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PERMfffEE NAME/ADDRESS (!nc)ude Facility NamNWcarion ifOlfferenr)
<br />NAME B Oltl I E R it .; ^ r, ~, •- : -~. ~ r
<br />ADDRESS ROy I ~~ "P]. C ' f '• t
<br />P.o. ^ox '.I l t
<br />FACILITY pAONIA CO 41428
<br />LOCATIOI~OMIr CO 81427
<br />.i TT !): NI LLI A^t °r;AP TR.. !IHP. KGR
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (OMR,
<br />(2-14) (t ]~ 91
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<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 0 rJ4 0 TO !t Z~
<br />20.211 22-131 R4-ZS/ (2527/ (2529) (J0.71)
<br />Form Approved. ~Y,"{ ,~
<br />" I N 0? OMB No. 2040-0004 4) ~~' ~~ ~ 4.
<br />Approval expires OS•37
<br />(S!IRE WC)
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<br />NOTE: Read Instructions beforA LUhtbleting this form.
<br /> (3 Ca/d gory) pUANTITY OR LOADING (4 Ce]d Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (46-53) 5481 (3Bd5) (46-53) 54-51) EX OF TYPE
<br />(327) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (sz r>31 ~fiq 68)5 6&70
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<br /> MEASUREMENT
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<br />NAME/TITLE PRINCIPAL IXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments hare) '
<br />,I"TT LtAfiLF SOLIDS LIyIT APPLIES ONLT IF C=101 R, 2498 PRECIP °VsvT IS CLATM%7. IF CLAIR AppROV£D RT 'r QCD,
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