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PERMITTEE NAME/ADDRESS (Include Facility NamdLoeanon i/DifferenQ <br />NAME <br />GLUE f'IUUNTAIN ENERGY, INC. <br />ADDRESS~ESERADD MINE <br />3607 CtJUNTY ROAD 63 <br />FACILITY RANGLY CO 81648 <br />LOCATION <br />~~ I Fla JEFF Dl1RRFRT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPDES? <br />DISCHARGE MONITORING REPORT (OMR) <br />rr nn'~ n n <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM OU 03 G1 TO (iU U3 31 <br />Form Approved. <br />MINOR OMB No. 2oao-oooa <br />(SUbR NW) <br />F ~- FINAL (?Bi.AIV <br />RA-1 L-LtAirOl!T 70 RL=17 WA +'`-! <br />,~tra I'~'0 D7.St_'r~ARG} I i anjt <br />NOTE: Read Inslrudions before~mpleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNn!-tslS <br />?DL I USr TO fAL SAMPLE *##### ###w## it####~u ! 1 , ~ <br />I SSUL. VED MEASUREMENT <br />i tY V 5 3. O 0 ~-' ~ PERMIT +}dYiFi ~;M±N11F1~iC~-~- ~# ~FiklHt,1FM - }~~y-Q~T ': TI O[t1AL. ' O RLY RAB?`'~_ <br />FF_-UENT GROSS VALUE AEgUI)iEMENT t a## MAR G/L <br />71_ T FARM. FECAL SAMPLE ###### ###### ###### { 1 J i <br />EItiERF;i MEASUREMENT <br />qr,.~5 1 C 0 '~,~EAMIX `'~tiF~R~IF; ''r ~~_~~ #'° "~ <br />~ tlii@'~ <br />~ ~ .' ~ ~ Q CfP R <br />-F f '_ UENT GROSS VALUE RE~UIREM~NT ~n~r ' " <br />'~ ~ ~I p#I(~~~~~ ~ - 100ML <br />IL AND GREASE SAMPLE *'##### ( 44? #s#### #e#### #####tt <br />I Ei UAL MEASUREMENT <br />406Ei 1 U O --.::p~~lj,' ~ .~ 'wiwF.it!Y!~' <br />~ r,`'¢ ~?`-- .S 1 .:~'~M~M~~FM: ~ •:•,Yj!i1~,NiPiF "i : i1iFiF a# }~f .2Bl1AL <br />FFL_UEfaT GRUSS VALUE REOUjREMENT .! ~ 1~ 0=0 ,' ~ ° =.-~`i, ~#„ , <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> REOUIItE ENT ,. ~" ~_~` <br /> SAMPLE <br /> MEASUREMENT <br /> ~PEpMITa - - <br /> REOfJIREMENT ~ ~~; , ~, ~: ' ~ . . <br /> SAMPLE <br /> MEASUREMENT . <br /> - '-PERMIT 't, r "~` xx ' <br />~~ . ~,,: s ±r_ <br />~ ~„ <br />~ .p,W <br /> REOUIREM>_NT ~ - ~ } - ~ iµ, <br />, , <br /> SAMPLE <br /> MEASUREMENT <br /> P~AM17-- <br /> <br />~ _ _-.: __ <br /> <br />... <br />.' <br />. <br />- <br /> <br />- - <br />- <br />- <br /> <br />- --_. -- <br />.... c <br />--.3 ._ <br />~_ ;. -.... <br /> gEQUTAEMENT . <br />, <br />, . ... ?,. i <br />HAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Certity untler penalty of law that this tlocument end ell aztecnmerits were TELEPHONE DATE <br />~ / <br />S/ L/ <br />/[/~ <br />..~~~ prepared untler my tlimction or supervision In accortlanca wnh a system tles~gnetl <br />to assure that qualified personnel properly gather end evaluate the iMOnnaLOn / <br />j <br />r <br />f' subminetl. Based on my inquiry of Ne permn or persons who manage the system, <br />! or those persons tlirectly responsible br gathering the inlonnatlon <br />Ne Inlormation <br />~ ~ <br />Cj/ /i, C-I ~ ~ , <br />submitted le , to the best of my knowlatlge and belief, true, accurate, eM complete. SIGNATURE OF PRINCIPAL EXECUTIVE YL G7 ~/ 7 GYJ <br />' <br />TYPED RPRINTED I am aware Ihaz Ihera are signifwnl penalties for submi[gng lazse inbrmation, <br />inclutlin the ossibili cl fine and im risonmem for knowin violations. OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />~.vmmuv i o nrvu cnru+rvn i it/rv ~r nrv r vluu~ 1lvrvo Inererenca au arracnmerrts oars/ <br />OIL & GREASE REPORTING-SEE I.B 1. F, PG VII. QRTRL.Y SAMPLING INSTRUCTIONS-I C. t3, PG XI. <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. 00098 / 000222H~ 115 16 PART FORM PAGE 2 OF <br />