Laserfiche WebLink
PERMITTEE NAME/ADDRESS p„cLd. F.crllry Nr,/L«ena rJDl~r.rnq <br />NAME C`)LUi:YD CJ.ai, CnMpANY L. P. <br />ADDRESScULD~AYU "!INF: <br />5'131 ST:l?`: tIIGHWAY 13 <br />7r•;:;;F:e co 01641 <br />FACILITY <br />LOCATION <br /> <br />NATIONAL POLLUTANT DIBCHAROE ELIMINATON BY9TEM (NPDESI <br />DISCHARGE MONITORING REPORT (OMRI <br />1I-161 17-E9 <br />PERMIT NUMBER DIBCHMOF NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM g9 07 DL TD 98 04 3D <br />!]b11) III-IJ) 17416) 136371 719-191 IJOJII <br />Form Approved. <br />!'A (: F.}IOgS°, 55:DT TODMM~~BB~~~~ ~- 4 ^K <br />Ap~ioJel'ex if~e 0 -'31-98 <br />(SUB!? `I 1') l1 4~ <br />F - FI naL <br />nIPOR <br />~. NOTE: Reed IMtructlone betorl complstlnp thle Corm. <br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADING ld Grd Onryl QUANTITY OR CONCENTRATION NO, FREDUENrr SAMPLE <br /> (d65J1 1545! (JB-d5 !1663 1645E OF <br />131-371 EX <br />Y519 <br />ANN TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE ~ MAXIMUM UNITS <br />l e7-e]1 . <br />16d-661 163701 <br />I'll SAMPLE ####::;: ~ ###A~;-` n <br />O <br />_ ~. ~, <br />' ( 1.?) <br />I 1- <br />`^ <br />/0.~ <br />G <br /> MEASUREMENT I r ~ <br />L ~ I <br />UOIIUU 1 rl U PERMIT:::.' #$'Y#.##..... <br />~ <br />~ <br />~ . #'t###!F!Y <br />~ :;: r1;5 .,.Y-".~t:~m. 4 <br />• <br />R <br />,- <br />tFrLUE:r;T Tn REQUIREMENT:. <br />,.. <br />~~~ <br />~~ <br />•~~~ <br />~~ <br />. <br />....:.. <br /> <br />. <br />:;C 1.L U5, :CDI'4L SAMPLE <br />MEASUREMENT .^.##r#~ .,-,##:` '~'+!#'•.`.- ~~ ~8 r <br />( 1.1) 1/30 G <br /> <br />'iUSP};NI)(;i) ~O <br />f0.D <br />)OS iU 1 D D PERMIT .:.: .#~R:-01#;x . :.:.;:.#:'st~%;=sk:'a :Y:~~ :Y ##.k4itr,: :: 35 .:::.:::::: 7 / ,RIIR <br />dFYLUh'il'I' G90_55 VALUN REQUIREMENT •- ' <br />~Y#;: <br /> <br />;: <br /> <br />,. ... . <br /> <br /> <br />' <br /> <br /> <br />' <br />iVLILI.`3r :iL:TTLF,aFlI,r; SAMPLE ###### #',<###'`• :::'k^.-',::~# s•#;`-##:~ <br />S <br />~O ( <br />]cl~ I <br />/ <br />C <br />b <br /> MEASUREMENT r Q 30 '7fLL <br />11054'7 .1 El O PERMIT ~~ ~ f:###.r #'.."~' .. ,VAM,r=M~( <br />~ ~y L; ~~*4y- ~ p <br />All <br />F: F'FLUFII'.P '~1i7';S YRLII t, REQUIREMENT::. ~. ..:..:.:.~:. ~ :. ...::::: :::: ::~:' -.ti rL#. <br />:.. <br /> <br />..... ... <br />...... <br /> <br /> <br /> <br />: <br /> <br /> <br /> <br />I. <br />)11. A~1D l; ri l; A. `.i l' SAMPLE ####~# :=_?###+f :':#=`•',`•~::• :`.:}{: y,#+: <br />N/ ~ ( I'I~ <br />N <br />N <br />N <br />F~ ii+::l H i•;'!.'I' Ii- ;i I; A Y (1 F,'Y R MEASUREMENT { 'q A ~A <br />)4556 1 U U PERMIT:: ~ ##'}:7!~#::~~: <br /> <br />: ~ <br />~ ~::.#-h.7>"#~; Y ': :` <br />:.it##'S.##.:. .: <br />.~:.n':::.:.. .:.. bN.TIN .RAN <br />1., c• ] n, ~ <br />h'. LUr:' T L; O:,S VAL11E REQUIREMENT. ; <br />.:::':.':::.:~:~.~. <br />. <br />~.:..:. .. <br />;.. ...... <br /> <br />-.-,- ,- <br />'•`• <br /> <br /> <br />. <br />5:: {"I!: <br />MG L <br />['. ' <br />LRUi7E TU'L'.TI. SAMPLE #',.#### #:f###:~ ' <br />'+-'#'-'`.#:"T <br />' <br />b <br />4 ( 1~) <br />/ <br />1/ <br />(.a -~. I'i':1 MEASUREMENT ~ O. <br />f D. <br />b Q 13D G1f~ <br />1;)IIS L U IJ PERMIT: :' ::,t#Ek#.## : :'.'.#i`•#e7cAe#. <br />~ .~ <br />::. #;k~~!;; : .. <br /> <br />.. <br />. a 5: :::: .:..':: :.:: 7.. <br />~•vr ~ <br />i:FF'LIJ~ES'r ~.,)~S YAI.U•. REQUIREMENY. ~. ~ ~:.:'::,:..•~. ~. .. ......:. :.`.:t:s;: <br />, <br />. <br />,. . <br />V. <br />~ <br /> <br />~ frF <br /> <br />L <br />F'LU:IE IN CUNUU..TC ()H <br />rIIRU 'CHI•;;aT•yI;NT PLA.N. SAMPLE <br />MEASUREMENT <br />O.OG <br />DrO47 ( 03) #_`-#-'••:°•:Y #####~: +•~#••,;~••• <br />p <br />I/r~ <br />L,SFan <br />S U l15 U L O 0 PERMIT..: : <br />PTIONAL''.: <br />:::::.'.REPORT <br />###sk#:t.... <br />.::::..'>s?#?k~ETi;:... <br />. ::;~ji:.>r=~#=z <br />~"-;:'•• <br />P,F,KLY <br />g5TAN <br />F.F'h'I.U-;11T UI?OAS VaL11F <br />REQUIREMENT <br /> <br />3tln11:::A.nG':. <br /> <br />:::llA,CT,Y:: Mx . <br /> <br />ncD <br /> <br />, .. <br /> <br />: <br /> <br /> <br />. <br />.... ~... ~~.:. ..: <br />~ <br /> <br />..:.:. <br />.emu... <br /> <br /> <br /> <br />.. . <br />ULI USr '1'UTA1. SAMPLE ###### ###R#=.`• ';###::::` ####~%:.`• I n <br />( , <br />I115`.iOLYF;;) MEASUREMENT ~ ~74D D I/C(p Grat, <br />/UlyS L D U PERMIT .:.: ::>. #.......# :::: .:: #'~ t!# - e #::~ # r'.r ##,t: ; .:.t###.,r",..::•. .: RI::pOP.T..::' AP <br />!.FFLIII;;'1' G=I')':S V,1LUF REQUIREMENT: '"' <br />:.... <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 CERT <br />AM FA IFY UNDER PEHN.TY OF LAW TNAT 1 HAVE PER90NALLY F1fAMINED AHD <br />MILIAR N1TN THE INFORMATION BUBMITTED HEREIN <br />AND eABED ON TELEPHONE DATE <br /> ; <br />MY INQUIRY OF THOBE INDINDUAL9 IMMEDIATELY REBPONABIE FOR <br />OBTNNINO THE INFORMATION <br />I BELIEVE THE BUBMITTED INFORMATION 1 <br /> <br />~ , <br />9 <br />TRUE. ACCURATE AND COM%ETE. I AM AWARE TNAT THERE ARE <br />BIOHIFICANT PFNALTIEB FOR 9VBMITTIHO FALSE INFORMATION <br />INCLUDING <br /> <br />I G,r'M 01'7 . <br />THE POBBIBILITY OF FlNE AND IMPpIBONMENT. BEE 1B V.S.C. 1 1001 ANO ]] <br />U <br />9 <br />C <br />1 I] 1 e <br />/A <br />eM <br />M <br />A <br />hd <br />IM <br />F <br />61 RE OF PRINCIPAL EXECUTNE ) <br />17D <br />~ 1 CI q <br />I v <br />D <br /> . <br />rlr <br />. InWr <br />. <br />. <br />. <br />« .nnmr ,rry <br />le <br />~ <br />r Im ro <br />10,000 AREA <br />TYPED OR PRINTED .M dmufrlrln MM+wwwrc orMM«n e,nwler..nee yw,.l CER OR AIfTHORIZED AOEM CODE HUMBER YEAR MO DAV <br />COMMtNIS ANU tAYLANAIIVN Vr Anr VIV LAIIVnD fNB/ereDCe a//errecnmen rs nBFel <br />tiECTL~.;I~+[. ;LIDS LTY,Ir ApPLIF,S ONLY IF <= 10-Y1, + NU PR£CTP ~VFNT IS CLaI?1F.D. TF Ci.aT^ to OVED <br />WJCi)r I', [^'„)•I LIt+1TS HILL NOT BE APPLIP.D TO 4FP :D 'tEA5119E'1FyT5--SER T.N.1.AE PF u a~'4 T p <br />~ ve r,r~^rK r. ]Im nlrA"~ C'U E; }-}-9~~ <br />EPAEPA FB20-. ,dB-951 Previous edlions mey be used. (REPLACES EPA FORM . -+0 WHICH MAY NOT BE USED.( ~ nn ~ n r ~ ^ r-7 _ ~ i ~.I rAGE <br />UY <br />Pc 5. <br />OF <br />