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PERMITTEE NAME/ADDRESS llnc(ude Facdrry h'amrJLocption ifDi$erenQ <br />NAME <br />BLUE htC)UNTAIN ENERGY', INC. <br />ADDRESS <br />~ESERADO MIME <br />3607 COUNTY ROAD 6S <br />FACILITYP ANGL 'r' t-Cl :i! Fr48 <br />LOCATION <br />A-""f r~ IF'L~ Il11RR S"R? <br />NATIONAL POLLIffPM DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMq) OMB NO. 2040-0004 <br /> MINOR <br /> <br /> r tn•v n•~ n (Sv13It NW? <br /> PERMIT NUMBER DISCHARGE NUMBER F _ , ~ NA ;' li 1 ;- <br /> L <br /> MONITORINGPERIOD i.;FWP, ;]c rn:EA'MI NT F'I_AfJ7 <br /> YEAR MO DAY YEAR MO DAY __ <br />FROM OQ G3 O: TO ) G i i+tta I~!u J13l: r'HF GE i I ### <br /> NOTE: Read Instructions before~b~mpleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNU>51s <br />'i~~:, "~~-!)AY SAMPLE o-a-~#:t ~~ x-.tin#K u-~~ata~~ 1q) <br />?O `JEG. 1~ ) <br />.. MEASUREMENT ~ ~) /z~ c-~ ~3 f ; ~, , <br />~' 1 r. <br />~ r O "PERMIT ..iiAYN9tMiE~ ;~le##iFB, t ete+(~ iFiEiFiFNlt. REPORT RBP,ORT ~;` ~/ RAB <br />f-t d ._I w' ,Nf. UENT REQUIREMENT ela;,;' .yen ,e :- x 3 DA' V G/L M.. <br />3 C)L'~ _~ f)AY SAMPLE #s~aaaa #aaa#a as##aa lq) <br />/~ <br />('~'O DEi; G) MEASUREMENT ~ (~ U -~ <br />)U_ I is i O O M(T`. `~~ '~ , .~ ,, ,~ tea )::vlatari~~ '1`~'3?~ REPDRT "" $"/ RAS- <br />_f T, UENT GRGSS VALUE RE4T71REFerEN'T' _ aa+e V ~ MfX 7 W C/l - <br />aOt_ i GS, TO~I AL SAMPLE aaaaatt deeded a#:~~ xr z ! q) I <br /> <br />iUSFENDED <br />MEASUREMENT <br />~ _'. ~7 _ <br />- / <br />OS ~'0 G o 0 ~ •p MIT '~A¢9FiMF~F~ !t?~iF~k ` at, 9F m p!~-ppT RE A8': ' <br />AW•SESJ/INF_UENT REQUIREMENT _: ~.ao V ` : <br />~'OI.I ,S, TOTAL SAMPLE deeded deeded ~ •s#a#aa <br />~ _ - ' <br />I9 ~ <br />~ <br />U~"ENDED MEASUREMENT ~ v ~ ~ C% ~ <br />)(15::0 1 Q O ' '~PETiMIT ~ -,dwllltdb+! <br />~ _~F~FiF`1FIF~ at ar gh*!II*~F* ~ RED ~ c <br />' +.~ .: T - <br />• .- A~.. <br />FF.VF.^!T 6POSS VALUE REQUIREMENT" "" .~ :;I <br />LOW, IN ::ONDUIT OR SAMPLE O~l) aaa~+ete a####te aaat:nu~ r <br /> <br />FI:~U TREATMENT PLANT <br />MEASUREMENT <br />p,~^_t-,/e <br />0,~~~..~;~. <br />C ~ <br /> <br />!5. <br />e]a alt 1. O O ~ PERIviI~J," .~~~~ ..'~P~~`, ~ ~Miy~Fiftf iF ~r"~M1k~iF~t1~ - d!*tfiF ielF a ~q `* TAN <br />r I I;ENT GROSS Vri V REQUIREMENT r ~ ~ cede ~~ - <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~ <br /> REOUI(iEMENT b <br />~ '° "' <br />' ~ ' ~ T` ;- <br /> , <br />e _ <br />~, <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ._ -. -.- ~~,.~ ; <br />-- - - - - - <br /> RERUIREMENT , <br />. . .- , - - - - <br />NAME(rITLEPRINCIPALE%ECUTIVE OFFICE ICenity under penalty of lew that this tlouvmen[end all anachmenta were <br />r <br />ed und <br />r <br />tli <br />NOn or <br />rri <br />i <br />n In acc <br />rtl <br />wiN a s <br />st <br />i <br />ned <br />tl TELEPHONE DATE <br /> p <br />y <br />g <br />epar <br />e <br />my <br />re <br />supe <br />s <br />o <br />o <br />ance <br />em <br />es _~ _ _ <br />~ <br />~ <br />J <br />y <br />_ / <br />~~6~ - c to assure Thal qualilled personnel properly gather and evaluate Iha inlorma6on <br />submlaetl. aesetl on my inquiry of the person or persons who manage the system, _L <br />_ <br />f~ ~~~/~%!~ ~/ _.aG~ <br />~~ _ <br /> or those persons tlrtealy responsible for gathering Iha iMOrmation, the IMOimatlon YC J <br />),'n submitted is, to Iha best of rrry knowledge end beliM, true. aceure[e, antl wmplete. SIGNATURE OF PRINCIPAL E%ECUTIVE ) .. v. - _7 p ~ ~~ <br /> <br />TYPED OR PRINTED I am aware Nat there are elgn~wm penalties for submining false inbrmauon, <br />InGUtlin the sbili of line end lm risonment for knowin vioWmns. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND E%PLANA I IUN OF ANY VIVLATIONS (HererenCe a!I attacnmenfs Here) <br />.NFLUENT SAMPLES MU3T L'E CCILLECTEO, AfJ;il fZED ° IT EPORTED 1"iUfvTFtL* RE ,.\r.LL.::SS 1!' ~'!I;-" ~; n r. ,T <br />:)15GnARGE OCCURS. <br />EPA Form 3320.1 (REV 3199) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />00304: uu~~F'.t ~ 1 <br />