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'E RMITTEE NAMEIAODREEE (Jndudf i[Glry Nw„ILontbRlJdlJfseu) ~ YATIOw AL wO LLYTwNT DIfCN ARC[ [LIMINwTIOM fYfT[M (NPDESI DIBCNARGE MONITORING REPORT /DMRI TAME-C(11..'ljl-~~P<)1L C(1dD pNt---- --_ I~16 )7')9 fIiNOR Form Approved ~oeR=prn7nuv~~g~---_--- ___ I (SUER NR) H®AI~'pNo. 2040-0004 _-+.j]it STOIC HTC.HYgY1~--- --_ PERMIT NUMBER - OrtcwAwc[NUM.[w F - FINAL EXplres 9-30.91 --- [-F.AE.N ------_~.1L Il1~4L- ~ MONITORING PERIOD GULCH A~ SEDI POND/GOOD SPGS CR I. rwelurr .OCATIOM IROM YEAR MO OAV YEAR MO DAY - __ To ~ ---------------- 4 ~ ~ #{:{. 9 6 3 ##!~ NO DISCHARGE ---- lI0~7)) 117~7i1 11~-2s/ 116 I 1~8-191 I /1 NOTE: RaLd iD[tructionf Mors Fdlhplatinp thiE form. ' (J Card ONy) pUANTITY OR LOADING (1 Card ONy) QUALITY OR CONCENTRATION I ~ FR EOU ENCv 9AM PLE PARAMETER (16.13) (SI-b)) (Jd-IS) (16.73) (116!) _ NO. OF TYPE (3},7) ~ ~ I ~ ANAL V91f AVERAGE MA%IMUM UNITE MIN IM UM AVlRAOE MAXIMUM UNITE 6163) (6166) (6970) OLL AND GREASE SAMPLE M U #aa### ~ ( gq) ., ##aaa# ###aaa ###### ( ) / / VISUAL ~ EAS RLMENT D ~ /~~L Ih.~ YR ~'~' ~ d a''~,I, ~ .~~ m~~~,m>e$ ~w ES=1.. .~~~~~ ~ ~'«~..~m- aa~~a~~F~ ~ =aaa ~ ~;x.~, ~~i ° ~~i ~ T~/ ~ ~Y~~~ B®B ~ i '~ ~~ @ ~ .6.n R 9F'Q #iw ~yq~ y~ a~b °R a ~~ y r k!{~ •. ' BAMPLL - I -r - - '- 1 MEABU RlM ENT ' ,. ~'~~aERMS.F~~n ° ~ ffi~a ~~~~a'~~~~':a~ A`~tt~~~ffiw~,~~.~ _ kmg s.~m.ig ~~~q #'a ° e- m.~a ~~~'v.~.m%s~ ro ~~ ~ '~ ~e.,~ ~~.e~~&~ee~ a ~ ~ ' ~ c~~~ ~ .~~a:~.~'~~ ~x n ' 8 ~mw°o-«aa 'n LpLA,E}~~h .R •m ma~!m`«~'~ ~a ~.q ~a~'A~KK ~ a`a a ~~m ~~ ~ . m S ~ ~~ffi r>d. ~ ~~a : ~.~z a~ g ~,~. e rs~ om ' - ~ SAMPLE ~ _ - - _ ~ - ~ ~' ~ MEAEUR[MENT - " ti ~~ ,.m~i.T 'x' U 1F ~ gg~~3 ~~~ ~ .>~~ e ~ti° a~y~~w~~~~ ~ ~ ~§~«' o- ~ ~' ~k 4~n~~~ '"Se ~~ ~ ~ ~. '+~~~~~~ ~~ wa~ ~ b ~ 3 ~ZY~g~ ~ ~~~ ~ ~ ~ ~~ ~~. ~ ^ ,~'~%~ .Ya ~ ~ a~~a~.'~~m ~ ~" R °° rg 8~ ~iV a .~ ,n~.~ ~ .~ ,m~ e e ' , ~k' ~, a ~ ~ ~~ x ~ ~ ~ ¢ , .~~ '~ ,~ ~ ~ s as a~ .~ . .a,y~~W .~ ~ q y . ~ H. ~ . I * EANPLE 1~' MEAEUREM LNT ~e M4'Ig~y 11 B'r~~~% ~~ff ~ ~~ @~`F~h~a ~ ~ urP~~~~~~'~~ ~ ~%~i,N$§~g'Wf;~~~ `~A~~`$~'.~~p~'$~` ~ , ,~~~ yy~ o-q~~a :&~va~°&m, Q EQ N.!1kr~ ~ »~~ ~~n ~~;mg~ ~ x~, c.~m~ ~~~ ~~~#-b~. : ~ra~lu~~a?4• ~ .nom ~s~'~~m ~s~a~ eo ~ . ~< 1 SAMPLE ~ ~ _ ~ .: . MLAEUREMlNT ~ i ~.,~~ RAT1TL Aix ~ s$~x°~ ~-~~~a'~'~ ~'~ ~«~~ ~ ~~~~g,~w'~ gym ~ ' ~~~~~ ~~qqs `:-~'~~~~~~:~,a >ti ~~ v ~ O~yC~S ~~a~ ~., ~ $~a .dg oa 84~~~6 g. '~'~' ~~~k ~ #~ ~'% ~~•~$'~~~~' ~YA ffi .ti ~~ ~a '~ 9 N«~'~~hae~ ~ m'~,~ p~x¢@~ $#$B ~~~A ~ ~'Ah ~ mw , .¢ .0e s w i r ~ .. ~ SAMPLE ~ . - ... .. n .. ' ' MEASUREMENT ~ ' I: ~ w~'P6~[jll'1'.a. ~'~ l II ~ ~'~~~'na~.~ ~s"° ~~.~ @> 8 '~~ ~~ # ~ ~$ ~ ~~~.~~~' . ~~~~ .. ~~~ ~~{w °~ ~ ~k i ~ ~~~L~r ~ i °'~ ~ a ~~ ~ ~b '~ a°,y'®.~ ° s~~~~~'a ~ A ~' ~ce ~ .o-~ e°«e ~g°~ «.~ e~ °~~ ~g ~ °« }N FRE l~I F ~~-e~ ~. ~~ ~ ~~b -s g-~ ~'~~ ~. ~.tt 4~ g, e s~ $~ ~ .. RAMPLE ~ -~ ~ M[ASUREMENT - _ a ~ ~ 1 ~ ' asm.e ~ a6.e ~ KN iT s ~ '~ ~Y'~~ {w Raaye ~ ~~a ..x~~ Ply ~8 a~ ~1~~' ~`: ~~R ~^f'~'~~ ~ _ - ~' R Wy. ®'e ~ °~ ¢ ~.+ ~,a.~~~:~»m~ ~ v¢- ~ . ~`z w~m~ 'w~ ~a 5 @~&~ B~~ ~a~~ ~€a 4 ~a # ~' ffig. ~ 6 s ~ ~ icy ~ ~ xx&a- ~egf !~ b Q { ~ ~ i ~°$~ ~~ a ~~ %~~ ~ ~~ %~~~~w w ~ ~~ iF,- x A~ ffi w~~'"a g ~~ ~ ~~~ a °~ ~ § ~ SY k A~,~ ~ ~ ~~ ~ Y x ~s £ NAM[RITL[ PRINCIPAL Q[CUTIYE OFFICER I C[RT RY UNDER rEMALTY OF uR TNAT 1 NAVE rERSONALIr EaAY1NED I TELLPNON! D A T E AND A Y FAYILIYI MTN THE IMF011MATION $UBMITT[D HEREIN ANO BASLD . R.G. ATKINSON °" ~Y INQUIRY °` THOSE IHf.Y1WALf IYYEDIATELY RESFONfIBI[ roq OBTNNING THE INFORWTnJN I BELI[V[ THE SUBMITTED INFORMATION r '~ TRUE. ACCURATL .ND COMRETE I AY AWAR[ TNAT TNERE .R[ SIG ~ 970.824-0451 ~ 95 0 i 5 NIFICANT P[HALTIfS FOR SUfMITTING FILSE INEORMATIOII INCLUDING " HSE~ & LAND MANAGER . . THE POSSIBrLrtv OF FIM[ AND IMPR50NMENT SE[ IB USC 11001 ANO JJ uSC f I J19 rM1rrlrw .NT. rAr- .Ybu. m. mrldT (w. W n. LwMR SIGNATURE OF PRINCIPAL E%ECUTIYE ' TYPED OR PRINTED .n1..rm.+~mMw ~mpn.mnlrnr „/Mn.v.n6mnwrA. and .5 lNr.r OFFICER OR AUTNORI2ED AGENT NUMBER YEAR MO DAY NIwM6NT ANO LI{RANATIOI) OF ANT YIOLATIONB (ngerEnn au uurrcnrwrmt MIf) 1 I SETTLEABLE SOLIDS LIHIT APPLIES ONLY IF <= 10-YR, 24-RR PRECIP EVENT IS CLAIMED. iP CLAIM APPROVED 8Y NQCD, TSS, G IRON LIMITS RILL NOT BP. APPLIED TO REPORTED l1EASI1REnENTS--SEE I.B.lA, PG ~ AND I.B.1D, PG 6. Bd - - • IRE/CALEB EPA POAM ~• rNICN MAY MOT BE Yf[D.1 E OF ~.`~ . ~ ntn2n/g7ngna-tat.u ~ ~