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w 11 V nwL YV lLV Fwn r DISLn w M4[ l LIYIN ATIOn EY [TEM.I/YFUG]/ <br />arduy NamelLDU/bn lFddJnmq ~ ....• n DISCHARGE FONITORING REPORT IOMRI <br />1AM[-=D1.!.). ~: DAi!'f1tl~aL1C------- 2-J6 /~ NIHOR <br />RDDwin~D1JSLE~~.I~F----------- (BURR NY) <br />~.J1~~L~~tLY A~~~------ I PERMIT NVM[[R I L~[cHARa[NUMe[RI F - FINAL <br />Form Approve, <br />M~JBTNo. 2o4o-uooa <br />EEpites 9.30-91 <br />---~-f'~~--------~'~~~1-- MONITORING PERIOD LOA DOUT SEDI POND TO YILSON CR <br />AGILITY --- YEAR MO DAV YEAR MO DAY <br />------------- <br />OCATION <br />FROM 4 O1 TO 9 6 30 ### NO DI SCRARCE )~( ### <br />'TM k :;H RD G K N$ON /107// /71'7!1 l1I~7J1 16~ I l18-191 /J 1/ NOTE: Red initructionf before eompletinp thif form. <br /> (J Card Only) QUANTITY Op LOADING (1 Card Only) gUALITY Op CONCENTRATION FR EOU ENCr <br />PARAM[T[R (II{-1J) (7161) (JB~J) (Zb-3J) (7161) NIO' <br />E% of 6TMPEE <br />(J7-J7) wnwL rsls <br /> AVERAGE MA%IM UM UNIT6 MINIMUM AVERAGE MA%IM UM UNIT9 676!1 (b1-0CI 16v~Je) <br />(JIL ANIJ CRF:AS@. 6AMPLE ##~#i~# ( 94) ##•.### ###### ###### ( ) <br />~ I <br />/ <br />VISUAL MEABUREM ENT O 1 'r ISL,FI~ <br /> <br />e4~)L6 1 0 0 <br />°°~PCRri1T~~;°" xb&- N <br />»~°;~~#~DsiN~°; _ <br />~ °-;e~'~~ <br />~Q~ <br />ES=1 np % <br />Yi~?~:*Po <br />x:?~~?Os <br />~ - ~ 4 to <br />~~#+~~#~I~g~ <br />~ ~, tr,>, .. rc <br />~'b. <br />.#~i~~k## <br />? <br />#>x# .55.. <br />«~ <br />~ •.° <br />E&KI:S .... <br />ISOAL <br /> <br /> <br />' 'xepDIRE <br />~~~~. as ~+« y <br />' <br />' <br />~ <br />~ <br />~ ~ <br />~: m.a'% F <br />s <br />~.a <br />°% <br />n`e <br />'a <br />' <br />$ , <br />r.z+.: <br />g'~ <br />- <br />i <br />g <br />a . <br />, <br />, <br />u~a....a. <br />'+n <br />°„" <br />' . r. <br />U <br />D55 D p <br />r FTyw t; ~, <br />t~ <br />: <br />le <br />gw~~r <br />~ <br />~ ~: p, . <br />. <br />m.w <br />~ <br />,o <br />na R ~, <br />~' <br />~. <br />. ~s. <br />-.~ . <br />t.g. <br />~~ s< <br />a. <br /> BAMPL[ <br /> MEA6UREMENT <br /> n.«~~t 4RMtTs ~s <br />r mw.p~W `_ m~~'.w~ <br />°4 Y' <br />waA <br />' :~..mn~r~.~w~'^',~'m'sr <br />O.p <br />N <br />0~~ Y`~'''»~iz'.`65:,.,~%.,~~;~ <br />C <x~<'". <br />.~ .°."~',~.'a'~.e m~°a.=n,-' <br />. <br />~~ F <br />.y <br />A.A ~.`^A, ~Po° '.° <br />vp~ e~ ;ne:p.. <br />tl <br />Y .. <br />' <br />Y£~ <br /> ~. <br />x.'. <br />ID . <br />. <br />. ,. µ / <br />~°a ~ b <br />. 8 <br />a'.. <br /> <br /> SAMPLE <br /> MEABUREM ENT <br /> <br /> <br /> <br />-~ ~.. <br />~ <br /> <br /> <br />.mo~dd ~J<' v~+ <'a~'.~~' <br />c ~ <br />.yp' <br />. _ <br />~ <br /> <br />~~• ~ 'a~.aR4.d: <br />$:g;n; <br />@~ <br />a <br /> <br /> <br />,'b,::~bia ~.a .<m.~ <br />ei k.q'. <br />e~, <br />" <br />m <br /> <br />~' m',a" f~~ <br />a' A,dw;Ra~ <br />a. <br />II <br />.b :, $~` #x ,:.:nan. 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Y rcp~. <br />1 <br />. <br />w i <br />' <br /> ° ~~M -~Pi.nx.d. z` . <br />" ' <br />'~. ~. <br />-5~mw.. S'~.,.#.. ~.6n B` Y a <br />NAME/TITLE PRINCIPAL E%[CUTIYE OFFICER OF LAw THAT I HAVE P[RSOn.LLLY FMAMIn[D <br />I CERTIFY UnDEII PENALTY <br />R[IN <br />TT <br />B <br />S[ <br />W TELEPHONE D A T E <br /> $UBMI <br />AND <br />w <br />AND AM FAMILIM WITH TH[ WFOPMATK <br />CD NE <br />D <br /> ON MY INQUIRY OF T11D•'E IntlVIDUALS IMMEDIATCIY RESPONSIBLE fqR <br /> OBTAINING TM[ INFORI4TY)N. 1 BELIEVE THE SUBMITTED INFORMATION <br /> <br />~ IS TRUE. ACCURATE AND COMPLETE I AM AWARE THAT THFRE APE SIG <br />FOR SUBMITTING FALSE INFORMATION WCLUtlNG <br />NA <br />T <br />C <br />E <br />?{~j /~A/ <br />' • °'• NIFI <br />ANT PE <br />L <br />I <br />S <br />~ <br />u <br />u <br />V <br />l <br />~u <br />w <br />T <br />E <br />l <br />P <br />~fIB <br />610NATURE OF PRINCIPAL E%ECUTIVE <br />~~O ']II Cp <br />(,I(J~,/`~ <br />~~ <br />0~ <br />~3 <br /> ludr /n.. .P <br />u <br />]IB <br />Arr <br />X. <br />n~er <br />nr <br />fl <br />]]us <br />C <br />tinA(<H..~d.e <br />a <br />f AREA <br />TYPED OR PAINTED ,rar•I <br />r~d.vm[Nnluln.n~Pn.Y~nlnll ~I A.I[v.n Erv~nlAr rnd. OFFICER Op AUTHORIZED AGENT NUM6ER YEAR MO DAY <br />COMMENT AND EIIPLANATION OF ANY VIOLATIONS IRr/rrrn[e ull ullua'AmtnO here) <br />Sd'P7'LEAHLE SOLIDS LIMIT APPLIES ONLY IF <= 10-TR, 24-HR PRECIP EVENT' IS CLAMED. IF CLAIM APPROVED BY <br />~'1~D, TSS F. IROtJ LIMITS YILL NOT BE APPLIED TO REPORTED MEASUREMENTS--SEE I.B.lA, PG 4 AND I.B.1D, PG 6. <br />'p t 2 1 w. - v iti y d. • Ix EPLwces EPA PDRM era wNICN Mwr nor ^c use D.l Pwcc of <br />01000/920908-1914 2 <br />