Laserfiche WebLink
PERMITTEE NAME/ADDRESS(7ac&&F-k Y)VsuaaiLorarfowl/ <br />NAME <br />ADDRESS 'I <br />B L) X 5..15 <br />MERSET C <br />FACILITY NBORN CRK & ELK CRK MI <br />LOCATION •1ERSET C <br />' =,MES T. COOPER, EXEC V <br />D(dirvwej NATIONAL POLLUTANT 0(SCHAROE ELIMINATION SYSTEM /NPOESI <br />DISCHARGE MONITORING REPORT IDMRI <br />j r.. - r <br />PERMIT NUMBER DISCHMGE Nl1MSER <br />O 81 .4' MONITORING PERIOD _ <br />NES YEAR MO DAY YEAR MO DAY <br />O FROM TO <br />. P. <br />Form Approved. <br />OMB No 2040-0004 <br />!7 i IVUF? its <br />. <br />(SUBR MH) <br />F - FINAL C <br />SURF R1INCIFF TO N. FK GUNIS RI', <br />NOTE: Read kmtructione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE a? <br /> MEASUREMENT <br /> PERMIT o. 5 # rri_ 9. 0 NC E: / I N11. i t <br /> REQUIREMENT Mi NI MUM" MAXIMUM MONTH <br /> SAMPLE - <br /> MEASUREMENT <br />+? r?:_ c PERMIT i(dr3t#A # :< ss._t?- 4 35 <br />,:Fri REQUIREMENT •C)ilfy AVG l'--, I. L.'f f MUNT <br /> SAMPLE <br /> MEASUREMENT <br />1 PERMIT ####?E# ##iF#iF# ###IEir i% 7-D <br />: NT 'P. C-. REQUIREMENT 34DA AVG DAILY MX mmi' <br />I'OTAL SAMPLE <br />rrlfi (_ MEASUREMENT <br /> PERMIT ###IF#iF #####1F #####3f 3000 b NCE/ :'1 <br /> REQUIREMENT 30DA AVG DAILY MX MONTH <br />-;? F. SAMPLE <br /> MEASUREMENT <br />?? 1 0 0 PERMIT <br />i-:NT REQUIREMENT INST MAX <br />. SAMPLE <br />(R1 f. tl; - MEASUREMENT <br /> PERMIT <br />F LUENT GROSS '. REQUIREMENT 30DA AVG DAILY MX r <br />A G"', SAMPLE <br /> MEASUREMENT <br />- PERMIT <br />REQUIREMENT AST MAX MONTH <br />NAMEMTLE PRINCIPAL EXECI/TIVE OFFICER t "rt'ly " r penZy ° .. that thh document and all ¦ltachmenb were <br />TELEPHONE <br />i <br />i <br />i DATE <br />g <br />prepared under my direct <br />on or superv <br />s <br />on In accordance with a system dd ned <br />to assure that quortn d personnel properly gather and eealuatr the Infonnatlon --- <br />Eased ors m <br />in <br />uir <br />or the <br />erson or <br />enom wh <br />man <br />-. <br />b <br />itt <br />d <br />th <br />t <br />y <br />q <br />y <br />P <br />su <br />m <br />e <br />. <br />p <br />o <br />age <br />e sys <br />em. <br />l- <br />i or those penes directly responsible roc gathering the Informatiow• the Information <br />i :' . . <br />t or m <br />knowl <br />1 <br />. ! % <br />itt <br />th <br />b <br />d <br />d b <br />b <br />d I <br />s <br />tt <br />r <br />t <br />t <br />d <br />l <br />t <br />es <br />y <br />ge an <br />e <br />, <br />rwe• accura <br />e, an <br />comp <br />. <br />su <br />m <br />e <br />s. <br />o <br />e <br />e <br />e <br />e <br />e. <br />t th <br />o <br />nificant <br />8IGNATURE OF PRINCIPAL EXECUTIVE <br />w <br />re th <br />r <br />si <br />ts <br />kl <br />f <br />b <br />itd <br />f <br />I <br />f <br />r <br />ti <br />1 <br />l <br />TYPED OR PRINTED am a <br />a <br />a <br />e <br />e <br />n <br />g <br />pe <br />a <br />es <br />or m <br />m <br />ng <br />a <br />se <br />n <br />o <br />ma <br />on, <br />Including the possibility of nee and imprisonment For knowing Hotatlors. OFFICER OR AUTHORIZEO AGENT CAREA ODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a# ettechmenta here) <br />:1Pv` T"r; FAI?LE SOLIDS LMT APPI IFS FOR -=10YR, ?=41-1R PRECIP EVEh.!T; <br />- <br />EVERT SEE ry 1 <br />'gin DAY AVC NTC,I F ^IjN-rI-IL'1 ?)l IhIG F? €(T(D f?f Tr, <br />:'1i tl&i>t iF;4- ari fOrm. PAGE OF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used.