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.., o p,. .. .., n~:~y ~ .. <br />tl'A f unn 33. t' .. <br />- Form Approved. <br />OMB No. 2040-04 '. <br />wmt»tAL pt)LL,IJTANT DIiCIiARGE EuYINAnoN arsTeM (NPDES) MINOR <br />PERMITTEE NAME/ADDRESS (fncluJe Focifiry Name/Loeorton ifDi.Qerenr) DIgCHARGE MONITORING REPORT (DMR) <br />NAME _ NC;, t `;iUIjR TV) FRt• <br />FN):RUY F'lJl_LS (:OAI-.~ I p~RBENUMBER F -- FINAL <br />ADDRESS gOVTHF I ELD LOADOUT ^ PERMR NUMBER <br />1' (~. DU}; 159 MONRORINQ PERIOD POND 1 DBGHRG "i U CHANDLER %RK <br />FLORENCE ~`:O 81'.26 YEAR MO DAY ~`'I ~#~ ~, <br />y~R MO DAY ##ri r•JC) D15CHARGEoF%1~I <br />FACILITY ~.it:)U THE 1 F=LT) M i NE C.; OAL.. 1..I7ADC1U7 TO Og m letl thl~ form. <br />' LOCATION FLORENCE C; C3 E3 i G26 FROM O / NOTE: Rsed Instructions bsf a co P n9 <br />® NO. FRECUENCII SAMP~ <br />~ , , .. _ - T ` , ' , E N QUALITY OR CONCENTRATION ~ OF TypE <br />QUANTITY OR LAADINO ANAL11s18 <br />PARAMETER - MINIMUM AVERAGE MAXIMUM UNITS <br />AVERAGE MAXIMUM UNRS . ( 12 <br />~ SAMPLE ###### ###### <br />'~ r l MEASUREMENT NC E/ Y 1 <br />~t~l•#### 9. 0 <br />Pte' y. ~ ,} ~, i-*~ .. ,: ~" ~ MAXIMUM 5U MbNT <br />Cypq.UO 1. C) t~ p~+ t ,s a" ,, ~: <br />SAINPLE ###### A~ <br />NC . <br />';(71..1 D`i~ 51::T 1-C_EAIiLE MEASUREMENT <br />SPORT D 5 '„'~' <br />:.:~ ~*' ~~ ~,~ ,~, ; aF** ~:;~•. ~` .~ClDA AV6 DAILY MX ML; L. <br />x.)0`45 1 Cf O ~•, ~ ~. y'!' wjr #### ,"'' ( 19 <br />###### ###iF## <br />t .l T i . fahJD GF~E ASi= Mppg RU EMENT O <br />***### 10 <br />++• ##iF t 0'~N <br />ii-`~1 Q:;~: ,N, ' .~ ~ . t ~ .. DAILY M X MG / L- <br />F - SAMPLE ,. C O~ ) <br />1: ~ t )W , I N r QtUpU T T OR MEASUREMENT <br />I~HtZU 'TREATMENT PLAN -. G. .*.*gp91•## #~#*## ~#* NCE~+ •N$TAI <br />_ ~ 7 <br />~. ~ 9 )'. ##~1F### #####4F <br />t ~ lSAIAAPLE #iF#### <br />_ ~ UA', <br />' l)It_. f+ND Gt?EA..E MEASUREMENT ~F1Fititit# ###*#* #*~ <br />t -_-....r. .,~, r t _ <br />$,1NIPLE t ~ ~./ ~ ~~ ~ , <br />?', .. rt r ;,r~;; h~;~ yA ~ ~; ,~' _ __--.._._. TELEPHONE DATE <br />~ 3 ,, ~ of bw thµ this doctnaeat ud aU attachntsola wale -, ~ _ '7 (C~ ~_ <br />~ ( PRINCIPAL EXECUTIVE OFFICER l certify under peaslty ~~ ~ accord~ooa wlt6 a yps ;~/~ ~ 1j~% <br />NAMERI7LE ptip~ ""~r'"y X110° or twpavl and wahrate tha~fs~ /~ " ~~~~ `~ <br />ee I aePatr wm« 7 ~'' ~/ ~_3 ~j5 v~ G `l I `i <br />.. I ~, G ~,` ~~ M U IJ ~~ G!~ to assort that qualifi D~0°Oe of the perwa or Px~ who m~~e 14e Mtn ~ <br />submitted. Based m my ia9a~' ble for QathetirtQ_the mfamatiw` the'la~ad0° <br />! !~ or those pasom directly respooar and ot>mpl $IONATURE OF PRINCIPAL EXECUTIVE MO DAV <br />ate. <br />~ k ~ L ~' [ submitted is, w the best of my lmowted~e and belief, w0. t <br />nas for subrsuttio{ A4a mfpsatls0, OFFICER Ofl AUTHORIZED AQENT NUMBER Y <br />l wa ewers that there are si~niHaat pe0sl <br />TYPED OR PRINTED iacludia~ the possibility of 6ae wd rmipuooraeat ~ k°O `' <br />~ ATI N F ON (Re note e 1 ethchfnents <br />~- ~ M.IT WAIUFT) FOR 10-YR, 24-HR PRECIP EVENT E+UD~--ECT T"U DURDEN OF PROOF REnUIREMEN N <br />~ ~ COMMENTS AN <br />t- A1t1 r_ ,t1! t Tl,, 1 1 <br />