|
}~
<br />PERMITTEE NAME/ADDRESS pnclude Faciliry Name/laarion ijDl$erenq
<br />NAME MINRtC, IHC.
<br />ADORESSNGkTR TIfO!1PSON CREK !!IVES
<br />Z7bii CD!!pASS D4IYF, SUITE 101
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR
<br />rnn i'a c nnn (SIJ°P. VC)
<br />PERMIT NUMBER ~ DlscIiARGE NUMBER F - °I N A L
<br />Form Approved.
<br />OMB No. 2040-0004
<br />Approval expires 0531-98
<br />PITr~e
<br />FACILfIY~uANU Ju ytCTltly CO H1505 - MONITORING PERIOD PCST-n Tril lG 3C1N7FF Sr'DI PDND
<br />LOCATION YEAR MO DAY YEAR MO DAY _
<br />A
<br />'
<br />~
<br />R[
<br />C
<br />iU9D0.Lf' CO 81623 FROM
<br />.q9 TO 99 9 l 'k+•`•~` ~I" ~' "Ct'.AR(~K 11,,~~'~ 'r'~`'•"~
<br />A T T N: J. E, 5 T 6 V ~ k ~ is N~ 7 L "' I N C, E N G, o-x1) rsa-zsl (x.-z5) l26-Z]), (28-ZB) t3oa1) NOTE: Reed Instructions 6efoiFfCClflpleting 1hls form.
<br /> (3 Certl Ony) QUANTITY OR L - . G (4 Certl Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (46.53) ~, (54-61, 38-45) (46-53) (51-61) EX OF TYPE
<br />f3~-37) AVERAGE MAXIM NITS MINIMUM AVERAGE MAXIMUM UNITS avALrs/s
<br /> rsz-w) (ti4-eB) ss-70
<br />H SAMPLE OtikC3R# SF#~fGRQI - °3'.:vYx Sr ( :?)
<br /> MEASUREMENT -
<br /> ~'~ ~~ `~
<br />F F L D E N T G R O S S A' A t I R~i`aUIJgEMEHT~ «y '~
<br />
<br />M1 o ~ •I
<br />,
<br />OLIDS, SETTLE+.'+T-"
<br />~ SAMPLE crst:~~Y '~,-,-,. -- (
<br />-5)
<br />. MEASUREMENT ~-~ -~
<br />Ob45 1 U '• `PERMIT" .~ -1l+Ilil#4rIR' ~ '
<br />'~~ct~-
<br />ca: ~
<br />~
<br />_~ r''
<br />-= -"
<br />~~~ -
<br />FPLUENT GPC
<br />iS YA1
<br />'7F A~~UI~f;MfiNT ;` ~ -
<br />
<br />
<br />`
<br />
<br />..~.~,.
<br />~._
<br />s ..
<br />s:
<br />
<br />~ ~„
<br />r
<br />r
<br />` -
<br />e-
<br />..1 ..
<br />.
<br />.
<br />:..
<br />~ `-. +'-: ---. - ~~ qT
<br />3IL AND GNF. ~1~f: SAMPLE ':X: S;'%L•tr .F,Y t`reF:t #####O '-' Q##$tt4 ( 1°)
<br />RF,Dii ZYTk-': ~'. AY "~""!i MEASUREMENT
<br />US56 1 U D :~IdMIT:.`- ~ ik#?lI~R~ - IIrlk#t~~G;. - .:a r
<br />' -` :, ~;~`~ .~- ~ ~,~
<br />tF.°LUBIiT ',FOSS VA1.UP RECIIUI.REMENT rw><:~ .k ~°;
<br />:--~.. ~1 "' ~ .. _ ~ ._:. .
<br />Ll)W, IN CON QUIT OFf SAMPLE Q ) Q#
<br />V ####:=dt K###d'1
<br />1'4hU TR_'~TM ENT pLA eT MEASUREMENT S ~~
<br />iUUSO 1 D 0 "~~Ek~M~Ts' '1t ~ ~ '[ _`:8~lDq~T~ +bA~ ~ _
<br />- ~ pn~ '•,,
<br />' ~,•~~
<br />~~ ; .- - v
<br />.FFLU..t - .;FO-,S 9ALU~ AE „UlA~fd~, N7 -
<br />rP
<br />,. :'° '~ -
<br />~ YT j.
<br />.~a
<br />0#::-,. ,
<br />;,, . ; , . ,
<br />-ULID;, TOTAL SAMPLE ~Or:a,^- G~~"~'' .':'~:^::Y#
<br />( 19)
<br />I 5.`. ii ~~ V t::; MEASUREMENT
<br />Tu2~~~ i D ~ k~~Ml~ ,~!*/Ril, ~rl~lab~# ~-;,;; #,6~';r`;,~
<br />~,~
<br />'F ,nT GP.OSS VALUE U Eiy1 N?
<br />~s.. ~ ;~~ -~, rt~s x~ `~ ~
<br />- 14U ":FIISB SAMPLE ,:: r: r,rr ( ')U) a:•.;. ~.t ~. 3r###. -^#C: C;:
<br />~L MEASUREMENT
<br />~1 -, y U 0 ~`~P~~MI
<br />` ~~AO~#+>k- - :~ ES=1 1f9~ .~'' -" ~' #n
<br />'icti'.;FOSS PALrI'a ~T
<br />~ln E - N7_ c 3 +u- , :>, 1 -
<br /> SAMPLE
<br /> ME
<br />A
<br />SU
<br />R
<br />E
<br />MENT
<br /> w
<br />y.
<br />~j
<br />y
<br />~
<br />CIIY11
<br />~` < . I t t ~ -~ #Y 4 4, `) ., -[-F' "h~ - Y~.d" } -
<br />4
<br />ti
<br />1
<br />`
<br /> ~
<br />T-. ;n ~' g , $'
<br />
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND
<br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN
<br />AND BASED ON MV TELEPI-IDME PATE
<br /> ;
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />~' I _` ~ ~
<br />C T
<br />H THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br />ACCURATE AND COMP
<br />ETE
<br />AM
<br />E T
<br />T T
<br />ERE ARE S
<br />G
<br />IF
<br />C
<br />NT
<br />R L
<br />. I
<br />AWAR
<br />HA
<br />H
<br />I
<br />N
<br />I
<br />A
<br />PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING THE '
<br /> ,
<br />..~yNS ~ I POSSIBILRY OF FINE AND IMPRISONMENT. SEE 1a U.S.C. 4 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE ) 7
<br />TYPED OR PRINTED meW' um~~dsw~imen~ b Msen 8 m~orrt~ enle6utle lines up ro 314000 end ur
<br />p years.) OFFICER OR AUTNORIZED AGENT
<br />N MB R~
<br />Y R
<br />M
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re7erence all atlaChments here)
<br />~:. Cf:. `:AHL` SOLID; LI"I!' GILL 9E YAIYED FDP >10-YR, 24-RR FR°CT; FY F•7T-SP4' T.A.2, t'C, IY, FOA AEQUI REM EN TS.
<br />~,:r:'tRLY S,:PLI~". iP`+TgU.^.TIONS-L C. 9, PG IX. 30 DAY AYt: I; 9Tr1t='°T •wTwLY 4YG Dg9ING PERIOD RrPORTF.D.
<br />EPA Form 3320.1 (OB-95) Previous editions may not be used.
<br />vk ~-
<br />(REPLACES EPA FORM T~40 WHICH MAY NOT BE USED.)
<br />PAGE OF
<br />00008/990211-1033 1
<br />
|