Laserfiche WebLink
PERMITTEE NAME/ADDRESS Ilndude Facilm•NamelLocarian ijOserem) <br />NAME SENECA CGAL CCCFANY <br />ADDRESSU R A Y E H D <br />HAYDFN <br />CO H1639 <br />fACILITV <br />LOCATIOt~AYDEY C(i N1E30 <br />hTTY.: G. BUD rf1UWh~ CEA2H6L `AkAGEF: <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM1 (NPDESJ <br />DISCfHA6 GE MONITORING REPORT (OMR79) <br />cocc 721 b ~ ~ <br />PERMIT NUMBER DISCRA(tGE NUMBER <br />.. unulrnolur•_ overnn <br />FROM <br />i0 <br />f76.2)) (ZB"T9) (30.7x) <br />Farm Approved. <br />T I h G H OMB No. 2040-00041 <br />(S U B k / ~) APProval expires 05-31-98 <br />F - FI111 'AOUTi <br />GISCHAFGE 1C YCEEF6_C6 GCICM <br />~~'} 'JO 11_'CF.AFGE ,yCJ~~ ICVS <br />NOTE: Read Instructions beforL completing this form. <br /> (3 Card Ony) QUANTITY OR LOA ~ 14 Card Ony) QUANTITY OR CONCENTRATION N0. EREOUENC SAMPLE <br />PARAMETER f4s"53) (s4-s t) ~ /3845) f4s-53> (54-5T) EX of TYPE <br />(32-37) <br />AVERAGE <br />MAXIMUM <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS ANALYSIS <br />L N ~ SAMPLE ~";"' `" I 9 %I ~ ~' C <br />VISUAL MEASUREMENT -;'~ ~~. <br /> <br />b4056 1 U G pERM1T IF$F4A IS=1 +0 >ant iSLf ISUAL <br />EFFLUENT dRUSS VALUE WEOUIREM~NT IBST RAx iC~O ~ . <br />~ '" ~~<: .CN1A <br /> SAMPLE <br /> MEASUREMENT "'• <br /> ~F'Hf3lalT <br />` ~.; ~..~~ ;: r'~„ <br /> #iEOIiIREMENr ~ r`~,_;i •' <br /> SAMPLE - ~: ~ <br />. <br />' MEASUREMENT n <br />~~°; <br /> ', ai" <br /> <br /> <br /> SAMPLE <br /> MEAS <br />ENT <br />U <br />R <br />E <br />M <br /> ~ <br />ry <br />~ <br />~~ <br />f' <br />fir. ryYf'"'i~ ~ `',~`~. <br />f +• <br />b. <br /> 'Ff' x. <br /> SAMPLE <br /> MEASUREMENT <br /> ~i <br /> ~~ Ea1~NT-~ <br />~.- . ~. .. <br /> SAMPLE <br /> MEASUREMENT <br /> ~'~ <br />.' <br />~` ~ - ,« . <br /> ., <br />EI~( <br />. ,- <br />- <br />~i ~ <br /> ~~Mew; <br />w>ac ~ -- <br />1 <br /> SAMPLE <br /> MEASUREMENT <br /> .v,"p~RMIT : '. <br />~ ..~. <br /> .~3Ef~FpIEi~FA~[gY ' „ <br />~ ~ `. <br />NAME/TITLE PRINCIPAL IXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSONALLY E%AMINED AND <br />ATION SUBMITTED HEREIN <br />AND BARED ON MY TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUAL ; <br />S IMMEDIATELY RESPONSIBLE FOR DaTAINING <br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION I$ TRUE, <br /> ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITTING I AM AWARE THAT THERE ARE SIGNIFICANT <br />FALSE INFORMATION <br />INCLUDING THE <br /> <br />POSSIBIUTV OF FINE MID IMPRI <br />, <br />SONMEM. SEE 1B U S C § 1001 AND 33 U.S.C <br />SIGNATURE OF INCIPAL E%ECUTIVE ~ / <br />TYPED OR PRINTED me..lmuni~p^Brittsonmem of beMee re6 med4hs antl5 yaars.j s up ro 510,000 and ar OFFICER O AUTHORIZED AGENT E <br />CODE NUMBER YEAR MO DA <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />155 C IYCN LLtlITS 11111 dE WAIVEG E SETTLEAF!LE SCL]C~ LICIT AFFLIEU FGF C=lUYR~24Efi F6#C1F EYE~1; 755 E <br />IitUY L!I'.ITS 4AIYEU FCE >IOYe~24HB P9ECIP 2V#FiT SUF,]ECT TU EUkOCN UE F6CCF IH i.A.~. C71 E GF#!SE - SEE <br />T_N_ l _I;_ TOC M/lYT9f GTNf_ - T _R. T r _ <br />EPA Form 3320.1 (OS-95) Previous editions may not be used. (REPLACES EPA' FORM T-40 WHICH MAY NOT BE USED.) G U I7 9 X 99 L E ] 7 - l Ei~S 3 PAGE ~ OF <br />