HYDRO30953

• 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

PERMITTEE NAME/ADDRE55 (/nNrrde Facil/ry NomNL¢rannn i/Diga¢nq NATONAL POLLIlrANT DISCHARGE ELIMINATION SYSTEM MPDES) Form ApprOVed.
NAME _ DISCHARGE MONITORING REPORT (OMR) OMB No. 2040A004
ADDRESS ~ ~ ~ ~ J ~ ~ - ~ ~ ~ ~ ` ~ - ~ -
r
.~ ~ _ PERMIT NUMBER DISCHARGE NUMBER ._ !~r
FACILITY ~ "' MONITORING PERIOD ~ ~ - ~ - "
LOCATION YEAR MO DAY YEAR MO DAY _
FROM - TO _ ~ ~ ` "
- NOTE: Read Instructions before'cafipleting this form.
QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FflEDUENC SAMPLE
PARAMETER EX of TYPE
AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~-~/S
SAMPLE ~ ~ ~ ~ ~ '"
MEASUREMENT

" ~~,~_. ~ REQUIREMENT ~~
.. ~ , - ._ ,.. SAMPLE
MEASUREMENT
. ~'~ ~ :f .. PERMIT - - ~ ~ _..
- _ REQUIREMENT ~ - ~ I ;
.. !. ". ~ SAMPLE ~ .. ..
MEASUREMENT
- - - . - PERMIT - ~ - -
•
- ~ ~ ~ REQUIREMENT .~
~.•• r - SAMPLE
. :~ ".. MEASUREMENT
,1 v : ~, ~ PERMIT .. .. . .
I REQUIREMENT ,
• - - ~ ~ SAMPLE ~

'~
MEASUREMENT _
'
i ~'...' . PERMIT .. .. ~ ,
_ - ~ REQUIREMENT ~ . "
' ~ ~ ~ SAMPLE ~ ~ ~ r -~~
~. L _ _ MEASUREMENT

-. REQUIREMENT -
SAMPLE
MEASUREMENT
PERMIT
REQUIREMENT
NAME/TITLE PRINCIPAL EXECUTVE OFFICER ICeddy under penalty Mlawthat this document and all ettachmenLS were
i
d
i TELEPHONE DATE
prepared un
er my d
ren
on or supervision In accordance with a system Designed _ _ I ;
,~ ~ r ~fl ~, •. _ to assure that qualitieD personnel pmpetly gather entl evaluna the IMOrmation . ,
,~, --
subm'Ated. Bayed on my inquiry of the p¢rson or persons who manage the system,
or those persona Diregly responsible br gathering the Inlomiation
the Information _
' ~ j
r ~ ter, ~ I

.
I I = ~^ -
I
~
/~)
~'
~
'
) .
~ ,
submilte0 is
to the bast of m
krwwled
e end belief
we
accurete
end wm
lete t
r ,' ~ •~
I l~
,
~ ~ ..
_ ~ ~
_ y~ ,
y
,
g
,
p
.
, SIGNATURE OF PRINCIPAL EXECUTIVE ~~

TYPED OR PRINTED I em aware Net there ere eignificeM penalties br submiMng false Information,
Includ the siblli Wine anD Isonment for Nnowfn violations. OFFICER OR AUTHORIZED AGENT
NUMBER
YEAR
MO
DAY
GOMMtN I S ANU tXYLArvH I I V rv V t /irV r vl V L.H I I V NS (Ifele(BDCe aft aRaCDIRBDfS nere)
a • • 1 ~ o
EPA Form 3320.1 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF