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PERMITTEE NAME/ADDRESS (Include Facilip~Name/Locanon iJDi$erenQ <br />NAME <br />DL.L!~. MOUNTAIN ENERG;'. INC. <br />ADDRES~F"SERADO MIfdE <br />36C? CI]UNTY ROAD b~ <br />FACILITYr ANGLY (:O B164EI <br />LOCATION <br />AT~~J~ JEFF Cd)RB FRT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMRJ <br />~-^ r ~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM O 0? O1 TO OG 07 31 <br />Form Approved. <br />MINOR OMB No. 2040-0004 <br />:SUUCt NW? <br />t - FINAL RDLr~~r: <br />S5-I SLCT STIRAGE TO RFD W,4S}~ <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FflEOUENC SAMPLE <br />PAR EX OF TYPE <br />AMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />'r1 SAMPLE ###### ###### aF-R#it#,t .- . <br /> MEASUREMENT <br />)04 Flo t o t PERJJItT ~+rgr~irs .. ~~!~4' * ## . $ ~r~ieae,te O W EKLY NSYtV <br />-FFLUJ_tJT Gf~CSS VALUE REOl11RETAENT ~ ,." %` ~## AX 'U <br />~Oi.tCS TO CAL SAMPLE iF#A### ###M## #iF1FIFIF# L"'~ <br />iUSPEI•JllE"D ~ MEASUREMENT <br />)05,1'; 1 •~~ O `PEF~MIT "°' ,. <br />'~x'~~'sik ~ ~ ~<' ~ ~~ 3 "~- ~~ O O CE/ RAC <br />-F--rLJFNT GF.OS'S VALVE - <br />REOUIR);MENT _ <br />~ +r#a . <br />q X r,, ~I- <br />3C1L i Dom. SETTLEABLE SAMPLE ###### ###### ###### ~ , ; <br /> MEASUREMENT <br />~05lF:r 1 U O '~PERMIi' ~.+M~~t = ~+11»RiiF1E,' ## " #*~tildFM = ".~aIRT REPORT G~ R+h <br />'FFL.I.;ENT GROSS VALVE REQUIREMENT. ,r, ## ;. ~ <br />~i.,'~ <br />IL & GREASE SAMPLE ###ir#iS ##Itf;ts ###### ####t!# 7'?1 <br /> MEASUREMENT <br />OS`.h 1 O O "~r;'PERMI'~, `; `R`1F'Y''#.9k~-., ,.;lk:irl~t au ?IF#~+rik##. IFiF#~7-a# O C A~ <br />_FFL~fEtJT' GROSS VALUt REQUIREMENT >.~~ f•lAY lG;i <br />Rnf,l, Ti1TAL SAMPLE ###### x##### ~s It#a+# l 7, <br />( p;i FE) MEASUREMENT <br />1045 1 O 0 PERMIT '~wi1-1i6dF4F+1 ~IFiF#itiFdt iF #~ ~b~b##it# O O q ~r RA8 <br />aFFLtiENT r_.R05S VALUE REQUI[EMENT ##~ <br />Gil <br />-L.DW, IN ti.ONDUIT OR SAMPLE 03) as#ir~a ###### . #n:; G,: <br />}-IRO TRC:F,TMENT PLANT MEASUREMENT <br />GO50 1 0 0 'PERMIT 'R <br />, <br />_,„I*.~ >t- - ~"('; a , <br />~'~.f *+rw~r#te ~t ~n# ~ W EKLY NS"~`x~N <br />_F'FL.UFNT: GRO55 VALUE REQUIREMENT _ <br />, .: <br />r # ~ h <br />.IL AND GRF"ASE SAMPLE ~#ir#~# `?4) #####* ~~##r;x : ##aa# <br />I SUAL MEASUREMENT <br />34066 1 0 0 '" "FERMfi '~ ~ -+iFit~ti~irlt` ''~='--`~-Y =S=i -+r~t-wilaF~-- ~ •trararita-* ~ - ~rits~x-~ ~x N _Ei(LY IS <br />"=FFLl1ENT GRDSS VALUE RRgUIREMENT ~ - __ # ~~_ <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER Kandy under penalry of law that Nis tlocument and an anechmen6 were <br />pre <br />ared under my direction or supervision In accordance wuh a s <br />stem desl <br />netl TELEPHONE DATE <br />S~ ~/~~~QHS.~/~ <br />" g <br />p <br />y <br />to assurethazqualifiedp~rsonnelproperlygatherendeMUatethelnbnnauon _-~~ ~ <br />~'~ <br />~ submittetl. BaseO On myinquiry of Ne person or persons who manage the system, /~ ,! <br /> or Ihose persons tlirectly responsible br gathering the IMormabon, Ne information <br />~ <br />r ~ / ~ submitted is <br />to the best of m knowled a antl belief <br />accurate <br />and complete <br />true / <br />~ ' ~ ~ <br /> , <br />. <br />, <br />, <br />, <br />h <br />T <br />m <br />i <br />l <br />I <br />h <br />l <br />a <br />0 <br />f <br />i <br />l <br />k <br />u SIGNATURE OF PRINCIPAL E%ECUTIVE _ <br />' i'ST Ti G ~ ~ • <br />" TYPED O PRINTED n <br />am aware t <br />at t <br />ere are s <br />gn <br />rca <br />pen <br />l <br />es <br />or submm <br />ng <br />a <br />e <br />wma <br />on, <br />incl <br />th <br />ossiblli <br />f fine end i <br />i <br />nment for kn <br />«in Woleuon <br />tli OFFICER OR AUTNORIZEO AGENT A NUMBER YEAR MO DAY <br /> u <br />n <br />e <br />o <br />m r <br />sa <br />o <br />s. DE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rele2noe all attachments here) <br />TSS & TOTAL IRON LIMITS WILL DE WAIVEll~ AND SETTL_EABL.E SOLIDS LIM!` PPP~tEI' .:;R :-t0`(}t,"dgHR PRECIP '-~T_.fd"! <br />5EE I. N 2, PG V. FOR REQUIRE"MENTS. ^Il. r< GREASE REPORTING-SEE= I U. ! f , FG Vi I r~'r;Tftl.'% SAN;F'LING <br />E or 332 3 99) P vious iti may be used. THIS IS A 4-PART FORM PAGE OF <br /> <br /> <br />