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HYDRO29186
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HYDRO29186
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Entry Properties
Last modified
8/24/2016 8:48:12 PM
Creation date
11/20/2007 10:27:14 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981048
IBM Index Class Name
Hydrology
Doc Date
8/7/1985
Doc Name
2nd Qtr 1985?
Permit Index Doc Type
DMR’s
Media Type
D
Archive
No
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PERMITT[[ NAME/ADDRElB ll nCluY[ NAI WnwL ru~~u lwnl uul..nwNMC cu... •..m ..JN BYBTEM INPDf._r <br />fxlllq~ Nam[/Lo[Rllon IJ dlBrl+nl) DISC NA RGE MONITORING REPORT (DMR) <br />I) II•I! rtn i•NIr r {~II 1 <br />NAM[ -- -------------- (1-161 /~ <br />~•1 1' "' I r '~ PERMIT NDMB[R OIBCNA RCE NuM•ER <br />------------~----------- MONITORING PERIOD <br />~~~--------------------- YEAR O DA YEAR MO DAY <br />LOCATION FROM TO <br />OMB No. 2040-QOp4 <br />:. ,+~ r- e~ r,^LC~aDa Expiros2-29-Bd <br />D~_:~.'.IiTM1.: f:i !T OF NA fl1P,AL RESOURCES <br />rarr:D LAr:D RECLnrnnnoN <br />423 CENTENNIAL L!UILDING <br />73)3 SHCIIrdAN STREET ~] 85 <br />PENVEA, COLORADO 8020. ~ e -. a~ <br />• IxB-x/1 ox- d, I a-xJl I s 1 1x8-I9, r3D.e/, NOTE: Rnd IRElnlctbm b[loo complNlnD tlIY form. <br /> (J CRrd Only) QUANTITY OR LOADING (1 Card Only) qU ALITY OR CONCENTRATION <br />PARAM [T[R (1673) (JIfi/) ()8IJ) (16-JJ) (JIfi/) NO. FR[pOU'NCr [AMPL[ <br /> <br /> AV[RAOE MA%IM UM VNITB MINIMUM AV ERAOE MA%IMUM UNIT[ <br /> 6x3) (61fid) (69-70) <br /> [AMPL[ <br />f 1 I I, 1 1 {{ 1 111 ) 1 M[AN R[M [NT r I . I • • <br /> 0 ~ <br />' <br />~ <br />(• e a$ ( <br />~. <br />~ <br />I•Un~'1 rDT~1'. <br />~ <br />~ #! :* •t t ~ !' r * • + r a a • t s a. ' ~ <br />* <br />•/j <br />~e` m <br />F°m 1 <br />~~ " a ~t <br />¢~ <br /> :., <br />.. . <br /> [AMPL[ <br />••1II ) :` • T I 7 ~ I ' M[A[UR[M [NT a • • • • • I <br /> • <br />~ .., <br />n~S5~1 :RiAYF~iNT ~.~,y,~ <br />t..,V•., f # • • .: • a a fE z- ~(~j <br />~1~ <br />`: ' <br />°m^i•~lx~ <br /> . <br />, . <br />, <br /> [AM-L[ <br />1 r I I I~, I I 1', M[A[UR[MENT a • a , . • <br /> V <br />- e ' <br />~ , s. ~ '.^z <br />'lD IS ~a+Ta '~ <br />'il' <br />-* <br />Y t: • ~s <br />k ~ • • .L 0 r) .~ <br />• <br />.. .~;5 ~~~ <br />x ~ •~~ <br /> . . . . <br />• [AMPLE <br />I'I (• { ~ (1 I I M!A[UREM [NT • • • • a • • ~ ~ . <br /> r¢ '' <br />' ~ x <br />~ a. xdo ..: ~. <br />r.~ <br />S$~ <br />d li ~ D ~ • ' jr <br />R~YIRQ/[MT '. 3e.~n r ~• •• ~ • ~ F' « <br />, • • 'x ~ ~ ~ d ~ ° •W~'7~. . <br />q <br />`.`•~, ~~: <br />~x <br /> BAMPL[ <br />1111- I.,.1 ~ '1 MEABUR[MENT r • ~ r <br />l <br />. <br />l ~ <br />~ <br />l ~ n <br />~ nthu <br />ik <br />s~tN!t r< •. -+i r~ .. •:~ ~ ~ a • • .. .~ " ~ ~ I ( g'.Ar 9 ~ . °J,t <br /> [AMPLE <br /> MEA[UR[MENT <br /> <br /> <br /> BAMPLE <br /> MEASUREMENT <br /> y ~'.v~ R ~:... p . ~, <br />' <br />.. <br />. <br /> a A <br />ik~fMiT' - . ~ <br /> p ' d <br />NAM!/TITLE PRINCIPAL E%[CU IVE OFFICER I CCRTIFr UNDER PENALTY of uw THAT 1 NAVE P[R50NALLr Ex AMmED <br />AND AM FAMILIAR NITN THE INFORMATION SUBMITTED N[RCIN ANO BASCD TELlPMON[ D A T ! <br /> ON MY INQUIRY Oi TNOSE INgV10U1L5 IMM[d1TELY RE• NSIBLE iOR <br />Ma IIgyL 1 el L <br />ry L) `l.L L.L OBTAINING THE IMidIM1110N I BELI[VE TN[ $UBMITED INFORMATIOM <br />RATE AND COMRETE I AM AWARE 1HAT THERE ARE SIG <br />TN <br />ACC <br /> IS <br />IrE <br />U <br />NIFICANT PENALTIES FOR SUBMITTING FALS[ INFORMATION INCLUDING ! <br />( <br />'t <br />„ '~ <br />~ ' f C <br /> <br />Bookkee¢er F <br />THE Pp59&VTY OF FIN[ AHD IMPR60NMENT SEE IB USC f .OOI ANO <br />' l i <br />( <br />/l ) /-// ~ <br /> 33USC I IJ19 rP[mlfr• urdn IAFr •1•Nln ma <br />P. tlu an <br />mrludY Ano u BION ATURE OF PRINCIPAL E%ECUTIVE <br />TYPED OR PRINTED y <br />P <br />[~d...m[armum ~mOnronm•nl a/h•IUR.n6mnnlA. and .5 r.•..I OFFICER OR AUTNORIZED AGENT A NUM\ER Y[AR MO DAY <br />COM'EENT AHO EAPLANATION OF ANY YIOLATIONB (/Ftl[rfRC[ nll RNY[nm[np noq <br />t <br />{ h L I I I r 1 1. ..! f (. f l t. I. r I I 1 T ) .. 1! ~ T 1 1 <br />;1 1 t l I~ •1 1 1 ~ li ( 1 11 1:= .,, 1' ,- I I ( .I I I ( ~, I I I <br />EPA Form 3320-1 (ReY. 10.79) rn rY~ou[ :D IIV 1: ^~ B:T /•[D IREPLAC[[ EPA FORM T-~O WNICH MAY NOT BE USED.) PAGE OF <br />
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