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PARAMETER <br />lc` R" under penalty n rla.. that thi+ documom and all an, rehmena +.oro prepared under try daemon or <br />h <br />supermen in mconl ec wall a ny +1 an &awed to insure that qualified personnel properly gather ind <br />• 1 at • the mtomranon submmed Bn don ml own; of the prawn or person ‘ r. ho manag • the <br />w rtlr rec+tbicf rgatbnnngtht nilnrmab.m,thc ntfnrmatiam>ubmtnedn�• <br />syatem,thaae prrxansdtn inm <br />to the hest of my knowledge and belief, true, accurate, and complete 1 am aware that there are stpufmam <br />si o fio (x.ubmahng floe m( nnevon, axle the possibility of fine rmpn.onm m for knn�tns <br />n <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />ANALYSIS <br />SAM E <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />pH <br />00400 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />. ","„ <br />PERMIT <br />REQUIREMENT <br />*0* <br />"" ' <br />6.5 <br />MINIMUM <br />• "'•' <br />9 <br />MAXIMUM <br />SU <br />Twice Per <br />Month <br />GRAB <br />Solids, total suspended <br />00530 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />... <br />PERMIT <br />REQUIREMENT <br />""'" <br />' ""'" <br />' """ <br />"".r <br />30 <br />30DA AVG <br />45 <br />MX 7D AV <br />mg/L <br />Twice Per <br />Month <br />GRAB <br />Iron, total recoverable <br />0098010 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.".,." <br />..,.., <br />PERMIT <br />REQUIREMENT <br />" ""° <br />'"" "' <br />° "'" <br />1 <br />300A AVG <br />2 <br />DAILY MX <br />mg/L <br />Weekly <br />GRAB <br />O il and grease <br />03582 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,..,.. <br />..,... <br />...... <br />PERMIT <br />REQUIREMENT <br />"""" <br />'" """ <br />WM <br />"" '" <br />'"" "' <br />10 <br />INST MAX <br />mg /L <br />Contingent <br />GRAB <br />Flow, in conduit or thru treatment plant <br />50050 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />".,.". <br />,,. ",. <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />3ODAAVG <br />Req. Mon. <br />DAILY MX <br />Mgal/d <br />"""' <br />" "" <br />" """ <br />"""r <br />Continuous <br />RCORDR <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,.,. <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />`""" <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />•'•"• <br />""" <br />"" "" <br />""" <br />Twice Per <br />Month <br />VISUAL <br />NAME /TITLEPRINCIPALEXECUTIVEOFFICE <br />lc` R" under penalty n rla.. that thi+ documom and all an, rehmena +.oro prepared under try daemon or <br />h <br />supermen in mconl ec wall a ny +1 an &awed to insure that qualified personnel properly gather ind <br />• 1 at • the mtomranon submmed Bn don ml own; of the prawn or person ‘ r. ho manag • the <br />w rtlr rec+tbicf rgatbnnngtht nilnrmab.m,thc ntfnrmatiam>ubmtnedn�• <br />syatem,thaae prrxansdtn inm <br />to the hest of my knowledge and belief, true, accurate, and complete 1 am aware that there are stpufmam <br />si o fio (x.ubmahng floe m( nnevon, axle the possibility of fine rmpn.onm m for knn�tns <br />n <br />TELEPHONE <br />DATE <br />^ (' <br />( 7� } <br />/ <br />( f� <br />(�a <br />� <br />! <br />( t <br />( ` i e V <br />PRINCIPAL EXECUTIVE OFFICER OR <br />SIGNAT OF AUTHORIZED AGENT <br />AREA Code NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: Gilcrest Reservoir LLC c/o Summit Global Managemei <br />ADDRESS: 9191 Towne Centre Dr Ste 210 <br />San Diego, CA 92122 <br />S & H MINE <br />18311 WCR 23 <br />PLATTEVILLE, CO 80651 <br />FACILITY: <br />LOCATION: <br />ATTN: Rob Afuso, Principal <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />OIL & GREASE - SEE PART 1 D 20, PAGE 15 <br />EPA Form 3320-1 (Rev.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />COG500411 <br />PERMIT NUMBER <br />001 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /YYYY <br />10/01/2011 <br />MM /DD /YYYY <br />12/31/2011 <br />TO <br />DMR Mailing ZIP CODE: 92122 <br />MINOR <br />WELD <br />SOUTH PLATTE RIVER <br />External Outfall <br />Form Approved <br />OMB No 2040 -0004 <br />No Discharge <br />03/23/2011 Page 1 <br />