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PERMITTEE NAME/ADDRESS N.rI.s. FrdiryNaWLarananUIII IIIIIIIIIIIII III NAME TEHA:>R :'~tL:i.', .7""AVY ADDRESS TERRJA :'RE~( LD3D~JT 999 1840 NIGBYAY 133 PAONIA CO B1~i24 FACILITY ' LOCATION ATTN: KELLY PRITbLERF OPERATIONS ti,. NATIONAL POLLUTIWT DISCHNIGE ELMINATON SYSTEM (NPDESI DISCHARGE MONITORING REPORT lOMRI 11-16/ (17-I9/ COGBS00l'' ~.. AERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD YEAR MO OAY YEAR MO DAY FROM .. TO JJ UJ 1747f1 ~ j(21-751 1Y5-271 11B-791 !34311 Form Approved. S E C Z P l k D R I T J NOFA~~~C 2~49~Q~/iq N Approval eXpl~~O5`3"1.98 (suaR Rc) LG JJ F - FIaAL !"TN~rc `r ND LISCtfAR^vP. ~)iXk x'='< Y NOTE: Reed ImtNetl«q bet«e eompletinp this 1«m. PARAMETER l3 Grd Only QUANTITY OR LOADIN l4 Grd Onlyl QUANTITY OR CONCENTRATION ND FREpUENCY SAMPLE !16531 151-E'l1 138J5 !<6531 15~E"61/ EX lJ2-371 µAyYSls TYPE AVERAGE MAXIMUM UNITS .MINI1vIUM AVERAGE MAXIMUM UNITS /61.691 (66581 158-JOJ SAMPLE ...~-4:~ .. .. , ~ • .... is •r ( j ~Z) MEASUREMENT `T # 04UU 1 J 0 PERMIT .~••:`-37: #Il«ID~3if. #oh '.: :~1ei'A#13 # 4~U EE:SLY ..:i$ITJ FFLUEFT G.°.OSS i11L7°. REQUIREMENT a6 ~1y 'f IK.UiI~::.: '`.:: c: ISAYIMUtt 5" OL S, T7rAL SAMPLE ••`3kr3 h#ate# ;;yh### ( 19) U S P E N D E D MEASUREMENT ~ U53D 1 ~ ~ PERMIT k',:hvt,`-? r:C#'i~d`Op: ~1?h G+Ih'`%'%# ~: :;~ r - .. ~ ~ '70 NCE/ rRA~B FFLJENT ~RO~:, Y4LJa :REnUIREMEN7 #:~ :: ;. , °:j IG DAI Y !7Y '°G/L 110NTN 0 SF 3:;Tf Lt A9LE SAMPLE rrY+.. .-. •.-h~k 3•k ;F ~:r~: ip:# #t ( l5~ MEASUREMENT 0545 1 D D PERMIT XI}Y %h'.4 IIF.##:R# 6#3 e>IFLI. #x+Yts # f)~;rJl: .':' C N'~E/ :`lj llD FFLUEN? ;;ROSS VALUB :REOUIREMEN7 #{=AD ;': ~ ~ ~ ... DAY'L:[ Kt 111. L !IONTN JN, 0 SAMPLE ••~ •`•h~ ~ h+ h:h4 R?# #4 ~ ~4) (A 3 PEI MEASUREMENT L0~5 1 J 0 PERMIT. #+SGR;ik #:<#3## .,'k r$YI'$#{k..,: ~~Q. 6eU NEE! IRAB FFLUENT GkOSS VALU? REQUIREMENT r#;:x +~<.: - ?< „,:3(j L YG 'GAILY G'Y RG/L ?lLO.iVlR. IL ND UR6AiF SAMPLE -..rRSR :=Rhhh: hr~# # ,.~iY# #C ( 19) MEASUREMENT 35y1 L 0 D PERMtr ~t+3a:Fx -:fa~>71aY v::~ a~;xpc4ik'.: : #~s~t#.#. ID 39lAtlli ~.RSB 'FFLUENT :.ROSS YALU? fEQUIREMENT ~;I;h DAILY tX '7G/L ~ :6$N'I F .N 2 SAMPLE ( 03) hwG### :.:`r# #; ....-. HkU PRdAT"IENr PLAtir MEASUREMENT UU~D 1 D 0 PERMIT PTIOA~,L REPORT :r;xFlk~r : :`.:::.~#;~# ~ ~~'~~~'~ =:•= BRf.LY NSTAN PFLUENT GHO53 YIILUE `REOUNiEMENT 301jA .1tYC DAILY 11S MGD Y 5• • SAMPLE ,• }7 k: hr-+#?:# #'Jlk#b +. %rh ={Ik ( 19) ISSOLYED MEASUREMENT 0195 1 D 0 PERM~7 r' ar +~= 4[4.: :' : #u# 91 RE.POAT TALC RAA 'FFLUi:NT GROSS VALUE REQUIREMENT : ~--^.:~s ~::. ~:'... pAII:Y RY RG/L NAME?ITLE PRINCIPAL EXECUTIVE OFFICER A~1 FAMILiM WITENTµHE 1NFORMWIITONTSU6MIITED HEREINr ANO BBIASED oN TELEPHONE DATE MY INQUIRY OF THOSE INOIVIOUAIS IMMEDIATELY RESPONSIBLE FOR OBTNNINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS A I TR E TE / '• DD DC J t)J U . CCUMTE AND COMPLE . AM AWARE THAT THERE ARE 9GNINCANT PENALTIES FOP SUBMITTING FN SE INFORMATION INCLWING __ _ K, E L L Y t- R I T Z L E R . , THE POSSIBILITY OF NNE AND IMPI1150NMFNT. SEE 1e U.S.C. ! 1001 AND ]3 C PRINCIPAL EXECUTNE S R O ccff J J D 9 2 9- 5$_ 5 TYPED OR PRINTED u.S.C. E 1 ]ts. IANWFiF Ar16A' IAFFr Foams nMy I'+aAdF rFMJ w ro SIG 0010 FMrmvimFn inOnFmnMrlr arMmFAn6monr/x Fnd6 yFF111 IEjN E F OFFICER OI`AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/ersnce d/sttschments here/ SEPTLEAdLE SOLIDS LILT APPLIES ONLY IF <= 10-YRF 2a-H3 DRi.:Li' r;i~ti: 1S CLAIMED. iF GLAIR APPROVED BY YQCDF TSS E IRON LI7Ifi, NILL NDL dr: APPLIED TO :3EPORr°~ ';EA.iUEi$P,tHiii--~ E I.9.lAF PG S ARD I. B.1DF P;, 6. 3T'1R MY A1'RQ 4^Y~:PNP4T~reU ~.r ~~ 1-1-qq EPA Fam 3320-1 108-95) Previous editions may be used. (REPLACES EPA FORM TaiO WHICH MAY NOT BE USED.( D121 / 9 7 0 B 19 -12 S U ~ PAGE 1 OF ._nw._.~.-, -_ __..--. _ .. _. __ ._ ~ _~__ .