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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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PFRMITT[E NAME/ADDRESS llnrludr NAllurvwL YULLV IwNI WbL HwHUF ulM Urnl wN SYSTEM INPUI.a .. <br />FRrlllq~ Name /Lx9rlon Ii dl8rrrnl) <br />' <br />I DISCHARGE MONITORING REPORT (OMR) QMBIVO <br />~~~-Oa'4 <br />! I I I ,; I <br />I:.• <br />r I <br />~ , I I ~ 1 . <br />-- <br />NAM! _ <br />(7 Ib) <br />(/7-f9) ExPiTes 2-29-84 <br />ADDNE~e <br />_____ __ ____ <br />~ <br />~ <br />' ____ <br />DE PP <br />I;I F•1 <br />'•1 I UL WATURAL RESOURCE <br />1 I <br />' I <br />" <br />~ PERMIT NUMBER OI6CHA wGE NUMBER . <br />' <br />S <br />-- <br />----------- <br />---- MINEU LF,ND RECLAMATION <br />T~ + <br />Y '~ r <br />. <br />-~--- <br />-- <br />O <br />G 423 CEFlTENNIAL BUILDING <br />-- <br />- <br />-~-------- <br />FACILI~' ---- MO NIT <br />RI N PERI OD • 7313 SIiERF.1AN STREET <br /> -------- <br />- - ---_ YEAR MO DA YEAR MO DAY <br /> <br />DENVER <br />GOLOHAQO 8bm <br />~) ` <br />LOCATIO <br />--- ------------ FROM <br />---- TO , <br />3 <br />' <br />(~J <br /> roan loan I21as) ab ~) 11A-191 IJO-Jn. NOTE: Reed Inetructlone f/B1Ore leompblinp fhb IO1T11. <br /> (i Card Only) QUANTITY OR LOADING M Card Only) QUALITY OR CONCEHTp ATION <br /> <br />PARAMETER <br />(16~JJ) (Jlfil) <br />(JAIJ) (/6SJ) (Jlfil) <br />NO. <br />EX Fw EOU EHCv <br />of <br />eAMPLC <br />TYPE <br />(31-37) AHA Lr91e <br /> AVERAGE MA%IMUM UNITE MINIMUM AVERAGE MAXIMUM UNITE blbJl (blfi8) (69-70) <br /> SAMPLE <br />I I I I{ I 11•~ I MEASUREMENT . • I • • <br /> -ERMIT <br />^ <br />1•.l l1 '+~ REgU1REMENT R • • R • • a a / + • . . . . t w s .• <br />s~ f J i. )• <br /> SAMPLE <br />~il ll {I:n II'i .•I •, I • MEA/UREMENT + • r • . + • <br />l i r F L l l t 11 .. .. <br /> PERMIT <br />w'.'. i <br />•r REOVIREM[NT *~ • 4 R ! # ~ • '' • +- i I; ~ ' <br />~/S1J <br />LL <br /> SAMPLE <br />{ I ') . • III ( I MEASUREMENT s • . I • <br /> u ' _ ~.. <br />II ~ a'1 S REgv <br />1R~MEMT v a • h + • . <br />• • <br />SAMPLE <br />I~It Tli1'Il-7 tl111 / ~ MEASUREMENT • • • • • V • I <br />l IIF .T <br />IIfK (hi <br />I a w <br />l PERMIT <br />1 J If 11 • RHDVIREMENT f~ • k • f • T • •. .• t • • ~: • ~ `k', ~ ! •. r:.'' <br /> SAMPLE <br />{~{I ~ { ~ ( I MEABU REM ENT ~ • ~ I <br /> -PERM17 ~ ~ ~ <br /> <br />~ ~ III 0 <br />R[QUIRHMENT <br />IE • * + <br />f + • <br />• n ,~ <br />~ f <br />„ <br /> SAMPLE <br />(. ,• 1• / _ ~ <br />1iII. MEASUREMENT I <br />~ l U l l <br /> PERMIT <br />~ (1 I) I I ~ RBQUIREMHNT *• f M Y' ! M w a~ .- • < . 4 r ~ ~ 7 1" <br /> SAMPLE <br />'tl4 I I ;i. it f II I '•'~{ I MEASUREMENT I • <br /> ~PEIIMIT ~ ~ ~ / <br />a <br />.] ^ T) LI •. 'R[gU1REYENT )} f 4 ' # ~ 1' # M , 'p < # ~x a .• p P • r. L • t / E 'r:~ <br />NAME/TITLE RINCIPAL EXECfJT1YE OFFICER I CERTIFr UNDER PEHALTr OF LAw THAT I HAVE RERSONALLr Ex AMIN[D <br />ANO AN FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN AND BASED TELEPHONE D A T E <br />/ ON MY IHOUIRr Oi TH05E INOVIW ALS IMMEDIATCLY RESPONSIBLE FOR <br />' <br />~ / , <br />` OBTAINING THC INFORMATION I BELIEVE THE SUBMITTCD INI <br />ORMI1ilON <br />' IS TRUC ACCUPATE ANO COMPLFEE I AM AWARE LHAT THERE ARE 51G <br />~ NIFICANT PENALTIC$ FOR SUBMITTING FAL$C INEORMATION INCLUDING <br />. <br />. - <br />' • rHE P0551BR Irr DF FINE ANO IMPw15onramT sEE IB u5C 1 IWI Anp <br />IMMI <br />)3 USC • 1]19 /P~nalul. u/II/f fAIY IIp1Yl/I nlnr I.Iflul• /Inf• u <br />/III <br />l. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED , <br />i <br />n <br />YM.I.ma.Imum,mA•I.nnnlenr.•/MluwnAnnnlh•nnd 5..n..I OFFICER OR AUTHORIZED AGENT A NUMBER YEAR MO DAY <br />COMMENT ANO EXPLANATION OF ANY VIOLATIONS Ittr/rrm[r all allu[nTenlS nrle) <br />T I~ ' . i I I ,I . f {i I. ~ ( 7 I I I. I I I ~ _ <br />C ) <br />EPA Form 3320-I (Rev. 10-79)unr~~ SUPPLY IB EX NAUBTEOED IREPLACEB EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF <br />
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