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PERM ITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME HAYDEN GULCH TERM IItiAL, INC. <br />ADDRESS HAYDEN GULCH LUADI? UT <br />P, 0. FOX 772?4?6 <br />T1?Hf"itiC7F 5i'RIi`:t9: CO U04r7 <br />FACILITY <br />LOCATION <br />HAYDEN CO 61639 <br />ATTNI: •_ U ltl a_I'd •if l?l, i to Cf?l r" ?4F2 <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 1 ,.,+ •..,/ t ! TO ko U i+! <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />F - FIN ,. R iDt,) f T <br />NE 'l`I}3 f bwt l* Ili Lin y !,I TA/ YPrf=IrA <br />**4 I' TO D I .I"ai:.i-HARGE 11 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION N0. FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />PH SAMPLE # ? 3e• !E bS Ir is # 1e # # !f I k 3b 1F 3c iE ?'} ? 12) <br />0 ` <br />1/ <br />- <br />- r ! <br />VvJb <br /> MEASUREMENT , <br />jL <br />) <br />00400 1 0 0 PERMIT pF fi >x # # ? iF t€ ii ### t`a. `a ii # ii ?t # 9. "LJ E G E t 3I? F; l' <br />EFFLUENT GROSS VALUE , REQUIREMENT ii #h 14 1 ""s I iii I M r!11 f 1 Xs' 1111ti!Vi :V MONTH <br />SOLIDS, TOTAL SAMPLE ?`# k#?f# fi###>: tt tEfi Yr•k tc» ?^ { 1`?? JJ``?•? <br />SUSPENDED MEASUREMENT <br />00530 1 01 0 PERMIT ?tt;i##•II #iiis?#? t ### ilk#af??Y 3 5 70 WiCk--,' 3RAB <br />+ <br />EFFLUENT azl3Q"3S VALIIL <br />REQUIREMENT <br />- <br />300fa A `/G <br />low'sL.'p MX <br />It / <br />MONTH <br />SOLI D55, SENT!-EABLE SAMPLE !51 E£ k5 i## ?c ##t fif= 3< •i ...}. ^, t <br />G ( 12 5) <br /> <br />? <br /> MEASUREMENT CJ 1 (? • ?(U Y <br />00 +L PERMIT #T: #i? 3F #$; A i : 3i I fk# .#•: # RIEF RT 0. '('W I CFi 33R A11 <br />EFFLUENT GROSS VALUE REQUIREMENT IYh's .`30-DA to'V LtPJ!-.'1' MX ML/i- MONTH <br />IRON SAMPLE Ytcii?A?s k ?ak#7k? k#•r3rR.? fy <br />s 3c) tF??Jik? t' e?Q3 ? ? <br />14 <br />( <br />- <br />TOTAL. Rz:(?OVERABL.E MEASUREMENT 0 D <br />OSJ l2 ? Ci 0 PERMIT di 7r? #?! rf T k is## ?i ii atta lk 000 TWICE/ 3RAB <br />EFFLUENT CROSS VAL}a REQUIREMENT r#y ?t:?DA ?'e,14? E11 'L.. MONTH <br />C7.LL. AND GRT:.A?">F- SAMPLE IV- ir <br /> MEASUREMENT <br />035I i C I PERMIT # #k a r? ?i : >i 3r## ar#is ?t #ii # ii 3a>i sf ?t 1 ,a=NT IN ;RA13 <br />EFFLUENT (SRC! -VALUE REQUIREMENT DAILY MX i`9O i L QENT <br />FLOW, IN d:ClN Us" Ojv' SAMPLE .'•Z 03 ##•i#### •li#•t •i;•r:•?° •#•.p••fiv•ri-•p• ? <br />( _- <br />TNRIi TREATMENT PLAN i MEASUREMENT ? e ( rs 1./Vl i?.> t U f ? J <br />Dt Gi" r, ` PERMIT REPORT REPORT <br />ORO3O Vr'I,L UE <br />WI . REQUIREMENT :30DA A,VG DA I L Y` i`!>-, MGD UOU5 <br />T{3iflt. <br />I DS,• <br />DS <br />DISSOLVED SAMPLE <br />MEASUREMENT. 1.: #. # a : #• k• B• + L 191 <br />7/02°-a 'L C O PEMIT <br />f <br />R r#??? 1r k',t•?i#?i? ?t ##! #!i#1?38tiY f?ii'FORT REPORT 01Rl `l ?.=t/1?: <br />EFFLUENT GROSS VALU R E MENT <br />REQUI "## 300A AvlG r.)AIL-4• m, m /L. <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were <br />d <br />d <br />di <br />i <br />i <br />i <br />i <br />i <br />h <br />d <br />i <br />d TELEPHONE DATE <br /> prepare <br />un <br />er my <br />rect <br />on or superv <br />s <br />on <br />n accordance w <br />t <br />a system <br />es <br />gne <br />to assure that qualified personnel properly gather and evaluate the information I <br /> submitted. Based on my inquiry of the person or persons who manage the system, ""'?•, <br /> or [hose persons directly responsible for gathering the information, the information /5i•''?. <br />+"°-, + <br /> submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />I <br />th <br />t th <br />i <br />ifi <br />t <br />lti <br />f <br />itti <br />f <br />l <br />i <br />f <br />ti <br />b t <br />SIGNATURE OF PRIN (PAL EXECUTIVE <br /> <br />TYPED OR PRINTED am aware <br />a <br />ere are s <br />gn <br />can <br />pena <br />or su <br />m <br />a <br />n <br />orma <br />on, <br />es <br />ng <br />se <br />including the possibility of fine and imprisonment for knowing violations. OFFICER OR AUT ORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />CGVMMMN IA AIILJ CArLfill,il lull yr mNT viuL.AI IVI-40 (ReierenGe all a[iaGnrrlenr5 nere) <br />SIETTLEABLE v;0I_ILIS LIMITS WAIVED FOR 10--YR, 34 HR PRECIP EVENT SAUBJECT TO BURDEN OF PROOF REQUIREMENTS IN <br />PART I. B. b. ANY ADDITIONAL. DATA SHALL BE SUPPLIED 'TO THE DIVISION WITHIN 48- HOURS. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. C;O21 7/C7 ls7i,&u4 p fPfTn PAGE 1 OF