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PERMITTEE NAMEIADDRESS (ftMi * F.OlyN...rL.CWI. I/DtfF t) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM f/NPOESI <br />NAME DISCHARGE MONITORING REPORT IDMR) <br />ADDRESS <br />U. BOX ` PERMIT NUMBER DISCHARGE NUMBER <br />r L?SET MONITORING PERIOD <br />FACILITY '.7RN CRK '. . _P. Lt 1, i t i i'J YEAR MO DAY YEAR MO DAY <br />LOCATION FiSET C' (j FROM TO <br />ES T. COOPER, EXEC V. P <br />Form Approved. <br />OMB No. 2040.0004 <br />MINOR <br />(SUER r1' <br />SEDTMFNT POND TO HUBBARD CREEK <br />NOTE: Read k»tructlons before comPleting 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 /> PERMIT ##### sF##### b, S r,ti# ;..? Q h''.; r T {'1. I <br /> REQUIREMENT M IN I MUM i iA X I MU{ i'l::3f+iT <br />7 i ` SAMPLE <br /> MEASUREMENT <br />JQ 1 PERMIT 3ta#? 3t ###stx ?," i rig -Ell <br />'..DENT REQUIREMENT 3c)L,A AV-, UAILY HX <br /> SAMPLE <br /> MEASUREMENT <br />- <br />0 PERMIT REPORT REPORT ;'•Il r. r~ <br />;R[,_. REQUIREMENT 30DA AVG DAILY MX i+IT <br /> SAMPLE - <br /> MEASUREMENT <br />145 PERMIT :r ?#!t### - ? ,> it##3t## 3X00 '0 I i..; ^1rE Gi y' <br />? `_.(JEf`I _ REQUIREMENT 30DA AUc= GAIL 'r hi X: MONTH <br />T (- =?h1 SAMPLE <br /> MEASUREMENT <br /> PERMIT ' ¢*## ?t II#### ###### ###### i Cl ?C3f?7 ii <br />O NT ,;'Ai3 <br />R05.1- REQUIREMENT I fd5 i {`iA k T <br />is NDUI 1 SAMPLE ; ., <br />MENT P: MEASUREMENT <br />n O PERMIT REPORT REPORT <br />-{ <br />; ru <br /> REQUIREMENT OODA AVG DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT st wit u a REPORT <br />?r x :- : <br />/ <br />4 ?t <br /> REQUIREMENT i {dST MA? <br /> <br /> <br />NAMERITLE PRINCIPAL EXECUTIVE OFFlCER i -Illy ¦ <br />ntler pen. ly is. that this document and all ¦ttacnmenta ere <br />v <br /> <br />TELEPHONE <br /> <br />DATE <br /> pnpar <br />d under my dln tton or ru <br />per+faton in accordance with • system dd{Red <br /> <br />•? "•' <br />' • to arson that 9.8Mn d personnH propeA7 Lather and --Male the Inrmvwuon <br />- <br />. <br />, <br />' sabmltted. and. my Inquiry of the person a persoru who manage the f]stem, <br /> of those persons dlrectir respomlbk for gathering the Information, [in Information <br /> submitted h, to the best of my knowledge and bellef, true. arcttrale. and compkte. <br />I am a.an Ow thrre are sfgninunt pr .W, fnr mbmlttin <br />fat. Information <br />IGNATURE OF PRINCIPAL EXECumv <br />III <br /> g <br />, ) <br />OR TE TYPED ?? (? Irxiudin= the pnsribillt7 of n- and Imprlsonrnt for knnaing 0,4.u.- OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Ralarance DIN attachments hare) <br />- F^ F_ 1D'; LMT / .-i^'I__IFD FOR 10YR, r r-F(R -7 <br />- This is a 4-part form. PAGE DF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used.