Laserfiche WebLink
PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME: Hayden Gulch Terminal Inc <br />ADDRESS: PO Box 670 <br />Hayden, CO 81639 -0670 <br />FACILITY: HAYDEN GULCH LOADOUT <br />LOCATION: 2 MI S OF TOWN, OFF RCR 53 <br />HAYDEN, CO 81639 <br />ATTN: Roy Karo, GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COG850008 002 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD(YYYY MM /DD/YYYY <br />07/01/2014 09/3012014 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 86001 <br />MINOR <br />ROUTT <br />POND (SE /4) TO DRY CRK/YAMPA <br />External Outfall <br />No Discharge <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />8406610 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />•'` "` <br />.... <br />" "•` <br />" "" <br />PERMIT <br />REQUIREMENT <br />` *•••' <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />" "'" <br />"' " «` <br />" "'" <br />Twice Per <br />Month <br />VISUAL <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of Inv that this document and all attachments were prepared under my direction w <br />auperWsion In accordance with a system designed to assure that qualified personnel property Bather and <br />veWale the Information submitted. eased on my inquiry or the person or persons who manage the <br />system, or those persons dlrec r <br />pe ty eeponrue, for gathering Me information, a Me information submitted is, <br />to Me best of my .far sub and bane( imam estion. in and complete. I em aware that Mere are <br />.lgnlneanc panaldaa for aanmlmng false Inr«m.gan. including the paaainixry or fine and impdaanment for <br />ng violations. <br />OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TELEPHONE I DATE <br />RZS c113-gZ11(b(z3jy01rL+ <br />AREA COda 7NUM13ER I MMIDDIYYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SETTLEABLE SOLIDS LIMITS WAIVED FOR 10 -YR, 24 HR PRECIP EVENT SUBJECTTO BURDEN OF PROOF REQUIREMENTS IN PART 1.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE <br />DIVISION WITHIN 48 HOURS. <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. 03/2812014 Page 2 <br />