Laserfiche WebLink
PERMITTEE NAME/!"'RE55 pn,Nb F.rWryNaJferulo, l/D,Qrnp <br />NAME ., <br />ADDRESS ~ .,~ 1.., , ~. <br />.. .. .. a .(1 .:ivli. <br />FACILITY <br />LOCATION <br />NATIONK POLLVTAN' 'CNAROE FLIMINATION SYSTEM /NPDESI Form A(• '.ed. <br />DISCHAR(' 1NITORINO REPORT IDMR) - <br />I746i 17-ISl - ~ : ~ ~~ ~~ - ~ .OMB NI 40-0004 <br />' ~ 'Approval expires OS-31-98 <br />PERMIT NUMBER DIBCHAROE NUMBER - <br />c _ r F i <br />MONITORING PERIOD "t `I I I' <br />YEAR MO DAY YEAR MO DAV __ <br />FROM ~f 7 Ci tli TO :7 C y ':' :> ~: ;, ,~;. ,. • ,..~ : ~ i ~. <br />!767/7 l77-731 !74751 176171 118491 l3a311 NOTE: Rud InstrualonB belon edmplBtlnp ~thlx loan. <br />PARAMETER l3 Grd Ontyl QUANTITY OR LOADING M Grd Onlyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> !0653) !5461 l38-151 /4653 1546// OF <br />lJ7-371 EX <br />ANKrsls TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 167~5]I 164581 !59.701 <br />... ~., .: ... ... SAMPLE ,.: r,:::::}:: i •'1•i iq:i t~:) +i :; ~;;':: .. <br /> <br />y MEASUREMENT <br />~ .: ~ i <br />: _ . - PERMIT ~ .. .. ::.:n:: r,: ; ~ 1 e ic. t ~: r51>>; ;::5. ~. ~ ~ ..^ :, r ;:; _;; r r.:; ~. <br />~ <br />" <br />' <br /> REQUIREMENT " <br />i , ~ ; - l1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ PERMIT <br /> REQUIREMENT ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .. ~ ~ ~ ~ ~ ~ ~~ <br /> REQUIREMENT ~ ~~~~ ~ ~~ <br />~ <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER 1 cO1nFY UMDFA FENKTY of uw TNAT I NAVE vERSONALLr ExAMINEO AND <br />AM FAMIONI WITH THE INFORMATION BUBMITTED NEABN• AND BASEO ON ~ <br />% <br />~ TELEPHONE DATE <br /> MY INQUIRY OF TNOSE INDINOUKB IMMEDIATELY REBPoNSIBLF FOR ~ ' <br />~ <br />~ <br /> OBTNNINO THE INFORMATION, 1 BFDEVE THE BUBMITTFD INFORMATION le , <br />i 1: ,.,, -__, <br />/ <br />- /~ <br />~ <br /> <br />' <br />j ~ ~ TRUE. ACCIIMTE AND COMRETF. 1 AM AWARE THAT THERE N1E <br />SIOMINCANT PFNKTIEB FOR BUBMITIINO FKBE INFORMATION <br />INCLVDINO , <br />^ ~ ~ <br />( ~ <br />' <br />11 ` <br />~ <br />1~/ <br />I ~ <br />j <br />~ <br />~ <br />~ ~ , f h ! <br />, ~ I <br /> <br />~ : I ~ ~ : <br />I <br />THE POSSIGOTY OF RNf AND IMPWSONMFNT. SEE IB U.S.C. 1 1001 AND ]] <br />g'IDNATURE OF MINGPAL EXEGJTNE , <br />' - <br /> U.B.L. 1 1]10. Ih,rl>. uW tlMM mem. m.r ~. Fi1F/ W ro ! 10,000 I AREA <br />TYPED OR PRINTED r.srnnnirxne insYmawNNAMr..nEmalWa rMSy.A'+/ OFFICER OR ALfT1/ORIZED AQENT CODE NUMBER YEAR MO DAY <br />GVMM[N I5 AMU [AI'LAFIA I IUN Uh ANT YIIJLA I IVrvi /rteFIFI/ICI e// IRICOTOOr3 DI/I/ <br />.;_:l...F..:,.,. .:..i':.. :.:i'.Ii P!'+!.li.., .)nLl Lt' <= 1.Ci-'irt. ~4-li- ?i.,`'C?E FYFfl". 7` C'L',:.":!~i'. _._ .',-. 1 <br />-. ~!.. .. _.. _. L~.i .+1.. .. ii~.l! ., ~.. i~P"l.l:.v !I: r'h I'1::.'i ~._ I~. F. F. <_U Fi P.MEX°`""•.F F..! ~~ i:. 1 .~ .._'~ .. <br />EPA orm 3 0-1 108-961' Previous adilion~ may be used. ~ /REPLACES EPA FORM T30 WNICN MAY NOT BE U8ED.1 PAGE OF <br />of :~~l .q/: ~ ]i:., _: :. - <br />