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HYDRO21403
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HYDRO21403
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Entry Properties
Last modified
8/24/2016 8:42:53 PM
Creation date
11/20/2007 2:18:00 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Hydrology
Doc Date
3/12/2001
Doc Name
2nd Q 1999 DMRS
From
WESTERN FUELS COLORADO
To
CDOH WATER QUALITY CONTROL DIV
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITTEE NAME/ADDRESS ! Inrlude <br />Fa(iliq' Name/C~(alion if di7rnnl1 <br />NAME_`__J_~~__~- <br />ADDRESS ~_ ,~~_~~` <br />'~ <br />FACILITY <br />LOCATION _ <br />----- _ '---.1. ------------ <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (M1PUFS) <br />DISCHARGE MONITORING REPORT t OM11RJ <br />(?-161 (17-19) <br /> <br /> .1. <br /> <br />PERMIT NUMBER of:~~.,,~E N,,.,aLa <br /> MONITORING PERIOD <br /> YEAR MO DAY YEAR MO DAY <br />FROM ~ TO ~ 1 <br />~ ~ . <br /> ~ J <br />1 <br /> 170-_'11 171Qi) 114~Ii1 rlh-DI 134-_'91 /i0-711 <br />~' <br />. ~ ~~ Form Approved. <br />4 _ - _ OMB No. 2040-0004 <br />~~ ~ ~-Y4pproval expires 1031-94 ~, ~.I•~ <br />.NOTE: Read instructions before completing this form. <br /> (~ Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION <br />PARAMETER (4fi 57f <br />(54-61) <br />(iS-0J) (46-t3) l54-6I1 <br />NO. <br />EX FRF OUENC~ <br />DF <br />SAMPLE <br />TYPE <br />fJ1-i,"") ANgLrvs <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (E7~y), 164681 169~iP1 <br />T.. SAMPLE . .-:{':'' a .?'F ~ • <br />'J <br /> <br />MEASUREMENT - / <br />V ~~~ <br /> <br />.I _ ;.~Jj I REQUIREMENT <br />....... <br />to <br />r <br />~:u'. ~r~~ 'CI'I' .T, sAMPLE ..^. 1... __ _ 19.0 ~ - r~ ~ <br /> <br />1 J~ ~' 11 .. MEASUREMENT /Q ~~ <br />(fl - eT <br />V /~ <br />r _' ~ 1 ^ PERMIT ... ... ) - _ - _ .. s I h ~ / , <br />- <br />- REQUIREMENT <br />_ _ <br />_ <br />; 11 <br />I <br />r r r r ^ <br />'-.J •'.. Jae <br />O <br />s ~_ SAMPLE <br />M .. ... - In <br />OI <br />1 <br />~ ~l ///~ <br />~ ~1 e <br />/ <br />D~T /~ <br />~ ~ // <br />` <br />' <br /> EASUREMENT , <br />i <br />Q/• <br />J i <br />C <br />CI • I <br />III ~PM <br />3 <br />_ - <br />..,I': ~ . .1 _ PERMIT r .... <br />.: .. . <br />... ~.. .: . ..: <br />... :.. i .. T,l r J - r-~ * _ -/ -' <br />J.4 i <br />.. REQUIREMENT i:.a. v _ _ _ ~ <br />T U <br />~ ~ 1 1' ~ ) <br />~ MEASUREMENT /~ I O A 2 D J /3 V <br />~ ~ ~ S _ PERMIT .. :: 't .:: ~..~ , _ . ,. <br />_ <br />., <br />, REQUIREMENT _ _ ~ <br />,1 <br />L <br />, <br />, <br />i 1 <br />' - <br />~I <br />' . .. . ..~ -. SAMPLE n;. •... . I r 4 <br />~ <br />f <br /> MEASUREMENT ~ <br />r /Fl <br /> <br />- J ~ _ 1 <br />PERMIT <br />... ,.. ... <br />....;... .. r <br />;':.'. <br />.. .. .... <br />i.:' :...,.. ~ <br />~ <br />I <br />lJ~ <br />r <br />,. .. .r - <br />. ): <br />J REQUIREMENT <br />_ ' , <br />C7 ..7 'r <br />4 SAMPLE `' f :~ .. '-:Y:i .:'.;...: <br />- <br /> <br />1 ..) <br />..._.. .. <br />MEASUREMENT 7 <br />/ 2 (,Z ( _ Q <br />/ ~ OS I /n•~ ~ <br />LON p (/T! <br />LV <br />_ .. G <br />Ju - PERMIT 'I .: ..'.:.< ... ':, .... .. .Y:.. /( ( .l. <br />.. REQUIREMENT _, 1 ~ <br /> <br />t. L~ ~: - i:::: : <br />:: <br />:. ./u _.s~l r. ~.~ ,... <br />J - , _- ~ SAMPLE <br />MEASUREMENT .. .. .. ~: [:: .': 1': '.s' <br />I1 to~ ~ <br />~) _I { O <br />~ ~ <br />I/3a <br />G r~x3 <br />~ ~. ~, L PERMIT ... ,' : c. - ~ _ 1 <br />_ _ r REQUIREMENT - - _ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERnrr UNDER PENALTY OF ~Aw rHgT I HAVE PERSDNquv ExAMINED <br />FAM <br />A <br />IT <br />F TELEPHONE D A T E <br /> NO aM <br />ILIAR W <br />H THE IN <br />ORMATON SUBMITTED ItiEREIN AND B45ED <br /> ON n1Y INOUIgV OF THOSE INDIVIDUALS IMMEDIATELY RESWNSIBLE FJR <br /> OBTAINING THE INFORMATON I BELIEVE THE SDBMITTED INFORMgTION IS <br /> <br />TRUE ACCURATE 4ND COMPLETE I AM gWiFE THgT THERE 4FE <br />SIGNIRCANT PENALTIES FOR SUBMITTING FALSE INFp•iMATION INCLUDING <br />~~ ~~~.~~ <br />/H/r <br />77 n <br /> <br />r <br />O ( <br />'~ <br />'I <br /> THE POSSBUiY OF FINE AND IMFRISONMENT sEF IB use 4 i~1 ArvD <br />33 u5C 4 1319 1Prnalues unJer lhrsr siaru¢s nu/' mauJr fines u <br />m sIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED y <br />S10.P(10 and nr rmaimum impnwnmrm u! bnu'een 6 months an~i i sears.l <br />OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> COD <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS lKelercn(e all a(larhmenb here) <br />~. ..r ~ - .i _~ _ _ - i _T ms's I ..i ~~._ 1 '~ 1 7. .. .:C_ s ..f ~ 7 <br />r. <br />EPA Form'3320-t (Rev: 9-88) Previods editions ma be usee. ~ • ' ~ IR CAGES EPA FORM T-60 WFhCH MAY NOT'BE USED. - ' ' ' " ' ~ '• pA"GE ' ~ DF <br />
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