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.. i r' ~ t1~ 713 TP \'u~~~,:' - .. nn '}~ :. ., <br />~~~pERMITTEENAME/ADDRESS(/nc/udeFacilityNamrl[ocafionrfD$er¢ne)~ ~,:~~n~p~ON'A):POLLUfAMDISCHAFGEfUMINA710[J6YSTEM(NPbES} ~- ~ ~oN11APProved. + . <br />.NAME T R II P P E R MINING , I N C . DISCHARGE MONITORING REPORT (OMRJ I~ I N O R ,. OMB No. 2040•IXlU4 ~~ <br />ADDRESSrRAPpER t1INE (SUER 'LLli) <br />P.O.'; 5DR It51 PERMIT NUMBER ~ OISCHAHGENUMl3ER p _ FINAL KOF6T <br />~R?LG ,:D• dlb,;6 ~ DISCHARGE TO FLU{1E~ GULCH <br />FACILITY ~ ~ MONITORING PERIOD <br />LOCATION- -: ~ YEAR MO DAY - YEAR MO DAY -. ~ ,ati- <br />' FROM ~IIr.~ TO ~~(. ~~ #'~~ NO DISCHARGE' ~]~ F ~'z'R <br />R f f N: Y ~- ~ D R D O N P E TE & S, Pit £ S/ 3 E R 0 G R - NOTE: Read Instructions.beforer~Om let~pg this form. <br />PARAMETER <br />SAMPLE <br />MEASUREMENT <br />;: <br />AVERAGE ~~MAXIMIJM'; '' UNITS : <br />' - i MINI <br />#CiRQ ~. .q ~: .RR <br /> S~; <br />~ <br />;,,~~z i <br />~i,¢ <br /> <br /> "R" ~ <br />~~,,. <br />` i ~, <br />° <br />.;L <br />............ ............... ~ `E <br />MUM AVERAGE - MAXIMUM ~ ,LNITS~~ <br />p4p# Oif#C#p'; 9t+I+7r#lR4 <br />d4~n <br />TYPE <br />VISUAL ' <br />a~iUbb ~ U U <br />E:F1rLU6Nr GRO55 YALU <br />r <br />~) <br />.t <br />k <br />-ems--= <br /> <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />..t <br /> <br />r ' <br />NAME/TISLEPRINCIPAL EXECUTIVE OFFCER' rCeniy under psnalyonaw that this document and aU edapnmenls were ~ <br />d <br />i <br />i <br />l <br />i <br />i <br />n <br />hd <br />pd4a __ <br />- - -- -'- __SELEflkiQNE- - -. '.BATE <br />' under my tlirect <br />on or SUpeN <br />s <br />on <br />n ncocrtlaoce w <br />L <br />ggystet <br />repar¢ <br /><i( <br />~o>BSare ltRtgoallA¢QpaFebnneTpm ery'~aiher and evaluate the lnlonnation ~~ <br />- A~ <br /> <br /> <br />~. GOr~OA Patera <br /> <br />submkted. Based on myinquiryWthaparson or persons wtw manage}he5ystem, ~ p <br />• <br />l7fr~~~~({+ol <br />OI <br />Y <br />DI <br />~ I <br /> orlhdse persons ~reylY responsibleigr Bafherlnp thtlkrbm>,ation <br />lheiNom~ation , <br />PreaLd t (~a}lartll DIa$i ar <br />~.~ g <br />' , <br />submitted is,tothe beet o(my krawledga§nd 4ellet, true, a4[;ureta, and complete. ~~ SIGNATURE OF PRINCIPAL, E%ECUTIVE <br /> <br />.rjY OOR PRINTED ~ lam aware that lhNe are signillcant penalties ror sobmining/also inbmtation <br />Jncwdin the ssibiL affina and im tisonmemforkYrowin viol 'onar ~ OFFICER OR AUTHORIZED AGENT <br />NUMBER. <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPI.AN.ATIONOF RNY VIOLATIONS(Re/evenca al/attachments here) - ~ ~ ~ ~_ ~ - ~ ~- ~ <br />I - <br />t55 s TOl~L•:FRON.LI-lI?S PILL BE-UAIIfEDe.AYD 5-E?'7LEAHLE SOLIDS LIMLT APPLIED <br />PDR <=1dSR.~~48R'PR $CI8 EYE'NT- <br />S,'E dUHDES I3P'PR60Y REQUIREMENTS UNDER I. A. 3. PEROI?T6E MUST <br />R $$ <br />: C ° M f <br />6 <br />! P <br />A <br />' <br />E <br />= <br />' ^ <br />- <br />---- <br />- TAKE ALL REASJNARLE lSE151fRES 40: <br />' <br />• R~DUCE PH <br />~~ <br />~ <br />-c-r•-,w <br />~ <br />~ 11 <br />E <br />S 5 5 E E ~ <br />N <br />! ~ <br />A~ <br />lD 9 lF9il~ <br />r <br />R g6 <br />iTtN ~ <br />8 <br />