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PERMITTEE NAME /ADDRESS (Include Facility Name/Location if Different)
<br />NAME:
<br />Hayden Gulch Terminal Inc
<br />ADDRESS:
<br />PO Box 670
<br />NO.
<br />EX
<br />Hayden, CO 81639 -0670
<br />FACILITY:
<br />HAYDEN GULCH LOADOUT
<br />LOCATION:
<br />2 MI S OF TOWN, OFF RCR 53
<br />VALUE
<br />HAYDEN, CO 81639
<br />ATTN: Roy Karo, Rec Mgr
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />COG850008 002 -A
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD /YYYY MM /DD /YYYY
<br />FROM 04/01/2013 TO 1 06/30/2013
<br />Form Approved
<br />OMB No 2040 -0004
<br />DMR Mailing ZIP CODE: 8136 -0670
<br />MINOR
<br />(SUBR JC) ROUTT
<br />POND (SE /4) TO DRY CRK/YAMPA
<br />External Outfall
<br />No Discharge
<br />PARAMETER
<br />„I hm thnnhi, Jawmen •md ull- hart,kp,hvem p-,,i- undenm Juc wm„
<br />ay r -ra,m s+a thn ssstemJesigneJhuwsutelhatquahGeJ nr neih- peing.nneiauJ
<br />er -luate tiretmi-,nwl suhnutteJ ItaseJ on ms mquul' of the Iwisun r,r I,mson „rho m-nuge tnc
<br />svavm ,r those1— ,n,duevtir ie. pons ,hlefo`gathe,mgffi— lo„nali„n the�nlonnntmn,,A 11,d,,
<br />to the hest nl m” Anna IeJge and txhef hoc ac -rate and unni,lo, I nm uw, -c thm tnirr. n,i vgn J,i,„n
<br />hiesfm".N ttmgrnlsem'd honmJ -Ju,gthelxra „hJ�hoflm—t -dm,ju ntnth,rAnorsn,g
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />EX
<br />FREQUENCY
<br />OF ANALYSIS
<br />SAMPLE
<br />TYPE
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
<br />UNITS
<br />pHSAMPLE
<br />„
<br />......
<br />MEASUREMENT
<br />004001 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />" " " " ""
<br />" " ""
<br />' " ""
<br />65
<br />MINIMUM
<br />9
<br />MAXIMUM
<br />SU
<br />Twice Per
<br />Month
<br />GRAB
<br />Solids, total suspended
<br />SAMPLE
<br />......
<br />,,,,,
<br />.... «.
<br />......
<br />MEASUREMENT
<br />005301 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />.....
<br />" " " " ""
<br />" ",,."
<br />35
<br />30DA AVG
<br />70
<br />DAILY MX
<br />mg /L
<br />Twice Per
<br />Month
<br />GRAB
<br />Solids, settleable
<br />SAMPLE
<br />......
<br />......
<br />......
<br />MEASUREMENT
<br />005451 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />" " " " ""
<br />' " "'
<br />" " " " ""
<br />Req. Mon.
<br />30DA AVG
<br />5
<br />DAILY MX
<br />mL /L
<br />Twice Per
<br />Month
<br />GRAB
<br />Iron, total recoverable
<br />SAMPLE
<br />......
<br />.... «.
<br />,
<br />......
<br />MEASUREMENT
<br />009801 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />" " "'
<br />.....
<br />1000
<br />30DA AVG
<br />...
<br />ug /L
<br />Twice Per
<br />Month
<br />GRAB
<br />Oiland grease
<br />SAMPLE
<br />......
<br />......
<br />......
<br />......
<br />......
<br />MEASUREMENT
<br />0358210
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />" ""
<br />" ""
<br />" " "'
<br />" ""
<br />10
<br />DAILY MX
<br />mg /L
<br />Contingent
<br />GRAB
<br />Flow, in conduit or thru treatment plant
<br />SAMPLE
<br />MEASUREMENT
<br />500501 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon
<br />30DA AVG
<br />Req Mon
<br />DAILY MX
<br />MGD
<br />" "' "`
<br />" "•«
<br />.. «."
<br />""
<br />Continuous
<br />RCORDR
<br />Solids, total dissolved
<br />SAMPLE
<br />..,,,,
<br />,.....
<br />MEASUREMENT
<br />702951 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />"
<br />f"
<br />.., "}
<br />30DA AVG
<br />DAILY on.
<br />mg /L
<br />Quarterly
<br />GRAB
<br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER
<br />„I hm thnnhi, Jawmen •md ull- hart,kp,hvem p-,,i- undenm Juc wm„
<br />ay r -ra,m s+a thn ssstemJesigneJhuwsutelhatquahGeJ nr neih- peing.nneiauJ
<br />er -luate tiretmi-,nwl suhnutteJ ItaseJ on ms mquul' of the Iwisun r,r I,mson „rho m-nuge tnc
<br />svavm ,r those1— ,n,duevtir ie. pons ,hlefo`gathe,mgffi— lo„nali„n the�nlonnntmn,,A 11,d,,
<br />to the hest nl m” Anna IeJge and txhef hoc ac -rate and unni,lo, I nm uw, -c thm tnirr. n,i vgn J,i,„n
<br />hiesfm".N ttmgrnlsem'd honmJ -Ju,gthelxra „hJ�hoflm—t -dm,ju ntnth,rAnorsn,g
<br />{J
<br />k/\
<br />TELEPHONE
<br />DATE
<br />H
<br />Ul ,— Tin irf e �
<br />SIGN
<br />(
<br />UREOFPRINCIPALEXECUTIVEOFFICEROR
<br />AUTHORIZED AGENT
<br />AREA Code
<br />NUMBER
<br />MMIDD/YYYY
<br />TYPED OR PRINTED
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />SETTLEABLE SOLIDS LIMITS WAIVED FOR 10 -YR, 24 HR PRECIP EVENT SUBJECTTO BURDEN OF PROOF REQUIREMENTS L PART LB 6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS
<br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 01/04/2013 Page 1
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