Laserfiche WebLink
PERMITTEE NAME/ADDRESS ~1nr(rdr £ariGtr :Yamdlnrafinn if Lliffrnnll <br />NAME ~_._LC <br />ADDRESS ' <br />~l~.=~i i'i~~ly ST.~c=~~ <br />'uf3~ l.~ ~~.~ <br />FACILITY JG 1 TO GANYOf~~ i"!IPIE <br />LOCATION ly a V [~ $ j t <br />=:; a~+D I I~OTiJhi • i~t I NE M+ai4AGi`i <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAY <br />FROM TO <br />Form Approved- <br />OMB No 2040-000a <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION n1O, <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT _ <br /> PERMIT ,•. ., 7 .. ,. ~ .r . . <br /> REQUIREMENT ~ •~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - • r <br /> REQUIREMENT j ~ ~ ~~ " ~" - ' <br /> SAMPLE -- ~.- <br />~ <br />~ ~ <br /> MEASUREMENT ~ , ' <br />, ,i` <br /> PERMIT ,. ,. ~ ~• ! . '' .. ., .. ._ _ „ r. <br /> REQUIREMENT I U <br />`~ <br />' ~ `UA h'% ., '°~ ~F: <br /> SAMPLE J <br /> MEASUREMENT <br /> PERMIT =-~. y - _ - <br /> REQUIREMENT " llr-i i t_.: Fi`.i'~! ~ i i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ . _ .. <br />~ <br /> REQUIREMENT ~ ~ ~' = ' .. , . <br />`''-1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ., <br />- <br />. <br />~ <br /> REQUIREMENT .-' T I <br />-I <br />r <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - - - .. ,. _.._. _ <br /> REQUIREMENT ~ '•-ie i ~ , . ' !/S) i 1. _ `r' <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I errti(~ under nuhy ~d ire Thal thin dlMntnrnt nM1 rll atlachmenl+ ecrr <br />~ <br />ved under n <br />direrti.w r -u <br />rrvisiun in rccnrduncr w iNt r sN+t <br />m desi <br />ned <br />rr <br />: ' - ,.. <br />TELEPHONE <br />DATE <br />- __ <br />v' -' <br />~ -' r;_ <br />~ <br />/ <br />, p. <br />p <br />g <br />p <br />p <br />e <br />to assurr Ihrl yualifinl (r•r..mnrl pr pcrh' gather and r+ahtrtr Ita• inforntali.m ~ <br />~ <br />~ <br />D <br />~ <br />' <br />~ Lr <br />(// /' <br />~ - - ~- <br />+uhmitlrd. Rased un mi inyuir+ f the pr rv,n or persum whu mawge the +ystem. ~ " <br />( <br />~ '" ~~ <br />'/ <br />~ <br />S~ <br />' <br />'1' • - nr thinr prrsnn+ dirrtyls resp n thin fnr grthrring the mf..rmrtinn, the in(nrmatinn ~ <br />i <br />/ <br />I <br />I• <br />- j/f-! / ~ t' <br />7 ~ <br />~` /~l/ ~ <br />J~~' <br />` <br />~ - ~ .ubmHtrd h, to Ihr fww of me knoel~dgr and helicL true, uyurnm, rnd cumpirte / / / r~- ~ <br />~ ` tf / J <br />` <br />` <br />/ ~• ' e are thrt there are si <br />nificant <br />cnalhe+ for suhmiuin <br />fals <br />in(nrmatior <br />I am SIGNATURE OF PRINCIPAL E ECUTIVE ' <br /> g <br />p <br />, <br />r <br />g <br />e <br />OFFICER OR AUTHORIZED AGENT AREA <br />TYPED OR PRINTED itntuding Ihr Puscihi(in of fine rnd impriconmrm (..r Anneing+iulatinm, C DE NUMBER YEAR MQ DAY <br />GOMMtN15 ANU t><rt~IVHtIVrv yr HIVT VIVl.H11VIVJ Inererence an arracnmenrs Here/ <br />r} <br />cF: F ~r ;;__ . <br />LIEp FOR :_=10YR,24HR PRECIP <br />EVENT '.:i~1~3JlCwT TU 13URI3EN OF <br />PAGE OF <br />