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PERMITTEE NAMElADOREBS prrnisrxeM.wrswa. NDIAI••e) <br />NAME <br />' BOwI RtSOL'RC':5 LI"fITED <br />ADDRESS g0+t1E NU 1 E YJ 1 ~°'ST MINLS <br />P.O. BOX 1497 <br />~ FaaLm PAU1rIA CO 91428 <br />LOCATON dOki6 RF.SOURCf'9 LIIIIT6D <br />"~ <br />• PARAMETER !3 Grd Onlyl <br />16-531 <br />137371 <br />NATONAL POLLVTMT OIBCHMOE El1MINATON SYBTEM /NPDES/ FORA ApprO Ved. <br />DISCHARGE MONRORING REPORT /OMR/ OMB No. 7040-0004 <br />7-rs nl-r31 y• !!IN: A3E4 TJ S <br />APPtogr7l b>Tpirde~5~34 98 <br />ER ascN cE Bm ~SUHR f.C) 123U~ <br />- F - FII~AL <br />MONITORING PERIOD l7I x0 R <br />YEAR MO DAY YEAR MO DAY ~'~ ~~11 TT qq ~~ HH e~ ppf; R 1 __ ll <br />FROM TO - ~ 'k Oq, M TNTeWdllellY tf T~aM N b Q •,' <br />116711 177-731 111-1b1 1Y6-771 !PB-29/ !3637/ N TE: ~ie • eem •tin0 >Elu fam. <br />TV OR LOADING !1 Ord OnNI QUANTIT OR CONCENT TION ND FREQUENCY SAMPLE <br />15/-61 /38-15 1663 5L61 EX ANILLV55 TYPE <br />.. AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS IFZ~F.TI Is.J-Eel Isa7ol <br /> UIL AND vrtEA;'i F. SAMPLE #4k'•#3 ( 94) ;LC•4R=F~ IYC 4;+bt vk Gtu 4~F <br />` MEASUREMENT <br /> YI:iUAL <br /> 9 4 U o h 1 Q 0 <br />~~REp~IREMENT ~#A.OibJi ..:: <br />;.. :.: ; .: BE~QR Y: ;t: <br />.. .: .. E S ° 1 ::::. ##f'!1(~4:.: , <br />... .:' .'. } dGW:11F#.t.. ' ;:..Ik?3Ii:~Qi~,`:. R a r,: '~.~.K.L. v F 5 it A <br /> ` m <br /> S>IIMPLE <br /> MEASUREMENT <br /> <br /> <br />( FA IRFMFN7 ::....: <br /> <br />.....E <br />-...~ ~ <br />__yy <br />... .. .. . ......... <br />~.... :: .5:: . ..~..:..,,:: ~;.:... <br /> <br />.~.. ~ ... ..... . <br />~.~::.:.::., <br />::. ..: ..: '::.'... ~.. <br />.:. t 12:;2'%:':: <br /> <br /> <br />.::..> :~:.::: <br />_..... ., ~...... <br /> <br />... _ <br /> :-..P MIT <br />EP <br />::. <br />::: <br />: .:'~>:: ~:.-:i: ~.: <br />: :: ....:.. :5'.•::: ~:...... ._.:..... <br /> <br />~ <br /> : <br />:...: <br />: <br />'~REOUIREMENT :.~..... ~~ :.~:.:..~~..:~:;;:.:::: ~:~;:.. .. ~:. .. .r.:..:::. .... <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF <br />MILIM WITH THE e1FO UW TNAT 1 NAVE PERSONALLY E%AMI <br />RMAiION SUBMITTED NEREW; MD B NED MD <br />ASED ON ~ ~ TELEPHONE DATE <br />' <br />' '/ / <br />rI~I` <br />~/ <br />r <br />1/ <br />l~l)' I 1^0E EVE TNE~SUBMITTEDENF011MATION~4 <br />OBTNNNGTHE NFOIWATIOII ' <br />~ <br />I,, <br />~ , <br />. <br />/V1 <br />j <br />J . <br />I A/A AWME TNAT THERE ME <br />TRUE <br />ACCIIMTE MD GOM0.EJE / <br />! <br />''~ <br />y, <br />~ , <br />. <br />INCLUDING <br />SIGMFICANi PFNAlRES fOR SUBMITTNG fALBE INFOIIMATON f <br /> '~ ~) ~~ ~J~Ji~/-~ f j i//~ ~ , <br />THE PoSSIBWTY OF RNE MD IMRNSONMfHT. BEE 1B U.B.C. t 1001 MO 39 ~ ~ <br />BIONATURE OF PIIINCRAL EXECUTIVE /?q ~j i/r - ~~ ~ ~ ~ ~ <br /> U.S.C. ! 13te. lMwM• wwr N•~ mNna nMV NIeY.O• fw• W ro J 10,000 - <br />.L' TYPED GR PRINTED rM>m••ir••n hlPnaNwlf •I Mrw••nemmN•rdbywa/ OFFICER OR AUTHORQED AGENT CODE MBER YEAH MO DAY <br />?~ ~' COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Re/wencs elI stteehmmts here! <br />i I <br />~STLEAdLR SOLIDS <br />LIlIIT APPLIES ONLY IF <=1UYk.2uRR CRFCIP <br />BY ENT IP, ^.LAIMED. 7' <br />' Cf:_' ~l^i?+,•*'J qy ~;)^,[~~ <br />I ~ 5 & LRON LInITS HILL NOT' BE APPLIED TO REPORTED MEASIIREMENT3-SEt: I.F.. 2, P;, 4, FJ'1 "-J4~ 'v :~~' NR~pp <br />~ 1 PI • iti e e etl. • •'- e b A'• ~ -'- . ' • • ' • PAGE OF <br /> <br />