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PERMRIEE NAME(ADDRESS Qndvde Faai7iry Nanrltocarion jDigemq
<br />~E--6~LONIO CO-L CCI!FANYQL.P-..
<br />IRESS~OLONYO !LIME. [;LJ O~
<br />~_ 5731 STATE 1FI69YAY ]~ N
<br />ILITYNEEICER V ~ 81
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<br />~ [N: J. D. 4pi?'SON, GgESI _~.°~
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<br />PARAMETER
<br />~ (32-37J AVI
<br />PN SAMPLE O`
<br />MEASUREMENT
<br />D0400 i O 0 s -' pERM1T ~
<br />EFFLUENT GHOSS.AA4U 8~REOUIREMEN7
<br /> NATIONAL POLLUTAMDISCNARGE ELIMINATION SYSTEM (NPDES) FORn AppfOVed.
<br /> DISCHARGE MONITORING gEPORT (OMR
<br />rz~lel rn~~s)
<br />lIINOR OMB No. 2040-0004
<br /> gpprovaf expires 05-31-98
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<br />~ cooouslbl oD~ A (suaR rN}
<br />~y PERMIT NUMBER DISCHARGE NUMBER f - FINAL SOFA".
<br />41
<br />0 STREETER GULCH TO GOOD SPGS CR
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<br /> FROM ~## NU CISCNAHGE ~~~ #*:-
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<br />1nry) QUANTITY OR LOADING (4 Card Onryq QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />66-53/ 54-61) (38-45) (46-53 (54-61) EX OF TYPE
<br />',RAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />(ezra/ ANaLrs/s
<br />(64-68)
<br />670
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<br />' ;1141OaR}7R.'
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<br />EFFLUENT GROSS 1ALUE tREpUIREMENT ~ • 433C ~«
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<br /> MEASUREMENT ~ n /a C
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<br />NAME/TRLE PRINCIPAL DLECIlTNE OFFICER I CERTI
<br />AM FAM FY UNDER PENALTY OF
<br />IUM WfrFl THE INFORM LAW THAT I HAVE PERS
<br />ATION SUBMfrTED HER ONALLY EXAMINED AND ^ TELEPHONE
<br />EIN
<br />AND BASED ON MY DATE
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<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPO ;
<br />~
<br />NSIBLE FOR OBTAINING '
<br />I
<br />~
<br /> THE INFORMATION, 1 BELIEVE THE SUBMITTED IN J
<br />FORMATION I$ TRUE,
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<br />4~ ACCURATE AND COMPLETE. I AM AWARE THAT TH
<br />PENALTIES FOR SUBMITTING FALSE INFORMATI [
<br />ERE ARE SIGNIFICANT
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<br />ON, INCLUDING THE
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<br />rz r mo n POSSIBILfTY OF FINE AND IMPRISONMENT. SEE 16 U.S. I tooa
<br />C. 4 1001 AND 33 U.S.C. :,(SIGNATURE OF PRINCIPAL EXECUTIVE q1o c
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<br />TYPED OR PRINTED 4merimum~a~ismmem ol~Mae ~em~enr/5~.e ml la l °P mi10,00o arM Or OFFICER OR AIrTHORIZED AGENT „~~~ NUMBER YEAR MO DAY
<br />SETTLEABLE SOLIDS LIRTT APPLIES ONLT IF G=l0YR,24 R PRECIP R~80T IS CLAMED. IP CLAIM APPROVED BT YuCD,
<br />TSS E IRON LIRITS HILL NOT BE APPLIED TD REPOHTSD tIEASORElIESTS - SBE I.A.2, PG. S POR BURDEN OP PROOF
<br />MONITORING~PERIOD
<br />YEAR MO DA VE ~~uwr. YEAR MO DAY
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<br />EPA Form 3320.1 (0&9~ Previous editions may not be used. ^ ` (REPLACES EPA FORM T-00 WHICH MAY NOT BE USED.) ~ `~ ~~+ ' ~ ` ~ ` ~ s PAGE OF ...
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