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PERMRTEE NAME/ADDRESS pnclude Fa<n;y Nm.~~ano. ;+/p+ge.m~q <br />NAME CO:.OYTO COLL COePAYT, L. P. <br />ADDRESS~OLOYlO elYe <br />5731 STATE HIGHYAT 13 <br />(MEEKER CO 41641 <br />FACIUTr <br />LOCATION <br />FROM <br />ATTN: J. 0. HJ1Re0N, GENERAL eANACER <br />LUTAM DISCHARGE ELIMINATION SYSTEM MPDES) Form Approved. <br />HARGE MONITORING REPORT (OMR; <br />as) m~ s/ <br />~ <br />e I N O R OMB NO. 2040-0004 <br />z <br />sibl oos ~ <br />~soaR .r Y) Approval expires 05-31-98 <br />NUMBER DISCyARGE NUMBER P - FINAL e0F A7 <br />MONIT,ORING_ PERIOD STO$P.R COAL LOADODT/TAYLOR CR <br />MO DAY ~ .YEAR MO DAY <br />„~ j o,; ~ ~~ „_ =~~ No DlscneacE 1~1 aas <br />rzz-23) rzazsl ~ rzs-zz! rzsze7 (~+! NOTE: Read Instructions 6etore completing this form. <br /> (3 Gem Onry) QUANTITY OR LOADING ` (q ~ ny) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (5481) d ~38<5) 4&53J (54-Gi EX OF TYPE <br />(~~n AVERAGE MAXIMUM ~. UNITS MINIMUM ~ AVERAGE MAXIMUM UNITS rs~m) ~~g~5 68-70 <br />U1L pU bK6AJe SAMPLE }'f "•g 4i' ~~' ,-s,'P;<C• AIg.iR :~ tai'.+%~C <br />i I S U A L MEASUREMENT <br />94066 1 0 0 <br />-PERMIT-- <br />~ <br />.N <br />ES=1 ~ <br /> <br />~"~ ~~~ <br /> <br />~ <br />", <br />EFFLUENT GROSS Y-LUE RELIUIREMENT ~~~~~ <br />.~~ N6=0 '"a '~" " <br />" <br /> . <br />m <br />~.~ <br /> SAMPLE <br />MEASUREMENT ~ =; ~ <br /> - PERMIT: .x' ~ ~ r . <br />a3 ~ 'r'=F~ z#~' ,~, <br /> ,R <br />U <br />R <br />E a ..+ <br />._ <br />~ , <br />' <br />'~ ' <br />" ~~ ''= <br /> I <br />EQ <br />EM <br />NT , <br />-' ; <br />_..' ,~ <br />^,~ , ; , . <br /> SAMPLE <br /> MEASUREMENT <br /> .-. PERMIT; ". <br />RE <br />UIRE <br />N - <br />~ :`r .. <br />~ <br />' ~ ` <br />' <br />~' <br /> Q <br />ME <br />T :: <br />; <br />~,.. <br />.::~ "; ~.*~ <br />; ;+?; <br /> <br /> SAMPLE <br /> MEASUREMENT - <br /> - ~ .~ <br /> bRE~UIREMENT. <br />~ ;'t,m - ~' ~~ ~ ~. <br /> SAMPLE ~ ~`' <br /> MEASUREMENT <br /> ~,~'PERMIT,i <br />A .,. y <br />~ . r~.r~ <br />` - * + 3~ '*"`T~ "k`g 4{ <br />:_ ±,, <br /> ~ <br />EQUI <br />REMENT r <br />~ <br />- µ" <br />, 7: <br /> ~ _ _ ~ ~ ,; <br />, <br /> SAMPLE <br />~. <br /> MEASUREMENT ~ ~~ '~~" " <br /> ~F?ERMIT,~1. ~sx '~,^~ ~ <br />~'t ~ x 5~~~ 't -. <br />` <br />" <br />'~ "¢'+~"~ ~ <br />~ <br />'~ <br />" <br />~ x <br /> REOUI~EMEIJT <br />YNNa.t ~ <br />f -.v ' <br />s ~ . ~.~ <br />''. <br />{ <br />d-~' 4> 'E -M:.~i.. _t -~~ <br />} <br />{ <br />y <br />KC-0'svG hV. ?l ~~{ " y' F .. <br />*k! ~u.'LR~e~. }~!. <br />''~4 ~6~i^ <br />:~i+~ .- <br /> SAMPLE <br /> MEASUREMENT <br />~ <br /> '~~'TQERMIT'''I . <br />i.4 ~ ah.~ tea. <br />T '~ <br />T <br />~ ;3~ + t +~r' x <br />+L- <br />~' tz 'T '~~ ~i"". <br />Igo` ~S 4fa~ ~'# <br />~ ~^w~~ ~,w,~;. <br />emu' x'x,'~~,i.,.? a"' <br />~ x . <br /> SREQUIREME <br />NT y <br />k <br />' <br />~'~ S~ <br />~ <br />~ y. <br />~~ <br />' <br />4~ <br />r' s~- • T <br />x <br />.; sr'y ( <br /> _ , <br />F.# <br />. <br />, ?+w} <br />. <br />.~ F g <br />~ i <br />NAME/TITLE PRINCIPAL IXECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMIUAII W ITH THE INFORM LAW THAT I HAVE PERSONALLY EJfAMINED AND <br />ATION SUBMTTED HEREIN <br />AND BASED ON MY <br />/ TELEPHONE DATE <br /> INQUIRY OF THOSE INDNIDUAL ; <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~ ' <br />/ // ' <br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE, ~ <br />LLL <br />fff <br />~~~ <br /> ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMffTIN I AM AWARE THAT THERE ARE SIGNIFICANT <br />G FALSE INFORMATION <br />INCLUDING THE ~~ <br />/// <br />III <br />\\\ <br />,( ,'- <br />". 1 ~ ~Y / 111(VI , <br />POSSIBILfTY OF FINE AND IMPRIBONMENT. SEE 1B U.S.C. 51001 AND 33 U.S.C. <br />NATURE OF PRINCIPAL EXECUTIVE <br />SIG <br />~7t) ,/ <br />_Y ~( (OO l~ <br />U J <br />`} <br />`I <br />TYPED OR PRINTED meximum~~onme+rto ~MSan~B m'~'so~entl SVjsvxj~ up b E+0,000 entl a i~ <br />VFFICER OR AUTHORIZED AGENT 0 NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference el/attachments here) <br />SBiTLE18LE SOLIDS LIeIY APPLIES ONLY IP C=10lR,24HR PRECIP EVENT IS CLAZNED. IF CLAIM4 •Rf110YED B! YQCD, <br />T5S b IROY LIeI?5 MILL YOT HE LPPLZED TO REPORTED eEASURElIEYTS - SEE I.A.3, PC. 5 P @lDei OP PROOF <br />.,..,...~..~..s..~.. ..~. ~ _,, ... _.. .. .. - -- - <br />EPA Form 9320.7 (0&95) Previous editions may not be used ~ ~ (REPLACES EPA FORM T-40.WHICH MAY NO7 BE t1SED.) e00~~/~.gQS}~ R v PAGE 2 OF <br />