Laserfiche WebLink
NAME TERN I-UtLl <br />ADDRESS HORIZON MI <br />BOX 628 <br />?A <br />FACILITY f.ieW HORIZON Fit <br />LOCATION A <br />s nktrti= t.tnt-.c <br />CU E33 <br />C MANIAr-=g <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 M DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUP.R r'. <br />F - F I , : MNTI%b <br />,I T ft!- :. nrt <br />NOTE: Read Instructions before completing this form. <br /> <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION NO <br /> <br />. <br />FREDUENCY <br /> <br />OF <br /> <br />SAMPLE <br /> <br />EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT' <br /> PERMIT r <br /> REQUIREMENT DA I L`r' i I <br /> SAMPLE _ <br /> MEASUREMENT <br /> PERMIT "r. U' r* t r -t <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r. i -: r r, <br /> REQUIREMENT = Gj-) Nv: - _ Y <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT DAILY <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ <br />. <br /> ?: , l •} ?;, . <br />::" <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT I <br /> PERMIT <br />, <br /> .REQUIREMENT :ODD, ?y. ,,_? ,? l , ', <br />r•I; <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I certify under Penally of iaw that this document and all attachments were TELEPHONE DATE <br /> Prepared under np direction or supershion in aceordame with a system designed <br /> to assure that qualified Personnel properh gather and esoluate the information , <br /> submitted. Based on my inquiry of the person or Persons who manage the system. ' <br /> or those persons directh responsible for gathering the infarmrulon, the Information <br /> d <br />l <br /> comp <br />ete. <br />submitt:d is, to the lwst of m% knowledge and belief, true, accurate. an <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> 1 ant aware that there arc signifaant Penalties for submitting false information. NT AREREA <br /> siolutlmu <br />tsawm <br />w for knowin <br />ibili <br />nd im <br />h <br />f f OFFICER OR AUTHORIZED AGE NUMBER YEAR MO DAY <br />TYPED OR PRINTED g <br />. <br />ine a <br />pr <br />e <br />including t <br />e Poss <br />ty o CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIUN5 (mererence all arracnments nere/ <br />(include Facility Namell.xatiun if Difftrenb <br />1221 'NA3as?a'4-ojrt form.