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PERMITTEE NAME/ADDRESS (/nFlude Fncillry NamrlLocalion i~DiJferentJ <br />NAME DLUE MOUNTAIN EhIERGYr TNC <br />ADDRESS,ESERADO MINE <br />:iSD7 COUNTY ROAD 65 <br />FACILITY`~'AtJGI_Y CO E16^E~ <br />LOCATION <br />AT}hJ~ JIFF DUDS RT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOESJ <br />DISCHARGE MONITORING REPORT (OMRJ <br />r -~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />M I Nf?R <br />(SUDR NW> <br />F - FINAL RDLAN <br />RA-1 LOADOUT TO RED WASH <br />++#a NG DISCHARGE' I~I #~~ <br />NOTE: Read Instructions befor mpleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />; i L AND GREASE SAMPLE +~####tt 94) #tt tt#tkn ~####4 r tr~t+r#at <br />I SIJAL MEASUREMENT <br /> - ~ "- <br />•}i.6b 1 O 0 ~. ' P~AMLT #'#lF1P*!F s ~ ,' Y •S'I BAf~'1FAF1P iklFiFM~iF# , iFif~F### it Jr# EKLY I <br />:F-~-EVENT GROS5 VALUE PF~G}, .SMk:N7~ yds.-;' _ ~ - r*w <br /> SAMPLE <br /> MEASUREMENT <br /> . , ~ : ,~, <br />~ a - - } ~ ,: t a <br />r - ~, <br /> ~r'ilQ E BNT ~ i~ Nx~ y ~ ,. <br /> SAMPLE <br /> UREMENT <br />MEA <br />S <br />~ y <br />, <br />~~i~~AM1T^2-~- ~r. A mi`l'/ 5i. ^iF Y <br /> <br />~~~ <br />0 .' } <br /> <br />" '~f^ ''z: hs J. ~ .: <br />}~ .` <br /> fiEOkfIFIEML~T ' r - .+.t "` - k '" <br />~ <br />r: <br /> SAMPLE <br /> MEASUREMENT <br /> 1 I~" <br /> . <br /> <br /> SAMPLE <br /> <br />.. MEASUREMENT <br /> _ <br />~ r - . ,v;. - <br /> }iEQUTAEMENT '~'.~ s - ~ a~ ~ <br />.: r :- L ~,. -: ~ . <br /> SAMPLE . <br />- <br /> MEASUREMENT ~ -' <br /> # ~ s_ ~ <br /> <br />AEaU1R~MEt <br />l <br />~ r~`Y <br />`=~: ~ <br />v <br />.. <br />E .,' <br />.y .~ s' <br />fr <br />` f x <br />,..*~`ss °,:, <br />' <br />k <br /> . <br />~ . <br />- r r <br /> SAMPLE <br /> MEASUREMENT <br /> ~~'.`~' ~"l Fr <br /> 1€CSllIR~t~1~NT Y ".H <br /> ~ <br />NAME(TITLE PRINCIPAL EXECUTIVE OFFICER ICedily under penalty of law thaz Nis tlorymant entl all attachmenLS ware TELEPHONE DATE <br /> prepared under my tlirecTion or supervision In accordance wrth a system tlesignetl <br />f <br />i <br />~ <br />-- // <br />.,y ~ <br />' <br />~ ormat <br />on <br />ro assure that quellfietl personnel properly gather end evaluate the in <br />" ~ <br />~ <br />/ G/,~ ~(1, / S7 submittetl. Basetl on my irpuiry of the person or persons who manage the system, ~ <br />" the inlormation <br />aNering the inbrtretlon <br />ersons tlireN <br />res <br />onalEle for <br />or loose - - -' <br />p_ ~~~- , <br />g <br />p <br />y <br />p <br />submitted is , to the best of my knowletlge end Oaliel, We, accvraze, entl complete. SIGNATURE OF PRINCIPAL EXECUTIVE ~~ " ~ .Y".~ <br />' ~''<'"~ L~j< <~ <br /> <br />' TYPED RPRINTED I am aware Nat there are sign cant penalllas br submitting lalse Information, <br />OFFICER OR gUTMORIZED AGENT AR <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> inclutlin the ossibili of tine entl lm risonmem br knowin violations. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments Here) <br />TE38 ~ TOTAL IRON LIMITS WILL DE WAIVED. AND SETTLEADLE SOLIDS LIMIT APPL_:ED F(It• t/'Y ~:, '~1.ik Y'?I'-.F' }.a,'=:IT- <br />SEE I. A. 2, PG V; FOR RE~VIREMENTS. OIL & GREASE REPORTING-SEE I. B. F, Fri VII O'r'7F;1... ..~+~{ I_7NG <br />99 bio iti may be used. THIS IS A 4-PART FORM PAGE OF <br />