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
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<br />ATTN: J. 0. HJ1Re0N, GENERAL eANACER
<br />LUTAM DISCHARGE ELIMINATION SYSTEM MPDES) Form Approved.
<br />HARGE MONITORING REPORT (OMR;
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<br />e I N O R OMB NO. 2040-0004
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<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
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<br /> INQUIRY OF THOSE INDNIDUAL ;
<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~ '
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<br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE, ~
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<br /> ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMffTIN I AM AWARE THAT THERE ARE SIGNIFICANT
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<br />POSSIBILfTY OF FINE AND IMPRIBONMENT. SEE 1B U.S.C. 51001 AND 33 U.S.C.
<br />NATURE OF PRINCIPAL EXECUTIVE
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<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
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<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
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