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HYDRO31077
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Last modified
8/24/2016 8:54:46 PM
Creation date
11/21/2007 1:12:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Hydrology
Doc Date
7/25/2001
Doc Name
2nd Quarter 2001 DMRs & WET Test
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITTEE NAME/ADDRESS (include Faelllty Nmne/Lprarion if Dijferorq <br />NAME r.;Fkf'FH ...':I~:t;, I"'C. <br />ADDRESS ~ .. p c~ ~ ~ ~ ;; , _ .; . <br />.~ ~ p i'~ <br />FACWTY ~ ~". "~" <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR) OMB No. 2040.0004 <br />...r-i. ., l -! <br />PERMIT NUMBER DISCHARGE NUMBER -. <br />MONITORING PERIOD ~ ~~ ~ - ~ ~~ ~ ~~ I '~ ~~ f .. - I i. `, r <br />YEAR MO DAY YEAR MO DAY <br />FROM 1 ;)l: ") TO J1 ~: r~ 7 ~.:. ~ ~~', +I:hF ,. ~( ^::-.^. <br />`NOTE: Read Instructions ~beforeZ`6mpleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNa.>SrS <br />_ `: J ~ ' d i ~ .' ': ! ' ',; .. SAMPLE ~ .... ; :: ~f -r : ^: r: ~~ .. .. ( .: ' <br />t 1 7~ A P ~~. ~: I A MEASUREMENT <br />~ I <br />.~ <br /> <br />Y <br />' L J • 1 ~QUIIiE 's " _sv; t n;~'. ~ .! "~ ~~ ~~' °< *,t'~ <br />,. <br />~~ F, ~~ n ~ ,. ~ . <br />::)J ,: ni'.. I•i ~ ..L SAMPLE .... ... .:"Cr 'kC~"°`.:r ~}; ,!: t:' ~ ~+~ <br />:~ L'"':!''r. S I. -'~ MEASUREMENT <br />.. <br />:., <br />'¢ <br />~ <br /> <br />` <br /> <br />.; <br />t. e e~ L u t <br />~ r r : l ~ ~HC~RFlM~`hk~' ` r " <br />, e ry::::. : ~ ' ,, . ~ <br />.. ; ~ <br />. c -, 4 - <br /> SAMPLE <br />„"'r""- MEASUREMENT <br /> ~, t t,: <br /> <br /> <br /> SAMPLE `~ <br /> MEASUREMENT ~ ~ i <br /> t~ <br />~:.m>~'RAM~FT;''" <br />~~.~. r '.~';~ v <br />J7 <br />e"~ <br />`* *'ti <br />ar' • <br />lI <br />':' <br />' " ~ - <br />y ` <br />7+~'~11r <br />" <br />`~'~F, - <br />'S~..,, <br /> RE©I11flEM~N7 , <br />mow'.' ~, C <br />l v <br />r'~'>x. : <br />rss <br />;~ <br />_, .~¢ ,~ ~ <br />.;•tlo ~ , <br />SAMPLE <br />SAMPLE <br />SAMPLE <br /> <br />NAME/TREE PRINCIPAL EXECUTIVE OFFICER ICediy under penalry of lawthet this tlocument and ell attachments were TELEPHONE DATE <br /> preparetl under my tlirecllon or supervlslon In accordance with a system Designed <br /> b assure that qualllletl personnel properly gaNer entl evaluate the infonnsllon <br />~ <br />'d. GOrdOD FeteTS e <br />nlo <br />e <br />~ <br />~ <br />lree <br />ry <br />~b <br />e t <br />~ <br />enng t <br />9 <br />e <br />myit <br />on~ <br />«m ep <br />re <br />~ <br />~ <br />~ <br />ei <br />n <br />nre <br />m <br />~ ~~ <br />~~- 970-824-4401 O1 07 25 <br /> l <br />recro <br />y <br />ru <br />l <br />or <br />pe <br />in <br />ih <br />e <br />i <br />r <br />i <br />e <br />o <br />n <br />v <br />vo <br />h <br />r <br />n <br />u <br />o <br />o <br />E'rasident/GeDeral Manager thehestolm <br />knowled <br />te <br />andmm <br />let <br />b <br />Nt <br />el <br />tlb <br />ll <br />l <br />W <br /> y <br />, <br />p <br />su <br />m <br />B <br />a,lo <br />geen <br />e <br />e <br />, <br />e,accum <br />e. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED l em ewsre NatlMre are elgnMiwrit peneltles for submitting false inbrmation, <br />Including the possibility of fine antl lmodsonmant br knowing Nolalions. OFFICER OR AUTHORIZED AGENT <br />rnnc <br />NUMBER <br />YEAR <br />MO <br />DAY <br />ChMMPNTR ANn FxPLANATION OF ANY VIOLATIONS IReyernnce all attachments here) <br />.-]"r :. i. I'l -)-'~ )F Th. ... l~']idli'M1~, .. .. ',.'1 .. .~'r'. ~- ,.i <br />PA Form 3320.1 (REV 3/99 Previous itions may be us ~ - ~ ' " ' ~ T(IIS IS A 4PART FOR -PAGE ~'~ O ' <br />- . n <br />
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