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PARAMETER
<br />I certify under penalty orlon thznhis document and all atachments %ere prepared under my direction or
<br />wipers loon ,nmeordm.e with aante lode. stmedtnn.> nre that ,luohre]pmramnel +and
<br />e atonic the Information sohmmed Based on me tummy of the person or pa mons olio manage the
<br />armor, or those persona dtncdv responatble for gathering the information the mtormanon ' ,dimmed is.
<br />to the heat of my knowledge and belief. we accumo, and complete I am aware that there arc significant
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<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />FREQUENCY
<br />OF ANALYSIS
<br />STMPE E
<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 />..., .
<br />PERMIT
<br />REQUIREMENT
<br />3,....r.
<br />». ""
<br />„ "..
<br />MINIMUM
<br />,.e,"
<br />9 MAXIUM
<br />SU
<br />T Mon Per
<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 />` ""
<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 />,_»,,.
<br />PERMIT
<br />REQUIREMENT
<br />"""
<br />""'
<br />ir."
<br />""""
<br />1
<br />30DAAVG
<br />2
<br />DAILY MX
<br />mg/L
<br />Weekly
<br />GRAB
<br />Oil and grease
<br />0358210
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />,,, »..
<br />,»,,,,
<br />,.....
<br />»....
<br />"..,.
<br />PERMIT
<br />REQUIREMENT
<br />'»""
<br />" ""
<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 />300A AVG
<br />Req. Mon.
<br />DAILY MX
<br />Mgal /d
<br />"` "`
<br />"""
<br />Continuous
<br />RCORDR
<br />011 and grease visual
<br />84066 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />»,,,,,
<br />PERMIT
<br />REQUIREMENT
<br />"""'
<br />Req. Mon.
<br />INST MAX
<br />Y =1 :N =0
<br />,.,»..»
<br />'^'"
<br />"""
<br />Twice Per
<br />Month
<br />VISUAL
<br />NAME (TITLE PRINCIPAL EXECUTIVE OFFICE
<br />I certify under penalty orlon thznhis document and all atachments %ere prepared under my direction or
<br />wipers loon ,nmeordm.e with aante lode. stmedtnn.> nre that ,luohre]pmramnel +and
<br />e atonic the Information sohmmed Based on me tummy of the person or pa mons olio manage the
<br />armor, or those persona dtncdv responatble for gathering the information the mtormanon ' ,dimmed is.
<br />to the heat of my knowledge and belief. we accumo, and complete I am aware that there arc significant
<br />cammingtakemrom,. mon, mmthngthe p, t.., hihtyofl ine and tnpnaonntmt for knonme
<br />p'i lti orsub
<br />o
<br />TELEPHONE
<br />DATE
<br />...
<br />. e�'
<br />t1
<br />?J; ,ST 7 vG
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<br />SIGNATUR OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Coda I NUMBER
<br />I( / J/
<br />M/00/YYYY
<br />TYPED OR PRINTED
<br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different)
<br />NAME: Gilcrest Reservoir LLC c/o Summit Global Managemet
<br />ADDRESS: 9191 Towne Centre Dr Ste 210
<br />San Diego, CA 92122
<br />FACILITY:
<br />LOCATION:
<br />ATTN Rob Afuso, Principal
<br />S & H MINE
<br />18311 WCR 23
<br />PLATTEVILLE, CO 80651
<br />FROM
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />OIL & GREASE - SEE PART 1.0 20, PAGE 15
<br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used.
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />COG500411
<br />PERMIT NUMBER
<br />001 -A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD /YYYY
<br />04/01/2012
<br />MM /DD/YYYY
<br />06/30/2012
<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
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