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PERMRTEE NAME/ADDRESS (Include Farihry Nmne/Location ifDiffermQ
<br />!`~E-'°COLOrYO COIL CCRPdtiY, L.P.
<br />ADDRESSCOLOHLO tllre
<br />5711 sT4TB 1(~GNrAI 13
<br />17Eet[ER CO 81641
<br />FACWTY ,
<br />LOCATION "'_~''t..-..
<br />ATTN; J. D. RARtlON. GeNEka~'`~seR
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDESJ FORM AppfOVed.
<br />DISCHARGE MONITORING REPORT (OMR{ OMB No. 2040-0004
<br />lz-rsl ln- el R I NOR Approval expires OSat-98
<br />_..000Og5161 004 1 (SUBR ^H)
<br />PERMIT NUMBER DISCHARGE NUMBER T - FINAL tlOPAT
<br />MONITORING PERIOD GULCH A SEDI POND/COOT SPGS CR
<br />YEAB~~MO_ DAY,:' =~'"'i YEAR MO- DAY --
<br />FROM H~ ;~; TO ~~ yo ~v ~'Q$ NO DI SCR-RGe ~__~ '`~"~
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<br /> ~(3''T erd'Ony) QUANTITY OR LOADING ~~~ (I Ca/d Ony) QUANTITY ~OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER '~(4s-53 (5ast 38es pB-53) (5a-BT EX of TYPE
<br />~~~ AVERAGE MAXIMUM UNITS -MINIMUM AVERAGE MAXIMUM UNITS
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<br />(64-BBJ
<br />69-70
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERS ONALLY E%AMINED AND TELEPHONE
<br />~
<br />~
<br />~
<br />~ DATE
<br /> AM FAMILIAR WITH THE INFORM ATION SUBMITTED HEREIN; AND BASED ON MY -
<br />~
<br /> INOUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~
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<br /> THE INFORMATION, 1 BELIEV E THE SUBMITTED INFORMATION IS TRUE, ~
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<br />t (lr ~ ~~ ACCURATE AND COMPLE-rE.
<br />PENALTIES FOR SUBMfrTIN
<br />POSSIBILRY OF FINE AND IMPR I AM AWARE THAT THERE ARE SIGNIFICANT
<br />G FALSE INFORMATION, INCLUDING THE
<br />ISONMEM. SEE 1a U.S.C. 41001 AND 33 U.S.C.,
<br />-r,, /y~~/
<br />SIG TORE OF PRINCIPAL EXECUTIVE N CJL1-~bOl~
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<br />99
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<br />07
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<br /> § 1318. (f9nnlliss antler rheas sm0ttes mey include lines up b 510,000 entl; az,;
<br />- OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY
<br />TYPED OR PRINTED rrenmum imprisonment of DeMee n Bmonr/u end5ysers.)
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rerelence all ettacnments ne/eJ
<br />SET7LElBLE SOLIDS LItlIT dPPLIES ONLI IF C=l0IS,24
<br />755 E IROr LItliTS HILL YUT BE APPLIED TO RHPOH48D
<br />EPA Form 33267 (08-95) Previous editions may not be used. -
<br />'EYHHT IS CLAItleD. IP CLAItl 6PPHOYED BI rQCD,
<br />BETS - SEE I.~.2, PG. 5 POR BUHDEH OP PROOF
<br />00029t99D505-1057^ PAGE 1 OF
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