|
/ERMITTEE NAMMEE~~ADDRESS pneb4faWryNr'L•rn,s, /D,O •n0
<br />NAME PITl.SBUNG E tlIDYAi ..GAL !!INING
<br />ADDRESS"D N A MIN E
<br />P.U. BO% 6518
<br />ENGLEYOOD CO 80155-6518
<br />FACILITY
<br />LOCATgN
<br />BTTN; DAVID L. LONG. i7INE SUPT.
<br />wATioNDISCHARGEDMON TORING AREPORT /D /R)PDES) MINOR r
<br />l UU V3LD~tl vu M (BURR JC)
<br />PERMIT NUMBER. dseN,woE Rws[R F - FINAL ~. ~~ R() U ~" T
<br />SUi?FACE RUl:OFF2~0 ~~( CICf'f~f.K
<br />MONITORING PERIOD 'd C~~
<br />YEAR MO DAY YEAR MO DAY Oi
<br />FROM D O1 OI To 1 O1 31 ##a NU DISCHARGEj~##sk~
<br />NOTE: R•~d MrWf:tlofba A~IWi,compl}11n0 thl~rm.
<br />PARAMETER QUANTITY OR LOADING
<br />Quality or Concentration M tr SAMPLE
<br /> of
<br /> ARA<rse TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMVM AVERAGE MAXIMUM UNITS
<br />~H SAMPLE av#aaa aaa### #a; 4#+:< ( l
<br />J) _
<br /> MEASUREMENT .
<br />~
<br />)ULLUU 1 U 0 ::'';~.:;PERMIT.:~i;!::. ::.::#.R3cd[.9.F'a~:~~ ~~.:4tr'~h~F.iOC:'.M:'~Ht aida ... ..
<br />::~::.; :;:
<br />: ; :: ..: ...:
<br />:. a~a~o.~r::: ..: .. ..: ....
<br />:.
<br />:9~:~;:. ;..
<br />~
<br />
<br />.,.
<br />~
<br />;>~FxLY ..
<br />,;;:~,.
<br />
<br />:FFLUEBTROSS YALUE REOUIREAAENt
<br />~•.:. -.. ... ::::
<br />.:., ...:' ~...
<br />...
<br />~`..~:~. ~.-:.~..;. .~.
<br />d##^.
<br />;
<br />K' ~~lt:T.31:1~M:~~~
<br />.
<br />~::;'
<br />::'.:F'RJf~TM<fr:
<br />SU
<br />i^LIOS, TOf AL SAMPLE ##4?#3 ~.####3 ##4##te ( Lo)
<br />3 U~ P c N D E D MEASUREMENT
<br />)o5io 1 U U "'xi.PERMIT:n>':.: :".4.#+fYta#. . #:k>sp #+z: ry
<br />.:. +frt# S. if~F?-~~#.. ~~ .: ...'.: / I I~A}.
<br />
<br />.FF'LJENf GROSS VALUE
<br />REOUIR.E.MENT.
<br />...:::,<::,..•' :..:.. .
<br />.::: ... .:..
<br />#a##
<br />A;:.'::.:
<br />;. :DA ::A.Y'r,.. ,:
<br />73.A?,n:S'::.>:f
<br />hi:/!,
<br />MEYNTH
<br />:,')LlD:i, SETTLEABLP. SAMPLE ##aaaa #a#### #~d~# ) ( ;.)
<br /> MEASUREMENT ~
<br />\\
<br />
<br />,)USUS 1 0 U `:~:.:PERM17;~<:; ~
<br />,::.:. ...,: :.;..#:#x~.#!S.'-.
<br />
<br />~
<br />~ .:''::#.#:?l!:,#,gd~~;A a#:
<br />'('.
<br />
<br />;.
<br />
<br />q'I::
<br />R«'PL4
<br />E~P:~?:''E`';•
<br />,.
<br />i
<br />I~C£!
<br />:RAP
<br />FF'LUF.Nf ~'HOSS Y
<br />
<br />~ A U E
<br />REOUIREMENT:
<br />.; ~.::.
<br />....
<br />.:.
<br />.: ~:!S'.; ~: ~.e.. .- .:~::::.;:.~.: :.....,
<br />..... .. ...
<br />#,#
<br />
<br />
<br />:. :
<br />~`~: ~?.;. :., ~:
<br />;:.3.p;:; A,~ ~. . .
<br />: ~... ~~~~ti~:
<br />)IL t; ..3i:A5E SAMPLE as#aoa #####a \ \.~a~x## •~cn##.:~ ( 19)
<br />• -~. ...... ^." MEASUREMENT .., ,. _
<br />VU55$ 1 U U .:?:..; PERMI7:);;r.~ :::':: #.d}IlR:¢#~:..:
<br />~~ ~:::: ~ai~iq~ii:~~.~ O a •. ,.;,.~?A'~~,tC.~~.:.'' 'f :::!RY?1F~#~Mn:~~~ '' ai}:'...':::::; ~::;?.,.. :,.~
<br />~ ..#'. ~fi~i
<br />~' ' ~' :R....(j~
<br />A
<br />°FPLUENT GROSS VALUE REQUIREMENT
<br />•.
<br />- ## ~ '_R''.<'::')AY MG/L I"By'i:
<br />IH7N, TOTAL sAMPLE ##..a## #~Saaa ######
<br />( 19)
<br />(as Pe)
<br />MEASUREMENT .
<br />\\
<br />U1'J4 S 1 U U ~::-: ~i;PER1iAl.T.:<:~;<~ ~:r:r: ~7a'!~'?.Rj$:~*~;j:i;r .~'r::`: ~ .. ~ ~. ~~:: ~ ### Y i~ik:+lA~a'. ~?DS::::: ~:~~: ~~: ~:':~:':~~:~~~::';:~. .:a, .: p: ~::~.~:: ~:::::.: ~: •::-::~ .::~~:; :.... ... ,
<br />
<br />FFFLOENT GROSS VALU ,REQUIREMENT.
<br />.x..,,:.:~-,:,:• ....:.... ,.,:...,...:..
<br />.::.....:.....:.E::='::i;~
<br />rq':':.;:::....:,..:
<br />#~paa ~
<br />;;:<z's::;:~:<:•;-. ...
<br />:::3QDis:[$:C:: ......
<br />..-:~;;A:c:.tY:.lSk
<br />hG/L .:::,>:...
<br />::. ::: ,
<br />::?S4'1N?H
<br />:
<br />I~I,Jhf, LN CONDUIT OR SAMPLE _ _ ~ 03) 4#R#a# 4•z##a4 >:`-;•,:;. ;~
<br />:iU TREAT!1ENT PLAN MEASUREMENT \ '
<br />S'JUSU 1 D 0 r::.!';`PERMIT::~::.` "!=:;" : :. :.: .. ...::
<br />N~$f3E! ~ ....... ... :. ;;
<br />lE)€~>3~!"•"~ ':`:<;r!#1~: ~: .. .70~.`" ";::' 4~1f~..,.,
<br />d +~1F .: #4t ok $c ..:;
<br />,tea ::::.~
<br />'EC~ICL4
<br />' NS.TA'+
<br />
<br />EFFLUP.NT GROSS VALU REOUIREMENT
<br />.< ..
<br />,:3f[DA.it/6
<br />I31.ILI.Ri
<br />tlCD
<br />
<br />• a
<br />••
<br />
<br />z
<br />•. .
<br />~:;::#
<br />bIL AND GnEASE ". ..SAMPLE ###0a# ( 9U) a#a### ###### h'!c#.~^:
<br />I S U A L MEASUREMENT
<br />d4U66 1 U U °:..,..:, .....:.:.....:.... :..:.+ROnrII#.+k.:. Q:'<;':::..'.'•:., ES-1 i':'i~lT#~h#~(
<br />„ °.:~fEl
<br />~~ ~~
<br />~~
<br />
<br />
<br />
<br />
<br />.
<br />a
<br />.... ~ .ttr: E:F1IL4 QUA?
<br />SS V U
<br />!FPLUENT GRD AL 'RE.QUIREMENT::
<br />....... :.':': ~:'~~:.:~~:' .::.::::..::: ' ~: ~:. ~
<br />SAS.T:;.l7at.g.:. NO=D ....~ ...
<br />-.:....:..t..:: ... ; .'~
<br />,.-::..:.::, - ::.:.::.::::. .
<br />....:..::'.:.. . ,...,~.~
<br />:.
<br />`~NAME/TTTLE PRINCIPAL EXECUTNE OFFlCER
<br />.~ "'"" f ° ° pr"•'~ o .. in., uh anvmmf .m •n .u.chm,nu.nr
<br />P.rp•~•nder mf ainnbn er,uprr,lfon In •aeord•nnr.hb e,T„em arYpn,A
<br />TELEPHONE
<br />DATE
<br />GpnPgIE•f-~
<br />Ravi
<br />~ le inert lh•!ge•IIIIM perwnnal pmperry p•IhereM e,Wle lhr lnlwm•Ibn
<br />~ ,ubn+I,N.a.rammf lnqulrf of u. pe,nn«penae.he m.n•te ,M •mrm.
<br />
<br />I er lhel proem AlrMlf ,npentlbY fa pnbrrlnp Ne lnf Ilan, Ibe lnfenglbn J,
<br />
<br />~. - - .i(~~ ~ - `n a,bm1,IM b. ,a the bp, of m~ kmwkd[e •b MMef, ,ne, •min,e, •M avmpMle.
<br />1 •m •.•,r Nn mrn •n tlpn,ncan, p,n•itlr. for rbmlinn
<br />lWr ~nferm•,b .---+a
<br />SIGNATURE OF FRIMCNAL E%ECUT
<br />~~ ~ J.~QJ}
<br />O 1
<br />O ~
<br />I
<br />f~. -, TYpm OR PRWTED
<br />T_.r. p
<br />n,
<br />~nNWin[,M porbllu~Nllm •M lmpilnnmm~lertm.tn[.~ebua~s ryE
<br />OFFICER OR AUTHORIZED AGENT CODE NUMIBER YEAR MO DAY
<br />~~yy.
<br />il'>'•
<br />x.
<br />~'
<br />,' ~~
<br />:~ JAtr/cnr v,.,... w.. ... ..... ....gym. w.v lna, afmpa Ni auacnman ra nl/I/ -
<br />-~ !~'OTAL IRON LI"fITS YILL BE YAIVED, AND SETTLEABLE SOLIDS LIMIT AppLIFD FOk <=l0iR,2vHR C•RF.CIP EYFNT-
<br />S~>E .2, PG IV, POR REQUIREReNTS. ,~RTRL4 SAl1PLIRG INSTRUCTIONS-I.C.9, PG XIII.
<br />+D31D•, ~~r vyy) rrev[ous eaulons may be used. ~ ~ ~ T is 4, PAGE of
<br />~+ ~ - - - ~. OO.Di~l/01~s1V~-~o3(orm. 1
<br />
|