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HYDRO30953
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HYDRO30953
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Entry Properties
Last modified
8/24/2016 8:54:43 PM
Creation date
11/21/2007 1:04:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Hydrology
Doc Date
8/3/2001
Doc Name
2nd Q 2001 DMRs/ cant read
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMfI'TEE NAME/ADDRESS (/nelude F'adliry NamdLsrntion l/Digomy <br />NAME <br />ADDRESS ~ ~ ~ , <br />FACILITY <br />LOCATION <br />NATIONAL POLLUiAM DISCHARGE ELIMINATON SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB NO. 2040-0004 <br />' PERMIT NUMBER DISCHARGE NUMBER _ ' - <br />MONITORING PERIOD - ~ ~ - <br />YEAR MO DAY YEAR MO DAY <br />FROM "' TO ~ ~ ~ - ~ ~ ~4, <br />NOTE: Read Instructions before'COmpletingthls form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX of TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~-~/S <br />o SAMPLE ~ ~ - ~ ; <br /> MEASUREMENT <br />- - - . , u PERMIT r , .... - ~ ~ . <br />- <br />~ REQUIREMENT ~ - . <br />_ <br />. ~ . ° :: - SAMPLE ~ -' <br /> MEASUREMENT <br />.I i.: .. PERMIT - .. ~ -. ~> ~~ r, .. <br />I REQUIREMENT - - <br />_ ~ SAMPLE ~ ~ ~ ~ ~ ~~ ~ •~ <br /> MEASUREMENT - <br />1 PERMIT ~ ~ ~ ~ - ~ ~ ~ ~ - , <br />• ~ REQUIREMENT <br />~ _ SAMPLE <br /> <br />... <br />. <br />~ MEASUREMENT <br />. - <br />: PERMIT - ? v t" _ , ,. :. ., .:. ; . i <br />- I r REQUIREMENT - Y ~; ~ - <br />1. ~ ~ ~ ~ SAMPLE ~ ~ . <br />r ~ - MEASUREMENT <br />/ ~- .. PERMIT .. _ .. , <br />' <br />~ REQUIREMENT - .r - <br />_ <br />, <br />.: '. ...: SAMPLE <br />_ MEASUREMENT <br />'_ - ~ PERMff ~ _ <br />- _ ~ REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER IGwry untler panalry al law Nat this document antl ell attachments ware <br />tli <br />i <br />d <br />i <br />i <br />d <br />i <br />h <br />i ~ TELEPHONE DATE <br /> untler my <br />rect <br />n accor <br />prepare <br />on or supems <br />on <br />ance w <br />t <br />a system des <br />gned <br />to assure Net qualiPetl personnel propatly gather end evaluate tha inlormetion _ •f ~/ % / <br /> <br />i <br />j <br /> <br />~ <br />' ~ '~-~ ;~ , <br />~ <br />~ <br />_ subme[etl. Bazetl en my Inquiry of Ne parson or parsons who manage Ne system, ~ - ~ ~'~ _... <br />/ t <br />~~ <br />~ <br />a • ~ ~ 1 <br />t (,l <br />i ~'~ ~ <br />' <br />~" ~' <br />- or lhoee persons dlrecTly reeponslbla br geNedng the lnbmation <br />Nelnlonnetlan r. <br />` _ <br />~ <br />t <br />~••l <br />~ ~ ~ 1 • (' <br />' <br />i r .,"~ , <br />aubm'aletl Is , to Na best of my knovAedga erb bWiel, true, accurate, antl complete. SIGNATURE OF PRINCIPAL EXECUTIVE ~~/~ <br /> <br />' TYPED OR PRINTED I em avare Nat Hare era elgnlfcant penalties for submitting false Inlprmation, <br />includin Ne ssibili dine antl im risonment br knowin violations. OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments here) <br />_ ~ <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. ~ THIS IS A 4PART FORM PAGE OF <br />
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