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PERMITTEE NAME/ADDRESS (/ncludeFaei(!ry Nmw/Gornnae if Different) NATIONALPOLLIRPM DISCHARGE ELIMINATION SYSTEM MPDES) Fotm Approved. <br />NAME DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />bLUE HOUNTAIR t; ?:::R:,Y, IN:.. ~tJ~,? <br />- <br />, <br />. <br />ADDRES&jg$ERADO MINE ' (SUdt HtiJ <br />j6U7 COUNTY ROAU b5 PERMIT NUMBER GENUMSER - FI6AL k5LA5 <br />FACWTY dA~Gl,Y CO.t1164H MONIT,. NG PE '°-LL 3EDI POND TO RF,C WAS:i <br />LOCATION YEAR MO ' ~ ~ ?.70 DAY ;~ <br />FROM 1 U6 'TO UL .? '=60' I3CHlEICE ~~I '}'~~ <br />rm <br />thi <br />f <br />l <br />tl <br />. <br />s <br />o <br />ng <br />e <br />A i T N: J E P E' O U H'f '' k T ~~ .. N sd InstruCtipns.belpr p <br /> ~1UANTITY OR LOADING QUANTITY OR CONCENTRATION P.' FREQOFNC SAMPLE <br /> PARAMETER ~ `EX^ ~OF TYPE <br /> AVERAGE MAXIMUM $ MINIMUM AVERAGE MAXIMUM N17S~ - ANALYSIS <br /> Frl SAMPLE r. :: ;r ;: ra r: :nfiprx !~fOPrr ro ( j?) <br /> MEASUREMENT - ~, <br /> UuUO I U 1 '::` <br />~ r'y•? ~ <br /> °:F£LUE!+T 6k053 VALUE, ~~' ~':'';€. 'Yr'C~r ~' U <br /> SOLI US, TOTAL SAMPLE o;;aaga pr•;<i,is •'`'": =:- ( 1')) <br /> - U S P E N D d U MEASUREMENT <br /> <br /> 6'FFLUEHT GROSS PALU t.4a ~`~ ~. ~ <br />• `~ <br /> '?LICS, _tETTLEAt1LE SAMPLE ;:~:^R'}O d0~o~4 .:;rf•:-`': t ( ?`) <br />~ <br /> MEASUREMENT , <br /> U 7 ~t S 1 U, U •? r° tN <br />~~~ <br /> F'FLULNT Gk055 VALUE ;crr `~ <br />~" - <br />:.s= <br /> 1L ~ vkEASE .. SAMPLE .CaYC4 <br />• '. 0448?U< r:n~: r: {: ~::?~::: ,. ( 1`1) <br /> MEASUREMENT ;. <br /> <br /> r:FFLUEttI GROSS YALU ' nan ' """~~~~~ ~' xT `~•' ~ }' ( <br />, <br /> <br />i;JN, SOTAL <br />SAMPLE <br />'!t'}a44 <br />dO93'?G <br />--• .':~?rt <br />( j9) r <br /> (A S F E) MEASUREMENT A <br /> <br /> t "FLUENT GROSS YALUE *'`^ " '` '" v <br /> 'LJI:, IV CONDUIT OR SAMPLE ( 03) .•'~e ~~° • • -- ''"*'?"?^ <br /> ~;;fU CREATCENT_ pLART MEASUREMENT <br /> UUSU 1 U U ~ 's'`-x <br /> FLUENT GROSS VALUE GD <br /> ~LIUS, TOTAL SAMPLE cuaato OISr#R4# #ao~x=~: ( jy) <br /> ' I S S O L Y E D MEASUREMENT <br /> U2~S 1 U U cn <br /> P£LUENT GHO55 VALUE '~~'~ •" <br /> NAMER <br />IT <br />LE <br />PR <br />INCIPAL E <br />X <br />E <br />TNE O <br />CU FFICER ICenify under penelry of law that th iyrJocWnent and all atta chments were TELEPHON E DATE <br /> preperetl under my tliredlon a wpefvlsldl In acwrdance wNf a syslam dealgned <br /> ~ <br />, <br />J <br />1 <br />, <br />y <br />y <br />y <br />to assure tlbl quakfied ppsomelpropedy patlter antl eraluate the lnlamelion <br />S L O ! / IA/Q ~fi 5 ~C•yr ! <br /> submitted. Beaed on my ktquiry al it~e p&aon or persons who mariege the system, , <br /> _ <br />~ or Noee persons dractly respon9Pole M paNerlrg Ne IMOrmmbn, the kilormetlon <br />r /I <br />? <br /> submited k , to the East of rrry WtovAedge antl belief, true, accurate, end complete. <br />~ r, J • SIGNATURE OF PRINCIPAL EXECUTIVE d ~ '~ <br /> l em aware Met there are significant peneltlas for submrtting lalse inbnnation, <br />TYPED OR PRINTED - Includin the slbil' of fine end lm dsonnerit for knowin Nolationa. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TJd G TOTAL iRUN LI'!I'TS :iLL bE ~AIVF.J <br />A5G 5`:TTLEAaLE SOLIDS LIt'I7 APPLIt'G -°O!t <=1UYR,24HR PAF.CIP ,'.Y''yT- <br />, <br />~EE I.A.Z, P~ V, PGk Ht'lUiliE;iF.9TS. JIL i• Ch"r,'Atid R?FORTING-5Ec I. d.l.f', f VII. ~icTRLY SAF(PLIHG ~, <br />A orm 3 9) Previous a itio rSay be used. THIS I gg PART FORM PAGE OF <br />~ <br />006¢u/000717- <br />5:;: 1 <br />1 <br />, <br />