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PERMITTEE NAMEIADORE55 (lydidr FsWryNwr/Lxmlm yD~....q <br />NAME 56k:.CA [''JAL CIINPA:YY <br />ADDRESS D R A ii i 5 D <br />N'ATCLN <br />CO 81639 <br />FACILITY <br />LOCATON H A Y U E ~ CO d 1 b 3 O FROM <br />ATTt~: G. isliD HhJYt:, Gi.;rEkAL I'IAtiA~.;F'.3 <br />EUMINAnoN SYSTEIN (NPDESI Form Approved. ~ <br />iING REPORT lOMRI T r H c m r 03.1B NoK7r0~0004~, <br />17.19 I'...C..FFC~ 0 .inA:i <br />Q. A (S U E F F Y) APProvelLe~p(r4s-O5-3 <br />01. MGE NUMBER F - FIFA L <br />ZING PERIOD P I t(C F <br />YEAR MO DAV <br />TO yu Lc JU ~'~~ NC JISCiiAH6d (~~( #4:x <br />!76171 118-291 136311 NOTE: Reed inetruetione before completing this form. <br />PARAMETER 13 Grd Onhl QUANTITY OR LOAD !I Grd Onhl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br />137-371 106531 !54-61 138-451 !4653 l5i611 EX GF TYPE <br /> AVERAGE MAXIMUM <br />. $ <br />MINIMUM AVERAGE MAXIMUM UNITS <br />lsasm MN-rSls <br />ly <br />y581 <br />169-701 <br />O L N <br />Y 15 U A L SAMPLE <br />MEASUREMENT '•:Op ~':: O ( CO>OtC` ~. :; •: ': ;: r: t:`:~::.:f / <br />Il7 <br />/ <br />S <br /> <br />A4Utib 1 0 0 PERMIT. #B.O#rii REPORT E5=1 ~~l~OO ~'";L'~" ~:rrY`}>:' ~"^''•: £ <br />BI(LY ISUAI <br />EFFLUENT G9GSS VRL(11 REQUIREMENT ~ IIt5T' <br />~K~.1t NO=0 'u*~'s~"~~~~: ~ Lt ; <br />r4 . <br /> . <br />_. . . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ <br /> .REQUIREMENT ~ ~' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />w <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 />NAMElTfTLE PRINCIPAL EXECUTNE OFFICER I cERn <br />AM FA Fr UNDER PENALTY GF LAw THAT I HAVE PERBGNALLY EXAMINED MD <br />MILIM WITH THE INFORMATION BUBMITTED HEREIN; MD BASED ON ~ / TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />' OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE. ACCUIUTE MD COMRETE. 1 AM AWME THAT THERE ME <br />SIGNIFICMT PENALTIES FOR SUBMITTIHO FN <br />SE INFORMATION <br />INCLUDING ~ <br />'7 v <br /> . <br />, <br />THE POSSIBILITY OF FINE MD IMPRISONMENT. SEE 1B U.S.C. 1 1001 MD ]] 610NATURE OF INCIPAL EXECIlTNE G o <br /> U.S.C. E t ]t e. lPbr'er. ~Nr Prr+ mem. nvr IxAiN Arwa rP ro l IO,Opp <br />TYPED OR PRINTED .nd nmuim.n Mplsmwn of Mnvwn 6ntonUV rM6y.vs1 OFFICER OR HORIZED AGENT CODE NUMSER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reterende ell stteehmenfs hare) <br />T5~ 6 IkJK LIMITS PILL dE :AIMED S 3ETTLEA'rLi SOLII):i LI",I? AFFLIFI FCF <=l0YF,24HF Ph.:CIP EYF,IET; T'i3, <br />ikuV b 56TTLEA''LE SOLIvS LIMITS YAIVcD FOR >1CYRAZUHk P3ECIF FY ENT `UEJF.C? TC BIRGF.it OF PROOF iN I.A.2. <br />uti, b GRPI~.F - STF T. n_1.I1_ T(:q NnxTTnc ryr_ T-LY_lR- <br />EPA Fwm 3320-1 108-95) Previous editions mey be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.1 0 0 0 2 C 19 710 31-1513 PAGE `OF <br />