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PERMITTEE NAME/ADDRESS (/nclade Facility NamdLacatian i/Dipermq <br />NAME <br />OL.U~ MOUhJTAIN ENERGY. INC. <br />ADDRESSDESF_RADO MINI; <br />360: COUNTY F20AD S3 <br />FACILITYRANGLY CO 81648 <br />LOCATION <br />ATIN' .JEFF DURRERT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMR) <br />r n~o n•~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 00 04 01 TO OD 04 30 <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SJpR PJW) <br />F - F:NAL. <br />RP-1 SF_'.DI FONll f0 RFD WASH <br />RrtLn~l <br />*-+~# NO DISCHARGE t.Yl #rr <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSls <br /> SAMPLE a##### it##### ##ar#tF ( 1;. ) <br /> MEASUREMENT <br />pal,~V 0 1 <br />PEIiMkT <br />>'=~s~ <br />~~-. <br />~'#~ ~~ <br />.$ <br />aiFa*~'~ :- <br />, d <br />~KL'K <br />Pi9-Y'P <br />FFLUEI7T GROSS VALUE REQUI~iEMEhI'F - <br />~ ~ *'-" rrtt~a~tr j MA IMUM l! <br />"OLIPS• TOTAL SAMPLE ###### ###il•tJ-# ###~##t: i 1`?: <br />ill=F'EfJDED MEASUREMENT ' <br />OS.sI 1 0 0 `' ~JeS(?~IIT* -. : ~AFM ~t AFIyE It## ~;~yiMh;~e-1-k 5 ~ <br />~ O ~~ ~ <br />FFL ULSNT GF2055 VALUE AEQpIREM,~Ni --~~r : 'fy #++-n ~ "` "- O AV I Y M `1!_- r l <br />'(IL.1 Dt~. SETTLEABLE SAMPLE o-###tt# ###### #n#### ! _ , , <br /> MEASUREMENT <br />6545 0 O .,.`-1~k~M1~.1' :' ~` <br />s - •~ <br />' #te .":.~+1-dfiW+ - REl°iORT REPORT L7 <br />~ Ate"-" <br />1 _ <br />FFI_LLNT GROSS VALUE F~ UIRFi )*NT~ <br />~ ~ 'j' - <br />.'" <br />.r_ ### <br />~ <br />._ 4 VG <br />DAI Y MX <br />•iL.'l_ ' <br />`t'H 1 <br />]'I L ?~ 6REAEE SAMPLE ###### ###tt## ####+t# #ir#a -..a. I `~ <br /> MEASUREMENT <br />1:556 1 0 0 ~' ~~E I~' ~-aiii!# <br />~ ~ 9k <br />~~~ *# ?" if^IFgFlPR ~FiF•tFdHF# O -.. <br />~ <br />F' CLIENT GROSS VALUE REQl1fEiEh7ENT -; #.~"o- ~ INST MAX b:.lL <br />4 <br />~ <br />~ <br />!?UPJ, TOTAL_ SAMPLE ###tt## #####tr ###### ( Iq; <br />cr+5 FE) MEASUREMENT <br />) ~ 045 1 G U "' ~PEAMIT`"'. ' '+t~-ae'-qb#~ #~+1t~FiE,'-: ' ## _ {-#Y.~~IFIt+-' . 9' . 0 . . <br />='~~FL..U~?N7 CROSS VALUE fiEQUJAEMENT .. a+l# DA AVG Y MX f`'. ' <br />UW, 1N CI~NDUIT OR SAMPLE ( U3? tt##m## ##ItaA# ~.##c#~ <br />friR..~ ~i REATi`IENT PLANT MEASUREMENT <br />'.050 1 O O `:.'PERMIT R~P;~R,. 7=.', - iF+fw~fwx ~ shit*#iF ~"' tfiaiHt~~ * #x 6.•Y AN <br />"f FLUENT uRG$S VALVE REQUIREMENT ~y~ ,' `` ~ GU #~x <br />JTI. A^:D CTRL"ASE SAMPLE ###tt## ( 94S ###~## #####R >F#itr is4 <br />.~ OVAL MEASUREMENT <br />I()66 I 0 .O -'HERMIT -' <br />W <br />_ ,~~,_;=:~,- 5=1 - ..irikitikitiR _ _:.~F.9F-i6.iFatiF - _iFtFtetit~R #tr 8K#r IS... <br />FLUENT' 6RC1SS VALUE REQUIREMENT. 0=0 - ### <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Cenily antler penalty of law mrN Nls tlocument and all anacnmenLS were <br />i <br />i <br />tl <br />tl TELEPHONE DATE <br />// _ <br />Sr 07Y (~_~ti ! ~~ l.i - T le a system <br />esigne <br />preparetl antler my tlirection or superv <br />sion in accortlance w <br />to assure That qualiliatl personnel properly gather and avaluala Na inlonnaticn - __ ~ __ <br /> sutxnitted. Bawd on my inquiryW the parsm ar persona wtw manage [he system, i - <br />~ " <br />- - the Inlormation <br />or Nose persons tluectly responsible br gathering the irtlormation _ <br />!' % ' •" ~ /c!~ , <br />submined is , to the besl of my krwwietlge antl bellel, true. accurate, and complete. <br />ti SIGNATURE OF PRINCIPAL EXECUTIVE 9,yG ~' "'1~3L2 ~~ ~' S Z <br /> <br />TYP OR PRINTED on, <br />I am aware that Nere are s~gnmcant penalties br submining take inbrma <br />InUutln the ossibili of tine and im hsonment for knows vloletions. OFFICER OR AUTHORIZED AGENT A <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ell attachments here) <br />;F.S 9... TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR _=lUYR.?4HR PRFC,IP e.VINi <br />SEE I. A. 2. PG V. FOR RE(i1VIREMENTS OIL & GREASE REPORTING-SEF I. B. 1. F, FG VII. !3RTRL.Y SAMFI_.iNO <br />P orm 0-1 ( 3 9) Pr vlous a Ilion rosy be used. THIS IS A 4-PART FORM PAGE OF <br />60065/000222-1316 i <br />