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PERMITTEE NAME/ADDRESS tMelude FwWig ,\`atneA,oeution fDijjemni) <br />NAME <br />ADDRESS HA YDEN GULCH LOADOi_)T <br />t { {;) . ice) , lY _ •_3'_;1 r'.p? <br />STEAMBOAT SPRINGS FACILITY <br />LOCATION HA'•eDEN <br />7 A 111 11 C, L- 4- t- r) <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM Y. v TO <br />Form Approved. I <br />OMB No. 2040-0004 <br />M I NOR <br />f SU2R ..: <br />F - FINAL t T <br />C'C:IRii <br />_ #-uM <br />NOTE: Read Instructions bsfo completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />f C'•L I TO "L.. SAMPLE ???t???r# t.??•?ttt=: ti###•#4i- ( 19) <br />DISSOLVED MEASUREMENT <br />cy'- PERMIT # #Fit?! ?t3t3t lt# #3Fir #sftf## RESORT REPORT TRLY 'PAP, <br />, <br />EFFLUENT GROSS VA.' Ut. REQUIREMENT k:;## -'j(}DA A V G DAILY MX t'1{ <br />r.` Ii- . AND SAMPLE :'- t? t si' ## { °? n #tt 3t 3i #?I n 'X # + ? `#' <br />VISUAL MEASUREMENT <br />e40-r (_ t:? ? - PERMIT ##it yt it # REPORT ES='. iF 3t #?ds 3! ? # it #?t # # #?! 3t ?ti( ;tuft JEEKL I SUA <br />EFFLUENT CROSS VALUE - REQUIREMENT INST MAX N0=0 <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br />I <br /> <br />L <br />L <br /> REQUIREMENT I <br />NAWTITL.E PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were TELEPHONE DATE <br /> <br />Jcqw <br />Dennis Prepared under my direction or supervision in accordance with a system designed <br />t <br />th <br />i <br />f <br />ti <br />l <br />l <br />th <br />d <br />l <br />h <br />lif <br />d <br /> <br />??t.A <br />..L?e?1ef <br />ayokv <br />ist ) eva <br />n <br />orma <br />on <br />personne <br />proper <br />y ga <br />er an <br />ua <br />e <br />e <br />to assure t <br />at qua <br />ie <br />submitted. Based on my inquiry of the person or persons who manage the system, <br />JA <br />Y V the information <br />or those persons directly responsible for gathering the information <br />276-5209 <br /> <br />gl?? , <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br /> <br />i <br />f <br />i <br />f <br />l <br />i <br />f <br />b <br />i <br />i <br />f <br />l <br />i <br /> <br />SIGNATU E OF PRINCIPAL EXECUTIVE // <br />?? <br />L1 P <br /> <br />TYPED OR PRINTED se <br />n <br />ormat <br />on, <br />icant pena <br />t <br />es <br />or su <br />m <br />tt <br />ng <br />a <br />I am aware that there are s <br />gni <br />including the possibility of fine and imprisonment for knowing violations. OFFI R OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY v1ULAmms (Rererence an anacnmenrs nere) <br />;ETT1-1Aiil__._ ?D %`. `.. PL.:i.s_? IF i., -YF, 24 HR PREt=1'G s_.'F.ia3 i1 i.LA:f"1F_.L7. EXEI"i IONS FROM <br />.IMITAT' ONS - SEE I B 1. E". <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. PAGE OF