Ir^I~wr
<br />'[AR) Nr~.f~lupfbw 1/d trnlrt~
<br />upyi_rC~4AU GAAAD VALLEY CUAL_COH__
<br />wo^~[twOdCHA ° ALLEY O.Y. iIEST f1INES
<br />fl!Y L---------
<br />,_~~~ 4010 QRIYBs P_0. HOY 1299__
<br />___PAaN^IA____,___ CO 81424
<br />oeATtote ___________ _ _
<br />ATTNS RONALD STUCKI VICE PRESIUENi
<br />n. noNni .ul to rwNt oncrrwncr axlwn•nnr. •r1reN (APOt.SI
<br />OISCH ARGE ITORINC REPORT /DAIR/
<br />l l6 /7./9
<br />000033n0 U01 A
<br />rERMIT NUM R[R encn ucLwwwq
<br />MONITORING PERIOD
<br />v EAn Yo DwY r[wn Mo oAY
<br />rnoM To
<br />/)n.)n IJJJb I)1. U nA. 1 fJA.JOI / l
<br />H I N U H Form Approvedi
<br />(SUUR YC) D0I1BANo. zoao-oooa
<br />F- F I H A L Ezplres 9.311-91
<br />DUHnSTLC 'AYTF' TO POND!
<br />aoo NO DISCHARGE (__( Lori
<br />NOTE: Resd inttruetlon) before eom Dlatino this form.
<br />' ~ (J Card OwryJ OU ANTITY OR IOA DIND f1 Cerd Onlr) OVALITY OR CONt;ENTRATION N rR[OU[NCr [AMPLE
<br />IARAYR[R (H-JIl (J(dl) lJ6-q) Ir6"JJ) (Jr~!) O
<br />% or
<br />TYPE
<br />(J1J)) E wNwl.rele
<br /> AV[RAO[ MA%IMUM UNIT[ MINIMUM AVER AOE MA%IMUM UNITS
<br />6741)
<br />16169)
<br />169.)0)
<br />tJOU, -uaeY •AYPL[
<br />YueURW [HT
<br />~Z A
<br />N~7 ( lb) 'jl~aariG
<br />~~
<br />~
<br />N/~ ( 19)
<br />(/ /
<br />/~
<br />LIB!/~~
<br />(ZU UEG• C) , V
<br />00310 1 0 0 rq .;,r~:, ,e...
<br />-' ".;4A4~OIL' "°
<br />$,. ,.•.:,
<br />.:
<br />'
<br />`
<br />E1PLU5NT GROSS YALU w11t
<br />t- '
<br />~
<br />Y ,~,'
<br />.
<br />'"bX ~b AY
<br />-
<br />u°~/u
<br />F
<br />r30 Dd ..;.
<br />.
<br />~
<br />'' 'd~'v
<br />..,yam Y ~~ 4 r ~,
<br /> E, ,. . nc:
<br />FLOP, Id C:UMUU ii Ok eAYPL[
<br />[
<br />v09y
<br />o//l ( U3) T,: ryrf lf,}Tj ~;,y p;:~ S1VG#a4 ( )
<br />O /
<br />~~
<br />tNfJp~/
<br />IHRU ThLATHEHT i'LAN Y[AeUR[M[NT . o
<br />L.
<br />SiluSU 1 U G , t} :
<br />'~ :~-'~.(,~- : R.EAORt.:
<br />" ztaatr#'+.. , '.:.~P.~w~4p _; .>; .,+oa~i;a~a~; /ao+~ ;~rx;
<br />~ red .~
<br />~ ~5~-~
<br />EPFLUENT GROSS VALU ~
<br />A~ ~A'3Li
<br />T 'l11E ;It;U "r'+ti.:.,'~ :_.~ riglaa ">=~
<br />d
<br />• ~-S`,
<br />a;_.~> :~i~"~'`~•:
<br />_I: f,IFULII.[ P~L..AL ,wNPLE
<br />Y4BURCMENt P46?Ga QU4t1:1':: ( ) GrA Yltuk O
<br />~ 8 N~ ( 13) O
<br />~
<br />U ~9B
<br />,flLEHAL YYO / /
<br />/
<br />/vOSS 1 0 o r+~ q~yo
<br />a o,.-
<br />,
<br />~
<br />,y ;w ovua
<br />;
<br />'' cl;o 200Q -s u060:""
<br />,..
<br />~
<br />l-~
<br />° 'i
<br />E .
<br />-:F;
<br />:FPLUBNT GRO55 YALU w~ ~
<br />.
<br />;:.
<br />~~t~
<br />~t
<br />El~r1~'
<br />~ ~
<br />•'. :x.
<br />iri::M .,, 0
<br />CEOAV"
<br />3 tl .,
<br />,
<br />'M76GEA
<br />lOvHL >,~a
<br />:,
<br />'
<br />a~" l ~
<br />et.
<br />i
<br />:{
<br /> ~ I -~u ,a.r:
<br />•.=
<br />.u D, S-UAY PERCENT RAYPL[ 4aD4a4 AUDI?00 ( ) 0#4YJ9+Y L~tl4rir4 ( 23
<br />)
<br />~ /
<br />TD
<br />t6nUYAL Y[A9URCM[NT ~~ JD
<br />/ Cf9l6
<br />ylOlU K U U
<br />'
<br />t '•`;±Ollp,>og0!7
<br />
<br />,I
<br />`
<br />~ aaa 85:x:: ..i= :~.. `riO+GKrC1lA::`
<br />- j-
<br />r,. `
<br />~.' '1;'tQtltl00`+Ol
<br />yc
<br />e~~3AX;
<br />`
<br />E R- ,,
<br />F' ,~( ,
<br />,,(~. ,` \_;
<br />~1
<br />#
<br />)dRCENiHENOYAL ~{
<br />l ~~` ~ c+saa MDt
<br />%`HH~' ?: . ,~,
<br />.:o'.,
<br />I C '`~ ~ ' ~
<br /> r ,
<br />r ENT p,
<br /> swYPLe ~
<br /> Y[AIUA[Y[NT
<br /> •'~~;~ 1;~'I{~~;~~%~µ: ~:.ri '~-t~'.ij:;~ '~[:?:r~;"~.~':~ ~~4 "~Y7d~,
<br />t
<br />~ 1y~
<br />~ 3l'tt
<br />'d'Tyl ,>
<br />'
<br /> ..1• ~ ~ 1S ~S ~- .
<br />I~,:>.. : 'K "+L. r
<br />..ru.;~l»,: ~:
<br /> •AMIL[
<br /> M[Ae VR[M[NT
<br /> • ~~~~ ~ ~ ~1'{,^' J
<br />~'~ `. Jf ~KY {~ `V4,~[ b
<br />ff
<br />~~~ ~ %~ ~
<br />~
<br /> ~ i , ~
<br />f ~r/~ lf~~
<br />~ '1.Sr
<br />':
<br /> . . ' ~±.
<br />_ :
<br />.
<br /> •AMPLE
<br /> MIA/UR[M [NT
<br />
<br />.'~('yJ Iii(.l'
<br />'
<br />•
<br />,
<br />_). M
<br />~
<br />>
<br />'~
<br />' ~+,
<br />g"r r{~ r `: a yia ` ,N,
<br />H i' ,j
<br />.919~>
<br />~{>'~~.~ 3S",y
<br />e~~tyfg,.~~fei~,
<br />`o-t -~ y~~s ~~
<br />'
<br />I
<br /> ]
<br />.Y
<br />i1. ~R 4,~. R
<br />~
<br />~ .
<br />.,N,I
<br />.~
<br />4
<br />' .~ .Y'~~y AT.'l'}'r 5
<br />S ~Y. r'~ y~-'f~ q
<br />j"•~
<br />'~
<br />'AY[(TIR[ PRINCIPAL [[[C UTIV[ OrittlR 1 <[wls• UNO(w .TNgtr OI Lww n.wl
<br />r
<br />AVr r[wGONq lr Illwurnf n
<br />•NO nY rAYRIwR MIN 1N{ IMI On1/.IrON GI IRYr11111 uI RI
<br />rN 1Nn RA5111 T[L[PHONE D A T E
<br />~C/ I / ~/~ /_~ //JG"~
<br />l Qr / /
<br />Y- .
<br />ON u• rrQUr9r n1 nq!! rNV VInrIAIG u•
<br />YIIn.IIIV ofSMNGIRr! Ir111
<br />(N\AMw( l.N Nf ('PY.19v I nu 11 vl l IN c11RUlI lIn NI OnY.llrlu / /
<br />j
<br />'
<br />1 ~
<br />rG 1wV( wCCUwwrt wN0 CIrN[+I wu w.nl rrw Vn of •wt •nr.
<br />M K..NI RN.I\N4 IM CrrlYNim(: r. VI r IRY.irON rr III. N..
<br />I~
<br />I' /
<br />`
<br />'
<br />,~~ ~
<br />joj r~i-s//31-`
<br /> \rn IfKS[Yl rlr (Y IrNr • W'n5(\NUl rrl •.II
<br />NIl ,
<br />, 11 viC \
<br />Vlr •Nlr
<br />11 VSf
<br />\ I)19 rA.Ybr. .M.. IA.. rl.lr.1.. ..nr rn.Ir.Ir bn.. r.
<br />)Irnur
<br />r~
<br />
<br />SIGNATURE Oi PRINCIPAL EIECVTIVE.
<br />TYP[D OR PRINT[D .
<br />n
<br />•
<br />•.I•+~+.n~..r..-pn+.r....d.~r.. rv.~nf~...nIA.nM t...r..r OCCIC Vq OO AUTNORIICO AOCNt A NVMRER - Y[AR MO DAY
<br />.YYINT ANO QRANATION OT AMY YIOIATION[ IRIJf/fnff Pll ullur /rnfnll Afrf)
<br />IL 6 GNEiSE--SEE i007MOTE f/, PAGE 3.
<br />AFatn3730r1 (RM. W) PmbteedrATrr[mrybeused. IR[PLAC[[ [rA roRM r•.e rNICN MAY not [[ u[[o.) •AD[ or
<br />OOOOr,/72UuC3-1223 1
<br />
|