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REP09298
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REP09298
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Entry Properties
Last modified
8/24/2016 11:38:57 PM
Creation date
11/27/2007 12:06:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
Report
Doc Date
3/28/1995
Doc Name
APPENDIX G WPDES DISCHARGE MONITORING REPORTS
Permit Index Doc Type
HYDROLOGY REPORT
Media Type
D
Archive
No
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PERMI TTEE NAME/ADDRESS //m /uJe <br />lariliry' Namc/l oralinu if AifRrrnll <br />NAME__YLa1=VlrY =UnL Lli_(J GIV GCS 11 ____ <br />ADDRESS 13U=, SLUl1I Yn LL_______ <br />___ E'Li1_~TAPe ___,____d'L cou~'1 _ <br />FAC=CITY _'~rL rT _ _ _ _ _ _ <br />T _ _ _ _ _ _ _ _ _ _ _ _ _ ~~ <br />LOCATION W. Ol,.ly=K_~YSDL1 <br />nC'i b: Ceiln~d $^ ei 4'h'Y6iee41~, i'NE;i1GEN'1 <br />NATONAL POLLUTANT D19CNApGf: ELIMINATION SYSTEM (NPUES 1 <br />DISCHARGE MONITORING REPORT I UMR) <br />rl-In1 I N~IV1 <br />CUU,f~v..'tl Vim, `E AMe <br />PERMIT NUMBER o s u <br />MONITORING PERIOD <br />YEAR MO DAY TEAR MO DAY <br />iROM y v U Ta 1 U }U <br />(1Q?ll (:?-l it l14-751 (76-771 (?8-791 IIOJII <br />tiLNUii <br />(~ U U n N ti) Fo]f(y gpplpved. <br />k' - F 1 :i A L OMB No. 2040-0004 <br />U l :. C N d1 ii 1; k. 4~'al~L4 A%B'~Y t 4; ~Itc~eC <br />.•+;: NU L'1scNANCE ~ ~ a;:# <br />NOTE: Read Instructions before completing lhle farm. <br /> l7 CdN Only) C ANTITY OR LOADING (4 Carl Onlyl QUALITY OR CONCENTRATION <br /> <br />PARAMETER <br />(46~S.JJ 1i4-6U <br />(J8-l51 (4D-S-7/ /5l~b 11 <br />NO. <br /> <br />E% fREOUENCr <br /> <br />OF <br />SAMPLE <br /> <br />TYPE <br />(J+-I71 ANAVe$ <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA %IMUM UNITS (d:dll 64dtl1 (69-]Ol <br /> <br />Y .f <br />SAMPLE <br />MEASUREMENT <br />~ i:vi}+: 1} <br />rv+ r r <br />0 <br />• ~ <br />;~'~>rr r'' <br />/. C~ <br />(• <br />S <br />( 12) <br /> <br />~ 1 <br />{/~ I <br />G4 <br />N <br /> V V <br />^~ g <br />VVV <br />UU'I;:U 1 v U PERMIT #R# a# ;I#%}#v# :::s.;: b.0 a####~ 9,U i1EEKL GRAB <br />Lf[LUL:N'1 UN0~5 VALU 'REQUIREMENT :: {I :: ;} tiIN1NU:9 NAYZdU:1 SU ' <br />~Ui1U5, 'lu'Tnl SAMPLE '/~'f'}i•~ ; d ""f' 1" f^'~ ^^' ~ / <br />b <br />~ <br />~ 19 <br />( ) <br />I/ <br />~ <br />~U.;1'LNLLU MEASUREMENT O <br />r 0 30 G <br />LUJ3U 1 li L' PERMIT #,f#0+'}# #C#:f## '•u+};: +4T}### 35 7U NCE/~ G$]IB ~. <br />kr'FLUtNrI GhUS.S VALU 'RECUIREMENT ;:v;:.~ 3UDA AYIa DAILY NY t!G/L NONT <br />V1L Ail l) VaLA~k. <br />k ucl.ti Y:YTn-GitAY iM1tT SAMPLE <br />(aEASUREMENT ~L#~;••J •J.}v it •fi 1}'~};:+.C.',Ii~ i:;l :}ri::: <br />~ ( 19) <br />~ <br />~ <br />^^ <br />I <br />~~ <br />'~ <br />V <br />VsiUJa 1 U G PERMIT ~~'Lh##4+} ~Yi'##L'%} #~i%i ##~};~Ls;Y #Yafi#'}{} 117 O <br />C <br />HTI G8A <br />B <br />.. <br />LFFLUCNi Git05;; VALU RECUIREMENT 1.~ivu Ili5T f7AY lyG/L GENT <br />1:1Vt,, 1'V'ISL <br />(d] k't:\ <br />I SAMPLE <br />MEASUREMENT :F;~' ~l; is xr~r;~%%.: ,: i~v;~~: <br />(/~ y ~l <br />`/. f"I ~ 1(~ <br />( ) <br />O <br />I ~^ <br />I _ `- <br />W <br />LlU4D 1 U <br />U PERMIT ##L`#{:y' ~'.~##### 'r %r#>.: #####YF 3.5 7.0 ONCE/ G~AB <br />': <br />~iF'LUI;N•i• GhU~S YALU RECUIREMENT :i{:~>r 3JDA AY.G DAILY NY flG L dON2 <br /> <br />kLUh, lh LUtLDU(1 L)~ <br />' <br />' <br />SAMPLE <br />O <br />lO~ <br />q <br />( L3) <br />V~r{=: ;: <br />i+iial#L+r <br />~~ii:}:f#:r <br />D <br />f T <br /> <br />1.I t; 11 '1hLA <br />1P.ii~ <br />I FLAB <br />MEASUREMENT <br />a <br />v, `Z9 '~ i <br />Y\ ~ <br />:,v U,LaU 1 lI '~ pERM1T NnkONT UPTIGNeL ~~~~;~~ ~~###;. #L#### 'aT}~ W£EKL IN5TAl <br />Le'!'LUk:h1 c; nOSJ VALD •RECUIREMENT 3UDA AYG DAILY C1Y ~l ~a (1 G#.'i# <br />:. 1.L111Ja i'UTAL SAMPLE <br />MEASUREMENT #4#i11v ;•%!+,•'v%}:2 ;+~};; :}i~: <br />33 v5 {` <br />3`f3 <br />( 19) <br />D <br />( / <br />~ <br />Lj~:rULY k:D v 3~ ~7Ea <br />7u~55 1 G U PERMIT ~' ~" ~'<#### ~o~;: # # #u OPTIONAL HEPURT pTRLY GBAB <br />GC FLULGS UfcOSS VALU RECUIREMENT y; ~.:f# <br />QRTk AVG <br />DAILY NX <br />dG/L , <br /> <br />. <br />G!i ANC t;hlASL SAMPLE +}~+=}#.~~~ ~ ( yu) ;:;I{::k;L;. #~:4:.#~} m##s}## ~ <br />~ ./ <br />Yi:iUtlL MEASUREMENT V-se <br />LLIULO 1 U J PERMIT ~ ~ ~# V LS=1 ::L:Y#il;i ###'~## ####4`O '#'~}$ YEEKL YISDS <br />Lr'k'LUcNT Gfi05S VALU +RECUIREMENT INS2 lIAY 16U-U #### <br />NAMElTITLE PRINGPAL E%ECVTIVE OFFICER I cERTar UNDER PENALTr w uw THAT I HAVE PER$ONALLr Ex AMINED TELEPHONE D A T E <br /> <br />~LI~IA• r TO~MC <br />~' J _~C <br />J AND AM FAMILWR WITH TFE INFORMATKXI SUBMITTED HEREW AND DA$ED <br />ON Mr INQUIRY OF TIq$E NDVIWALS IMMEdATELY RESPONSIBLE FOR <br />OBTAIN <br />NG THE INFORMATION I B <br />LIEVE T <br />E S <br />TTED <br />I <br />B <br />R <br />T <br />.. <br />ddd~~1 / I <br />$ <br />H <br />U <br />MI <br />INFO <br />MA <br />ON <br />E <br />TRUE. ACCURATE AND COMPLETE I AM AWARE -UT THERE nHE <br />$IGNIFIUNT PENALTIES FOR SLIBLYTTING FALSE INFCRMgTpN INCLUdNG <br />l <br /> <br />Vd (} <br />S~ <br />THE Pos$IRILIrY OF FINE AND MPRI$oNMENT SEE IB u$C f 1001 <br />ND ~ <br />3 _ ~ <br />310 ~ ~O ~~ <br /> ~, A <br />3] usC f u <br />9 <br />/Y <br />n <br />Ih <br />Nl <br />li <br />ll <br />M <br />' ~I <br />J SIGNATURE OF PRI IPAL E%ECVTIVE ~~ <br /> <br />TYPE OR PRINTED 1 <br />( <br />r <br />u <br />cu su <br />a nut <br />na <br />er <br />u <br />c <br />nes uy to <br />flU~) anJ ar Irtlvmum nllprisrmmem of Dnuccn d nronths anJ S /wrsl <br />OFFICER OR AU ORIZED AGENT AREA <br />NUMBER <br />TEAR MO DAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS (Rr@rCOCe all aflachmrnb hurl <br />t,r.~ ti b>~Sh--Sac kUCPNU'fa t'/, PtiGc: ~. yti'i:iLY S:.~ING 1h~I'riUCIlON~--PUU'i'YUTE D/. <br />• <br />
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