|
FPCdiIy NLmrlLuElN•%/di/Jtrrnr/
<br />NAM[-S.I11. '~~J111SRYJ~.d2IY-------
<br />wooREnrl)~~r~HTNF ----------
<br />---5]l1 SrArR g3S71NA3~3_-------
<br />•AErurT
<br />LOCATION __------
<br />Al'Tt:: RI.:1IPRD G. RTRINSON
<br />V DISCHARG`• MONITORING REPORT~lO6IR1 I~~~
<br />7-l~ n 1
<br />PERMIT NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAY
<br />FROM IJ TO
<br />/70.71/ (7273/ 17+~7J7 (a~ ! (1 I91 !J 31/
<br />FIINOR Form Appro.
<br />(BURR NV) 11~i~ATNo. 2oau•oooa
<br />F - FINAL EXplres 9-30.91
<br />STREETER CULCR TO GOOD SPGS CR
<br />### ND DISCNARGE ###
<br />NOTE: Read instruction} W}ora completing this form.
<br /> (3 Card ONy) GUAHTITY OR LOADING (1 Card Only) QUALITY OR CONCENTRATION TREOUENCY
<br />RAM PLE
<br />PARAMETER (E6-J3) (Jldl) (Ja-lJ) (16JJ) (J(61) NO.
<br />EX OF TYPE
<br />(37-31)
<br />AVERAGE
<br />MAXIMUM
<br />UNITR
<br />MINIMUM
<br />AVERAGE
<br />MA%IMUM
<br />UNITS
<br />61LJ) ANALYSIS
<br />(61 LXI
<br />164-1U)
<br />I'.{ BAMPLE ##`r### ####+''-# ( ) ###### ( 12)
<br /> MEABUREMENT
<br /> `~ &P6RM3T.", .~
<br />~#~a ~ ~e~'~ ~`~~ 'G::;~';• ~,s~ ~74#~~.yi';~ :"
<br />.• tt;
<br />~ ~ :'• EIICT.Y
<br />E RAB .
<br />FFLUENT L'E05S Y ~~Q~~PS~~~~a .
<br />;~~~;Po
<br />~m ~~~'
<br />~~ rs?~~e~~:~
<br />°
<br />~
<br />~' #### s, ~+-~a
<br />; zs°
<br />~~'~~~~x~ .
<br />:
<br />>;; •
<br />~. ,
<br />I .
<br />r
<br />>Yr
<br />E
<br />ALU ; ,°
<br />~
<br />~ .
<br />s{
<br />„ , ~~
<br />5>I.IDS, COTP.L EAMPLE ###### ###### ( ). #####t: ( ig)
<br />S175IIENUEi) MEABUREMENT
<br />
<br />GJ.530 1 0 0 b.av u':B~ e. ,., ,. .
<br />;"~RVaMar~;':~ .. ~ .r oa'c.
<br />;.=nw~$k~#Xi~,'a
<br />e«m~#r~##"'m~
<br />#;.t~ a ,z<i
<br />~~:~~~?kg~
<br />ro"~ A«... .m.y;:, ~ w
<br />~;
<br />~"~~;~'
<br />m~~'~ ...
<br />`70~;~:•;x:
<br />'a:
<br />` t
<br />)ICE"/g< ...
<br />BAFl ':
<br />!' S 5 ~soyig~ae1~ •a~ ° ~~~,t.d ~~~ ~~~~, .. X~ Ha `
<br />Y~ p
<br />~~~az ~ ~'~~.;~ ;
<br />,
<br />ffi< ~ ;f <~? ' .:
<br />-. €~ % ~ .
<br />)~a. , ' z.
<br />
<br />SOLIDS, .;ETTLEARLE BAMPLE #####•: #:~:### (
<br />) v##;.## ###### ( 25)
<br /> MEABUREMENT
<br />
<br />~
<br />C)54S 1 0 yy. n
<br />R ,& kN„wv
<br />°itli(iiis`. ~yp
<br />a`rL ~j'RW n ~
<br />a
<br />~ a
<br />~°'G
<br />.SIk'R
<br />~~~. ~
<br />a ~
<br />~
<br />~ .`
<br />'PY# ., ~
<br />3~' MM ~~
<br />~~
<br />_ A. .L..A. &~y
<br />~~ Y .APT. 4
<br />'~
<br />~
<br />. , fr g,L ., q. ,
<br />I ~ M.e ° F..... ~n .tl, s
<br />~,
<br />m. •.i
<br />/''
<br />.
<br />
<br />
<br />1•FPLUENT GADSS YALU.
<br />:a764U1RKE~~V T
<br />~:
<br />%
<br />~,.a'.
<br />~ ~
<br />~~ai»~~~:~~~m
<br />~. .,
<br />"a
<br />S m~~
<br />~~°r"".~~~ ~~P,,°°"'°
<br />
<br />#### .
<br />~.u ... % ~•s ~
<br />,~_~~~:~..`~~~s ~
<br />a,., s ~
<br />~
<br />t:~.~~g,•~a~~~"~~.. :
<br />,
<br />~H"'e.. .,.BY•
<br />ar I .
<br />DIL AtJU 1_i [LEASE BAMPLE #####v #•!Y#•i•# ( ) ###### ~###;r# ( 19)
<br />FhcON F
<br />YPR-GRAV MEP} MEABUREMENT
<br />.
<br />Ci)55b 1 0 0 ~,RiliM~1Y.:'Y °ia~Tx'~71t^'^T~a ek~#?k'~~?k~:-Y.
<br />` #,t# ~rm°
<br />###~&I
<br />~ m::#m~x~#~±~y~
<br />"S ~ „p:,a, __ C1gTIb RAA'
<br />
<br />hF'YLU2NT GROSS VALU '){CGUIREM ICNT`.
<br />.; ::
<br />~ c $ '~ '¢ ° `~
<br />.,~ ~ " ,. nA R
<br />ew~n
<br /><.,'~`;`~~ ~~_'
<br />##;•# ,
<br />a
<br />sex,
<br />~. ~~s:~ma ~
<br />k,~R.
<br />~? : ~', ~
<br />
<br />Ii{7RF TOPAI. BAMPLfi ~.##### ###### ( ) #~#### ( 19)
<br />(A:, F'E) MEAEUREMENT
<br />C'10U5 1 U 0 A'?°PERM`T-".q' ~A~':~? ~k#~C~;~.a ,",~.:~~#~E#~~. ;ki~# °`"r~~F~ 61 1 " ~._~~.~.,,mp;p"~; , a~ g~eg;tx
<br />F.FFLI1fNT GP.OSS VhLU }eEO1~iRCp~~HT> ~~ ~ ~n~~~~ `~'~`~aa #;#;: 5as~°uapm>`a~~ ~ 's. r ~«
<br />IN CONDIIIT UR
<br />F'LJW ( O3) ###### ####r# `v##### ( )
<br />, OAMPLE
<br />1'IIRU TRtA Tfl ENT PLAN MEABUREMENT r
<br />.
<br />SJ050 1 0 0
<br />~ eni~iT~..~I
<br />°s."i °"`
<br />aR
<br />H
<br />t x
<br />QF''~~~~AI~"°"
<br />&~~ `" g
<br />~~~~~~f?R~'~~
<br />~a,r'c'p(?~u`~!~~~
<br />~
<br />sa, ~
<br />f~
<br />t~ ~~a#~<
<br />v~`~'~
<br />~ gy
<br />a~~`##&~ikgA~
<br />~~
<br />~ <
<br />#.# `
<br />
<br />Q;as,
<br />~$KSi:I
<br />N~SRAN
<br />EPFLUEN GP.')SS ~a
<br />e F
<br />A
<br />t
<br />~, q. ~~ ~
<br />; m
<br />> . ~
<br />.
<br />SOLI US, COTAL 6AMPLE #####:.- .;Y#### ( ) ###### ###### ( 19)
<br />UI~SOLYEU MEABUREMENT
<br />7 ~)~ElS 1 D O
<br />'
<br />~"mPERM(T~r: ~;:>
<br />~
<br />
<br />a,
<br />~~ ~~i~: .~1R
<br />'.~'. '~:; 's. # he
<br />;k:S.~ '~,'# ### Aix a~ ~® ~
<br />'~~.` a~
<br />
<br />'
<br />o-
<br />~ 0~~[#~( R
<br />fie- ~~~
<br />
<br />" '~'~ti: q ..
<br />- ,~MF.¢~RT=s ...
<br />~'fRI:~T~~
<br />~BAU~.~
<br />
<br />t
<br />I'M'FI.UE T ~ .')54 V I
<br />R
<br />1 E F'
<br />e-~ 5R-•
<br />~ +-s a~R ~ ~:
<br />~', ~A ~>~~
<br />k
<br />Ym4Ym~a.T'~°b:'yvat.:
<br />A ####
<br />m
<br />,3-,
<br />,£R
<br />~~..~im~~<.a„;~~ .
<br />~
<br />a • .$
<br />«, _
<br />y,~ e :.;._, ,..
<br />PERSONALLY EXAMINED
<br />NAME/TITLE PRINCIPAL E%[CUTIVE OFFICER I C[RTIFY uNDEA PENALTr OF LAW THAT 1 HAV[
<br />/
<br />)
<br />~ TELEPHONE D w T E
<br />Y!D AM FAMLLIM WITH THC INF011MATION SUBMITTED NER[IN. AND aASED /
<br />/
<br />/
<br />~
<br />~
<br />OH MY WD111RY Of THOS[ INOVIWALS IMMCDIATFLY RESPONS~BLF ipi o/
<br />/
<br />/
<br />J
<br />~
<br />/
<br />~
<br />OBTAINING THE WFORMATION. I RELIEVE THE SUBMITTED IHFORMATIOH -
<br />~
<br />/
<br />/
<br />1
<br />~ iZ
<br />L!~
<br />y~e
<br />
<br />
<br />IS TRUE. ACCURATE AMD COMPLETE 1 AM AWARE THAT TH[RE wRE SIG
<br />NIPICAHT PENALilES ip1 6UBMITTIMG PALSE INF011MATgH IHCLUdNG
<br />•~_ V/`.
<br />~~~
<br />/JT1G
<br />
<br />'
<br />
<br />~
<br />/; ~
<br />J NWl m ~ TIIC POSSIBILITY OP EWL AHD IMPRriOHMENT SCC IB USC 1 1001 AND
<br />gIGNATUflE OF PRINCIPAL EXECUTIVE ~~]] (('~~
<br />"11V 11 Gy3
<br />~~'( ply' 1 7
<br />~ `
<br />~~ L~.
<br />L
<br />l3 USC 11J19 IRlullio wdrr IMr rowan nn mrlWr /mr. uY m flu MU
<br />TYPED OR PRINTED Prul ur mnumMx mlpmmmrm l~MauvrnEmnnaA.Pnd.i vrna OFFICER OR AUTMORIIED AGENT I~ A HUMBER YEAR MO DAY
<br />COMMENT AHD EXPLANATION OF ANY VIOLATIONS (Rr/rrrnce u11 uuurhmenat hrrq
<br />S.°.'PTLr.AR1.E SOLIDS LIMIT APPLIES ONLY IF <= 10-YR, 24-NR PRECIP EVENT IS CLAIMED. IF CLAIM APPROVED BY
<br />61;:C, TSS ~ IRO[I LIHITS GILL NOT BF. APPLIED TO REPORTED ({F.ASUREt4ENTS--S.EE I.B.lA, PG 4 AND I.B.1D, PG 6.
<br />t'PA E r (Rav. V itl s ' IREFIAC[3 [FA FORM T-a10 WNICN MAV MOT B! UB[O.I Fwee of
<br />00919/920908-1914 1
<br />
|