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PERMITTEE NAME/ADDRESS pmbL Feellny xr.,//xanm UDdi.wvl <br />NAME 5E:ic:CA CfJdL COr,FA-~Y <br />ADDRESS U R A ~^ i. R L' <br />kAYLI;N CO 81039 <br />FACILETY f <br />LOCATION NAYGcH CO N14i0 <br />ATTh: G. bUD bROeN~.Gt"t1~3AL FAhAG9 <br />NATIONAL POLLUTANT DISCHARGE ELIMINADON SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT IDMRI <br />/7-15/ 17-19 <br />CG .21 ~ ~ <br />PERMIT NUMBER ~ ARDE NUNteER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM Ul :: TO '9C ' <br />/70. »-OV tlL051 060)1 OA491 /363/1 <br />Form Approved. ~ <br />G L ~ r A F G F :' 0, 1? A SON)e NoR20C0-0004 <br />(S U E P 1 N~ Approvele~pir48~05-31:9 <br />F - FITIAL F <br />"'I!tCE. <br />NOTE: Reed IrntrueUtNn before completing this lorm. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOA II Grd On/yl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br />l3Z-371 11653/ 15x51/ I3B<5/ 106531 15451/ EX OF <br />TYPE <br /> AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS /s7-e~i ANALrsls <br />(545A1 15&701 <br />U L N ,H D.. SAMPLE #G'=': ;: ;: ~. r, dr,. :;:-,; :+•.~+: ;:n OfC; ## <br />Y 1 S U A L MEASUREMENT O U' <br /> <br />84UOb 1 U U PERMIT ##J.T4LsTK t?EPOR.T c=1 4##4~n %'%••'`"'~ Lt;.tt.tF. -#~ CEKLY ISUAi <br />GFFLUENi uHOSS VALU REQUIREMENT I715~L' ttAY 9C=0 YAG;t t,: <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT ~ ~ ~ ~>~ '~~~ <br /> REQUIREMENT ~~~ ' ":::4i:' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> 'REQUIREMENT' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF L <br />AM FAMILIAR WITN THE INFOR AW THAT I HAVE PERSONALLY E%AMINED AND <br />MATION SUBMITTED HEREIN <br />AND RASED ON TELEPHONE DATE <br /> ; <br />MY INQUIRY OF TNOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR / <br /> OBTNNING THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATON IS / <br />, <br /> <br />TRUE. ACCUMTE ANO COMPLETE. I AM AWARE THAT THERE ARE ` <br />F <br />, <br /> SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br /> , <br />THE POSSIBILITY OF RNE AND IMPIIISONMFNT. SEE 1e U.S.C. ! 1001 AND ]] SIGNATURE OF NCIPAL EXECUTRJE <br /> U.S.C. E 1]le. IMWOU, MK,r 1Mr• myna mFy Ycpl. 5wa ye ro JIO,p00 AREA <br />TYPED OR PRINTED .rw wmuinun inplsnnA+t el Mtrwn emonrhs wNSywn.l OFFICER ORA HORRED AGENT CODE NUMBER YEAR MO DAY <br />V V MMCIV 1 J ANU CAYLAIYA I I V N VY ANT V I V LA I I V NS IneTe/once e/1 IrteCDTBAJS A6/6/ <br />':ss E IkJ]i LIrIITS MILL bL NAIYED r. SETTLEABLE SOLI CS LIMIT AF'FL7EC FCF <=lOYP.,24HR PRECLP EVENT; T°, <br />IitO^ E SE'1'TLf.AELE SOLIL'S LI:'IITS iIAIYLD FOR >iGYR,24tIR OHECIF EYFNT SUEJECS TG HCRDEN OF PRGOF IN I.A.2. <br />mey <br />EPA FORM T-a0 WHICH <br />aoGiei9~~o31-lsl~ <br />