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4 <br />PERMITTEE NAME/ADDRESS pndude FaciliryName/Cocaeoa ijDifferenq <br />-.NAME PIIT58URG E NIDNAY COAL HIKING <br />,ADDRESSEDNA NIKE <br />P. O. 801[ 6518 <br />FACIUTYENGLEYpOU CO 80155-651H <br />LOCATION <br />a. AL1'Nt DAVID L. LDNG, NINE JYP~'Ti <br />'. PARAMETER '. I X AVERAGE <br />N - SAMPLE ##¢x¢k <br />UUaUU L U U <br />EFFLUENT GROSS YALOE <br />"OLIUS, TOTAL <br />SUSPENDED <br />E,:' U~30 1 J 0 <br />'~ FFLUEYT GROSS VALUE <br />'',,a0LID5, SETTLEA$LE <br />;~~ <br />~5~; U S U S 1 U 1, <br />~;; FFLUENT GROSS VALUE <br />9IL GRHASE <br />rJ. ~. <br />LOSSh 1 U 0 <br />~YFLUENT GROSS VALUE <br />~ ~ILFATE, T02AL <br />~~ (AS..SOIt) <br />FC ` ~' LROSS V d.1 <br />r~. [BON, .~~4AL <br />%i tjtjrpg) <br />'', lU4S ± k .'U 0 <br />l'! FPLUE'NF GROSS VALO! <br />ANGANESE, - <br />.OTENTIAL(.Y DISSOLYC <br />)Lill L I 2 <br />:PPLUENT GROSS VALUE <br />NATIONAL POLLUTAM DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMq) OMB No. 2040-0004 <br />NINUR ' <br />r•nnnzo z ~ I (BURR NSI) <br />PERMIT NUMBER DISCHARGE NUMBER F - f I N AL RO U'L <br />MONITORING PERIOD SURFACE RUNOFF TO TAOUT CREEK <br />YEAR MO DAY YEAR MO DAY <br />FROM 00 0 .0 TO DU O a¢r NO DISCHAI:CE ?]~ d¢# <br />' ~ ~ NOTE: Read Instructions before plating this form. <br />Y OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />EX DF TYPE <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSTS ' <br /> ~•'*. <br />.. <br />: . J <br />SPtNIPLE k#d¢+~¢ .. d##¢da ¢C+T¢;:# ( 1~.) <br />1SUAEMENT <br /> <br /> n ~ d f !F L <br />SAMPLE #¢d4d'¢ ~ d#r„¢¢ ^ ~ia'sA¢4'C '~, { 25) <br />SAMPLE ##9!'k#R RrR¢4 "-' #d¢de# ~ #.F#~k#;k ( 14) <br />\SUREMENT <br /> <br />i <br />6A s~~' <br /> <br />n <br />x >u~ <br />1) <br />` : r Ilt~ <br /> <br />° ~. 7 <br /> <br />s 9 d x :. . #rx <br /> <br />~ ~,x <br /> <br />u~>x~,' -~~ '~ <br /> <br />„~: '~" +~z <br />~ <br />f <br /> ..A .~iK .~ <br />. ~ :Y <br />SAMPLE #.. ¢#'~ . .. +'r#¢#C4 ¢##### _ ( 19) <br />\SUREMENT <br /> dd 7 ~~ <br /> ~ V <br />SAMPLE . , : f6P01#Q {c4ditd~l' EM1161k?d ( <br />19) <br /> <br /> #¢ . - <br /> <br />sa,MPLI=_ _ r•¢aaa¢ oda¢ad add#¢¢ ( 19) <br /> NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CeNty untler penalty of law that finis document end en ettacnmenn were <br />stem de <br />di <br />ti <br />i <br />i <br />i <br />dan <br />ith <br />i <br />d <br />tl <br />tl TELEPHONE DATE <br /> '~Q~R„y l~.C~onMV-tLk er my <br />rec <br />on or superv <br />n acror <br />ce w <br />a sy <br />gne <br />prepare <br />un <br />s <br />on <br />s <br />Wessurethalqualifietlpersonnelproperlygath~rantlevaluatelheinfonnetion <br /> <br />~ -submitted.' Basetl on my inquiry of the person or persons who manage the system, Z <br /> the inronnallon <br />or those persona direglly responsible br gathedng the lnlormetlon \? . <br />~ <br />y <br />,~= ~Q nm nr-MIL Cnfo~lll-'1'1~ , <br />.submitted is , to the best of my knowletlge and ballet, true. accurate. end complete. <br />t <br />b <br />i <br />ifi <br />f <br />i <br />i <br />l <br />l <br />SIGNATURE OF PRINCIPAL EXECUTIVE 3D <br />3 DSO -!101 <br />44 L 1 <br /> <br />NPED OR PRINTED Ism aware Hal there ere s <br />gn <br />cant penalties <br />or subm <br />tt <br />ng <br />e <br />se in <br />orme <br />on' <br />indutln the ossibili of fine and im risonment for knovnn molauons. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />', COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachmenCS here) <br />TSS ANU TOTAL IR0,11 LIMITS DILL bE NAYVED, AND SETTLEABLE SO LIUS LLMIT APPLIED POR <= lOYA, 24HR PRECIF <br />~EYENT - SEE I.A.Z~ .P. VI~ <br />.._ POR DETAILS. QRxRLT SAMPLING INST <br />- <br />- i RUCTIONS - SEE I.C.9, <br />I P. XIII. <br />I <br />r l <br />~ e <br />EPA Form 3320.1 (REV 3/99) p1CVIp~l5Qditlpr)s mdq b.¢,uSed , - - ~ THIS IS A 4-PART FORM PAGE <br />'v <br />~ <br />"' . <br />•. ~~. •. <br />- <br />- <br />'~ ' ' r`:Q0163/0007 1T-1233 1 <br />... <br />.•.. <br />, ... <br />; .;~ ..~ .r ~. <br />~ .~_... ,, <br />. <br />- r <br />.. m._ ~._» <br />DAY <br />OF <br />