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PERMITTEE NAME/ADDRESS (IrcLdrFrOlryNa/Locanw ODldn.wp <br />NAME PONDERNORN Cu AI CU,YPANY <br />ADDRESS ROADSIDE: "SINS, h t; j i'ukTALa <br />P.U. EOX 1U3G <br />PALISADE CU 61526 <br />FACILITY <br />LOCATION <br />ATTx: JUrttl A. °CNAB, PFiEjI:icNT <br />NATIONAJ.PQyLU7ANT OlSCHAIlOE ELIMINALON SYSTEM (NPDESI ' <br />Dlse}~Aa~,D MOWyioalNC REPORT / <br />IIS'!87 177. 91 <br />000017 4 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />1161/1 l11-131 111-I51 116-I71 118-191 !36311 <br />~;.:~, <br />Form Approved. r• <br />Pogo a TG caLOAAO~'pBn'~+I~°Peeos3,-98 <br />(SUER NC) ~1~D~4~ <br />F - FINAL <br />MINOR <br />a## NO CISCHARGE ~~j #'~# <br />NOTE: Reed Inetructloru befen o bUnO this Corm. <br />PARAMETER 13 Grd OnIYI QUANTITY OR LOADING !~ Grd OnIY! QUANTITY OR CONCENTRATION NG FREQUENCY SAMPLE <br /> 146531 !546!1 l38-151 /0653/ l5L671 EX GF PE <br />l31-371 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />rst-ssl MALrss <br />161-681 TY <br />!63701 <br />Ph SAMPLE #aa04# ##aaaa #a#aaa ( 12) <br /> MEASUREMENT <br />UyUU 1 0 0 •A RMIT.. <br /> <br />- . as#OOIG. aalai7Ala <br />,. <br />. a#a 6e5' ::: aaal4#il... 4~0...., <br />.... BEEZY Fir$I.T <br />EYf'LUttIT L;ROSS YALO .REQ,IREMENT. <br />.t.::.s,:. ...: :.i <br />.:. .,... .. ,. aaa4 RI,it2 nE4 .. " <br />1SaS ~' <br /> <br />,.. .. <br />'DEEDS, iOTAL SAMPLE aalra## a#aaaa a+eaaae ( 19) <br />3UjPENUhU MEASUREMENT <br />. ' <br /> <br />~ <br />, <br />OS3U I 0 0 .: ::PERMIT-~g"~;. ";;4e:Ofli O*i7e: .: ~~ ~:.:.;aas?sis#~Iir'::; ~oea r:..ro1;~i.131R~ 35.. .. .. ..::.....: :...:. <br />l;Q ' : ::_. F4~~%~ <br />~ 58 <br />LFFLUF:NT GROSS YALUE :AEQUIREMEMT S: <br />~ Oaaa jQ A"i'rG . <br />: 1 ': , <br />. <br />.. <br />N <br />O IilS, SET?LE:A~LE SAMPLE t7#alaa# allAlaa# r.a#aaa ~( 25) <br /> MEASUREMENT <br />"OSKS 1 6 li PERMIT amaa#a . .: a+avbala aaa a+-ag+e# RE E4 Bt :; $'Ei0'AT'. MCE/ ;~'AE <br />tFFLUEtli GROSS VALUE REnuUiEMENT <br />~' ##aa 3dDA: A'Y6 D' Y ML L =' MONT' <br />FAUN, TOTAL SAMPLE arya+ia# 4#aa;Ta aaaaaa ( If)) <br />(AS F'E.') MEASUREMENT <br />,- <br />-... . ~ <br />_...,-. ~.. <br />. <br />L - <br />J1U45 I U O PERMIT aaAl11#4..'.:: ..,.:;(fdl ,.aa z+;xa kal#A/aal 3e5 "7~Q ':'. 1 tiC'E:/ iR11A <br />FFLUENT GRO55 YALUf REQUIREMENT <br />;; '?' •::"`" <br />:::::::.±~: <br />aaaa 3DDA AYG DlY T.:KT' G ~•NOfi <br />1L AND GREASE SAMPLE as4aoa ~ `• aa:.### a4aa#a ( 19) <br /> MEASUREMENT <br />J.lSfi2 1 0 O PERMIT aaasarA 1krsO~l## alas 9ialDl~allt AI°FQ:ItZ : :L4 t OIiTIR ;RAH <br />:FFLUENT GROSS YALUf. REQUIREMENT ±: aama 30DA iYG "I~TS3...tlAY' HG/L G N <br />LU , IN LUNOULT OR SAMPLE ( p3) gaaaaa #a#aaa #a#aaa <br />hRU TREAT.':~NT PLAN MEASUREMENT <br />IiDSU 1 0 U PERMIT REPORT RLP4flT apAa'A# a10ACa~ C?#:aaaa: t aaa I EEALY ~1STAly <br />;FFLUEtlT Git055 YALU REQUIREMENT .SODA .AY6 AAILE rZ 14GD aaaa <br />~ LLD3, TOTAL SAMPLE #aatlaa aaaa#a aaaaaA ( 19) <br />I SSOLY tG MEASUREMENT <br />lU295 1 0 0 PERMIT.:. ~aYF. AIOA:Ki'>a+R <br />~ aaa aaaaaa A£FCCAT •A1s60AT TREY .AAEI <br />=FFLUENT GRO55 YALU ;REQUIREMENT` :, ~~~" ~- ~ <br />.. .. <br />##a# ~ <br />QA'CA,h.YG <br />~RYb.MAX <br />nG/L ' <br />NAMErtITLE PRINCIPAL EXECUTIVE OFFICER I CERTFY UNDER PENALTY OF UW THAT I HAVE PERSONALLY EXAMINED AND <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br />~y ~" <br />~/ /~G r/~M ( / L/7 ~ v/ <br />/ MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />BTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATON IS ~ <br />, TRUE <br />ACCUMTE AND COMPLETE <br />I AM AWME THAT THERE ME / <br /> , <br />. <br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />? <br />r , <br />P <br />IT <br />B <br />F R <br />E <br />PR <br />T <br />EE <br />B <br />S <br />1 <br />0 Y <br /> THE <br />OSSI <br />IL <br />Y O <br />N <br />MD IM <br />ISONMEN <br />. S <br />1 <br />U. <br />.C. <br />1 <br />01 MD ]] gIONATURE OF PRINCIPAL EX NE <br /> U.S.C. 1 1310. rn,rv.a wwNr Ibw mnma m,y NcANa raw. w ro J/0,000 <br />TYPED OR PRINTED aMnnwainun iwriwwneN Orbnrwn 6nlmehard 6,ral OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />r <br />"`.~ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference s// ettaehments here/ - <br />~dTTLEABLE SOLIDS LIlSI'[ APPLIES O'iLi IF C10YR,24HR PRECIPITATION EYF.NT IS CLAIM EC. PEflMITTEE HAS <br />DUhDEY OF PROOF MHEN RbJUES'IING RELIEF FAOM SETTLEAflLE SOLIDS PRIMARY LIMITATIONS. <br />EPA Form 3320-1 IOB-961 Previous editions mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED./ OC 509! 98 L 2 2 3-1256 PAGE lOF <br />