HYDRO22147 - Laserfiche WebLink

Home Browse Search

PERMITTEE NAME/ADDRES$'peob6 frd~ryNsWL«an gDyr,..,rJ _ NAME -- p~y{{g~ C04L COIfP`ifl~"'^"-'--'Y' ` ~r- " -. . ve:= ADDRESS HOA ID (~I R P. ~ N~ E ~ pORT1L3 P.U. HUY 1430 PALISADE. CO d1526 FACILITI' LOCATION i1 A'1'TN! .7lIHY -~ iM C'N/JH_ P.7 P':in RI:T NATIONAL.POCEUTMiPpISCHARO EUMIen~ NSX -INPpE$/ ~ f FQFR)APP/OVed. _ ~,~QISCH~ ONFTO SiR OR D R! ~ ' 2040-0004 _ __ -~"-~~~~--~---~~*I' (expire OS-31-98 (SD9R iC) 1231 PERMIT NUMBER DISOHMGE NUMBER P- P I I A L MONITORING PERIOD MINOR YEAR MO DAY YEAR MO DAY FROM 1 1D O1 TD O1 12 31 ~~'~ NO UI5CRARGH ~~ =+xd~ nmrl r~zzRl r~uSl ns-1n naa9l r3a3u NOTE: Rud Imtruetions bslon complsUn9 this form. ' PARAMETER !3 Grd Onlyl QUANTITY OR LOADING ~ !1 Grd Only) QUANTITY OR CONCENTRATION NO: FREQUENCY SA !46531 I51-6J7 138J51 1(5-53 1516/1 EX ~y TYPE l31-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS isa-ssl M S3 Iss-5B1 169-701 PH SAMPLE ##q?4^, r#O### C:#~#4 ( 12) MEASUREMENT U40U 1 U U PERMIT ]}t711R?¢## #AyRtprlp# #Or ,5 ##`##Id# 9.F} bRKLT X$xTU ..FFLUEH2 GROSS VALUE REQUIREMENT.. .".:.. .... .. :. ,r.: : #4fi3 K%' :JL1D5, TOTAL SAMPLE #4>-##tr #49#4# ##>atr4# ~'t4) SUSPENDED MEASUREMENT J'J530 1 0 U :. PERMIT ,. ~ -~ tr441E#?CC :' . . ':•:: Ae#?~7.~?I-At'~ 4#R ~: 4~~F~IIr .:~ 3~5. ~, ~~:. ::~~: ~ ~: .~~ ~ ":;: ~~C~!L~!::::` ~~.~ ~, •.FFLUENT 6HOSS YALU REQUIREMENT . : . : i`. ly>~FA . ;oLIDS, SETTLEABLE SAMPLE #alar•## ####4# #0##914 ( 25) MEASUREMENT - JU545 1 0 0 PERMIT P##44C.... :.#4#A141R AuF: #g4>RO# REPOat H?~0.8T I ac.E/ >a~B ce'PLUENT GR035 YlLOE REQUIREMENT 4#a# 30 I Y LRUNf TOTAL SAMPLE ::k##a9r #IFB+F## #tr#### ( 19) (AS F'R) MEASUREMENT 1045 1 U U ~~ PERMIT ~ .Y3rflj: Kt~l$~. ###4~Itr# trOV ~ 'ti###4R0 ].5 7~~0 ~ ~ - MCE/ iRA F! e:Ff'LUENT GRO55 YALU REQUIREMENT 4~tr ~iL AHD CREASE SAMPLE :,tq:,,O## ###>x#: #####a ( 19) MEASUREMENT 3582 1 0 U .:...PERMIT ##TI##li. >PF##4#.4 #IG: a9$##tr R1nP©:RT : I.G .: OMTIN ~$AB EFYLUENT CROSS YALU :REQVIREMENT: #~~ ,T . LOM, IN CUMDUIS OR SAMPLE ( 03) ~#+D+tr40 #><#a~z: ~n#o#la NRU TkEAl WENT FLA1 MEASUREMENT 0050 1 0 0 PERNIIr REpOlt? REPORT xtr#O*tr ##04#p ~#la#4it #>a# $EKLY "B52AN F!'LUBNT GROSS YALU .REQUIREMENT 30D.i AYG DtILY lII: lIGD st3## O'L DSs TOTAL SAMPLE trtr4444 >Ortrltr#tr 4ttrtr## ( 1¢) ISSOLY EU MEASUREMENT " 70295 1 0 0 PERMIT ~~~~# #ktl/4%~# #aa 44tr#It4 HBFQR4 RP. FORT TRLT ;RAB 'FFLUENT GROSS YALU REQCRRE6AENT: ..: ##G# R.S6. A:9G RTF..RAX NG/L NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PFNAITY Of AM FAMILIM WITH THE INFO LAW THAT I HAVE PERSONALLY E%AMINED MD RMATION SUBMITTEO HEREIN; MD BASED ON TELEPHONE DATE ~ Er-- ~t I ~ ~ V ~ r MY INQUIRY OF THOSE INOIVIDUAlS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS I AM AWME THAT TNERE ME ACCUMTE MD COM0.ETE TRUE f G ~ . . SIGNIFICMT PENALTIES FOP Sl1BMITTING FALSE INFORMATION, INCLUDING 9/ L' }~!'1 F 11 ~ THE POSSIBRITY OF FNE MD IMPNSONMENT. SEE 1e U.S.C. F 1001 MD ]] SIGNATURE OF PRINCIPAL EXECUTIVE B l15 L'ID' Q Z (~ ~ ~ U.S.C. f 1110. fAwWdr. I.Mr Mw aellm. rrry vrAd. ~w. w ro f 10,000 A A J TYPED OR PRINTm .nd wmau.enr inplaomwnr of errwwn s monBra W s yra/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV flg COMMENTS AND EXPLANATION OF ANY VIULA I luNO lr*sTSrsnce sn ertscnmenrs oars! SETTLEABLE SOLIDS LIPIIT APPLIES ONLY IP <lUTR~24NR PRECIPITATIO!IS £YFAT IS CLAICED• PF.'r(MITTF.E HAS UURDEN OP PROOF YR6N @EQUESTING RELIEF FROM SETTLEABLE SOLIDS pRIMAAY LIMITATIONS. EPA Fwm 3320-7 108-951 Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF 00757/9dt223-125f. 1