Laserfiche WebLink
PERFAITTEE NAME/ADDRESS pnclude Faciliry Namvllocanon ijDi$erenq <br />NAME 301iIE R°'; '11:^I'^,; r,; ;l :~.•, <br />ADDRESS UOr Ih NR. ~ "IN°. - <br />P.u. n0ic 1 ;J <br />FACILITY PAUhiA CO tl142tl <br />LOCATIONtl (~4Ii. CO 81428 <br />NATIONAL POLLIfiAM DISCHARGE ELIMINATION SYSTEM (NPDES) FOtm Approved. <br />DISCHARGE MONITORING REPORT (OMR~ OMB No. 2040-0004 <br /> z-rs) nr.e1 HLH~R <br />ires OS-31-98 <br />A <br />l ex <br /> pprova <br />p <br /> - <br /> PERMIT NUMBER DISCHARGE NUMBER _ CT •'AI DF-LTA <br /> <br /> MONITORING PERIOD ~iC9C nF SA '!'fl DSzR TI?AIL DTCN <br /> YEAR MO DAY YEAR MO DAY _ <br />FROM 07 10 D1 TO 70 0 9'1 ~ Li•SC9)IFC F. _I.~L,_¢_µMs,,.,.. <br />Y l l :1 : w 1 L L 1 `L'T A • '4 A i? J H . D I F E l" i R laru/ tzz-m/ taa-o/ Im-ur tm-ap lawp ..... ~ . ........ ................... .......... .......r._....n _.._ ._ _.. <br /> (3 Card Onry) QUANTITY OR LOADING (4 Cerd Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (4e-59) sa-st) (3aes) 4659) (54-et EX OF TYPE <br />(3237) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (~~/ (~ 6e~ 6&70 <br />OI4 AND c;hEA i~! SAMPLE xC'.r4C^ ( 94) 44444°• 4%4444 ~x.y+# <br />Y LSU AL MEASUREMENT <br />x4066 1 0 U ~~ M~ p; `+ r ~ ES=I r <br />r ,, <br />, a YJ#~k+~~~ 3q4 ~"~' ~Y~ ~ <br /> <br />LFFLUE'~'C GROSS YALU <br />*'.~- <br />=0 r . 4 ~ <br />r i. "~_~ •} <br />r ••~??~ a~; <br />>d4 . <br /> SAMPLE <br /> MEASUREMENT T <br /> gylt t ~~ t! ~:: y <br /> <br /> SAMPLE <br />/ <br />J / ~ ~ / 'G Y <br /> MEASUREMENT ( <br />Y, ~ { / <br /> `PERMIT . <br />~ <br />~ <br /> ,REilUIREMENi ~ ' <br />t ~'~ <br /> SAMPLE .Y '~ <br /> MEASUREMENT <br /> '~ <br /> <br />,w, <br />,. . r ~ <br /> <br />~. ,- <br />.. <br /> <br />.- .. <br /> <br />.-- . <br />- <br /> <br />,_ ~:. <br /> <br /> <br />° <br /> <br />- <br /> <br />- <br /> <br />- <br /> <br /> <br /> <br />~ <br />.. <br /> <br /> <br />rf`t~ <br /> <br /> <br /> <br />,e ~ s <br /> SAMPLE s <br /> MEASUREMENT ' <br /> a „PER ~ ~$ <br />' .5~ i _ e a <br />' .t .. •: ~F <br />' ytf:`- - ~,~ -. <br />~- :, . ,~„ . <br />` <br />" <br />" <br /> REQUIREMENT ~ = ;~ ~ <br />" •~ ~1,. <br />. <br />. SAMPLE <br />MEASUREMENT <br /> PERMIT F-°` =: ', .t <br />~ <br />~ <br />~ <br /> REQUITEMENT ~: £ <br />a <br /> SAMPLE <br /> MEASUREMENT - <br /> - PERMIT- - 'z '-~ .. - <br />~ <br />~ azs;i. <br />~ ° <br /> REQUIREMENT s' ~°. '~= " <br />. <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERRFY UNDER PENALTY OF LAW THAT I HAVE PERSO <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HERE NALLY EfAMINED AND <br />AND BASED ON A11' <br />IN TELEPHONE DATE <br /> ; <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS TRUE, j <br />~ ~( <br />~ ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />E I <br />NG THE <br />TIE <br />R S <br />TTING <br />RMATIO <br />INCLU ~ <br />~ J/ <br />j7A ) <br />/,~ f 1 ~ / / ~( ~ S FO <br />FALS <br />N, <br />DI <br />PENAL <br />UBMI <br />NFO <br />POSSIBILRV OF FINE qND IMPRISONMENT. SEE 1B U.S.C. § 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTNE ~ ~ ~o~ -)S ~ C ( ~ ~- ~ tcf <br /> <br />TYPED OR PRINTED § 131 e. (Penettles under mesa sletules may Include Orres up m EI0,000 end w <br />rnWmum impASOnmenf olOeMeanBmondu endsyeem./ OFFICER OR AUTHORED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />bETTLEAHLE <br />C:iS 6 IHUN SOLIDS LIriIT .7YPLIES ORLT <br />LIHITS vILL NOT 9P, APP.LI-,D LF <=LOT R,2UHR PRP.CIF FV?yT 7i <br />T7 RP.PURTPD "IEAStJRP.KfNT->-5?P, CL~.TM^D. Tp CL>1T/h i.pPHOVFD ~~y W1CIi, <br />I, A. 2, P6 5 fUfi 97RDEN OP P?OQf <br />~PAForm 3 20•~ - S7 Previous a ikons rtia no be ~a .' ' '-" • ( E CES A T~ 1 I(Y O 9 E .) ~ ~ ~ • PAGE OF <br />Ontl~/4~03t2-1222 <br />