Laserfiche WebLink
,., , <br />PERMITTEE NAME/ADDRESS p+rL4 fsWyNs./laaum UDIU..np <br />NAME K*_'ktt 74L "„='A ~'~ <br />ADDRESS ''~ A N if 'I 14 r' <br />P.O. BJ% 7711,1 <br />:;fEi:9DAI ..SIM:S ~0 d'Ji77 <br />FAal.rrv <br />LOCATIONAg LJGY CO dD'ld0 <br />:! Ti9: uzJd :E G. t'c'T P~ i ~: I;J _ Y fVR • :G_ <br />NATIONK POLLl1TMT DISCHMOE ELIMINATON SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />li-161 17-191 <br />~JG950037 UD <br />PERMIT NUMBER - o1stHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM U 'J 'J J TO U U U! ~ 0 <br />nrL]n n].]v n6]4 Of.Jb !]R-091 !36311 <br />Form APProved. <br />POND F/TRIB TO CA~~BJNOA;D~-oyoaR <br />(SUNR Nil) PProvel e~(~i~~05-37-98 <br />F - FI'IAL 1 <br />lIINOR <br />«. NO DIS~:IAH ;E )ZC_) aC: <br />. NOTE: Reed Instruetioro bef«e eomplstinp this form. <br />~~ <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING - !t Grd Onlyl GUANTITY OR CONCENTRATION ND. FREQUENCY SAMPLE <br /> l~6-531 !54611 13851 !4653 15461/ EX KYyS TYPE <br />l3i-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ls1s31 µ <br />!5468/ !63701 <br />2~1 SAMPLE ..:#~AJ:< :}.;;## ;/;~'' ~ ( IZ) <br /> MEASUREMENT <br />;:110'1 1 U U PERMIT. #-'FSiC{F: =#dt,"~ett:- ;~=:~: 5..5. ##==% ~ SEQ... ESKLY :?ISIU <br />:.F'FLUEIIT .;R:1j5 VALDE REQUIREMENT: 4'Ii:#Q ~4IY.i"~S.UIi 7{AYII:UI3 SU <br />.,JLID~, :;cTTLEAyLE SAMPLE ~%###4# #a###: G##r;--> rs#~ #~ ( ZS) <br /> MEASUREMENT <br />,iJi4S 1 U D ;.;~..~PERM17..::.::.. ~~ C+C'4p#~#:..i~~ :':~:~~1#>f'~#~.'i . ~#. ~ R~rtrbCII'3 . . ~~$##gl..~it~~~ Qr~ .. .. ...:~ t . <br />~~/ ~R~RB <br />ct'f L'JE'l'L' SRDSS PALUE ;REnuI.HEMENT~ <br />... t,ana ~ : Q.A ~~Y.. rIE ML/L ~ , <br />~tl8921i <br />.I i!, ANII ^iREASE SAMPLE ~'•`-t:~r~ k~k#~~; b~3#Gt1+ :P+ 'i S'I ( 19) <br /> MEASUREMENT <br />JS~J1 1A~ 0 PERMIT .-'+~-kT7h ..-::lc'f.^• #': :' r~#~>~# #Y#4 # 1Q ( 0"ITI~J :BA9 <br />cFP'LUEN1'N~6(II~$~~ VAL~iI' REQUIREMENT ~ ~ fi$.;c DAIL~S N4 8;/L u.°iflT <br />'r~L'Jw, IU 'C.~M II O~i SAMPLE ( U3) =~•+'Cr +'r# r. Ct~r:~#t` <br />l iriJ Ti2EAY>f;$l11' i'LA aiT MEASUREMENT <br />~DUSD 1'.0 D PERMIT. PTCJTAL ii~PDAT ~~:'r~r #:=s>` # '~t•'rtf## z ;:s# ( YO£/ 'YSFAb <br />::-r'FLUEhT ,R95$ VAL'J :': REQUIREMENT 3DDA iVa' PnILI !l .I~ P1GD 'kt='4# !~QY')•it ' <br />1IL ARD uREAS£ SAMPLE •.~f:~~r ( 91) Grvr3 ~+- rr• ~k ~+"=~+~~= <br />! ! ;i u A L MEASUREMENT <br />J4JLb i 0 0 PERMIT ,y:~'faor'~ itEPO$T~ I ES=1 XR~:c"X:s +#'~#~.# CYL'~!~'Y#^' = #r# 1 •N ,E/ IIS~UAL <br />oFFLUENT :.R)SS YAL7g :fiEQUIREMENT LN;T lfAR NO=J #'t{'~` t1aNT:t <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I cERn <br />M FN FV UNDER PENALTr of LAw THAT I NAVE PERSONALLr ExAMINED MD <br />AND BASED ON <br />eIUM WITH THE INFORMATION SUBMITTED HEREIN TELEPHONE DATE <br />RiDhard A. Mlln BDn : <br />A <br />OBTNN NG THE IXF011MATIONDII^eELIEVE THE ESUBMITTEO EINFORMATION IIS <br />ident <br />Vi <br />P BMITTING FAISE N ORMATION <br />MCLUD MG <br />T RPAE <br />TE <br />FOR S r] n <br />4721 <br />~ 72 <br />2DD <br />1D <br />li <br />ce <br />res , <br />SIONIRCAN <br />NAL <br />B <br />U ! 3- <br /> THE POSSIBILITY OF RNE MID IMPRISONMENT. SEE 1B U.S.C. 1 1001 MD 34 SIGNATURE OF P111NCIPAL EXECUTIVE <br /> U.B.C. 1 tBte. lANrel.. ISNw 1n.~ mnm. ~.Y hchAn fiw. w ro SfO,OW AR A <br />TYPED OR PRINTED .ronmu:nun Mllf/IAMMM1IWe.lnwnsmanNS rw6vwa/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRs/erence s!l effschmsnfs hefe) <br />I~ETTLEA3L8 SOLIDS LIN[f HALVED FOR L]-IR, 24-dR PRECIP ZV@Ni ~UcJE:.: I'0 RURDE9 OF °RTiF RFjI'IREi^,E'NT5 LN <br />yARf I. 3. 1. D, P. 5. 5fDR!IkATEit MANA~~.TEl:T PLAN DUE I-1-73. <br />A Form 3320-1 108-951 Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 D 3 3 3 / 9 7 0 H 19 -1 ~ 5 1 PAGE I OF <br />