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PERMITTEE NAME/ADDRESS pervL Fee1NryN...rL ,wi- ((D(fww t) NATIONAL POLLUTANT DISCHAROE ELIMINATION SYSTEM //NPDESI <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />BOX PERMIT NUMBER DISCHARGE NUMBER <br />:FRSET <br />MES T. COOPER, EXEC V.:-, Form Approved. <br />FACILITY BORN C R r, r Lr?, C Ft F . i'1 i i : MONITORING PERIOD <br />LOCATION ---R SET CL, FROM YEAR O 0 Y TO YEAR O DAY <br />OMB No 2040-Od04 <br />MINOR <br />( SUBP, M <br />F - FIW,L <br />SURF RUNOFF TO N FK GUNIS 1, <br /># # N C. r?- I <br />NOTE: Read Irmtructiom before complat" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENcY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT MINIMUM MAXIMUM MON r <br />_ :.. SAMPLE I: rx- <br />== -' MEASUREMENT <br /> <br />Q S30 1 PERMIT . 7, i <br />r- FLUEN i <br />e REQUIREMENT 30DA DAILY NX MONTH <br />, SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT 30DA AVG DAILY MX MONTH <br /> <br />r, SAMPLE <br />AS MEASUREMENT <br /> <br /> PERMIT 71 :l <br />tJ fU f ?, REQUIREMENT 30DA AV-a DAILY MX lNTt <br /> SAMPLE ._: . <br /> MEASUREMENT <br /> <br /> <br /> <br />PERMIT u.. <br />3 <br />-107-7- <br /> <br />- <br />: U5`.:i REQUIREMENT I NE5T MAX <br /> SAMPLE <br />i-?i-A KENT P' MEASUREMENT <br /> <br />50 1 0 0 PERMIT <br />LUENT GROS = ,'l:i REQUIREMENT 30DA AVG DAILY Mk MOP:' i <br />"f L. AMD Z- -- SAMPLE <br />=1JAL MEASUREMENT <br />1 <br />6 <br />!} PERMIT L ; ,. . r <br />REQUIREMENT r,IST MAX MOW; <br />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER t cert,ly . r pen. y o I.w that Ihb docurnrnt and .11 .u.rhmrnb.rre TELEPHONE DATE <br />prepared under my dIr I;on or wper•61on In accordance with • system de.Igned <br />to .are that qu.Mned perwneel properly gather and eyatuat. the Information <br />pbmltted. B..ed on my Inquiry of the perwn or penoro who mans=e the system. <br />- - or those penas dlrecty resporydWe for gathering the Informative, the InfomoUon <br />wbmlued b, to the hvt of my keow4dge and belief, troe..ccvntr. and compkle. <br />I .m ...re th.t Ihrre are tlW Wfksel penattles for subr„lttl.t f.he Intorm.tlov SIONATURE OF PRINCWAL EXECVTIVE <br />TYPED OR PRINTED ?lud,^[ ins po.slb att. or nne and Imprisonment fort o.l^r .lolatiara OFFICER OR AVTItORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fRafarence of attachments hard <br />_FABLE SOLIDS LMT APPLIES FOR :"== 1nYR, '?14FfR P4cC TP FVENT. <br />_ EVERT-SEF <br />- i 1, FLD 4-=:: I <br />- <br /> <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used. <br />.- <br />:f <br />i ?; ; ; !ie.?-i.s•,a-4-Qa;t Snn. <br /> <br />PAGE <br /> <br />OF