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PERMITTEE NAME/ADDRESS (/nclud¢ Facility Name/Laca6on if Different) <br />NAME <br />DLUE h?CUNTAIN ENERGY. INC. <br />ADDRESSJ~SERAUD MIND <br />3h07 CUUNTY ROAD 65 <br />FACIUTYRANr.;1.Y CL' 3164f_~ <br />LOCATION <br />,. r~nl~ !r_rc ni iencor <br />NATIONAL POLLlf7APR DISCHARGE ELIMINATION SYSTEM (NPOESJ <br />DISCHARGE MONITORING REPORT (DMRJ <br />rn no n•~ nn~, <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM f TO fY <br />Form Approved. <br />OMB No. 2040-0004 <br />I' I NO!' <br />' St JD l~2 IJ 4~ ) <br />r - FINAL R3i_.AI~ <br />RP-I S1.UI Pt,ND TO RFG WASH <br />a## !VC~ DISC'r:AI~Gr-. I-,I-' I ttat# <br />NOTE: Read Instructions before"Cbmpleting this Corm. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX of TYPE <br />PARAMETER avALrsrs <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />!IL ANP. GREASE SAMPLE #++~->tit~- 94) a~~r+ratt iFft~it#a a'nunu'a <br />~ SUAL MEASUREMENT <br />3nC~f,6 O O PERMIT 4FiFiF3K~FiF ~ .5=: #iNFiF#4k ###iF## ###*## # ~+. .$1tk.Y ISVARL <br />>FF;.UI'TJT 6RO5S VAL E . <br />REOUIREMENF p-.:p r~ a.._ <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ <br /> RE~IUIREMk"NT" i ~ ' <br /> SAMPLE <br /> ME <br />A <br />S <br />U <br />R <br />E <br />MENT - <br /> y <br />~ <br />. <br />~ <br />~ <br />`~ <br />1~-; 1' <br />l~ll1'I~~ ~'t l' ,~.: q.M 1 <br />. X ~:( <br />_x y.a. <br />iJ'Y ,F <br />t "•Y .kY. ~.,.,~ ,, y.., 5..~ <br /> , <br />AEQl3~REMENT r <br />"'~.' :'. . <br />I <br /> SAMPLE <br /> MEASUREMENT <br /> ` I <br /> ~f~ECiU M~Nt ~ ' <br /> r <br /> SAMPLE <br />" MEASUREMENT <br /> .. <br />`" <br /> REt~I]L~EMENT ;: :. ~ ~ rT <br />k!- <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> REdUIREMENT -'._.. <br /> SAMPLE <br /> MEASUREMENT <br /> sf. <br /> RE04lIfiEMENT <br /> , <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER (Certify untler penalty of few lhet This document end ell ettachmems were <br />ith <br />i <br />n <br />tli <br />ti <br />i <br />i <br />i <br />tl <br />t <br />d <br />d <br />d <br />tl TELEPHONE DATE <br />,.v / ~ /Q~ <br />S <br />~ <br />' <br />` <br />' g <br />un <br />er my <br />rec <br />on or superv <br />s <br />on <br />n eccor <br />ance w <br />a sys <br />em <br />es <br />e <br />prepare <br />to assure that qualified personnel pmpetly gather and aveluste the Information <br />R~ <br />L <br />~ <br />y submitletl. Bazetl on ny inquiry of the person or persons who marege the rystem, <br /> or those persore tllrectly responsible br gathanng the impmW ion <br />We imonnaaon <br />~ <br />[~~/ ~ ~ G,,, , <br />submmeo is, to the best of my knowledge end belieq we, accurate, and complete. <br />f <br />f <br />l <br />i <br />l <br />di <br />l <br />i <br />b <br />i <br />o <br />i SIGNATURE OF PRINCIPAL EXECUTIVE -.7~" IJCJ owl .y <br /> <br />. TYPED OR PRINTED or su <br />rmat <br />on, <br />I am aware that Ihtte era s <br />gn <br />cant pena <br />t <br />es <br />m <br />rong <br />a <br />se <br />n <br />Includin the sibili of line antl im risonmem ror knowin Wolauons. OFFICER OR AUTHORIZED AGENT <br />p <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />~iSS °. TDTAL IRON LIMITS WILL DE WAIVED. AND SE~fTLEADLE SLILID~ LIMIT APPLIFD.FOF ~.-=~tOY'Rr2411R 4el~f-CIP E:`J~idl - <br />SE~ I. A. 2. PG Vr FDR REOUIR.EMENTS. OIL & GREASE REPORTING-SEE I. D 1 F. PG VIi CiRTRLI' SAMPLIIV~ <br />~ 99 - Lio iti flay be used. THIS IS A 4-PART FORM PAGE OF <br />00064:0002^E'-151h ~. <br />