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PERMITTEE NAME/ADDRESS pnda.FrYiryNa/L«anudD~nl <br />NAME CQj..~FPYO CURL CO"1PA',IY L.Y. <br />ADDRESS CULOMYO MINE <br />5731 STATE AIGNMAY 13 <br />tlEZKEk CO 81041 <br />FACnm <br />LOCATION FRI <br />ATTM: H. D. USILTOM- Pi F.iTDF'NT <br />Form Approved. <br />OMB No. 2040-0004 , <br />ICACCU7 SEDI ^CND r"II ~Ir.tilr" d <br />Approve explree 05~31~98 <br />{SU£F SM) 12j45 <br />F - FISAL <br />1!INCA <br />>,~, ~c ctscAARCe t~~ ~~• <br />NOTE: Raad Instructions before Dmpletinp this form. <br />PARAMETER !3 Qrd Only! QUANTITY OR LOADIN Cj" ~~ !'TGrd oMVI QUANTITY OR CONCENTRATION NO. FREOUENCV SAMPLE <br /> !16531 (54-6/1 ' 3~'is ~' 13B-r51 !4653 /5L6U <br />EX DF <br />TYPE <br />l32-371 AVERAGE MAXIMUM U ITS MINIMUM AVERAGE MAXIMUM UNITS : <br />!sZ-ssl ANKVSIS <br />164581 !6&701 <br />JIL AND GREASE SAMPLE :k;rs;AP;: { q;y~ aa~aaa aSa~;:~ Qz.=~#~ <br />I! I5U A L MEASUREMENT <br />94066 1 0 0 PERMIT.. .: y>t;kbz= ` <br />" 3.:s:`; <br />:~~ <br />..::`:: Y <br />"~" E5=1 ~:~:O:a+~ <br />" <br />~ ti+e~~~a :,c~t:uu:.'"= :x r. <br />EE'NLY <br />'ZSUAL <br />EFFL'J$M7 uROSS YALUP REQUIREMENT . , <br />. <br />- '-' <br />. <br /> SAMPLE ~ <br />" MEASUREMENT <br />', <br />• <br />~~ <br /> PERMIT '" ~ :." : ~. <br />~ ~" <br /> REQUIREMENT ~ ~"" """ ~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br />.. .. <br /> PERMIT. . ;:.::. .. ,.. :.' .. ... .. •. <br /> REQUIREMENT ~ ". ~ ~ ' <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT": ~ ~ ~ <br />~ ~" : <br /> "REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT.: . . <br />" <br />" <br />" <br />" <br />' .:..:,:: <br />.. . <br />.. _ .. ~ ... :. ".. . . <br /> REQUIREMENT .. .. . <br />.. <br />. <br />. ..~ <br />.: <br /> SAMPLE <br /> MEASUREMENT <br /> :. ~ PERMIT'~~ .. .. <br /> <br />~ <br /> <br />~ ~ .... <br /> <br />~ <br />~ .... .. ... <br />,. .. <br />"~ <br /> REQUIREMENT . <br />. :. ~ ': <br />...': :~ . <br /> SAMPLE <br /> MEASUREMENT <br /> ...PERMIT ... .. ....... ....: ..... <br />-. <br /> REOI,gREMENT" .. ` ..:........ ... <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERTIFr UNDER PENKTV GF LAw THAT I NAVE PERSOMKLr ExAMI <br />AM FAMIUM WITH THE INFORMATION SUBMITTED HEREIN <br />AND B NED AND <br />ASED ON TELEPHONE DATE <br /> ; <br />MY INQUIRY OF TNOSE INDINDUK9 IMM WIATELY RESPONSIB LE FOR <br /> OBTNMING THE INFORMATION, I eEOEVE THE SUBMITTED INFORM ATION IS ' <br /> TRUE, ACCUMTE NID COM0.ETE. I AM AWARE TNAT THE RE ARE <br /> SIGNIFICANT PENKTIES FOR SUBMITTING FKSE INFORMATION <br />IN CLUDING // <br /> <br />J <br />" , <br />T ~ C ~ ~ ~ ~ Z D <br />I (L I ~_~ f ~l <br />V 1 HE POSSIBIUTV OF nNE AND IMPRISONMENT. SEE 1P U.S.C. 1 1001 NID 3] I 1 , ~ <br />0 <br /> rrnmu3~i <br />l <br />~A <br />Mtoia <br />« <br />smmA <br />~ <br />~~~i yiroi1O'~ 610HATURE OF PRINCIPAL EXECUTNE AREA <br />TYPED OR PRINTED n <br />i <br />.~: <br />n. <br />n <br />tl <br />ia <br />yr/al OFFlCER ON AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erenee ell srrschments here/ <br />SETTLEABL;L SOLIDS LIMIT APi-LIES 011LY IF C= 1U-YR, 24-HR PR@CIf lYlN4 I~ CLAIM£C. IF CLAZN APPROYF,D 9! <br />M~CD, TSS E IAOA LIMITS MILL NOT BE APPLIED TO AEPCR?ED;[7EASUAECEAT°--SFE I.E.11, PG q lI/D I.@.1D, PG 5. <br />EPA Form 3320.1-109-951 Previous"sCiuons-mey bs usetl.- - (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.1 ~- `~ PAGE OF <br />eat e~971 <br />. - .~, ... ..a-.,.. - ... ... _:. rt. ~ ~~ _ era ._ . ~'~ <br />