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 />
|