2013-05-14_HYDROLOGY - C1992081 (2)

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PERMITTEE NAME /ADDRESS (Include Facility Name/Location If Different) NAME: Hayden Gulch Terminal Inc ADDRESS: PO Box 670 NO. EX Hayden, CO 81639 -0670 FACILITY: HAYDEN GULCH LOADOUT LOCATION: 2 MI S OF TOWN, OFF RCR 53 VALUE HAYDEN. CO 81639 ATTN: Roy Karo, Rec Mgr NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) COG850008 002 -A PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD MM /DD /YYYY MM /DD/YYYY FROM 01/01/2013 TO 1 03/31/2013 Form Approved OMB No 2040 -0004 DMR Mailing ZIP CODE: 8136 -0670 MINOR (SUER JC) ROUTT POND (SE /4) TO DRY CRK/YAMPA External Outfall No Discharge PARAMETER — — spared .'k, n or I �ertdy w,de, penalty of tae that llus dud ,d QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. EX FREQUENCY OF ANALYSIS SAMPLE TYPE VALUE VALUE UNITS VALUE VALUE VALUE UNITS ,11— I.ranbmnbnt;Wse mnmrabnn,,ndmm gd,ep. —bdnt oreneand,mpnsmnnemI.,A owing SIGNATU OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AREA Code NUMBER MM /DD/YYYY Oiland grease visual SAMPLE ...... ...... ...... .... «. ...... MEASUREMENT 840661 0 PERMIT « «.` *. Req. Mon. Y =1,N =o * * * * ** * * * * ** * « « «.. * * * * ** Twice Per Effluent Gross REQUIREMENT INST MAX Month VISUAL Hydrol c_ �E- I (970) 276 -5209 COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) a SETTLEABLE SOLIDS LIMITS WAIVED FOR 10 -YR, 24 HR PRECIP EVENT SUBJECTTO BURDEN OF PROOF REQUIREMENTS IN PART I.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS. EPA Form 33204 (Rev.01106) Previous editions may be used. 01/04/2013 Page 2 — — spared .'k, n or I �ertdy w,de, penalty of tae that llus dud ,d TELEPHONE DATE NAME /TITLE PRINCIPAL EXECUTIVE OFFICER h"t(I., mdevgnedlo 'faun that quI, „pu maan -g-. t..-- 1lunems fi persomel h g, r,na r 1 -1-1,v 1l.,h evalunle�( nr nCununuon ul,mdled Rawd on my mgm,y ul the person or pc sons ,vbn manage the syslcnr, or Ihuse per— dueclly respon.,hlc Iur guthenng the mfonnabon the udon.. subnultcd u to the best of my kn,111kdge and belief, Inge, acw,ale. and unnplete I am a—re Ihnl there are sign,li,, r .2 J ,11— I.ranbmnbnt;Wse mnmrabnn,,ndmm gd,ep. —bdnt oreneand,mpnsmnnemI.,A owing SIGNATU OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AREA Code NUMBER MM /DD/YYYY TYPED OR PRINTED COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) a SETTLEABLE SOLIDS LIMITS WAIVED FOR 10 -YR, 24 HR PRECIP EVENT SUBJECTTO BURDEN OF PROOF REQUIREMENTS IN PART I.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS. EPA Form 33204 (Rev.01106) Previous editions may be used. 01/04/2013 Page 2