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~'PERMITTEE NAME/ADDRESS prY6 FrmryNaWLraua. UDdleevl <br />NAME BNERGI FDE43. hLNIN^a ,".D!7P-Ni ' <br />ADDRESSSOUTHPIELD NINE :JAL LDADDUT <br />3S0 INDIANA STREET, SUITE t30) <br />GOLDEN CO 807 J1 <br />FACILITY <br />LocnnoNPLOREN.E CO 81226 <br />ATTNi GFJHGE Y. PATPERSON. 7ENA H3R. <br />ii.... <br />NATIONAL POLCtiTMT'DISLNNIOE'ELIMINATION SYSTEM INPOfSI' <br />- DISCHARGE'NIONITORINGREP0RT IDMR) - <br />17-161 - 117-191 <br />C9G@S~ODB 00'1 A <br />PERMIT NUMBER DISCNMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM i 0 Utl U 1 TO `J B UD 3 U <br />/]6111 III-131 /24751 ' /76-771 118-791 /30.311 <br />~FOrm Approved.' <br />PD~6 1 DSC4RG TO yN:BwNl°a:,DC~-~w4~ { <br />' Approval expose OS-3p-98 <br />(sobR se) >.ssa~ <br />r - FINAL <br />MINDR - <br />atrtr NO DISCRARCB ~~~ atra, <br />NOTE: Read Irutruetlans beloro eampletlnp this form. <br />PARAMETER !3 Grd On1Y1 QUANTITY OR LOADING /4 Grd OnIYI QUANTITY OR CONCENTRATION ~ NO, FREDUEMCV SAMPLE <br /> 146-531 15451 l3B-451 I4B-53 154511 OF <br />I37-371 _ AVERAGE MAXIMUM ~ UNITS. MINIMUM AVERAGE MAXIMUM UNITS Ie]aal ~~~ X687. /69.701 <br />PH SAMPLE apptrRp ppp2<Rk ~ trC# #C ( 1Z) <br /> MEASUREMENT - - <br />DDU00 1 0 -D ;. ,:;PERMIT:::. <br />. <br />.: <br />..: . <br />: .::;...#las _$:.~.::._.. -;: ?N:>~!Y~7cp :.. sok r.l: ::: ..:-, <br />EFFLUENT i,ROS3 VALUE . .... <br />.. <br />. <br />. <br />:REDUIREMENT,? .. .. '";'. .. . ."..: -:::. .:'.: aapp S:I-:y`~H:U'$.: ... <br />~ :.. l7dY2$tfi4':.r SU rts gi'a';..%;:i, i,:-0.. .: <br />SOLIDS, S~TTLEAOLE SAMPLE a0ptrC0 pp4ppa. ppaaia ak¢ <br />¢? 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' aapp ~ c. : <br />•" : 11-ZLY' M~: RG/L "~:: ~~~ : : <br />LDU, IN CORDUIT aR SAMPLE (03~. peat>aa opa 4p a#aaaA <br />'PNRU rREATRENT PLANT MEASUREMENT <br />`0 D <br />: u5u 1 D PERMIT .:..:. .: ..... <br />~PTI?JIf~G... <br />..REe4~f <br />'' `: p"p'OF1k!Vflr.: <br /> <br />~ 9Wr~4k::: K/::.: :'<::.~ pOt4 <br />~s.. as-'. <br />1.. <br />;:~3rtN <br />^ <br /> <br />6-PLUEN'T .,RJSS Y-LUE <br />. <br />~REQUIREMENT~ <br />:::.::.....:.:.::.:a::..,..::.,. <br /> <br />3-~AA:':I:fG.., , <br />. <br />.. <br />~A.LL:~.:.AX <br /> <br />l1GD <br />. <br />, . <br />:. •. <br />. <br />~ ~ "~ <br /> <br />,.. .. <br /> <br />aaa01' <br /> <br />r ;,::: <br /> <br />: .11~'N <br /> <br />.::.:: . <br />)IL AND ;;REASE SAMPLE ao;R~pp ( gII) ptrpp~li: #ua as aatr>}><a <br />VISUAL MEASUREMENT <br /> <br />iuu ~ <br />,: aa. T. T ES=1 ,;..,pq.#aaa:.. aaa.4•::+~..: :.::~lu:~i~asr , aaa ';::.t 'f1~`la. 'L5"UAL <br />PFLUdN'f GR)SS YALUE ...: <br />REDUIREMENT• <br />,, .... <br />::::; <br />. ~. ~ <br />~~ <br />~' <br /> SAMPLE,. <br /> MEASUREMENT ~ ~- ~ - <br /> <br /> <br />~REQUIRENfENT; <br />~. ..: ~ .~ ,.. ::.. , <br />....- ;'... <br /> SAMPLE <br /> MEASUREMENT - ~ -~ <br /> ...:.:PERMIT.•::::::: <br />'~ . .. <br />M .,.. ,.. <br />~~~ :.. ... ~IC <br />.y..: <br />.., ::., ~ ~• .. <br /> 'REQUIRE <br />EN'T{'. :i~.;;.:... ~•:.:::~ i <br />NAME/TITLE PRINCIPAL E%ECUTNfE OFFICER I cERn <br />AM FA Fr uHOili PENUrY of <br />MILIM WITH' THE INFO uw THAT I NAVE PERSONALLr ExAMINED MD <br />RMATION SUBMITTED HEREIN; AND BASFO ON TELEPHONE DATE <br /> <br />_ <br />y ~ ~ /"v~/ <br />n S~PL <br />Y~~' <br />~'~ <br />' ~ACJr4 MY INQUIRY OF THOSE INDINDVAlS JMMEDIATELY RESPONSIBLE FOR <br />ATOTNE <br />~ <br />M <br />S <br />MEEDT <br />E <br />E <br />A <br />I <br />~E T <br />~ <br />NI ~y/(]J <br />`~ - <br />~ <br />~J/~ <br />~Z, <br />/ / <br />' <br />! 0.ETE. <br />AM <br />AW <br />H <br />M <br />A000MT <br />MD <br />C <br />O <br />E <br />RUE. <br />INCIUDINO <br />SIGNIHCMT PENALTIES FOR SUBMITTING FALSE INFORMATION / <br />71 <br />~~ <br />OT <br />~~ <br />~ j <br />V T (~~~ ~,Y~ , <br />THE POSSIBILITY OF flME MD IMPRISONMENT. SEE 1B U.S.C. F 1001 MD ]] BIONATURE OF PRINCIPAL EXECUTIVE 9 639.E <br /> <br />TYPED OR PRINTED U.B.C. ! 1 ]t e.. lArWdF udr eYrr mAn.. ro.Y ~~. rw.. W ro t 10,000 <br />rgrmM.r..rl NrplaanwN WArMrnemwW rN 6Ywral <br />OFFICER OR AUTHORIZED AGENT <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />{' <br />d;.: <br /> <br />COMMENTS AND EXPLANATION OF ANr vlOl.A I Ions lnsrerenee sn srrscnmenrs oars! <br />SEr-rLEAtiLE SOLIDS LI7IT HALTED POR LO-YRP 27-NB PRECIP EVENT ;.UdJE:T TO BURDEN OF PROOF R£QUIREMFNTS IN <br />PAHT I. 9. 1. D, P5. 6. SrORdYATER y-NACENENT PLAN DUE 1-1-90. <br />EPA Foim 3320-1 108-851, Previous editions may be used. ~ ~ (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.( ~ ~ PAGE OF <br />- - - ,; - oflDC~9toe~a-iasu 1. <br />