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HYDRO29446
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HYDRO29446
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Entry Properties
Last modified
8/24/2016 8:48:24 PM
Creation date
11/20/2007 10:57:31 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981048
IBM Index Class Name
Hydrology
Doc Date
2/14/1984
Doc Name
1993 DMR (whole Year)
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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<br />•ITTETt NAM EPADDRgE (/n[ludr NATIONAL POLLUTANT DIEC HARGE ELIMINATION ^YETEM (NPDEJ') <br />W! NanM/London Ii dlprnnl) DISCHARGE MONITORING REPORT (OMR); <br />Ivlalnnn I•n',If 1+1+:1' I.E 1 ~( l2lsi <br />~---- -- ----- ------ (1719) <br />@!_ h T ?r ,(I'~x -) )~ --------L--- (11,9 a lh t 11 vI19 <br />TI~N11)ef1 PERMITNUMEER 01aCNAwLENUYEER <br />--/•(, r-11)N'--------------- MONITORING PERIOD <br />_____ YEAR MO DAY YEAR MO OA[T <br />T~4N -------------------_ FROM Fi S III 11I TO Y S I i SI <br />/lr ll/ Illlil IIl 111 Il•l)1 Ill~lll II•lll M <br />Form Approved <br />OMB No. ?L170-0015 <br />GTE: R•Ed InEWetbnE hElorE eollMllEtinD tllV Conn. <br /> (J Card Only) OU ANTITY OR LOADING (1 Card Only) QUALITY OR CONCENTRATION <br />/ARAM[TER (16~7J) fJ161) (JB~J) (16JJ) Illai/) NO. Fw EOU [NGr <br />of EAMPLE <br />(J7dl) E% wHwLYCIa TYP[ <br /> AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MAiIM UM UNITE <br /> AlbJ) (erd8) (•9-76) <br /> 6AMPLE • <br />(f F (• 1 <br />IP <br />III '11) MEAEUREMENT • <br />. <br />. • • } • R • • i # • <br /> PERMIT 1('~ <br />Sn REQYIRWEMT + A # a • • • • • • • f f • • • .,• - M <br /> EAMPLE • <br />1175E TI)Inl 'jllt ~+ MEAEUREMENT • • • • • / • a <br />FF~IIfNI) PEIIMIT - <br />~ 1. 11/,~I.. wl./I. <br />~ /1 R[qY{RWQRT • 17~ • f • - • • • • • • 35 ~ Q ~ O' ~'' <br /> EAMPLE <br />N E I I) I C I MEAEUREMENT • r • r } R • • <br /> PERMiT :e' ~ 1 14 j 11 1 ~ ~ M I . / I <br />E ~: : ~ .r,, a <br />t. <br />~ <br />~ <br />~ REIN{RYIQ/T > <br />~ ~ ~ <br />i <br />~ ~ <br />4 • • f f • .M - i 1 T• 1 f j ; , '. {~ <br /> EAMPLE <br />E F I F I I I MEAEUREMENT • • • • f - • • • # • • <br /> ~ <br />i ' <br />~ . <br />~ `ill , y;:~ ~p 3 ~• . •'~ ~a ~? <br />~ ; ;~~~:.. <br />Vn ~ REgY RI <br />O/ <br />(pn :A * • f • f R • h 11 . ,. <br />~! M ~1it ': ~ ~ ~'.Y • <br />'ti"(d7 <br /> EAMPLE <br />Nh <br />~) <br />K ( MEAEUREMENT <br />R <br />. <br />• • } • • • • • • <br /> " <br />U1 RE4YIRWRNT * •~ • r } # • • • • • • • w f f w.'t) ~ ~ ~ °S ., ~' ` <br /> EAMPLE <br /> MEAEUREMENT <br /> PERMIT <br />R <br />1 ~ N <br />~ <br />~ ' <br />" . <br /> REpY1 <br />WR <br />1T , <br /> EAMPLE <br /> MEA6UREMENT <br /> Le <br />~ ~• • I' <br /> REgUIRIMtNT ) .~ a <br />y <br />~ . <br />1[/TITLE /RINCIPAL EIEGUTIVL OF/ICER 1 CERTIFY UNDER PENALTY OF LAW THAT I HAVE PEIK.ANALLY EIIAMIN[D <br />wND AM FWILIM WITH THE IHF011MATIOH 6UfiMITTED H[REIN AHD B•6[D ~ TELEPHONE D A T [ <br />~~ pp CM MY INQUIRY Ol TMO6E INgVIW.LLS IMMCpATELY RESIVNfi16LE FOR <br />' <br />V< OETAIHIMG THE INFORMATION I BEOEVE THE SUEMITT[O WFORMATIEN <br /> 16 TRUE ACCURATE AND C?1PLETE 1 wM AWARE TNAT THERE ARE 61G~ ~ <br /> <br />~ NFICAM PENALTIES FOR SUB.IITTINL FAL6E IHFpiMATIOH INCLUDING <br />/ /N THE PO6SI&L1TY OF FIRE wnD IMP1116pNM[NT SEE IR USC 1 1001 AND <br />33U6C 1 IT9 <br />IAemllR• wdn Urr •Mmle• m•Y mefudr p...• up w JIO <br />Rp SIGNATURE OF PRINCIPAL E%CCUTIVE <br />TYPED OR PRINTED . <br />. <br />oM~m m•F~mum ldlPnwnmmlu/b+Parn BmanMundS y.nnl OFFICER OR wUTHORI2ED AGENT NUMBER YEAR MO DAY <br />and wnl• ewr~wnw ul.rn yr wnT •wu na.n• Ingr.rnar ~n ..~~..nmrn.. nr.a <br />I~(1 11 j'll I+P I7Gf 11O(UI'I({ ~• ;II hl1 ;1. If•1;. 111'lIHl 1' 1 f'11'llll~ I't I'111t1 R"II 111 yf NP. it l; l~" <br />~~ap <br /> <br />~~n <br />AIP, <br />,1 <br />rip <br />1 <br />Im 7770•) (RrY. 10.79) PREVIOUS EDITION TO EE U6ED IREPLACE6 EPA FORM T-AO WHICH MAY NOT BE UEED.I <br />UNTIL SUPPLY I6 E%NA U6TED <br />
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