Laserfiche WebLink
PERMITTEE NAME/ADDRESS 0_ "_ frWyNsWlxanm I/DIS nuJ <br />NAME <br />a 80MIE: kF~''~!YCt'S LiN.ITF(i <br />ADDRESS BOyIG VP 1 F Nq I ii e':;T "fINP.;i <br />' P.0• 6~~Y 14 q0 <br />' PAOt:lA CO 81428 <br />FACam PO'.I~. RE_^UFCri LIMITPD <br />LOCATION <br />a .r r u. ~ r r r r A As o e o r u u n o n o <br />NATIONAL POLLUTMT OISCRMGE ELIMINATON SYBTEM (NPOE5/ ; S. ~:, .t~~: v! 4nl. <br />DISCHARGE MONITORING REPORT IOMR! Q .pqp <br />n-r5i rr7-lsr LOADJJ'1 A"~'4"? F~ ruoel'd~C;J~y°~i-aa <br />PERMIT NUMEIER D16CNMGF NUMBER F - F I i ~A [. <br />MONITORING PERIOD ~ T t+ 0 R <br />YEAR MO DAV YEAR MO DAV __ <br />FROM ~) IG Oi TD 9 `:~ \' JI~S~H0.R~' ~ 'XY~ <br />rzazrr rzz-zal nbz5r rzbz7l rza-zsl r3a3/1 YNOTE: ~ud (rutrucNorr~rla~ CEIh Irtino mb form. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !1 Grd On1Y1 QUANTITY OR CONCENTRATION Np, FREDUENCY SAMPLE <br /> /653) !546/1 r38-45/ !4653 51-6/ <br />EX OF <br />TYPE <br />l3I-37/ MALVSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rIZ-rtl l51-5B1 (59-701 <br />OiL dND (iHE.45L' SAMPLE ,:::4:G;: ( X74) rr4`~I#'-;: '.T: #3#r ..:••+ <br /> MEASUREMENT <br />Y I :i U A L <br />tf40i:li i 0 0 PERMIT ~y~:p.'s.+9'. RSP087 2:i=1 #?ali~rA3 a###>x.a`~ ##:a'>w17i~s: tr:xr ~.K$$ICI.Y .'~;3.481 <br />.,, ~REOl11REMENT ~ _ <br />• _ <br />,. .. <br /> SAMPLE ", <br /> MEASUREMENT <br /> ., PERMIT ~~ . .. ~. ~ ..: .. .. .:.. .. <br />~ <br />~~ <br /> REQUIREMENT ~ . ~ ~ ~ ~ ~ 4~::~ e;- <br /> SAMPLE <br /> MEASUREMENT <br /> ~.~ PERMIT .. ~ ~ ~ ~ ~ ~.~. .. .. ~ .: . ~: ~. ~ ~., ~ <br />~ ~ .. .. . <br /> .REQUIREMENT ... ~ .. .. ~ ~ .. <br />. :.. <br /> SAMPLE <br /> MEASUREMENT ~ C <br /> .: PERMIT ~ ~. ~ . ~ ::...:-... <br />~ . ~.: ~ ~ . <br />~ ~.' ; :. ::. :. <br />~ .: ~ ~~ . ~~.~ <br /> REQUIREMENT ...: <br />~~:~ ~ :... ~~::~ ~. <br />: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT: . <br />.:. <br /> <br />~ <br />~ ~ <br /> <br />~ <br /> ~~REQU.IREMENT .' ~~..~: .. <br />:. .. ~ <br />~' <br />~ .. ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> ~~~~ PERMIT ~ <br />. <br /> .REQU.IREMENS ~.. .. .. ...... ~... .. :.. .. <br /> SAMPLE <br /> MEASUREMENT <br /> ~~. ~PERMIT~~~.~ ~ ~ ~ ~ . <br /> ~REQUIREMENF~: ~ ~ - ~~ ~~~~~ ~ ~~ <br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER r cFRnFr uXOER PENUn OF <br />AM FAMIDM WITH THE INFO LAW THAT I RAVE PERSONAILr E%AMINFD Mo <br />MtATION 6UBMITTED HEREIN; MD BA6ED ON /~ <br />/ TELEPHONE DATE <br />// i r~ ~n ~ <br />1, MY INOIllR1' OF THOSE INDIVIDUAL6 IMMEDIATELY RESPONSIBLE FOR <br />OBTAINING THE INFORMATION, I BEVEVE THE 6UBMITTED INFORMATION IS / <br /> TRUE. ACCUMTE MD COM0.ETE. I AM AWME THAT THERE ME <br />INCLWING <br />SIGNIFICMT PENALTIES FOR 6UBMITr1NG fMSE INF011MATION <br />I ~ f ~C"12A I o nl , <br />THE P056161LITY OF RNE MD IMPW60NMENi. SEE 16 U.6.C. ! 1001 MD ]] <br />610NATURE OF PRINCMAL EltEt:I7TIVE ~ ,r C>~ / <br /> U.6.C. 1 1 ]1 r. IPAmIa// utlr Nam NnrH. rr~Y IKAb tics Ip ro t 10.000 <br />f <br />TYPED OR PRINTED rN ara+caeru+r AnwrOPnNNW Mrrw1l nNnW Ana6Yri! OFFlCER OR AUTHORIZED AGENT CODE NUMBE <br />i YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rrferrncr all rttscnmsnts octal <br />St'PTLEABLE SOLIDS LIf.I'f APPLIES ONLY TP <=10YR124HR PRP.CIP °9EV1' I ~ ^LAIMPD. I" CLAIM APPBOY':D RY ~7C1F <br />TSS E IRON LIMLTS HILL NOT dE APPLI.^•.D ?0 NY.PORT°_D MEASURf:M°NTS-SVP I.A. Z, P~ 4, F.~P 9'I'tD39 ~° P3~1r <br />rd 32 - 0 La61 Prern r iD'tT e ~ b uedtl. ' ' ~' E 'iR L'AC ~ M IC MA 6'ED-.ti" ' " `~ ' ' a PAGE OF <br />'10162/77) 505-1i7? , <br />