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PERMITTEE NAME/ADDRESS (/nc/udeFaci/ityName/LocationifDilferent <br />NAME: Connel Resources Inc ' <br />ADDRESS: 7785 Highland Meadows Parkway Unit A <br />Fort Collins, CO 80525 <br />FACILITY: RAINDANCE SAND & GRAVEL MINE <br />LOCATION: APPRX 1 MILE SOUTHWEST OF TOWN <br />WINDSOR, CO 80550 <br />ATTN: MARTIN LIND, PRESIDENT <br />DISCHARGE MONITORING REPORT (DMR) <br />COG500462 001A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />I <br />MM/DD/YYYY MM/DD/YYYY <br />FROM 07/01/2010 TO 09/30/2010 <br />i <br />l <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 80528 <br />MINOR <br />(SUER BS) WELD <br />PR TO TRIB TO BILL EATON DITCH <br />External Outfall <br />No Discharge <br /> <br />PARAMETER 4 <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />EX• <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br /> r <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br /> <br />pH SAMPLE <br />+... <br /> MEASUREMENT <br />00400 1 0 <br />Effluent Gross PERMIT <br />REQUIREMENT "° """ "**** <br />MI UM <br />11% Y *""* 9 <br />MAXIMUM SU Twice Per <br />Month <br />GRAB <br />Solids, total suspended SAMPLE ..,, <br />** ,.",„ «...„ ....„ <br /> MEASUREMENT J <br />00530 1 0 PERMIT <br />.. 30 45 mg/L Twice Per <br />Effluent Gross REQUIREMENT DA G MX 7D AV Month GRAB <br />Oil and grease SAMPLE <br />*? <br /> MEASUREMENT . <br />0358210 PERMIT 10 mg/L <br />Effluent Gross REQUIREMENT INST MAX Contingent GRAB <br />Flow, in conduit or thru treatment plant SAMPLE <br />MEASUREMENT <br />1 <br />50050 1 0 PERMIT Req. Mon. Req. Mon. MgaVd <br />Effluent Gross REQUIREMENT 30DA AVG DAILY MX Continuous RCORDR <br />Oil and grease visual SAMPLE <br />"#?**? <br /> MEASUREMENT <br />84066 1 0 PERMIT """ <br />7? Req. Mon. Y=1;N=0 Twice Per <br />Effluent Gross REQUIREMENT <br />j <br />INST MAX <br />Month <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER 1certlfyunder peualty of taw that this docmneutand all attschmentswerepreparcdunder my direction or <br /> <br />supervision in accordance with a system designed f assure that qualified pereonuel Properly gather and <br />TELEPHONE <br />DATE <br /> <br /> <br />?a valuate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the infomution, the infomration submincd is, <br />to the best of my Iuwwledge end belief, uue, uccurate, and wmplete. I am aware that there are signr'fican1 <br /> penalties ib submitting false information, including the possibility of fine and imprisonment for knowing ((!/// <br />' <br />violations. <br />GN TURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED AUTHORIZED AGENT <br />AFJA Code NUMBER <br />MM/DD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATION5 (Reference all attachments here) <br />OIL & GREASE - SEE PART I.D.20, PAGE 15. II <br />I <br />EPA Form 3320-1 (Rev.01/06) Previous editions may be used. Page 1