Laserfiche WebLink
. NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM(NPDES) Form Approved <br /> DISCHARGE MONITORING REPORT(DMR) OMB No.2040.0004 <br /> PERMITTEE NAME/ADDRESS(include FacililyName/Location if Different) DMR Mailing ZIP CODE: 61302 <br /> NAME: Crossfire Aggregate Services LLC COG501574 002-A MINOR <br /> ADDRESS: 820 Airport Rd PERMIT NUMBER DISCHARGE NUMBER <br /> Durango,CO 81302 <br /> FACILITY: WEST FARM PIT MONITORING PERIOD — Discharge to Arkansas River <br /> MM/DDIYYYY MM/DDIYYYY External Outlet! <br /> LOCATION: 9485 CR HH,5 04/01/2015 06/30/2015 No Discharge <br /> UNINC PROWERS CNTY,CO 81052 <br /> ATTN: Ezra Lee,-Mgr <br /> QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> PARAMETER VALUE VALUE UNITS VALUE VALUE VALUE I UNITS EX OF ANALYSIS TYPE <br /> :' <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER Iuntllyumimmmliyoflawthatihiodocumentandallnitaclmuohworepopamdoldermydbcctonor TELEPHONE I DATE <br /> urpunolan in accordance Wth a eyahan tkfslpncd hi onsum that qualified persu,mnl ptopody gofhe,and <br /> tvnkmtu Iho Information submitted.Don od on my inquiry of the person or porsuns%to mmnapc Um <br /> (\ \ i nynbm or those pu nmr directly,ouponwblo for gathering Uto information,the mMrmnkon sobmitlod in, ` , t . <br /> 't, i i Y to tho bent of my knwdcdgo and Ito of,Imo,rtectnolo,awl comploto.I omnivore that thorn aro siptiftont. - I - <br /> I 1 ; .. i , '.t: i , pmsnII slot sutunulop Iota iiformation,(notudn03 Uo fo.11,11tyof Ira alImprisonmadlorknming SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR I`; i, . <br /> I t I l�,. i•, I>� l ,vio4 Ilwo. , <br /> t i <br /> TYPED OR PRINTED <br /> AUTHORIZED AGENT AREA Code NUMBER .1 RIMIDDIYYYY <br /> COMMENTS AND EXPLANATION OF ANY VIOLATIONS(Reference all attachments here) <br /> Oil and grease-see Part I.D.20,page 15. <br /> EPA Form 33; 4ev.01106)Previous editions may be used. 09/77/20• Page 2 <br /> i r „ <br />