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i <br />PERMITTEE NAME(ADDRESS Qnclude Faci7iry•NameJlocation iJDif/erenq <br />NAME BLUE HOUNTAIN ENERSY, INC. <br />~ ADDRESSpgSBRADO tlI~[$ <br />3GOP"OOUNTYROAD 65 ~ . <br />FACILITY RAN~LC CD b1D48 <br />LOCATION <br />I AZ?N: JEFF DUUi3ERT <br />fRl <br />Form Approved. <br />OMB No. 2040-0004 <br />,L, ,", <br />- rItiAL H'?LAD <br />t~-2 WAuOUT ~;O RED MASH <br />`= _,._ . <br />NOTE: Res~before o plating this form. <br />" QUANTITY OR LOAD QUANTITY OR CONC <br />'-' NO. pREOUENC SAMPLt <br />TYPE <br />. <br />PARAMETER <br />,~ t EX OF <br /> AVERAGE MAXIMUM" UNITS MINIMUM AVERAGE~~ <br />~ ~.' MAXIMUM UtyITS ANAr.t5/s <br />- <br />PN SAMPLE ~'`~ QCR ~ ORCRRR _ RG ( S2)- <br />. MEASUREMENT ~ ~" <br />UUaUO } D 1 - P~ ( ~{: ~d=a ~ #~x <br />~ :r; !~- 9r~1i'a"- <br />• <br />cFFLU6NF ~SROSS YALU fiE'QUfHETrI t+ <br />~~ R#z+ ''~ <br />; (1 SD s ' ,-•?~ '~~'~ <br /> ( ~ <br />S3LIU4, .TDTAL SAMPLE :~?~•"•i:t -;:ytttpt ?R i ,Y.,. ~ 19) <br />SUSPEND6U' MEASUREMENT <br />OU'i!U I D 0 r';?p' `-;-- ;C#+FP#fA •..ILc3{k,~:-~: <br /> <br />~ <br />„t ,: <br />t.. ''t' <br /> <br />! ` "" ';; <br />EFFLUCNT GROSS YALU' NT <br />f;EQ ~„" a~='• ~ ,.. <br />r.~+ HC L <br />SJLIUS, SL[LLBARLE SAMPLE `^""='~" ~• "~" s~#R## ( 25) <br /> MEASUREMENT :Y"~ .,~ <br />U074S I 0 . <br />d s`' ,, "..QCa#4 d!' "" ""4t1t`i}it!ki'. -•,:, ..., " <br />~~ <br />. <br />EFFLUF,NT CR0~5 YALU AEQ REMIT • . ~; , <br />A' <br />M <br />OIL :: SNEASE",'". SAMPLE .: ;. ;.:::,;; ..-:.-::.:,. ....k^=•~~ vR:t+t'} ( 19) <br /> MEASUREMENT ,,.. <br />, <br />UJ~S6 1 0. 0 ,. <br />ER ~;` °?01##+Ea# #~t*a:#0 ;: :s: .ak ###.. <br />cFFLUEST GRGSS VALU . <br />-,QVI~EN1~t1T ~ -`t ~ ~ ~'y'•~ ~ ~~• <br />I`20N, TOTfIL" SAMPLE • ~~""~ •'`~`""` ( 19). <br />(AS Fff) MEASUREMENT <br /> <br />uID4s 1 0 0 <br />i~ <br />~~~a.. s <br />a~~aa~a <br />~ :. <br />a~+~a~l <br />~.0 E; p y* <br />B.ik',•c ~•. <br />: <br />F:PFLUENI G80SS YALU ~ •- 30 A'Y , MG <br />FLJ4i, IN CONDUIT DR SAMPLE ( S.i) ~`~xt~:x-,.: ,: ~:Raw;# <br />T ll i U T H E A'T tt E N i PLAN MEASUREMENT <br />SJJ~U 1 U 0 ~. I ~ ~ ~BPII~ ,. r.:d~f#~+-a~ +n!#a~A~~ ~±~ <br />~. a~xR <br />`FFLUENS GROSS VALU . <br />'~ ~ <br />311b'~:~ 9A;LY- MX "7C,D ~ t <br />; ##4R <br />JIL ANU uREASE SAMPLE "`~~`'= ( 74) .. :: ;t r,:.+.:; .,. ,. ^: r:y <br />V L S U A L MEASUREMENT <br />Ju;)bb 1 U U ,". <br />t{y .'. . ,. ..: F.~-1 -#4AuR01 "~ ~" OtiAl#~'., .ObN~f, #yr: <br />!.ffL"UE^1T GROSS VALU " <br />s <br />~ ~ . N7 ~~~1F 1' I!3- .'%0=7 w <br />• ' at#v ? ac:~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Cediry under penalty of law that this tlocument and all anachments were TELEPHONE DATE <br />y-} ..L prepared untler my eirec4on or superJ,sion in accordance with a system designee <br />~-~' to assure Thal qualifietl perwnnel properly gallrer antl evaluate the Infonnalion <br />N S <br />/ r )~ <br />Scn <br />( <br />// <br />1 <br />W submitted, eased on my irpuiry of the person or persons who merege tha system, <br />atherin <br />the inlormation <br />the in/ormatim <br />n <br />ible br <br />tli <br />fl <br />N <br />g <br />, <br />g <br />or <br />ose persons <br />rec <br />y respo <br />s p <br />~~ //'' <br />~~ <br />~ C <br />U5 <br />Yl submitted is, to the best of my knowledge end beliel, We, accurate, and compote. SIGNATURE OF PRINCIPAL EXECUTIVE / T G <br />1 em awaze thaz there are sigrulicant penalties for submitting false inbmtation, <br />.TYPED" PRINTED includin the ossidli olfine antl lm risonmenHOr knowin viotafiorn. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rererence all attachments Here) <br />i55 ii TOTAL ISiJN LI`:IT~ HILL 9E wALYP'J, Atit; iF:T'"L°aBLE 30LID~ LL.",Ii APaLIE!) FOR <=l0YR,24HR PRECIP EV~NT- <br />;EC I.A.I, ?,: Y, FUR REQUIRE•MEKT;:. )LL ^R~:!.SF,' N;•'PO?TIN~-ScF L.B.1.F, PG VII. Q3TRLT SAtlPLING <br />i6us editions rriay be used. <br />I <br />PACaE 1 Vh <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ <br />DISCHARGE MONITORING REPORT (OMRJ <br />