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PERMITTEE NAME/ADDRESS pnL6 F¢WryA'aw4faaum dDlgmp NAME COLOYlO COAL COMPANY L. P. ADDRESSCOLOKYO MIKE 5731 STAT!S NIGHYAY 13 MEEKER CO 81641 FACILITY LOCATION NATIONAL POLLUTMT OISCHMOE ELIMINATON SYSTEM (NPDESI Form Approved. DISCHARGE MONITORING REPORT (DMRI ~ No ,1y~40-Qq,04 n-r9i n7-rsl LOADOp7 LOOP SEDI ~'L•iI 1 SsY r. r R c '/ a1n x PProvel a Iree'OS31-99 r PERMIT NUMBER ~ DlscH~acE wulteeR (SEUHR NW) 12345 ~ ~' P - TINIIL ~. , _. MONITORING PERIOD MINO11 ~ ~ - ' YEA'R':~`MO DAW YEAR MO DAY ~ _ FROM .'~^i.~ 01 ~TO 98 06 if1 d4v pn Pi5CRARGE ~sGl ~;~~ !1411/ !11223/ 114151 '.S...t ~rlI6-771 119-191 /3431/ NOTE: Rasd instructiarr before Lvm6btlnp this form. PARAMETER !3 Grd OnIYI QUANTITY OR LOADING !1'Ciid~OnlYl QUANTITY OR CONCENTRATION ' NO. FAEOUENCV SAMPLE /16531 !5461/ L}~G l :138-151 146-53I 151-6F EX °F I31-371 AVERAGE 'MAXIMUM UNIT MINIMUM AVERAGE MAXIMUM UNITS !ss-ssl MALY515 19469/ TYPE 169-]O/ UIL AND GREASE SAMPLE ;k04~Rt>: ~ ~ 94~IN ~/ tEP' ~~~~~ Ofi>arTY`, #0##9# MEASUREMENT VISUAL 84066 1 U U .PERMIT '~ .~ %$~r¢"~IPS6.":~:~:: ~ ~: ".~'.;aS-^:. ~ Esc! ..PaQ;tirt~i~Y,;;'~~ ~~~.~.«f~~Y.tf~#~.: ~ ~ '~+.>~ti!~~-• ::: "~ ::~a~x 'EPK.LY r ~T~5(lA: REQUIREMENT ..'~i ~" ~:~ a -r ~ . r, n S Ic .M i - :n .•~...«3 SAMPLE .._:~ ' MEASUREMENT ~ i PERMIT:.. .:. ~ ;. i:..:' ;~.. ..:; "::::; .:;: :. ~;>:Y 5:... ~ REQUIREMENT. - :~ ~~: ~ ~ ~•« ~ ~ ~ ~ ~:; ~ ,:.. .. - SAMPLE MEASUREMENT :' PERMIT .~ ~: '~..~:::.~". ~ ~ ;:~aYS;e :"~'r'iz' i'; ..: 's ` .. REQUIREMENT "..'" ..: ". ": :~ ~ ~ "" ~" '~ ~ ~ ~~":;:'~'i~'H . . ~.;j::rsz ~;:"(.„! . SAMPLE ' MEASUREMENT ~ ~ ' .PERMIT :: ~. ' ~ ' ~ ~ ` "~ ~ " NEOUIREMENT ..~.. ~ .~~" .t: .. ~ ~:.. ....::.,;'%.,. ~ ,s :~s:~;.'S SAMPLE MEASUREMENT " ":.PERMIT : " " . " " ~ " : " " " ~ .. i3` T^"0sri"••:.." .. " REOUIREMENT~ . . . . . . .. :.::" ' ;rj,~j 3 "'~d;~`si;.-.. .' . .. ~A . SAMPLE e': ~" " ; MEASUREMENT ~ ~ ..PERMIT: ~. ... .. .. ...... ..:. ...,: .. . . : .. REQUIREMENT ~ ~ ~ ~ ~~ ., ,.... , .. .,s . .. ,, : SAMPLE MEASUREMENT ,' ~ ~ . ~ " PERMIT: ~ ~ ~ ~ ~ ~ ~ ~ :.. :r. 4L:.Y. ' REQUIREMENT :. .... ~ .. .. ~ .~ ~ ~:. ..... .te .: ... : .:;:; .,. 7:.., :. ~~. . . ~ ~ : ~ r, :... .. :... .,. .~ .. :" NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF UW TNAT I NAVE PERSONALLY E1fAMINEO MD TELEPHONE DATE AM FAMILIM WITH THE INFO RMATION SUBMITTED HEREIN MD BASED ON ; MV INQUIRY OF THOSE INOIVIOUALS IMMEDIATELY RESPONSIBLE FOR ~ OBTNNING THE INFORMATION, 1 BEVEVE THE SUBMITTED INFORMATION IS _ _ TRUE. ACCUMTE MD COM0.ETE. I AM AWME TNAT THERE ME ~ ~ ' SIGNIFILMT PENALTES FOR SUBMITTING FALSE INFORMATION INCLUDING _ ,{ ' t Q ~~. m~~l , THE POSSIBNTY OF HNE MDIMP/113pNMFNT. SEE iB U.S.C.l 1001 MD]l _ / l BIflNA URE FPRINCIPAL EXECIITNE I)~O t] YfZV-)L.n ~Q p ' I 0 U.S.C. t t3tB. IAr,rl41r InWr N.r. mrma mry hrl,nOr fires. w ro FIO,000 T O ' " TYPED OR PRINTED rM wmuinuniirrpisomwrNWNrrwn 6mardu rtl sYrrA1 OFFlCER OR AUTHORIIEO AGENT ~pE NUMBER ~ YEAR MO DAY VVMMCNIS ANU I:AYLANAIIVN VF ANY VIOLA INNS IMBfe/eI1Ce B//effeC/ImeOFS De/6/ '' -~ SETTL2A5LE SOLIDS LI1fI! APPLIES ONLY IP G= 1D-YR, 24-Hp PR£CIP £YF.NT IS CLAIMEn. IC xlll APPROVED BY MQCD, T55 6 IRON LIf!IT5 GILL NOT HE APPLIED TD REPOR!&D ME,ASi1RElfEN25--SEA I".$.'I.~n ~tP # 1BD I.e.l'D, PG 6. EPA Form 3120 1 108 95~ Prdtriolie'editiand'mey be used /REPLACES EPA FORM Td0 WNICN MAY NOT BE USED.1 ' • I = ~ PAGE OF ;A_.-+ao--.... ._.. :'~`. ~ ~.~ _ _ ... .. ... . .... ~:3FL _ ..-~;";itlsi~.~*." ~r..:a%,_._..~.~bs.~i.i. ~c~W~._ _ ,,.~ _.. ~ ..