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PERMITTEE NAME/ADDRESS (/tea. Fslbry Nr.1/Ixarrar llOlQfr.evl
<br />NAME ~EYttCA CDgL CORQANI
<br />ADDRESS DYAYL'R D
<br />MAIDEN
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<br />FArauTY
<br />LOCATIONNAIUEM CO 91690 FROM
<br />ATTY: v. bUD nK:)aN, GENERAL dAYAGBR
<br />EMIT DISCHMOE EIIMINATON 6YSTEM (NPDESI Fonn Approved.
<br />R6E MONITORING REPORT (OM9) DISCNA RG): TO THIB~gI~s°I~2~.,n 5'3
<br />(SUER NY} PProve[eZtp3q 7-98
<br />NUMBER DISCNAflOE NUMBER P FINAL L 7777 +
<br />MO ~Oftl ~ RIOD !1INOR
<br />AO EAR. MO DAY _~
<br />TD 99 09 30 a°~# ND DI SCN~AHGE~ i ~~~R
<br />151 /16171 l7B-791 /36311 NOTE: Rasd Irutru one bel SoTn l~tin8 this form.
<br />PARAMETER l3 Gre On/yl GUANTITY O ~ - G., ' ~ !~ Grd OnIYI QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE
<br />/3Z-371 !46531 (5b51 . i' /3B-45/ !0653 1565// EX GF TYPE
<br /> AVERAGE MAXIMU ~ S MINIMUM AVERAGE MAXIMUM UNITS
<br />!a1-es/ ANALrss
<br />f546R1
<br />!63701
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<br /> MEASUREMENT
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<br />MEASUREMENT PORdPO G#AD04 #####O
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<br />L'ISSOLYED
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<br />NAME/TITLE PRINCIPAL EXECl7T1VE OFFICER I CERTIFY UNDER PENMTY OF L
<br />AM FAMIUAfl WITH THE INFO AW THAT I HAVE PERSO
<br />RMATION SUBMITTED H NALLY E%AMIN
<br />EREIN; AND BA ED N!D
<br />SED ON TELEPHONE DATE
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<br />n MY INOIBRY OF THOSE INDINDUMS IMMEDIASEL Y RESPONSIB LE FOR ~
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<br />U~.U `CU _ \6~~C15 OBTMNING THE INFORMATION, I BELIEVE THE SUBMI TTED INFORMA TION IS ~,
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<br />/ TflUE, ACCUMTE AND COMRETE. I AM AWAR
<br />SIGNIFICANT PENALTIES fOR SUBMITTING FALSE INFO E THAT THE
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<br />THE POSSIBIl1TY OF FNE ANO IMPNSONMENT. SEE 1B 0.5.C. E 1001 AND ]] BIONATIINE OF MI dPAL EXECU-IVE rrj
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<br /> U.S.C. 1 1 ]t e. fMWer1 udr INS enema rr.Y I~r[A.dI !Mr W to a 10,000
<br />TYPED PRINTED w>rrrrimnr lmprlsrxerrt orfwMMrlsmarNa rq li Ywra/ OFFICER ORA ORIZED AOENi CODE NUMB(:R YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerencs al/sttschmenh harie) .
<br />TSS G IRON LII7Ir5 MILL 9E NAIrBD AYD SEiTLEA9LE SOLIDS LIMIT APPLIED POR C=1DYR,1tlRY BHECIP E1EY?i YSS t.
<br />I6JN LI9IT5 YAIYCD POY >10[R,Itl9R PRECIP EVENT 598JEC! !O YUYDEY OP DROOP I>1 I.1.2. oiL 6 .aYFase-see
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<br />EPA Farm 3320-1 (08.95) Previous editions mey a weed. IREPLACEB EPA FORM T40 WHICH MAY. NOT RE USED.) PAGE OF
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