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PERMITTEE NAME/ADDRESS (/nclude FuNliry NamrlLocanon fD~erml) -
<br />NAME
<br />FRAPPdH ~~:~ItiG~ IY~.
<br />ADDRESSr RAPPER MINE
<br />P.O. eJA .Li7
<br />FACILITY ., H A I L ,- , .r L j; ~,
<br />LOCATION
<br />rr;7: Y. GUHD'Ja Pc:Paic~- P~:~r~/.:?+:
<br />,NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITOgING REPORT (DMA)
<br />r^ ~ c
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO OAY YEAR MO DAY
<br />FROM 1 L 1 TO O 1 0 3 31
<br />MINOR
<br />(SUyR Poi)
<br />t' - FINAL
<br />:tI::~fiAHG
<br />Form Approved.
<br />OMB No. 2040-0004
<br />TO FLU}1E GULC'r.
<br />NOTE: Reatl Inshucllons before'CdhtpletingthTs !orm.
<br />~OFAi
<br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER EX of TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANAl.ys/s
<br />:''t SAMPLE iF•#j#: k40### ####;"Y ( 12)
<br /> MEASUREMENT
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<br />c. J S i' ;' LA D E D MEASUREIg1~NT ~ ~ -
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<br /> MEASUREMENT
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<br />REQUIREM~N~ ~ "~ ~
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<br />(AS FCf MEASUREMENT
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<br /> MEASUREMENT '
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<br />1•IdU r.:EAT':.rP,' .'L.I 'II MEASUREMENT
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<br />., ;ILI US, 1',li ~tL SAMPLE •?~#?b# 4##atR•" C#t<#4# ( 19)
<br />I S S O L Y E C~ MEASUREMENT
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<br />NAME/TI L PRINCIPAL EXECUTIVE OFFICER ICemy antler penalty of law that this document and all etWChments were
<br />i TELEPHONE DATE
<br /> prepared under my tlirection or supervis
<br />on in accordance with a system tlesigned
<br />' -
<br />~ to assure that qualifieE pareonnel propMygalherand evaluate the iMOmiatbn
<br />~~
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<br />GOTAOn .YeCeiS
<br />W
<br />r 'submitted. Based onmyinquiryofthepersonorpersonswhomanagethesystem,
<br />or those persons rLradly responsible fOr gathering the information
<br />the information ~!~ ~ `-L+
<br />` 970-824-4401 01 U4 26
<br />Piesidant/General Manager ,
<br />submlttedis,tothebealo/my knowledge and belief, We,accurata,andcomplete. SIGNATURE OF PRINCIPALE%ECUTIVE
<br />
<br />' TYPED OR PRINTED I am aware Nat there aie significant penalties for submitting la4se inbrtnalion,
<br />includin the ossibiG of fine andi risonment for krrowi violations. OFFICER OR AUTHORIZED AGENT A
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all a(lachmens Here) ,
<br />i'S;i E rOTAL IkON LI1ZT5 'BILL BE .IAIY°D. A~~D SETTLEABLE SOLIDS LIMIT APPLIED FJR <=IOTN.24NH PKECI7 c'V°RI-
<br />';'L 9UHbER OF PROOF RE;~UIRE!9EN TS UNDnP. I. A. 3. 2ER:"ITTEB MUST TAKE ALL &EA57NA9 LE riEA 5URc5 TO 3EDIIC~ Pli
<br />PA Form 1 /99 reviouse Illons may ease ~ - ~ ~ ~ ~ DODlIS innn77 ~HI;I~~~PART FORM PAGE _ OF
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