1FIEMENT - ~ '~: ,~ - <br /> SAMPLE <br /> MEASUREMENT <br /> :.''pERCv11j' <br />REUUIREM~NT <br />~ x <br />~ <br />~ ~ ,:y~ <br />r- <br />° <br />? <br />, <br /> ,~;~ . <br />~ <br /> SAMPLE <br /> MEASUREMENT ' <br /> ~~ERMBV4. ,psi ~ ~ ~ <br />6+ _ <br /> REAUIREf31EN7 ~a,'x. "~ .~ t:a ~ 'y; <br /> SAMPLE <br />. MEASUREMENT <br /> <br />P~RM4'~ <br />- <br />- <br />.. .. i <br />~ <br /> <br />~.~ <br />- <br />~...~' <br />-` :..~. <br /> f1EQUlAER~J=NT- ~ ~- - -- - -_ ,~, <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICediy under penalty of Ww Nat this documentaM an anachments were TELEPHONE DATE <br />-} -} <br />`J ~ /J ~ L[.~2 N 5 / P17v / preparetl under my tlueaion or supervision m accordance wim a system tlesignetl <br />to assure that qualified personnel propetly gather antl evaluate the informaton <br /> auMnd[ed. Based on my inquiry m the parson or persons who menage the system, <br /> the information <br />or those persons directly responsible br gathering the imprmehpn <br /> <br />~' <br />l V ~~ ~ , <br />li <br />l <br />l <br />M <br />f <br />d <br />~~~~ <br />~'~3~2 <br />bi <br />r <br />oz ~~ <br />r hue, accurate, en <br />comp <br />ete. <br />etlgea <br />be <br />e <br />subminetl is,to Ne best of my MOw SIGNATURE OF PRINCIPAL EXECUTIVE s o <br /> <br />TYPED OR PRINTED I am av`ara lhar Nere pre significam penalties for submining false information, <br />inclutlin the ossibili of fine and im risonment for knpwin violations. OFFICER OR AUTHORIZED AGENT A <br />O <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />). L ~ ~R'r'A~~ H'.?OFTIhG-.ii: :. ,....1. F, ?'-, VII. ,4YdLY Sn"•~LirG Ia-;T:^:Ur~"~10!~_,-I. _.'l, ... :i:. <br /> <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />00523/JOr,7:?-1.~J z <br />
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