Laserfiche WebLink
PERMITTEE NAME/ADOREbb (/n Nude <br />F~riliry N~m(`~/LDLV(bn '! di//frrnll <br />NAME_ YtnDU~Y (.06L CO_(SENECA I,.--_- <br />ADDRE5913G(J SOUTH YALE _____ _ _ <br />___ FLn=STdFF ____-___ dZ N6U01 _ <br />i <br />NATIONAL POLLUTANT DICCNAg06 CLIMINATION CTITIM (NYDESf <br />DISCHARGE MONITORING REPORT /OMRI GI MOB? <br />l1-161 (17-191 <br />CO JuUl 1 GGi p ~ (5UiiR !IY) <br />PERMIT NUMBER oucNAqua NUNaaA i F - FI tiAL <br />FD1f6a7plpved. <br />OMB No. 2040-0004 <br />~.....~.eA s....lr.a ./a~aw _oA - .- <br />MONITORING PERIOD ; ui~L.nanac x.v-a-nav>~nvn• vuar.o <br />FAGB_RT /~7 .- YEAR MO. DAT YEAR MO D T <br />LocnnoN ~~ ~.OC~~F[f/' FROM ro I ~#t ,yU DISCHARGE ~ ^%~# <br />Gld.1~ <br />~~~----- ~ <br />---- <br />T i i.: '~' ,~w--~ ` ° ~' `°° • P A E S I C E H T (msu (a-vl l~+~n) r~s-a7) ris-1yl lJo-n) ~ NOTE: Read Instruetlons before ompleting this form. <br /> (J GIV OBIy) GUANTRY OR LOADING (+ Grd Only) OUALTIY OR CONCENTRATION <br />PARAMETER l+6-SJ) (J+~ll (J8-IJ) 116-JJl (J+61) ~' ~D~F ~Y ` <br />E <br /> ANA <br />YB TYP <br />()1-J7) L <br />R <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRB <br /> (e7d)) (y1M11 (6970) <br />SL d5D ~nkAS' ~###~~ ( 94) #WCa#:: =rY•#:1:~: :=4s;T# <br /> 9AMPLE <br />I S U a L MEASUREMENT <br />4;,66 l v U PeaMrr ?34 1 :. ES=1 #o # u#t 3# LtO? t riO1C SiEESL VSSUA <br />FFLU6N^1 ~bOSS VALU RE°ul1~ENr. Itl5Y`.'tlAX HC=U >sa~a <br /> 6AMPLE I <br /> MEASUREMENT I <br /> . PERMIT :.~- .. ;.. .~ .~ , ~ ~'~ - .. <br />~ f <br />. <br /> REOUWEMENT - .. .. ~ 'I' ~ <br /> <br />SAMPLE i <br /> MEASUREMENT I <br /> .:. <br /> <br />PERMIT' <br />. ~.:... <br />,. _ .' "... , a <br />., t.i <br />.. '- <br /> <br />~ <br /> <br />.. <br />. <br /> REGWREMLNT-. i <br />."_~','.~-,.:.'...'~.. ';'~:k, ..:.. '.: <br />'~~' ~ .. .. <br /> ; . <br />~ ., <br />I . <br /> 9AMPlF I <br /> MEASUREMENT i <br /> PERMIT <br />REGUWEM6NT' _ <br /> <br />-, ~ ~ <br /> <br />f. <br />' ' <br /> SAMPLE <br /> MEASUREMEM <br /> PERMR.' '.I 1. '.. ... <br /> - 1 <br /> SAMPLE <br /> MEASVREMENT <br /> C ~ <br /> REQUIREMENTr ~ ~ <br />I ~ .' . - . <br /> SAMPLE i <br /> MEASUREMEM ' <br /> ~PERMR 'I <br />` Y '~ <br />I . <br /> RECUq'EMSN7 ,i . <br />Tl <br />~ . <br /> r~. I <br />- <br />TAME/TITLE PRINCIPAL E%ECUTIVE OFFICEP I CEIRIFY WOD1 PEN4TY OF uw TNAT I IYVE PERSONN1v ExAMNED TELEPHONE DAT E <br /> <br />\ <br />~ AND AM FAMLMR WITH TIE PFOgMI.TgN SUBMTfED HFREMI AND BASED <br />DV MY aJOl91tY CF T.4.E ldVD1Y\LB NWED4TELY RESGONSIBLE FOR <br />.Q IArN aS ~O MPS OBTANMIG THE fiQiMATgN I BELIEVE THE Si1BMITTED NFORMATIDN 9 <br />~^ <br />/ TRUE ACCURATE A1O GDMR.ETE I AM AWAPE TlIAT THERE ARE <br />O <br />R <br />' <br />E <br />` <br />'°F <br />P <br />T <br />~ <br />I <br />~ <br />~ <br /> <br /> <br />~ <br />B <br />nY OF <br />Fl,E A.\TA W <br />TH <br />! <br />PO~ <br />RLS« MEM~E~ <br />9 <br />; IOO <br />t <br />YlD <br />C <br />99 USG 1 1918 <br />clu4 f <br />I <br />d <br />IA <br />Y <br />N <br />A <br />b <br /> <br />SIGNATURE OP INCU'AL EXECUTIVE <br />7j <br />6>~ <br />/~+ '^1 <br />V { <br />ZS <br /> <br />TYPE OR PRINTED . ( <br />TR <br />U <br />ua <br />v <br />: <br />a <br />tn uPY m <br />ine u0 ro <br />' JIOgX1901 ar marimum impnOLllalll d Nraeen 6 mmrN IIIO ! Yvn) <br />OFPICER OR VTMORIZED AGENT <br />A EA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />AND EXPLANATION OF ANT VIOLATK7N8 (XeIF/Gfre U! ElYTBmNItl Bert) - / <br />7SSE--FOOTNOTB F/, PG 3. SETTLEABLE SOLIDS LItl T APPLIES OtlLY IF C= 10-Yh, 24-tlR PRECIP E RT IS <br />"LAItl APPR.OYED 8Y YQCD, TSS E IRON LItlITS~LL YOT B~ APPLIED TO REPO[iTED tlEASUREtlEYT~SEE <br />-'TP• Yr1f'O YMGR F Mr1u?YiY TI•C CejG.gj,p S--_ rr ., :~v \I ci~nn om~~~_1^-•T r.r~.-~~.-~.- ..a <br />