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HYDRO31358
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HYDRO31358
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Entry Properties
Last modified
8/24/2016 8:55:05 PM
Creation date
11/21/2007 1:37:04 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981018
IBM Index Class Name
Hydrology
Doc Date
4/21/2001
Doc Name
March 2001 DMRs
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITTEE NAME/ADDRESS pnclude Facility NomeQacafion ijDifferenr) <br />NAME <br />"i. 1. r..; r'~'t:a _'... , ii... <br />ADDRESS . ~ ~. ,_ ;. -• ~.. L y . <br />FACILITY .~~: I.: .. ~ -i <br />LOCATION <br />.~ rL~P• rii. <br />NATIONAL POLLU7ANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMRJ <br />- PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM '' ~ TO i : S i <br />Form Approved. <br />OMB No. 2040-0004 <br />. 1 ) <br />r,- '' ., F' .. <br />.p_.. ~ ~r: I'd p7.: i. ,.. .::U 7t .. <br />'_.For; - <br />NOTE: Read Instructions befole Ipleting 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 ava.ys/s <br />.: ~.., ;:, ;: SAMPLE .. ..': _: ~-.::: ~ ~.. .~. .. <br />/ ' , : F I. MEASUREMENT <br />L ~ PERMIT C#9#QR L "c. ,-! CCa1:##~ G+f4t## OCstsir#ik ,. ~.'r~ `fl ~A~. <br />Y ,2 <br />S~ <br />kI <br /> <br />~. I' ., lP, i. ;: <br />REQUIREMENT <br />- <br />L.tiST p}AY <br />•-r.- , <br />, , <br />. <br />; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />-,. .= ,r <br />.- .. 3 .::, <br />_ .:;.. <br /> <br />~ <br />. ~ .,c.. <br /> <br />~ ~ .... <br /> REQUIREMENT ~ '" <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ .. ., -;,. ~..~ ~ --e <br /> REQUIREMENT ~~vys ` <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> P RMIT :I <br />~ ;•~:s:3 <br /> REQUIREMENT ~' <br />~~" t r'.: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT z+;r:,~,` <br /> REQUIREMENT ~ ~' _`) f <br /> SAMPLE <br /> MEASUREMENT <br /> " PERMIT ~ r v `:2 - ~" "s' . ~;' ~ -s' s <br /> REQUfREMENT . - ~ - - - <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />< -, <br />_ <br />. <br />"- <br />.:::;::::.._ <br /> AEQUIREMEN7 .. -- -- - -- - .. _ . _ _ _ . <br />.. . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Certiry uMer penalty of law that Nis document and ell attachmeMS were <br />tl <br />ti <br />i <br />i <br />d <br />i <br />t <br />i <br />h <br />d <br />i <br />d TELEPHONE DATE <br /> <br />57 !1 <br />7` <br />( <br />r f! ( <br />~ <br />/ <br />" prepared un <br />ar my D <br />on orsuperws <br />on <br />anca w <br />a sys <br />em <br />gne <br />rec <br />n accoi <br />t <br />es <br />to assuretlutqualified personnel propadygaNer antl evaluate the inlormatlon _,. <br />/ <br />,J <br />( <br />f <br />/ <br />r <br />~ <br />submidetl. Bazed on my inquiry of the person or persons who manage the rystam, - <br />~~' <br /> or those persons tlimctly responsible ror gathering Ne Inlormation, Vie intom~atbn - <br />_ ~ J L ~ _ a submined Is, to the best of my knowledge and belief, we, accurate, and complete. SIGNATURE OF PRINCIPAL EXECUTIVE ./i~' ~ / 5 :' i ~ `''I U ~ Z <br />TYPED ~~PRINTED lam aware that Nere are significant penalties for supmining false lnbrmation, OFFICER OR AUTHORIZED AGENT A <br />NUMBE <br />YEA <br />Y <br /> inctudin the ossibili olfine and im nsonment for knowin violations. R R MO DA <br />GUMMENTS AND EXPLANATION OF ANY VIULATIUNS (Reference al/ attachments Here) <br />_ .. .: 'd . <br />~. _ i . .. ' ~ . , y ~ ;t ~ " i 1 : "1 . . ~ ~ J • _' l i , )..i :. a ~ ~ t `. . - ~ ~ l . .. i . ' ~ r' . V Z f . l • ~' ~ L. ~ <br />EPA ~ orris 9320=1 ( EV 3 9$)` Prevfous`e~itionsFrnay be used. THIS IS A 4-PART FORM PAGE OF <br />OO:rJi/OJ~717-1 ~ i <br />
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