|
PERMITTEE NAME/ADDRESS (/nclude Farrl~p~ Nnme2oca0on JD~gerenq NATIONAL POLLUTANT DISCHARGE EDMINATION SYSTEM (NPDES)
<br />NAME ~ DISCHARGE MONITORING REPORT (DMR;
<br />r~Tt.nuvn rna[ rnroa~:v_ f_D_ rzlel rn-el ~r:m,
<br />Form Approved.
<br />OMB No. 2040-0004
<br />~DDRESSCOLOMYD MINE SrnnnuStR~ =aDT a
<br />~ (_; I: ? nth)
<br />DISCHARGE NUMBER
<br /><.,.:
<br />S7 i1 STATE HIGHMAI 13 'PERMITNUMBER p - iI IYAL ~ YIOP
<br />17`L'it~:R CO 81641 T" ~ ONITORINGPERIOD
<br />.
<br />:
<br />1
<br />ki
<br />M
<br />' S?REETER 6~~.C1I TQ GOCD SPuS C?i
<br />.
<br />,
<br />..
<br />AGILITY _ .
<br />.
<br />. ~ :,r;
<br />~ ~ ~~
<br />~
<br />YEAR MO . DAV
<br />.OCATION ~"'^' ' ~~ ~ VEAL ~M:O~ ~DAy'• ; ,. `
<br />~~-
<br />,~'
<br />~.. .
<br />_
<br />FROM O~~C;:~s~%'TO 00 12 31 t
<br />~ h#~+
<br />~'# NO ~t.R~''S )
<br />A T T +' : J. D. i{ A H tl O R, G E!I E, N A L ". A N A ~ ~ b Ro-zr3/zzz~~lzaisp rzs n) rze z91 13asr) ~,
<br />NOTE: Read~lns~tructions'before completing this loan.
<br /> (3 Cerd Only) QUANTITY OR LOADING (4 Cerd Onry) ' ;QUANTITY OR CONCENTRATION ~"~'' ~ ~ NO. FRFOUENC .SAMPLE
<br />PARAMETER (as-53) (se~s t) (3s-45) ~. ~ (46-53) (sa-s T) EX DF TYPE
<br />(32-37) AVERAGE MAXIMUM ~ ~l7NITS MINIMUM ~. ~~ ~ `AVERAGE ~ MAXIMUM UNITS' )szu~t A(s41-se)S (69J0
<br />DIL AND GREASE SAMPLE #^~=~'` ( 94) G##IK~4
<br />~ nl4lL¢lys ,r..~tir--:: ~"?
<br />YlSUAL MEASUREMENT ~_ '
<br />d4Ubb 1 U U „PERMIT ,Af~~K~~s~
<br />- : , ~ R'f` -1 E5=1 ~ b +~~tt`3# ;~ Y~F# ~ , Ar1T4I
<br />EFFLU£tiT 'v4:i5$ VALU REQUIREMENT '"(" a
<br />`~$4 li1C:~ K0= ~
<br />0 a~x Y '
<br />_ „ifA#' =~':. #*' I
<br />[,'
<br />
<br />.
<br />~ . . . .
<br /> SAMPLE `, ~ l
<br /> MEASUREMENT
<br /> -PERMIT _'
<br />~ ,~.`r -adt .4'. `.
<br /> REOUIREMEN_7 ~ .- -4?';,0;- -~+..4;.,.'h-r ~ nr~ ,-.+;. ~'.
<br /> SAMPLE - `' *;-
<br /> MEASUREMENT ~- e; r ..
<br /> .PERMIT . ~ - .-=
<br />~ ,.i - , k^~^y,~ Y ~ ~ - -
<br /> REOUIREMENT ~ a ~
<br />'' ..~.~- a ~'~3.. '1? ,*,~
<br /> SAMPLE R' .~.~'iY ~i ;:.
<br />
<br />~
<br />~
<br />~:.
<br />a ,
<br /> MEASUREMENT "
<br />~ 'd~`
<br /> ~,.
<br /> tPERM1T ya.- ~ T+-~
<br /> y
<br />REQUIREMENT.
<br />
<br />~ .,
<br />
<br />:
<br />~~
<br />~'~
<br /> „~ 4 -
<br />5
<br /> SAMPLE ' =i .
<br />~~
<br /> MEASUREMENT '•. ~';,'_,-, • ~~~~
<br /> '-PERMIT - - .- ' - _- .~ 1R'?f _
<br />~ yob 'l"T ;:
<br /> REOCIIREIv1ENT
<br />,. .; ;- ,?y.~,''-'', .e ,. °;~' ac'a, ,. -~'r,'-x;
<br /> SAMPLE /r/r5
<br />`~~
<br />' .~
<br />~
<br /> MEASUREMENT ; f• T
<br />
<br />k PERMIT ,
<br />Ys
<br />l'
<br />i ,..
<br />ry -, v -
<br />'. ~L a :.-
<br />- s
<br /> `REQUIREMENT, i x :
<br />S
<br />r
<br />a ~= -`7 "j:~ "~
<br />;~ ~~
<br /> ~.~. ~ ~.. ,
<br /> SAMPLE
<br />~" ~ "
<br />'
<br /> MEASUREMENT
<br />.
<br />„~
<br />.
<br />
<br />~
<br />E
<br />i~ yi.,
<br />~ k v .,
<br />t Yp. ss --e1 ~
<br />i j
<br />-'.
<br /> R
<br />OUIREMENT y> ' B x ~
<br /> .: - r - ~
<br />NAME?ITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND ' / TELEPHONE DATE
<br /> AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY /
<br />,/
<br />
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING !s
<br />U
<br />/]~j~
<br />r
<br />•~1~^
<br /> THE INFORMATION, I BELIEVE THE SURMITTED INFORMATION IS TRUE, I
<br />W
<br />/I
<br />
<br />1 ACCURATE AND COMPLETE. I AM AWARE .THAT THERE ARE SIGNIFICANT
<br />~
<br />I ~ 1 .. f~'r-rnTa n PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE
<br />POSSIBILITY OF FINE AHD IMPRISONMEM SEE 1B U SC. 41001 AND 33 U.S.G. .~„ . .
<br />SIGNATURE OF PRINCIPAL EXECUTIVE
<br />97n
<br />K2/f-~(or~~
<br />n 1
<br />n I
<br />~l
<br />TYPED OR PRINTED meximum~nn'sanment of bertreene6 monthss end 5utle lines up ro 510,000 end or
<br />p years.) ~ ~ 'OFFICER OR AUTHORIZED AGENT
<br />_~;.~ .. EA
<br />pE
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />pT~
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ralerenoe ell etteChmen(S here) '.r?i' ~'
<br />SETTLGAriLr SDLIDS LIMIT APPLIES OffiLY IF C=107R~24.RR PRECIP EYENT LS CLAIMED. IF CLAY" APPROYFC BY MQCD~
<br />T55 6 IROM LIlfITS MILL NOT dE APPLIED TO REPORT SD MEASL'REM~NTS -.SEE I. A. 2, PG..S FOR 9UR-Ep OF PROOF
<br />120 7 (08-95)-Previous eddlons maynot be used. '(REP,LACES EPA FORM T-40 WHICH MAV NOT;BEUSED} _~, ' `, ;fie;, ,y.~y.^'~PAGE ?~•~ .OF,~ ,
<br />c ?s rye,
<br />~.; -~.:cJpsw_:1i...~~a, S>iv'.;sff~Y:Aar ^^'- -~+_^-~~YF,i.:,~.r. -i.r ..ri4«.Itsa,:: 'i~+-~'~'~iE6M'~ . ~- 1..' .,._. _ .
<br />
|