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<br />PERMITTEE NAME/ADDRESS (7-" FwdtryN--tL.a.ii- I/DO6b t) <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI Form Approved. <br />OMB No. 2040-0004 <br />NAME y t, i) C t C U A L CC r.}ANY , 1 "ic . DISCHARGE MONITORING REPORT (DMRJ NI N GR <br />ADORESSi' AU-i1 U- iiUi:TH 6 3GUTH M1N.°:? <br />[LaL (SUGB DiI) <br />Y . U. b LI X 14 P J PERMIT NUMBER DISCHAAGE NWdeER F _ F I N A L S <br />L E <br />PAL15ADw CO b151b <br />FACILITY MONITORING PERIOD FOND 8 TIC CCI.CFIALC . <br />FIVER <br />kUn0510 E N0RI'H t HUG .111 AINLS YEAR MO DAY 11 YEAR MO DAY <br /> <br />LOCATION 111. ,,ht• VAL1SALiE co 81525 <br />FROM U-jor TO _j}C }/1 3tT <br />NU CI=CHAhGr + _ <br />?? *•? <br />,i"??C: riLL?I.J[I L• h1LLFn ?•f• D <br />J7 v I O-? -71 <br />NOTE: Read Instructions before <br />completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, NCY <br />FREO <br />U SAMPLE <br /> O <br />f <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br />?I SAMPLE r, 4;:-X!J ` 1p0=rn rr.t, ( 12) <br /> MEAS <br />UREMENT <br />U4UU 1 J U <br />I! FLU "'I ' -, P A <br />?JLiJS, TOTAL <br />:'J:iP!•NDLD <br />10113(1 1 U U <br />F N' S S n n <br />?OLIUS, ?icTTLLABLL <br />'U?tlS 1 U U <br />TOTAL <br />(A 5 r-E) <br />iUIJ5 1 U U <br />r;F•P' U NT liit0`i 1 <br />J1L AND S'tLA15L• <br />j 3DO'! 1 U U <br />Ir. F k 1.U?;yr P (;. VALU <br />F'LUIr, fir CONDUIT UB <br />Thi{U TREA'Tf4EST PLAN <br />5UU5U 1 U U <br />r-F'F'LUENT GROSS VALU <br />U1L AND GhEASr; <br />V.LSUAL <br />d4Uob 1 ll U <br />i.FF'LUl,Nr GROSS V A L U <br />NAMEMTLE PRINCIPAL EXECUTIVE <br />' C r, "., C' ' YYll Kn-C-%-- , <br />x't?:« :tt :r*'x <br /> <br /> <br /> <br />'h.. r_]'• `; to wi,."1''?r $ ..:h ;_ ._. <br /> "A 7,w <br /> <br /> <br /> <br /> <br /> <br />n y? <br /> ( 03) <br />Ti3A'' C ' [)A LY r+'' ?GU <br />:x:.:...... ( 134) <br /> <br /> r... <br /> <br /> w ,naw pen.w. otnttly n.pewwbN for gathering [At Iwro (104L, 1M Infot tb. <br /> <br />rubtwllled It, to the bal or,mr bwewW (e end b.W, irve, .rNnle, ..d corr, a- <br />.wan the$ then .n el <br />Nfluwl <br />.n.IMe <br />l <br />b <br />lttl <br />t <br />r (, <br /> <br /> <br />1 14i/ y <br /> <br />( U UAt' <br />7 <br />CJ O <br /> E <br />p <br />a <br />w wt <br />w1 r.be <br />m <br />n <br />onmu.w, BIONA?T <br />4RE OF PRINCIPAL EXFCtlTTVE <br />TYPED OR PRINTED Iwdudln?[hepawlbWtrofllne•ndlmprlwn nt'r.rbm.l.g W.U.OL OFFIdR OR AUTHORIZED AGENT A CODE , NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a/lattachments Aorol <br />A.I.B. FCtt AL`iFBti.kTi, LlAl'1AT1UtiS WHEN 1UYR,24HR PHECIP. hVhNT OCCURS, SUBJECT T'C bUrilLeN Cf FhCCi <br />Kt; UIRLr J!,%I'S - ;iE1. 1*A•.4 <br />EPA Form 3320-1 (Rev. 3'99) Previous editions may be used. Th 4- rm. PAGE OF <br /> O U 3 7 Li / U <br />1 1