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HYDRO30607
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HYDRO30607
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Entry Properties
Last modified
8/24/2016 8:49:17 PM
Creation date
11/21/2007 12:37:21 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981039
IBM Index Class Name
Hydrology
Doc Date
5/28/1991
Doc Name
1st Qtr 1991 DMRs
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITTEE NAMEIADDRESS (Include <br />I rnbrr Armr/LOerllOn iJdrJlnrnU <br />NAME _ J~ (,y L13 a:Y LY~ S 11. 117 t_ ~.L hi+:.j~ iaG k.~ <br />ADDRESS i:1Lk:1b92iL Sl 11Ll B.A S1'Ib (al l~'i4i..D.ILU~I.- - <br />-- _ f.:1 E_ Ed S.T ~u ttA LiE U: ~'I11 c~L_ I-, - - - <br />___J91L.E.`.'.Y1l,L.I.-_ _-__~1-. 1J~Z_ <br />FACILITY ______~__________ <br />LOCATION_________________ <br />A L'. ~.c ^kYTG .1. MACDCIll;ALL. l:SLi. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDES/ <br />DISCHARGE MONITORING flEPORT/Dh/Rl <br />11-161 /17-193 <br />i <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAY <br />FROM TO y <br />(10.71) 111-111 ISI-SS) 116-771 /18-191 /30.31) <br />} - f1NAL <br />FIT Y1 G~CHAG TU GAASSY CHEER <br />IsINOR (SUOA NW) HOUTT <br />NOTE: Reed Instructlona before completing this form. <br /> (J CPrd Only) QUANTITY OR LOADING /1 Card On(yl QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br />PARAMETER (~6-531 (51-611 /38-~5) (1613) /1161/ <br />EX OF <br />TYPE <br />131371 AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS (61-63 ANALYSIS <br />(61-681 (69-70/ <br />~ [i SAMPLE '~irYY-r-f y <br />YYYY1{y • .L <br />YY##~# <br /> MEASUREMENT <br />,1 (~ <br />LVUVL 1 y U <br />PERMIT .y y .r, <br />Y#YY'rY y <br />#~Y#Y~ ~ <br />•f 1`Y CC <br />6.J .y +. ~y yy <br />#YTT#Y <br />9.U r. r, <br />NI.G/ p <br />RAy <br />' ~ REQUIREMENT r. rAy~ U <br />~„L1U~, St'ITLrAi:LE' SAMPLE Y'-rYYYY y <br />YYYY#'f 1'#1Y#f 4 <br />YYYY#Y <br /> MEASUREMENT <br />~1. ~LI0 L U ii PERMIT #=7vv;A'r`- vTV=F S}+''. Y. <br />' , V`i'Ir`I(r~# 'v'~##'-}# QA5 NCE/ RAR <br />C REQUIREMENT i#%i# <br />, <br />L.1L ANU GrEA3E SAMPLE #%~-v`#+~# Y#•f#YY YYY#-f'M #;-#YYY <br /> <br />rdEOV EX"ifi-GRAY ctET MEASUREMENT <br /> <br /> <br />L/l/')~G 1 L V <br />PERMIT <br />Y#YYYY y <br />Y##1F#Y <br />#~- µ <br />If YYY### ,4 y <br />Y#YYYY (~ <br />IV y <br />QNTIN <br />RAE <br /> REQUIREMENT <br />_ - I ~ Y# <br />111 ~i 11 SAMPLE YY#,fM1 Y'1YY#Y ~%Y1`YY# 'f###Y# <br /> <br />'1C LPL 1i <br />e t:CVl;RAULL MEASUREMENT <br />. <br />~I;ya: 1 C G PERMIT ###### ###### ;=#;: .###### .i:#uY~## OPTIOtiAL ONTIN RAB <br /> <br />~. ! '~ REQUIREMENT <br /># # it # <br /> <br />u <br />L~~, j(Y CONDUIT ~.\ SAMPLE Y#Y#~'f 'fYYT Y# YYYYYY YYY#YY <br /> MEASUREMENT <br />'INtiU 'iRE:11HEhT FLAN' <br /> <br />,, ;;C'~I: 1 C U PERMIT ###### AEQORT ###### ###fi## #####;. -### NCE/. NSTAh <br /> REQUIREMENT <br /> ~ ##Y# <br />.~. L.LLL J, 'f 07'A I. SAMPLE 'F=i'Y### ##%.`'### T}#%i### #~'###r <br />~ 1 ~SC.L'JID MEASUREMENT <br /> <br />'l <br />7,1_y~ 1 V U <br />PERMIT <br />#YY##'~ ~r~ <br />Y#Y##Y - <br />YYY .y <br />Y###T# w y. •` <br />'Y##YTY L [ y <br />1,EFGR'P <br />TRLY <br />'RAB <br /> REQUIREMENT <br />_ <br />S ~ YYYY <br /> <br />LII At1L LI i,EASE <br />SAMPLE <br />##N## <br />#;f#Y#Y A <br />YY#YY'f 'r. <br />A~'#YY TY <br /> MEASUREMENT <br />YI:iUP.L <br /> <br />C Ii Ur,C 1 U L' PERMIT ##`#### U ES-1 ###'v## ###### 'v'v'-~##%e ### NCE! ISUAL <br /> REQUIREMENT __ N~ ISCHARGE <br />NAMEl11TLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE P <br />AND AM FAMILIAR WITH THE INFORMATION SUBMITT ERSONALLY E%AMINED <br />ED HEREIN <br />AND BASED .~ <br />/ / TELEPHONE DATE <br /> ; <br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ~ /~ - ~ <br />/ <br />' <br />- <br />Karla Rabuck OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION <br />IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG / G <br />% <br />I , ~L- f.~. /,( (~~- <br />A <br />VICe PI'eSld(?NL NIFILANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INLIUDING <br />THE POSSIBILITY OF FINE AND IMPRISONMENT SEE 1B H$.L. fi 1001 AND <br />S <br />C 1 1]19 <br />h <br />ds rh <br />srrr <br />r <br />r <br />i <br />l <br />R <br />]0 U <br />P <br />tl <br />710 <br />000 <br />IGNATURE OF PRINCIPAL EXECUTIVE <br />608 754-2291 rtt <br />91 <br />~3 '] <br />JI <br /> . <br />mu <br />vs an <br />u <br />nc <br />u <br />nes uv ro <br />. <br />. f <br />rsr <br />es m <br />e <br />. <br />Y OFFICE <br />ORIZED AGE <br />OR <br />UT <br />T EA <br />TYPED OR PRINTED ondormwimum rmoruonmrnr oJbrrweensmomNana syerrs.I R <br />A <br />H <br />N LO <br />NUMBER YEAR MO OAY <br />COMMENT AND EXPLANATION OF ANVVIOLATIONS /ReJerenre a/I alrPrhmenls here) <br />GIL E GREASE: SEc F00'lh0'1'E Y/, FAGc 3 IN Ytlt PttiEil'. f'ORt"ENLY DISCHARGED UNCEA CC-00350~3. <br />EPA FOTm 3320-11ReV.9-RBI PreVlOUS B(llflOnS mey De USER. (REPLACES EPA FORMTdO WHICH MAY NOT BE USED.) PAGE OF <br />
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