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PERMITTEE NAMEIADDRESS (/nrhde <br />Farilny Namr/Lamrian Ud' snot/ <br />NAME_CULGr. O COAL!'IT~E~INY------_ <br />ADDRESS I:t_L_1 :rYU hilt! l: _ --_-_--_ <br />FACILITY _ _ ~ _ <br />LOCATION-_-_-_-_---'_-- ---- ---- <br />I'.'.. HL'NAIfD G ArEih ;u i;--- <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPD£Sl <br />DISCHARGE MONITORINOREPORT /DMR/ <br />!7.161 117-I9/ <br />r:rl„1f:i1i017 u0 <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />- YEAR MO DAY YEAR MO DAY <br />FROM ~ TO , <br />+ /167/1 ~ /71-731 /71-7J1 ~' /76171 178-791 /3x311 <br />Norm Approvuo. <br />F - !' 1 '. n L OMB No. 1!040-0001 <br />fo d e)Iplre~ 01 <br />rtt Lur.DCwc r6c rq T1~ u~ ..:•.c~r <br />I I <br />r <br />niNO,, c~,u[IH f+a~ n~rAr <br />NOTE: Reed Instructions before complellnp Ihle form. <br /> l3 Card Only) QUANTITY OR LOADING <br />~~ MCmdOnlvl. OUALITYO CONCENTRATION - <br />NO. <br />FPEOUEHCY SAMPLE <br />pARAMEfER l/653) ~~, (JI-61) ~ (38~l1- l~6331 !SI.61J E% OF TYPE <br />/11-J7J <br />- AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~ <br />67.67 ANALYSIS <br />" /66681 <br />l69-70/ <br />{ I. rt N h •~ tl ., A 5 ,. ~ SAMPLE _ _ , -` ' <br />. ~ IJ A h ~ <br />` MEASUREMENT - .- <br />` ._ . ~ i <br />~1 r, !,L ]_ Q <br />.D `- '~ PERMIT'. •.- V rYA 01 :d ~ O {'.$_], ?4 <br />Li ~~ 4YL4 QIfl tG SY AY \YqK 4 tK=C; ~ <br />_ f?.KL I UAL <br />':'it14';i'1 Git09$ YAL(1° ~EOUIREM~,NT,a ~ ~ . ~~ MY ~F. NO=D i ~ .r ~ k `M.' :c f,:>~1. :~, ~ <br />:. <br /> SAMPLE •, <br />MEASUPEMENT~". <br />Si - }? + .- <br />,,, ~j I+ .. <br />[ ~ .. <br />1 - _ ~ - I <br />~ J ~ <br />- ~ <br />:e <br /> . 7>• ~ ~• ~_ 4 <br />- <br />~ ~ • ~~ <br />' ~ ~ ~ 8 O <br />.. n EOUI[IEMENT .,, t?: <br />H Ob0 <br />'. '~ <br />~ . <br />.O.u - <br />•~ ~ <br />,s ^' SAMPLE :'_ •i C / <br />f _ <br />~ _ '•~ '/~/ ~~ ~ ~ C ! f: I ~ .S b; 1' i <br />I <br />i <br />_ 4, i IIEASOPEMENTi (, T ' r i <br />- <br />-. <br />E <br />S <br />Y <br />~ <br />' <br />~ <br />~ ~ ~ - r <br />~ . <br />•Q <br />wN i <br />c <br />I _ <br />_ DLVPE/4ENT ~ <br />4 <br />~ 'ry <br />.~ L - r6 .. ~ . ..: ~, <br />G e •: <br />' x ~ H <br />- ~ . , • <br />- ~ ~ <br />u ` SAMPLE . i <br />MEASUREMENT•~ ti ~.~ <br />~.. -- j .. ~ <br />~ '- ~ '~ ~ .~ <br />o' j .~ <br />_ ~' ! <br />j O ~ <br />I <br />~ C ! ' <br />1; C dW <br />~ <br />+: <br />- _ ' <br />+ <br />~s+ <br />~ <br />J <br />} PERMIT! tiT <br /> <br />EDUIFIEMENT <br />qq <br />K <br />~t <br />' ~ ~ ~ ~ ~ <br />I.~, <br />9 ~ F <br />• p ul C <br />f .~ <br />~ r°" <br />~ <br />r ~ <br />( :~ ;] <br /> <br />/~ =1 ~ 7 <br /> <br />i ~ <br />q <br />$ <br />. <br />1 <br />1 O' M R ~ 4 ~ i. <br />i <br />. ,. + <br />,Y ' .~ <br />J <br />~ <br />u c. ~.,; ` :1 SAMPLE <br />MEASUREMENT'- ~• v <br />~ t^ .r ~ i r <br />~: ~°- <br />F, c <br />~ ~ ~ ^ - <br />~ r n' <br />i '. ' <br />~ - I • • <br />I <br />4 U i': <br /> <br /> <br />I J <br />• <br /> j ... 4 ' <br />I _.. m <br />' ~ to - I <br />~ <br />-• .., n+ MEASU7IEMENTd ~ `: 'cr c c, r i - _~ 1= -. !% . <br />U .~ n ^ <br />~ <br />u: -i :T ~D4EREM NT~ ° ~~ `~~~ f.~ S .~ ~ <br />1 a~ ' ~, * ; -1 <br />`~' 1` ' <br />~ { <br /> r Z , <br />' ;. <br />. <br />' p, <br />' <br />~~ SAMPLE .' <br />MEASUREMENT+~ ~ ~. ~ J <br />-' <br />L ! .. .~ ~~ <br />- V 'v ¢ ;, <br />.~ `. <br />.: ~ ~~ .. h <br />C~ <br />I <br />= <br />m 'r , <br />`~ 1v <br />~ <br />n: n . ^ <br />r _ ; ~ r I , <br />- <br />T ~ +`' '~ <br />' PERMIT 7 Twp7 . <br />Q"~ <br />: <br />+4 ~ <br />~., . <br />h r~ + •~-' }pQfij~ i~~ <br />S~ <br />H <br />~ y <br />A. <br />~ <br />~' 0 <br />- L' `' i i?` O'-~A~.' <br />~ <br />~ _ r cT O IRE ENTH ~ <br />V• , <br />: .. r <br />.#~. <br />-:2f . _ j J ee, <br />NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER ,I CERTI FY UNDER PENALTY OF LAW THAT I HAVE P ERSONALLY E XAMINED _ <br />' TELEPHONE DATE <br /> ~ <br />AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED - % <br />'~ <br />~ '• .- <br />~ <br />.+ : j <br />~ <br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY' RESPONSIBLE FOR - ~ I <br />k. G. ATKINSON ,~ ,~ +~•~ ~ <br />~p OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION - _ <br />IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIG /. ,i.~/, ~ - <br />INCLUDING <br />IFICANT PENALTIEI3 FOR SUBMITTING FALSE INFORMATION -+ +- _'• <br /> <br />30 824-445 _, ~e <br /> <br />~~ 04 <br /> <br />14 <br /> <br />92 <br />~ <br />AN,)~ENVIRONIfENTAL• AP~AI <br />Vl' L , <br />SEE 1B U <br />1001 AND <br />P <br />I <br />O <br />MENT <br />S <br />C <br />1 r' ~ <br />. . <br />. <br />. <br />. <br />. <br />HE POSSIBILITY OF FINE AND IM <br />R <br />S <br />N <br />$IGNATURFi OF PRINCIPAL EXECUTIVE <br />' ~ <br /> av ro i/O, MO <br />33 U.S.C. •1 1318. (Prnalrim under rher narvrm may InduG Mr+ <br />' <br />TYPED OR PRINTED andwmarlmum lmOr4onmenl o/6rruarn6monrAfand lyror:./ OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO ~ DAY <br />COMMENT AND EXPLANATION OF ANYV IOLATIONS /R1/ertna al/altxhmentr lurtl ~ <br />+'11: ~II1, i.-G4HE'A!iE--S?F. FQO'rNU7"c Y/ IN 1'HE YEat11'C. $E'rTL°Ab(.i; SOLIDS rZSY kEl:llIhiD ONLY Ih' <= 1: O-Y-Ha-24-k!{- <br />;_.~lN iv ENT CL.AI"E'G. IF CLR[M ANYlIGVr.!) 1sY J+,~:Dr 'I'Si; t~ Ihgk LIr+ITS NTLL Ii0'Y U` Ai'S'L1iiU 'f0 ttEPlIHTdU <br />EPAFom '.v. ) lou f/o'sma IE CES RM, HICHMAYNOTeEUSED.) OF <br />