Laserfiche WebLink
Fadny NamslLBCarb• IfdillusnrJ '- "'__. <br />nn3_LDl ~ IJiCl.~Ily~A1Y-____-- <br />ADOR[E/i.DLJaSn 1l.I~.E_-_________ <br />---_`+J3-1~S~S ___NS.G2W A-Y-1~------ <br />-- _tL:F.iii:E___ __ _ _ _~ LL fl1b.yL_ <br />rwcruTTr <br />LocwrroR ___ ____ _ __ _ <br />A.T'P6: RL:iIA~?D ,^,. ATKINSON <br />...... •n r• un.vl <br />V DISCHARGE MONITORING REPORT~IDMR1 <br />T l( 1~ <br />I <br />PERMIT NUM[[R olFCNw Ra[ nuMF[R <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MD DAY <br />FROM TO <br />(10~T1) lT1-TJI lTI-7 I l16~1 / IT8-T 9l lJD~ 11 <br />MINOR Form Approv - <br />(SDBR N{i) N(9M~TNo. zoaD-0004 <br />F - FINAL Expires 9.30-91 <br />GULCH A SF.DI POND/GOOD SPGS CR <br />### ND DISCHARGE ~__~ ##;, <br />NOTE: Bead instructions before completing this form. <br /> (J Card Only) QUANTITY OR LOADING (~ Card Only) QUALITY OR CONCENTRATION FR EDU EHCY <br />PARAM lTER (I6-7)) (SI-01) (J8-FJ) (J6JJ) (31-01) NO. <br />E% OF SAMPLE <br />TYPE <br />(JT-37) wN w[v515 <br /> AVERAOE MA%IM UM UNITE MINIMUM AVERAGE MA%IM UM UNITE <br />67-0J1 <br />16v-0NI <br />(AY~TU) <br />GILL AND ::E EASE BAMPLE <br />EABUR <br />M <br />T i~##### 0 ( 94) ###;-;=# ###### ###### ( ) O I ~1 <br />J <br />I <br />YLSUAL M <br />E <br />EN / IS CA <br />D'Lilbsi 1 G n '~tiPeRH.If.a'~. ~+6~.~~A.~~~;#.w~s ~i~"K<~`~<~'a'.>~°;~;"~~ E5=1 atT?X~~+d(,~ix~.;,~ <`'~:a~;i'~~ <br />~1x„~t p.C~~t'i?#~>x.; <br />e~„ •### ~$RI;Y ISUAL <br /> <br /> <br />P <br />v <br />U <br />! n4p~)RCMer~r <br /> <br />` ~~Y~ <br />~c <br />.~~"'~ <br />~ <br />a <br />.. <br />; <br />"°" ~ <br />: _ <br />,> <br />`~w g~a~°~~~ . <br />m <br />< <br />s@~~. xeA ` s, . <br />, `:_ <br />EhT GROSS <br />~ L <br />ALU .. w r a <br />a ..k <br />: <br />: , <br />, <br />~ :s <br /> BAMPLB <br /> MEABUREMENT <br /> <br />,q~Ym w,e~Xn'.::Q~ <br />P <br />ERMIT+ pm. <br /> <br />am <br />w.i hY'::a~ <br />(6' <br />,. <br />e a ~= <br />¢~.ie':.m m>%.k'@"Tbwa~a <br />" <br />+ <br />g' n'y " <br />;' <br />s~ <br />` <br />x~ ~ <br />9 <br /> <br />rw,e <br />°y:,y.A;m~. k, ~'° ~tt a, <br />g~ ~} <br />ad,a ~'@Rx':a .~r ~xr <br />.. ,., <br />`' <br /> <br />'.. <br /> <br />:: .; <br /> v <br />. <br />Rp- p <br />. <br />,, <br />pe ~~..a,?r _:'.4.+ „$ <br />, <br />w 5'.., =c'~..~'s <br />" <br />~ . <br />A <br />~m~.~:S, <br />. <br />s:B'~<, <br />g ~;.~ <. c: <br />z <br />~ <br /> p <br />aS:d :~'.. :"Y:.{.d ~a .' R'~~., t. S.~k..:: 4~ Si <br />n <br />Si r~.F" ~T~'.~.Y x S`eY~"`~.'S°' J. <br />~aa~.. Ra `,.Y.,; <br /> BAMPLE <br /> MEABUREMENT <br /> =:>l= ~ - '.t z <br />xPkl#x1~IT~n'i'k' a.,v~ .y°: ~w> ~ ~~° <br />,~ &,~~ Y' " <br />.... :xa;~ ~~ea..w~~'',~; <br />.ar y, g° ~,Z;,@a _`:;<:~ ~x~e:®. ,':9 <br />' <br />b ~ Y aw x' ~,a~>s. ~'ra~'t: <br />8:" <br /><'a <br />ow <br />a ~eaa.; ..m~aPx. <br />n ~.Y 4 <br />¢ <br />#~tt <br />° <br />~„` `x .. <br />•y E a`'e.: <br /> `R$9Nl~yN CtLt a~ <br />" ' a <br />~ ` , .~ ;~~ ~.«a. w <br />i aak <br />,°roa'„ ~ aXce ~ <br />x <br />&1t <br />:«- .~;k <br />p 66~~ <br />~ i <br />r <br />k <br />ra. <br />-Y <br />6B <br />~ <br />b <br />~ <br /> ,xqR HK;" . <br />°°'K," ~e 'Q :'K.rv .~'~~ ~~~?ibw ~Ji x~a~ b.n ia~'.. , <br />'iY <br />.~y`ry 4'°@.i'a x` ^ x <br />k,,x <br />°.::: a"e <br />..$: ~Y <br />," [ <br /> BAMPLE <br /> MEABUREMENT <br /> .... s. :. :!. .. <br /> <br />T:`fR <br />•-'PERM .. <br />a & 'a %: <br />.a e`•: <br />' <br />' <br />' <br />~ <br /> <br />a°Sa '"m'm'.a°v i~$'. <br />' <br />' <br />1. <br /> <br /> <br />.q. <br />a a <br />y. ti <br />" ~ < <br />°: ~• :°.. <br /> <br />"n.'d'a~ ~A~: <br />°~a.e` .. <br /> <br />a,e'~.,' <br /> I <br />K <br />%RXOUIRkMk Ta • <br />p <br />n <br />ure p <br />t ° <br />~ n, <br />.~.:.:,N <br />~.1y <br />.~ <br />" : tl <br />pa <br />e z: ~ ,~::.m : . <br />,Y.;.&:ad <br />:fin= <br />° <br /> _ <br /> BAMPLE <br /> MEABUREMENT <br /> c' ~~. 4'k <br />$'$dF RMITro <br />~ <br />' <br />~ •q'y ~.. ''@Y'~~.. <br />'Y~:, .,~ffid,s. a.fis p.~~ ~ '~& ''~s <br />:,~~.~`.; ~~" '3 g. °Y H~' I <br />~A~. new-y:, <br />' <br />" S~'y cea'II sa Y. j. <br />,~`~A ~•~; N•;`<°~, <br />°- <br />~ <br />~ P {~g;; ,,`~5 bs =i <br /> <br />y '. <br />w <br />~ <br /> NFM 6t <br />~6QLL <br />T, r 1~m 'e g <br />S.. w< ~ $Y <br />"~'° e <br />@ <br />a p+ <br />~ b a.p .8.y_ q <br />'~ <br />'`< <br />F. emu' s <br />°b'+' <br />a°"n <br /> BAMPLE <br /> MEABUREMENT <br /> .@"v'aa K; `"~ <br />$ <br />E <br />U nR <br />' °f:. ~f°:.:~?%.R''b;g `~' <br />~ <br />~~ <br />~~ <br />~~~ <br />~ ~&.~~..;,R4s'. r: ~,k.ffia" <br />~ <br />~~ <br />~~ ~a ~ "'='~s~^',''&'y. _., .g <br />~ <br />~ <br />~ sa'.s' ~® :: ",>4,~1~ A!&.II,$;~ <br />~ ~a~'u~>4.~, <br />. 'n 8da :";8`y ,. xj.l~BYS <br />"a'° <br />~~g <br />~p~ lady Y °ax u4 <br />`~ <br /> q <br />Q <br />At NTH <br />, <br />~ a <br />~ <br />~~ <br />a <br />Wxa . <br />M <br />~`~ <br />~ ~ <br />6 ~ <br />; <br />% <br />g <br />- <br />` ~ <br />Y'ae. ~~ <br />-. <br />kv <br />d y <br />F <br />i o <br />Yd " <br />' <br />A oa l. g y~' <br /> "a <br />aYh ax@w <br />R.g. °t tl,-$ace <br />.n1'.~~s-.a xy. <br />'e <br />! ~ab`Ib <br />dw '" ~ <br />.@ <br />'b.. <br />~ ` <br />. <br />d <br /> BAMPLE <br /> MEABUREMENT <br /> ;~PERN ,ti :° <br />IT' <br />~ .~„Yn'jA azY"Dry ,~~~ <br />1m,'~a`~ <br />.~ >v <br />%~;r Y'e me~e'a'°; ~. '°m`' <br />~'' <br />.~~' <br />'ti~ ;s. °o :°m <br />+:~ ~~„9a ;y., <br />~: <br />` <br />= ~i6'i'.~~a:w:-R'•'„'m s`m. <br />:, <br />n 3 ~~ ~ '~ x <br />e ~.;'.;„ 'C <br />...: <br />~ ~~ <br />" <br /> R(tQlI1 P)rM [NT, , <br />. <br />m <br />m,, se .$ic^ ;'~ : <br />'~' <br />' <br />~' ~ <br />:x <br />a :$ <br />ai .,.~ <br />~' <br />~ <br />; <br />~ . <br />. <br />~: <br />aae <br />~ ~ <br />Y° <br />•n <br />° <br />X <br />~ , <br />9~p n~„. °..+ <br />~ ~° <br />-% <br />° <br />'~ <br /> „e' <br />V <br />° . ~p <br />Ch <br />'x <br />'a". a.., s. <br />.g:~q <br />.~q <br />x.:~er <br />. 3 . <br />w <br />~ <br />~a <br />S'm.xr <br />' 8a'w". <br />n ~ <br />k <br />. < p <br />NAME/TITLE PRINCIPAL Ex[CUTIVE OFFICER C[Ri1FY UNDER PENALTY Oi LAW THAT 1 HAVE PCRSONALLY ExAMINEO <br />I <br />ON SUBwaR <br />R <br />T <br />T <br />WF <br />RM <br />T <br />D MER[IM A <br />D BASED TELEPHONE D A T E <br /> AMD AM iAMILIA <br />WI <br />A <br />I <br />N <br />H <br />HE <br />O <br />E <br />OH YY IROIIIRY OF THME INOIVIO11wL5 IMMCCIwTELY RESPONSIBLC FOR <br /> OBTNNWG THE INFORtMTK1:1. 1 BELIEVE 1HE SUBMITTED WFORMATION <br /> <br />^ 6 TRUE ACCURwTE ANO COMPLETE 1 AM wWARE THAT 1H[RE wRE Sx:~ <br />NIFICANT PENALTIES FOR SUBMITTWG FALSE WF011MATRMI WCWOING r <br />! <br />' <br />~ r ' 1 <br />U K ~ <br />TH[ POSSIaLrtr OF Fm[ AHD 1MPR15orIMENT 5[[ IB u5C 1 1001 AND <br />mN <br />nu <br />J14Wn <br />]]u5C f INe <br />IR <br />N <br />M <br />l <br />ld• l <br />P <br />61GNAT URE OF PRINCIPAL E%ECUTIVE l <br />~~ar `A <br />] r~G <br />I/ (r~~~111 <br />~~ <br />~ ~ <br />Z~ <br /> rr <br />rr HF <br />F <br />r mr <br />ane •y <br />a <br />. <br />na <br />ma u <br />A <br />i AREA <br />TYPED Oq PRINTED ..nd. <br />.rrr..r <br />r•d ~u m.aanawl anaa•au.awl.aal ~d frlu..n 6iF•am OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENT AHD Ex PLANATION OF ANY VIOLATIONS (Rr/nrnrr ull uuuaAmrnu Kerr) <br />_°3CTLEAbLF SpLIDS LINI'P APBLI~S ONLY IF <= 1G-Yit, 24-RR PRECIP EVENT IS CLAIMED. IF CLAIM APPROYF.D BY <br />f+~CG, 7'S:; E IRON LIMITS PILL NOT BE APPLIED TO REPORTED MEASOREMERTS--SEE I.B.lA, PG 4 AND I.B.1D, Pr, 6. <br />ILPA t~ 0.1 Bv: 8 Us i' y d. r IwerLwces ePw FORM T•e0 WMICN MAY NOT [[ USED.) Pwoe of <br />01040/920900-1914 2 <br />