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HYDRO29186
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HYDRO29186
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Entry Properties
Last modified
8/24/2016 8:48:12 PM
Creation date
11/20/2007 10:27:14 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981048
IBM Index Class Name
Hydrology
Doc Date
8/7/1985
Doc Name
2nd Qtr 1985?
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITT[! NAME/ADDRESS (Inrludr <br />FBnllry' Nome /LUCRIion i) dlBrrrnl) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOF.J') fV///I N)1//IOrCO <br /> <br />I I . , I : <br />I I , I <br />( DISCHARGE MONIITORING REPORT (DMR) <br />OMB ND. 2040:00174 <br />. <br />~ <br />NAM[__ _ _ ;`_ '_________ <br />I ____ (1.161 17-19) <br />I v1A7FQp <br />, <br />_ <br />CCLO ExPiret2-29-84 <br />ADDRESS <br />~ • <br />___ <br />__ <br />_ <br />_ <br />_ <br />• ~ ~ <br />I <br />_ <br />1RTM r <br />~ <br />D <br />= <br />= <br />,` _ <br />1 <br />I <br />__ <br />" I ____ <br />PERMIT NUMBER <br />DIBCNAwcE NUMBER N/; <br />IN` <br />R11L RCS <br />n I-A1i J R^(;(p <br />p OU <br />RCES <br /> <br />-:. ------------ <br />' <br />J <br />---- , <br />14TIUN <br />423 CEN~EfJI~ <br />llnL OUILDI <br />73 , <br />-------T-------- <br />--- <br />FACILITY ---- MONITORING PERIOD ~~ H <br />E ~q <br />N <br />6 <br />T <br />REET NQR <br />Q <br />7 <br />_________________ ____ <br />FR YEAR MO DAY YEAR MO DAY ~ <br />I <br />^ p <br />~ <br />~ <br />. <br />w•rW~ ,•~v_~/ <br />p1)i <br />IOB <br />LOCATION OM ~ I T TO GT <br /> , m n • : Heal , v_x. . ~1. NOTE Reed Inelrucllene Irln[e aNnn611nn.Mle Inr[n <br /> () Card Only) pU ANTITY OR LOADING (~ Card Only) QUALITY OR CON! EHTRATION <br /> <br />PARAMETER <br />(16-J3) (J~dl) <br />(38aJ) (IIS-33) (JI-01) NO. FR[OUf NCr <br />of BAMPL[ <br />(37.37) E% ANAL eels TYP! <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS <br /> 6763) (6168) (69-70) <br /> EAM-LE <br />1 ( I) ( 1 F , ' h MEABUREM ENT ~ • ~ . <br /> 1[kMIT ~ <br />~ .. <br />' 1. fl' ~ t 1fBBOlk[MWT i # # - t # , t a a a [ a ~ • a. a y #. , <br />" Y f 1 ~ ~'Y <br /> BAMPL[ <br />' iJl I I' . • ~ T ' r; 1. [I• MlMURlMENT a • • • • e <br />11 f l l ill I <br />err x <br />Il I/ ~. S r' klp(INI[M[N~ • • # s # t a r e t 7 ) :'~ / (y ~ i',n [: <br /> BAMPLE <br />I I.I` .~ I 11 ~ I MEAB UREM ENT n I <br />' (~ IE'. R[B•VNtY [N'J' r • # s i 1 ~. t ., . • t ? <br />,. •~~~((. ` <br />:. <br /> s ~ <br /> <br /> EAMPLE <br />~']I) 11[ f k/ I T I MEASUREMENT • - <br /> <br />I ^, !/ LI <br />ill I I j .. <br />~ <br />- <br />' .. .. <br />f 1fRMIT . <br />' . <br />~ <br />- <br />~ <br />7 .. 1~(I ° kEFiYlklllF[NT #. f t j • S • <br />i • i l tx Y. .P '. i'1 .. 4: # <br />7f'a,S <br />' ~ ~~H: <br />. °. ~r i+ <br /> BAMPL! <br />1. •1 f`, <br />MEASUREMENT , <br />. <br /> PtAM~' I <br />~ <br />o <br />~ ~ <br />•1 I~ '1 . I. R[i1UlkpltNT a.l #; fir' 4 t t . + t + • a ~ <br />•~ ~ ~'.f X ~ [j?: <br /> <br />•III ') <br />~ BAMPLE <br />l MEASUREMENT ~ ~ • ' <br />U I ^• 1 I , 5 <br /> --~~ppIT ~ ~ <br />M1 U ^' r RipUlktN[NT # <br />• a s r • ; • + a a • t y + } j ] - ) .- <br /> BAMPLE <br />',1" I ",. TI T I' ,r MEA9UREMENT • ~ r <br /> iLlRMIT ~ ~ / <br />n , I, .• l; <br />I R[pU1RBM[NY ! r • ~ a f + * • A + 1 t ,. , • a ( t / ] .. <br />NAME/TITLE P <br />NCIPAL E%EC U4IVE OFFICER I CCRi1FY ugOER PENALTr OF LAw THAr I NAV[ RERSONALLr EXAMINED <br />1NO •M FAMRIAP WITN THE INFORMATrON SUBMITTED HERE,N tND Bt5E0 ' ~ TELEPHONE D A T ! <br />' OH MY INOUrRr Or THOS! INCIVIDUAL$ IMMEDIt TELV q[$pON$rBLE rOR <br /> OBTtINING THE ,NfORMATION I BEL,E VE TNC SUBMITTED INf OPMPTION <br /> ,5 TRUE ACCUR/1TC PND COMVLETE I /.M •WRE TN1T THEgf •R( $IG <br />t + NIf I~ANi VENALTrCS rOR $UBMITTrNG r•LSE INfORMATgN INCLUOIN( <br /> THC ROSSrwIL ITV OE nN[ AND IMRRISONMENT SCE IB USC { 1001 ANO <br />]]USC 1 I],9 ,Pmal6r• uMrr IArw •lelmn n nNW„ hnn up I„ Jlu rxn <br />,a• , SIpNATURE OF PRINCIPAL EA[CUTIVE <br />TYPED OR PRINTfiD rvl,,.ma.,mum rmPn•"nnl.nr ,~/ANYwn Bmnnlh. and .5 ..v.., OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COA~.[ENT ANO EAPLA NATION OF ANY VIOLATIONS (Nr/fern![ all allurOmrnlS nor) <br />fl I I ,{ II l l' 1 ), I I <br />•1 ~ , I I i ' ~ ~, I <br />PREVIOUS EDITION TO BE USED IR[PLAClB EPA FORM T-IO WHICH MAY HOT BE USED.) <br />UNTIL BV PPLY IB [%HAUBT[D <br />
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