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PERMITTEE NAME/ADDRESS (include Facility,'Y'onte/Lwttion if ufferrni) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS _ .- <br />13DX ! PERMIT NUMBER DISCHARGE NUMBER <br />•cN . <br />FACILITY : EN rJ I r?E COFiRLE MONITORING PERIOD <br />LOCATION YEAR MO DAY YEAR MO DAY <br />;EN CO 91c FROM TO <br />kARn. PPrI AMA? T fIN MANA:nF- <br />Form Approved <br />OMB No. L09-oek <br />MINOR <br />(-SUBR JC ) <br />r - FINAL.. KL]U' <br />D5CHG TO TRIB/GRASSY GREEK. <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION N0. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />- <br /> MEASUREMENT 7.1 l J -_j <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE J <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE I - <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 />F <br /> R <br />EOUIREMENT <br />NAME(TITLE PRINCIPAL EXECUTIVE OFFICER 1 certify under penult) of law that this document and ail attachment, were <br />tio <br />e <br />ed <br />de <br />di <br />e <br />?hio <br />i <br />da <br />e with <br />s <br />st <br />de <br />i <br />d TELEPHONE DATE <br /> un <br />r ms <br />rec <br />n or sup <br />r <br />n <br />n accor <br />nc <br />a <br />y <br />em <br />s <br />gne <br />Pr <br />par <br /> to assvre that qualified personnel properl} Rather and rsaluate the information <br /> +ubmitted. Ra+ed on my inquire or the prrwut or presorts who manage the s+irm. <br />or those persrms directly resprasihte for gathering the Information. the Information I (r - <br />- I <br />- <br /> rd i+, to the lust of mi knowledge and l accurate. and complete. <br /> <br />- <br />I uoo <br />+ fhmnn f <br />rn owurr that th <br />melu <br />fo <br />maio <br />c <br />r <br />are <br />nt <br />ls <br />I <br />u <br />SIG TURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED p+ <br />e <br />e <br />n <br />c <br />a <br />e <br />n <br />r <br />n. <br />nt <br />mrlodmg tn< p...+;nilit .r non n.. in<i imps-onme <br />nl r Anu++ing +iulation+. <br />L <br />OJ:FICER OR AUTHORIZED AGENT <br />AREA NUMBER <br />YEAR <br />MO <br />DAY <br />GOMMEN 15 ANU tAVLANA I IUN Ur AN T V IULA I IUNJ Irreverence an aiTacnmenfs nere/ <br />EPA Form 3320-1 (Rev. 3W) Previous editions may be used. 00340 +. 'T'his is a 4-pai146nn.