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PERMIITEE NAME/ADDRESSQneYIrleNbryNwWler,nen I/Od~l
<br />NAME BLUE ROUNTAIt7 EVER„Yi INC.
<br />ADDRessDE~5E3AD0 C7INE
<br />~16U7 COUNTY k:OAD 65
<br />+ 8Ai7GELY CO 81648
<br />FAaLm Dk;SEHADO DINE
<br />LocwTaNRAI7GELY CO 81646
<br />A::TN: ALA.: J. HILLARD, kIINi3 gAUAGLR
<br />NAnoNDISCHARGE MONITORING REPORT /DA~R/PDESI
<br />0 G A
<br />PERMIT NUMBER DISCNMOE NUMBER
<br />MONITORING PERIOD
<br />V O DA Y R O_ D Y
<br />FROM ~ TO ~
<br />Form Approved.
<br />OMB No. 2040-0004
<br />r;I:VOA
<br />(SUUR DW)
<br />F - FINAL
<br />SDH2 SdDI POt7D TO RcD WASIi
<br />RBLAN
<br />¢~a ~ t:0 DISCLARGE ~,~~ ^'~D%'
<br />NOTE: Reed katruetlofr baton compMtirp thM loan.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO.
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<br /> MEASUREMENT
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<br />E PRINCIPAL EXECUTNE OFFlCER 'n 'y" ~""'yo .w 111.1 m e emwmem .ne mnnmAmmU wen TELEPHONE DATE
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<br />TYPED OR PRWTED lntlutlmi the pe~nlury wnne.na 1mp11+"nmem rornll"wlni .lol.ums OFFICER OR AUFHORIZED AGENT UE NUMBER YEAR MO DAV
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRetMnce eN attachments here)
<br />^vIL E GRY,ii5K ...ZPOP,TIt:G-SSc, I.Bn1.F, PG 5• QR::RLY SAi'IPLItiG IHSY:2UCijONS-I.C.B, PG B.
<br />EPA Form 3320-7 (Rev. 3/99) previous editions maybe uud. G O ~] ~ 2 / ~hl~ I~R~'I>a0~~~ PAGE Z.
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