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PERMITTEE NAME/ADDRESS R+dwL FrWryNrwlecanan l/D~frnnp NAME hEHif .~. ~~~[. '~'4 '~Y ~. ADDRESS CI A R t'f C I !! h: P.'J. dJx 173x,1 STC9'SN)AI 5~'I~I!'~7 CO 5047/ FACILITY LOCATIONM ALJbh CJ RD'1 ~') .,; ~N: ::r.'JI/ch: Y.=~rr~;,Jrl, iln'4 ..,s. _ ., NATIONAL POLLUTMT DISDHMGE EDMINATON SYSTEM l/YPOJ:SI DISCHARGE MONITORING REPORT IOMRI 1-161 l17-19 ~~G850037 00 A PERMIT NUMBER DISCHMGE NUFA9ER MONITORING PERIOD YEAR MO DAY YEAR MO DAV FROM U U V 'J L TO U UY ! 17611/ III-731 II475! !1617/ 11B-79/ /3631/ Form APProved. POND B/TRIG TO CAA~BJNOA~Oao-DgoaR ($UBP. YY) APProvel rL pirPs 05-31-98 F - FINAL l MINOR ~'%# NO DT3CHA3:,P. ~ X ~ ..:C~r NOTE: Raad Inetruetions before eompletinp thu form. PARAMETER l3 Grd Onlyl QUANTITY OR LOADING !1 Ord OnlYl QUANTITY OR CONCENTRATION NG FREQUENCY SAMPLE !46531 !546/1 /3B<5l !46531 15451/ EX TYPE l31-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rs7-sal MALYSIB l646B1 169-701 L' SAMPLE .+., ~•.. .,-.r#~: ,-,-, #F ( IZ) MEASUREMENT .iJ-IVU 1 D 0 PERMIT::- •`x`x #?a: #O.R#74~ #=}:• 5,5 Gr#... '.~'" S.U. ... ~ ".S E'KLT 'NSITJ :•.r YLUE:VT J!?0$~ YALUE :REQUIREMENT' ~ ~•. #,+#: .'4IYL1(Uh~ ~!!A$ .RU:S ~ U J~.ID$, $fiTLLEA9L SAMPLE ~• r-~# fi##a#;x #xa#::x ##it ~# ( 25) MEASUREMENT J (i7T5 1 U U .:.. PERMIT ~ ##3X#0 wALlpc p:0":' ### xsiY### Yi~a~tT~ s: 0~9....~ ~ ~.":t KC~E1 " ::R.~;9 is r't'LU(Nf ~HJSS YALUE ;REQUIREMEN7~ - 17#0R ~ ~ ~ - .IIAI~LY ~lf $ t7L/L lfON7H" i:i;..:~ JIL ANU :;REASE SAMPLE ..~•.r :#X?## #3p#,". #'v# C# ( 19) A MEASUREMENT JJ~d1 ]-, "0. U PERMIT :`i^-SY# #;rC!#R ..• r.k:{s# u#;#>A # LO I UfI~'IN :.R~$'. ':, :'FLU EN'f ~G,H S:i YAL.1? ~REQUIREMENT 3m z bAIL2 !'$ MF./L r, INT 'I "~ ..Jw F IN J: i' )N SAMPLE ( D3) yr v,`-Y+k'~ +=i~ r „'+=## ~fi h :(U ~ n EA Tl4B'M r c'' L.A Y P MEASUREMENT ~UJSO 1 U" D PERMIT )PTIJ'1AL 4EPOITT f/#x:#+' ~^{`#~ ~ $#'~'Q## / $## ( 1(~F/ ;NS2-p ~~, k"r LU L"1T 6RU53 YALJg REQUIREMENT 3~U DA AY~„ DAILS NX ;1 G5 #r.#4 3)Oi1Trf J L AND G EASE SAMPLE ~ ~• ~r~ ( ~'~) „^#;r#~- v'A ~' 'k+` ^#''+";:#;: ~i L ~i it A L MEASUREMENT ,4D~6 1 U U PERMIT ~r'S3i~'+I l?;;PDRT Y ES=1 ?"tF41~4"-.-' -A: e°wF:IB t,C4'~!~'..t'~ .'>;;:P { j1CR/ I$UA). ;,h h'LUE`IT GRJ$$ 'J?L I~ REQUIREMENT I?15P !A% N0=0 ##4# ?10NT!i SAMPLE MEASUREMENT PERMIT REQUIREMENT SAMPLE MEASUREMENT PERMIT . REQUIREMENT "" ~ ~ ~ - : NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDFA PENALTY OF I WITH THE INFO lAW THAT 1 HAVE PERSONALLY E%AMINED MD MD BARED ON RMATION BUBMITTED HEREIN TELEPHONE DATE ; AM FAMIL M MY INQUIRY OF THOSE INDIVIDUN.S IMMEDIATELY RESPONABLE FOR `-- :~iC,lEi a. 1~. Munson OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS Y1DE! President TRUE. ACCIeU1TE MD COMPLETE. I AM AWME TNAT THERE ME SIGNIFICMT PENALTIES FOfl BUBMITTINO FALSE INFORMATION, INCLUDING ~T n ~+O ~G ~'4~~. n GDUD ].D 11 THE POBSIBILITY OF RNE MO IMPRISONMENT. BEE 18 U.S.C. f 1001 MD a3 BIONATURE OF PRINCIPAL EXECUTNE u.S.c. F 13t s. lhwWA uww rMr meets mrr 1~NANA rwa ly ro t ro,DDP AREA TYPED OR PRINTED wmnrAlm.e hwisrvrlMr or MnrrnsmanN+AMereeA) OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY N 4 ,~ COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRSFerence en etrscnmenfs Here/ - h.hTTLEAtsLE SJLIDS LItlLP YAIYED FAR 1J-CR, 24-dd PHF,~IP 3PF.NL' SUcJ::::'L' 10 9I1RDF.N JF Pk~7pF RT;~~UIk"c",~FIP'; IN i~A:LT I. B. 1. D, F. 6. 3PDH;IHATE;I FIpiA:,E.id!J? PLAN DUE 1-1-33e EPA Form 3320-1 108-951 Previous editions may be used. IREPLACE6 EPA FORM T-40 WHICH MAY NOT BE USED.) 0 2 5 3 / 9 7 n B 19- t 2 ti 4 PAGE ; OF