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PERMITTEE.NAME/ADDRESS~pndlude Fanliry NamrJlornnan iflA$oeny <br />NAME A <br />ADDRESS-~'VE t•1UUNTAIN ENERGY, IN(' <br />DESERADD MINE <br />3607 COUNTY ROAD 65 <br />FACILITYRANGLY CO 51648 <br />LOCATION <br />NA710NAL POLLUTANT p$CHARGE ELMINATX7N SYSTEM (NPDES) I FOnn ApprOVad. <br />DISCHARGE MONITORING REPORT (OMR) OMB NO. 2040-0004 <br />MINOR <br />' P FiM U BER DI ^ ~G NUMBER (5U^uR NW ) <br />F ~- F1NA1.- RI3l A, ~I <br />MONITORING PERIOD R.4-; LOADUUT TO REll WASH <br />YEAR MO DAY YEAR MO DAY _ <br />FROM -~ n~ TO nn n- -ro p..p.a 1.117 n{ GC'`iAR"'T. I XI u;# <br />NOTE: R8"ea Iftst~uctlon~ before~comple6np this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX of TYPE <br /> AVERAGE MAXIMUM UNRS MINIMUM AVERAGE MAXIMUM UNITS aNa.r51$ <br />aH SAMPLE ###### tk####at +ttta#+r el / .:~; <br />- MEASUREMENT <br />)0400 i 0 1 ## ~`$.. ;r <br />~"+ <br />~ <br />Cc I 1 ~pn V 1 ; <br />'~~ X" r, <br />~ ^ I <br />e~ <br />iOI..IDS, TOTAL SAMPLE #p##q.q .q##### #ititit#u• I :'-)) <br /> MEASUREMENT • <br />3USPENDEU _ <br />)0`430 i - U O ~ ## ~ . <br />+ ~s. } ~+;, ( <br />"` :~. <br /> ~ <br />, <br /> <br />30L I DS. SETTLEABLE SAMPLE #####-# ###### #al.u++# It 25 ) <br /> MEASUREMENT <br />)0545 1 C -O * ~ <br />' I pn C a l <br />JIL S GREASE SAMPLE ###### #~Ir##+t# #e###il ###### ( 19) <br /> MEASUREMENT - <br /> <br /> <br />[RUIV, TOTAL SAMPLE ###dlil# #a###u #a###~rt ( 1`7) <br /> MEASUREMENT <br />(AS FE-) <br />. <br />I)1045 1 O ' <br />?O <br />.,- <br />•# <br />~ x-. <br />~'' <br />.. :~~ <br />~"k~- <br />. T <br />' CI ~T T I <br />-LGW, IN CDNO{JIT pR SAMPLE ~ 03) x~-x•###ik ~r+pil.*## #it~l-x-tr# <br /> MEASUREMENT <br />fHRU TREATMENT PLANT <br />Or_,50 1 U 0 <br /> <br /> <br />T1L AIVD GREASE SAMPLE ###### i 943 ###### ###### #ir##a# <br /> MEASUREMENT <br />I SUAL_ <br /> <br />NAME/TREE PRINCIPAL EXECUTIVE OFFICER ICeRMy under penally of law that this doamerd end ell eltacMnenu were TELEPHONE DATE <br />prepared under my Oirxtlon or eupeMSion In accordance wah a syriem designed <br />~G~`` , , 1~ to mauve that quaNlled pertonnel property ga1Mr end eueluele lire inbrmetlon <br />/ ~ 4/ aubmlttetl. Based on my Inquiry of Ne person or peinane who menage Ne system, <br />or mdse peredne direrlty rsspcoslble br garnering the Inlormetlon, ma Inbrmellon - - __ <br />F" submitted b, bma beat of my knowledge end bellel, true, ecarate, antl complete. SIGNATURE OF PRINCIPAL EXECUTIVE ' .. - R ' <br />I em aware rhea mere ere signifirara peneNea br sbbrniNng lalae IMOnrellon, OFFICER OR AUTHORD'ED AGENT NUMBER YEAR MO DAY, <br />TYPED RPRINTED indutllno me oossibility of fine end lmprisonmerrt br knowing YIOIBGena. _ __ CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all etmchmenfs here) <br />TSS Yi -TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMI? AF'i'LiEU FOF: _-lUYi'•24HR PRECIP EVENr <br />SEE I. A. 2, PG V, FOR REQUIREMENTS. OIL g< GREASE REPORTING-SEE I. S. 1. F, PG VII. ORTRLV SAMPLING <br />~~1~Fb~n~~0l7gp~V-31~8~P~ious~itioYi~may be used. THIS IS A 4-PART FORM PAGE OF <br />00122/000222-15;6 1 <br />