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PERMITTEE NAME/ADDRESS (Include Facihty NamelLocation if Different) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved <br /> DISCHARGE MONITORING REPORT (E)MR) OMB No 2040-0004 <br /> NAME United Water and Sanitation District COG500411 001-A <br /> ADDRESS 8301 E. Prentice Ave. Suite 100 PERMIT NUMBER DISCHARGE NUMBER <br /> Greenwood Village CO 80111 <br /> MONITORING PERIOD <br /> FACILITY S&H Mine YEAR MO DAY YEAR MO DAY <br /> 18311 WCR 23 <br /> LOCATION Platteville, CO 80651 FROM 2016 7 1 To 2016 9 30 <br /> Lat:40.2664 Long: -104.867639 ME a NOTE:Read instructions before <br /> PARAMETER <br /> QUA T11 OR LOA G AWWOWWWWN <br /> FREQUENCY <br /> NO. SAMPLE <br /> OF <br /> VERA MAXIM MINI M UNITS EX ANALYSIS TYPE AN <br /> a. <br /> pH <br /> SAM E <br /> 004001 0 PERMIT <br /> Effluent Gross REQUIREMENT 8.6 6 SU 2x Monthly Grob <br /> Solids,Total Suspended <br /> SAMPLE f? - <br /> 005301 0 <br /> Effluent Gross REQUIREMENT 30DA AVG [f2 <br /> G m /L 2x Monthl Grob <br /> Iron,Total Recoverable <br /> SAMPLE <br /> 009801 0 1 <br /> Effluent Gross REQUIREMENT 30DA AVG m /L Weeldy Grab <br /> Oil and Grease <br /> SAMPLE <br /> 035821 0 <br /> Effluent Gross REQUIREMENT INST MAX mg/L Continuant Grob <br /> Flow,in Conduit or through treatment SAMPLE <br /> Plant <br /> 500501 0 PERMIT Req.Mon. Req.Mon. MGD KEICOrdel <br /> REQUIREMENT 30DA AVG Daily Mx Continuous (Auto) <br /> Oil and Grease Visual SAMPLE <br /> 8406610 PERNTeq. on. <br /> Effluent Gross REQUIREMENT I INST MAX Y=1,N=0 2x Monthly Visual <br /> SAMPLE <br /> REQUIREMENT <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were prepared under my direction or <br /> supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate TELEPHONE DATE <br /> the information submitted Based on my Inquiry of the person or persons who manage the system,or those <br /> persons directly responsible for gathering the Information,the Information submitted is,to the best of my knowledge <br /> and belief,true,accurate,and complete I am aware that there are significant penalties for submitting false <br /> Jason VonLembke, PM 720 292-3813 2016 12 22 <br /> Information,Including the possibility of fine and imprisonment for knowing violations SIGNATURE OF PRINCIPAL EXECUTIVE <br /> TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br /> EPA Form 3320-1(Rev 03-99) Previous edihons maybe used This Is a 4-part form PAGE OF <br />