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PERMITTEE NAME/ADDRESS?~~. irdlryNw/L«ulm dDle4ad <br />NAME Tr.A1~k'F'i "•111~:Gr IBC. <br />ADDRESS T. R a1 e P F. ;~ (' I': E. <br />P.U. 'tO:i 1:17 <br />CkAi:; <br />CU N1G25 <br />FAaurv <br />LOCATION <br />1'T6: 'J. GfIrD,^,. ;: P;:?EBCf ?kl;~/GLti' ".Cii <br />NATIONK POLLUTANT DISCHARGE ELIMINATON BYSTfM (IYP~E$l <br />OISCIWR61E MONITORING REPOIET (OM91 <br />000032115 C1" A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 'I ~~. TO - <br />lzo-z1) ru-z3i rz~-zs~ rzc-zn rzs-zs) r3a3r) <br />Form Approved. <br />P O h [ " C DEF. P, r, U L C9Me No. zoao-oooa <br />(S U E F ~ 4 ~ Approvdlexpyr~e; 05.31-99 <br />F - FIFAL <br />r7hr,D <br />'~~' RC L'15CHA1'f,F ~~~ ,•.'', <br />NOTE: Reed irntruetlorn brlarB complrtin0 thir form. <br />PARAMETER !3 Grd Ontyl QUANTITY OR LOADING !I Grd Onlrl QUANTITY OR CONCENTRATION NQ fflEOUENCY SAMPLE <br /> (!6531 (5a-611 138-~5) 1!653 15.L6f) <br />E DF <br />137-371 X ANALrsTS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rc7-e~) 151-del 16g-7pl <br />,~ ~ G ,. SAMPLE ::::4 :: r: 1 ( ?y) C',+Ad;r C^O4A: r, t~L. Ot,. ;`• <br />1' I :i U A L MEASUREMENT ' <br />L•4vbb L 0 0 PERMIT : ~ ~~~~&~Yi~ RE?C)1tT ~: CS=I .~;A~',AIarYB# ~ EA t:4?Ft - ?:A;#~~ ~ ### ~ - EEKL Y I5UA1 <br />LFr'LUeMT i;RD55 YA LU REQUIREMENT 7HSP MAX. RC=O <br />..... ~ ~: s4 ~At<0 <br /> SAMPLE <br /> MEASUREMENT <br />~ <br />~ <br /> :. PERMIT ~. .~.. .~... <br />, <br />~ ..:. <br />~ <br />~ <br />~ <br /> REQUIREMENT ~`.. <br />... <br />... . <br /> SAMPLE <br /> MEASUREMENT <br /> :PERMIT ~ - - <br /> REQUIREMENT ~ ~ ~ ~ - <br /> SAMPLE <br />MEASUREMENT !/ <br />/1~/yi9 _ <br />~' <br /> PERMIT <br /> REQUIREMENT ~ .. <br /> SAMPLE <br /> MEASUREMENT <br /> .~.. PERMIT ~ .. . <br /> :REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> ~REQUIRENIENT ~ ~ ~, <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM fA FY UNDER PENN.TY OF LAW THAT I HAVE PERSONALLY E%AMINED AND <br />IAfl WITH THE INFORMATION SUBMITTED HEREIN; AND EASED ON <br />MI TELEPHONE DATE <br /> L <br />MY INQUIRY OF TM09E INDINDUN.S IMMEDIATQY RESPONSIBLE FOfl / /T I'l- <br />-_ <br /> OBTNNING THE INFORMATION, 1 rEDEVE THE SUBMITTED INFORMATION IS ~~ <br />(~ ~L"/r' <br />W. Gordon Pater9 TRUE, ACCUMTE AND COMPLETE. I AM AWA11E THAT THERE ME <br />FOR SUBMITTING FKSE INFORMATION <br />INCLUDING <br />PENA <br />RE 970-824-4401 98 ~ 2] <br />President/6onaral Man ar , <br />SIGNIFICANT <br />S <br />L <br />THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 1E U.S.C. 1 1001 AND 3] iIONATUIIE OF PRINCMAL EXECUTNE <br /> U.E.C. ! I]Ir. I/MaAVFF uMr IMw FYNh. errr iecArfl a,.• w ro s ro,DDD AREA <br />TYPED OR PRINTED .rarrr mv4rAAn hlwiammuataNlw.urrmmah. nd6 wrap OFFICER OR AUTHORIZED AGENT CODE NUM~R YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rrl~rrncr Nl ~tf~chmrnfs hrr~1 <br />.S3 0 1'0';t~L I>ZI)a Lil"I?~ HILL ~F. +~IYEJ, 1.NC 3FT*Li:AbLO SOLICa [I`7? AFFC7FC FCF C=1CYk,2yHti PR::CIP `iYCI:?- <br />:.c!1 ifUku.•.i! OF i'F.CGF hF.'~,i,'Ctic:t',~'NTS 1!F03H 1.A.i. •res MOYITUEINC - I.P.3. CIL f GfEASF. - ~pc I. 5. 1.(D). <br />a:I ~ ev AY"r Yeti F' T`~ u[f-'+_ :T t'~~'ITN1 '/ fV=At GF f,u aT6C Ds-NTI?1 uc DC G7cr. <br />EPA Fwm 3320.7 (08.95) Praviour editionr may ba used. IREPLACE6 EPA FORM T-40 WHICH MAY HOT BE USED.1 0 0 17 2 / ~ 7 7 ? 11-1 64 (; PAGE iOF 7 <br />