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PERMITTEE NAME/ADDRESS pneludeFMllry Nmne/lnmrlon ijDigeren9 <br />NAME T;lAPPEk MINING, INi:• <br />ADDRESSTiiAPPEP, nTNZ <br />P.O. kfOY 187 <br />fACIUTY `1tAIG ~ CU 81625 <br />LOCATION ~ , <br />NA710NAL POLLII'TAM DISCHARGE EUMINATON SYSTEM (NPOES) FOrm ApprOVed. <br />DISCHARGE MONITORING REPORT (DMA) OMB NO. 2040.0004 <br />,~Iyor, <br />(BUSK ti4) <br />^ PERMIT NUMBER DISCHARGE NUMBER p - FINAL <br />MONITORING PERIOD !'OND TU BEST P[F.ATP GULL: if <br />YEAR MO DAY YEAR MO DAY <br />FROM TO 'ya<` 4J DISCfiARG£.-~(. ~'#¢ <br />";I~'AT <br />h 1 anc R• w~nuvN r-e rr.tt5, r'Hts/t,en ~c;~ - r .:,~ ~~~ ,~,....,..,~~.,~,.,. ,,,,,,, „y,,,,,,,,,,,,, <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FaeouERC SAMPLE <br /> PARAMET <br />R EX oP TYPE <br /> E AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> x i SAMPLE ~a4sau ¢#;1464 r, ¢;: n:y ~: ( 17) _ <br /> MEASUREMENT <br /> U740U 1 D U 444 ~ ~ " <br /> <br /> <br />i:Fk'LUEtiI ::ROSS [ALU <br />644{+ <br />t <br />Mt x:f <br />~ •: r" + + '-~~ ~ . <br />- t" <br /> <br />~l <br />J <br /> .;JLIDS, TOTAL - SAMPLE '}o4n4o 4"PCpm dd4r•=~ ( lr?) <br /> S U S P E 4 D ~ U MEASUREMENT <br /> o ~t y 3 0 1 u o 4=:, K= ~ ;#~~~ ~t _ <br /> c:FfLUdtIT GRO5S [A-LU x•~ <br />" 4Yi;r4 `~~ ~~r' •~ e ke <br />• <br />, -~* <br /> :;CLID3, SFTTLEAdL£ SAMPLE r:uaaa•x or,.: <br />x4trx _ uC~y,y•: ~ <br />1~) <br /> " MEASUREMENT 1 <br /> J')~u~ I J U <br />~~~ "r4T '~ <br /> 6'FFLUENT GkOSS YALU ¢4~<a ~ <br />c ~~~ ' ~ ~''~~ ,~ ryL L <br /> IP.JN, TOTAL SAMPLE 'r:4asae 44 ar}a Yt4 49r# ( 13) <br /> (AS F'S) ~ MEASUREMENT <br /> IilU45 l U 0 4 <br /> E6'FLUENY GkOSS YALU 44 9G/L ~' <br /> OIL - ;GREASE <br />~ 'SAMPLE ~ 244~4t4 OIFO a#"iRPO 44#,x4# ( 19) <br /> ..•~~= <br />rc MEASUREMENT " ~ - <br /> D3s,a~ ~. ~.. ~;D , o ,~ ~. <br /> bPFI,Bfl61 CHD$S fA:L6i 604. a <br />~ ;SG L ^' "'.,_ ~" <br /> Flt,. M`,'. IN CDHDO T `0$ SAMPLS - ( 03p. 644x.4'} :14161 0 0 4 4 n4:}:}44 <br /> T!!HU Y.FlLAT!lENT PLAN MEASUREMENT <br /> ~OU9U. I U U #a# <br /> °PFLUEIIT GRDSS YALU fiGD °-€.`~~ -~ ,,-' ~ -t` " . #4#>:: <br /> 30LIDS, TOTAL SAMPLE a4ara ¢a444u 6644+}:} ( I9) <br /> DIS50LYED <br />- MEASUREMENT <br />"y <br /> ~0 <br />arfLUeNr ckoss vAiD <br />~n"#o <br />>f,. <br />r"~ : <br />. - <br />nG <br />-~ <br /> NAMFJTITLE PRINCIPAL EXECUTIVE O FFICER ICendy <br />re <br />are under penalty of law Nal <br />d antler m <br />direNOn or s Nis document end azl azla <br />ervision N ecoordanc <br />u <br />w chmeMS ware <br />dh a s <br />stem tl <br />netl <br />i TELEPHON E .DA TE <br /> p <br />p <br />y <br />p <br />y <br />e <br />es <br />g ° <br /> b assure lost quaNfied personnel prapeny gather end evazuaze the IMomrelion <br />W. Gordon Paters <br />~,e..f G <br />70-824-4401 <br />00 <br />lb <br />24 <br /> aubmlbed. Bmetl on my Inquiry of the person or persons who meroge Ne system, <br />President/General Manager or NOae persona okecdy responsible br gathering Nelreormetion, the Monnmlon . <br /> aubmitletl is , m the beat of my knowledge end belief, Ina, accurate, end complete. <br />re th <br />r <br />e al <br />itti <br />r <br />I <br />t th <br />e <br />lfi <br />M <br />nazti <br />ro <br />b <br />f <br />l <br />iM <br />s SIGNATURE OF PRINCIPAL EXECUTIVE <br /> gn <br />sm awa <br />e <br />e <br />r <br />ca <br />pe <br />ea <br />r su <br />m <br />ng <br />a <br />se <br />o <br />a <br />me <br />on, <br />TYPED OR PRINTED <br />including the oovibllNV Ol fine entl lmodsonmeM ror lmowino violations. OFFICER OR AUTHORRED AGENT <br />cnnc <br />NUMBER <br />YEAR <br />MO <br />DAV <br />f.OMMFNTR AND FXPIIWATION OF ANY VIOLATIONS lRetemnce all affarhmwnts.heral <br />CSS t: TOTAL <br />~~E BURDEN IRON LTUITS WILL NE <br />OF PROOF RE4UIRolIENTS dAIV£D, AND S£TTLF.AHLE SOLIDS <br />UNDEA I. A. 3. tD5 ?IONITORING LZ~IIT APPLIPD FOR C=l0Yk,24N4 PRF,CTP EV:;'NT- <br />- L.8.3. OIL 6 GREASE - 3EE i. B. 1.(U). <br />EPA Form 332b1 4) revious Itlo s maybe used. a IS 1 PART FORM <br />DD324/00071~-1~~~ PAGE OF <br />1 <br /> <br />