Laserfiche WebLink
PERMITTEENAME/ADDRESS QncL+de Facility Name/Location ifDifferenrJ <br />NAME <br />[iLUE MOUNTAIN ENERGY: INC. <br />ADDRESS <br />JESERADO 11INE <br />:i60? COUNTY ROAD 69 <br />FACILITYRANGLY CO 81648 <br />LOCATION <br />AT"TP!~ JEFF DIJRBERT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMRJ OMR No. 2040-0004 <br />MINOR <br />r (SUBR NW) <br />PERMIT NUMBER DISCHARGE NUMBER F _. FINAL RBLnCJ <br />MONITORING PERIOD RA-i LOADOU'i TO RFD WASH <br />YEAR MO DAY YEAR MO DAY y <br />FROM TO -su# PJO DISCHARGE' I XI '~~'~'p' <br />NOTE: Read Instructions belor mpleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 'w'~~IS <br />.'uL'%, 5-DAY SAMPLE ##ir##iF ###### ###### 19 j <br />2G DEG. C) MEASUREMENT <br />)Ci';0 1 O 0 ~~-PF,RMq~ -~1)[ ~kN-#;;.it xu~ ik#dFiliF~t ~ ~ ~ GE/ RA@ <br />c~Fl_;JENT GROSS VALUE .REQUIyiEMENj -7 y-ss " ~ " t### ~.K ~~ {q <br />'li SAMPLE ###### ##~xx-## ###### 12) <br /> MEASUREMENT " <br />)oQ,,u i o i i:p~~y11 ~~~ :: r <br />~ :. k## _ ~;~ .: : a ,. , f ~ r~~v n~siru <br />.F F!..UENT bP.OSS VALV RE©Ulf(EMENT ~,~ <br />' ,_ _ <br />_` #.p,# <br />iOL1.DS~ TOTAL SAMPLE ###### ###### ###### ly) <br />iU`; FENDED MEASUREMENT <br />)C5.;0 i O O ~i•PE¢JMIt`~ ~.: 1 ~. <br />,~ ~ $. _ F, <br />, <br />R~ <br />F.'L.UENT GROSS VALUE . <br />., r >f ~## i, <br />]IL. ~ GREASE SAMPLE +I-##### ###### ###### ~tt##o~## ty) <br /> MEASUREMENT <br />:05;6 0 0 P IT r .:'dra~, ~'.~i6 ## : <br />!- <br />,, +l #+~#at+4# {~ >;~ TAN A~1~ <br />.h Ft_VENT GROSS VAWE *#rt , <br />, n.' <br />.F^~~I, TO~TP.i. SAMPLE ifi##### ###### ###### ;y) <br />(A5 FE) MEASUREMENT <br />i 0= 5 1 O O !-P~.FtMIT ~ t~ ?~F - # u - ~liFiF{kN#' ~ . 'u.. ~ t'Y ~ - <br />TFL UENT GRO55 VALUE ~ - #ak - <br />-LU!:1. IN CONDUIT OR SAMPLE 03) ###### ######" ##-i#+r# <br />-!il"t'I l'REATMENT PLANT MEASUREMENT <br />r,~ <br />J to Y O 0 ;, <br />=~kRMIT ," <br />'~" ~:~: <br />- <br />- <br />'#t a4;, <br />'~ <br />` <br />, <br />## <br /> <br />~j,. <br /> <br />. <br />r <br />F FI_UI:N R RE UIREM~NT <br />~ ~-" <br />~ 4 ~: ~ ;;° ' <br />. ' t r-r. #a~t ~~~ <br />IiLURINE, l"OTAL. SAMPLE ###### ###### n###tt# ##a#ti# 19i <br />ES T DUAI MEASUREMENT <br />OC.,O 1 C 0 -T?~IStllY.. ' - ## `_~ylieit `~ Ik~k1HFSHt--`'' "~ Lnr_ '_-a p~ <br />"_. <br />FFLUENT 6F<<^ S VA HE`QUIRf~NJENt ~', ""','~ "- '~ ##u . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ICeniry antler penalty of law that cols document antl all attachments were <br />di <br />tl <br />N <br />i TELEPHONE DATE <br /> <br />S~cJ~ L/~ ~ ssf er my <br />prepared an <br />re <br />On or superv <br />sion in accortlance wiN a system designed <br />to assure that qualified personnel properly gather end erdluale the Information <br />+ <br />/ <br />r <br />I submittetl. Based on my inquiry o1 Ne person or persons who manage the system, <br />or lhosa persons tliraclly responsible Icr gaNedng the InlomwSion <br />the irttormetion - /.ai.. <br />-!/ liGi~~ <br /> <br />~~1 ~~ L ~~ , <br />submitletl ~s , to Ne best of my knowledge end bel:el, W e, accurate, and complete. <br /> <br />SIGNATURE OF PRINCIPAL E%ECUTIVE n <br />7 ~'r~ <br />/.. 7~ ~~~ <br />S~~<y <br />CCj <br />Ql <br />~~ <br />TYPED OR PRINTED lam aware Nat Nere ere signigceM penalties br submming take inbrmatlon, <br />includm Na ssibili olfine antl im rlsonment forkrowln nolanons. OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference al/attachments here) <br />CIL °x 6REP.SE REPORTING-5EE I. B 1 i-, P6 VLI ~RTRLY SAMPt.ING IIJSTF{UCTIUNS-I. C. E~ P; Xf <br />EPA Form 3320-1 (REV 3/99). Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />00097iGi0?_~?-1s16 1 <br />