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PERMITTEE NAMEIADDRESS (Include Facility NameA ocahon if Different) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved <br /> DISCHARGE MONITORING REPORT (DMR) 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 /> S&H Mine MONITORING PERIOD <br /> FACILITY 18311 WCR 23 YEAR MO DAY YEAR MO DAY <br /> LOCATION Platteville, CO 80651 FROM 2016 7 1 To 2616 9 30 <br /> Lat:40.2664 Long: -104.867639 NOTE:Read instructions before <br /> PARAMETER <br /> QUANTI OR LOA G O FREQUENCY <br /> NO. OF SAMPLE <br /> VERA MAXIM MINI M UNITS EX ANALYSIS <br /> pH TYPE <br /> SA NE <br /> E <br /> 004001 0 PERMIT <br /> Effluent Gross REQUIREMENT 8.ti 9 SU I 2x Monthly Grab <br /> Solids,Total Suspended <br /> SAMPLE <br /> 005301 0 <br /> Effluent Gross REQUIREMENT 30DA AVG MX 7D AVG m /L 2x Month l Grab <br /> Iron,Total Recoverable SAMPLE <br /> 009801 0 PMMT 1 2 <br /> Effluent Gross REQUIREMENT 30DA AVG Daily Max tp /L Weekly Grab <br /> Oil and Grease <br /> SAMPLE <br /> 035821 0 <br /> Effluent Gross !MQYIPJKMNNT IN$T MAX mg/L Continuant Grab <br /> Flow,in Conduit or through treatment SAMPLE <br /> Plant <br /> Plant 1 0 eq. on. Rey.Mon. MGD cor e <br /> REQUIREMENT 30DA AVG Daily MX Continuous (Auto) <br /> Oil and Grease Visual SAMPLE <br /> 8406610 PERMIT Roq.Mon. <br /> Effluent Gross REQUIREMENT INST MAX Y=1;N=0 2x Monthly Visual <br /> SAMPLE <br /> NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were prepared under my direction or TELEPHONE DATE <br /> supervision in accordance vnth a system designed to assure that qualified personnel properly gather and evaluate <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 Informabon,including the possibilityoffineand imprisonment for knovangviolations SIGNATURE OF PRINCIPAL EXECUTIVE 720 292-3813 2016 12 22 <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 editions maybe used This is a 4-part form PAGE OF <br />