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1'ERMRTEE NAME/ADDRESS pn.ia.AeWryN~//.ernlar yOlQfww.q <br />NAME uOl_iJWY!7 CUAL. CUNFAM•%, <br />ADDRESS l:Ot_GWYG MINE <br />5731 STATE HIGHWAY 13 <br />MEEKER CG 81641 <br />FACIlr1Y <br />LOCATK/N <br />AT"f N' J D. HARMIN, GL--NFRAL MAfJi=•Vcr <br />..~ i.ury` <br />NATIONAL POLIVTMT gSCNMOF FLIMINATON SYSrEM /NPDESI <br />DISCHARGE MONITORING REPORT (O RJ i" I ILIUf. <br />COQ043161 ci0q A cSUGF '.;C) <br />PERMIT NUMBER ~ ascNMOE NIr.AeEn F. - FINAL. hlQf'Al <br />~;MQNITORING PERIOD SEC 16 f QND TG GUL.U 5?RING CF <br />- ~ YEARI. ,MO~hDAY YEAR MO DAY. `.+'?t <br />FROM •'~.l•~Pli~' '• TO va an ,D; ,~*~'~' NO DISCHAR!:F I +>~+if <br />;~,~ NOTE: R~~d Imtructforr bdm~ eompMtinp >til~ 1mm. <br /> <br />PARAMETER QUANTITY OR LOADIN G +m ~ <br />Quality or Concentration ~"~ N0. NIFOUD1cr SAMPLE <br /> <br />EX of <br />TYPE <br /> MAXIMUM UNITS MAlrsy <br /> AVERAGE MAXIMUM UNITS ~~MINIMUM AVERAGE <br />OIL ANU CdREASE SAMPLE ~x k~'Pkp ( q4) /(•N•1FiFip tt +r stngtu~r +E~+r~+•c _ <br />V I 5VAL MEASUREMENT <br />ic; <br />.. a. <br />- <br />E~+066 J O O PERMIT' ?'*rilk# ;~_•~.:.'' • ' <br />, <br />. <e::,•: xc-h>; .;;gip?/.L't d~:~C!AI <br />LF'FLUENT GRGSS VALVI REQUIREMENT. :,:. ' .... ;.I3';'S:::, Ira? NG , - <br />:....... cr0`"-" <br /> SAMPLE ~ i' <br /> MEASUREMENT I <br /> ....PERMIT:: '. ~ .; . <br />,~~ <br />~ <br />~ ;....' <br /> :REQUIREMENT ~ ~ ~ ~ ~ ~ ~ <br />~ ~ <br />' <br />' <br />~ ~' <br /> :.. .. ~. '.s :.......:.: ... .. <br />. <br /> SAMPLE ~;~~~, _" <br /> MEASUREMENT <br /> -~~ :,q <br /> PERMIT ~ ~ ' <br /> REQUIREMENT : ~. y ~ ' <br /> <br /> SAMPLE <br /> MEASUREMENT .` <br /> "~ PERMIT . ~ ~~ ~~ <br />.. <br />.. :.. .. <br />.y ...., . <br />>:. . <br /> <br /> <br />.. <br /> <br /> <br />NEQUIREMENT <br />' <br /> <br />. <br />..': <br />G'. <br />. ~.~.: ~: w::~,v, <br /> <br />.. <br /> <br />.. ... <br /> SAMPLE <br /> MEASUREMENT <br />~ <br /> ~;:~-:~:~PERMIT ~. ...... ........:. <br />. <br />': <br /> 'REQUIREMENT. . .. ~..... ~ ' ~~ ..... <br />:.. <br /> <br />:. .. .. <br /> SAMPLE <br /> MEASUREMENT <br /> ~~.~' PERMIT ": .' .. .. <br />. ...: :... <br />... <br />~ <br />~ <br /> <br />~ . <br /> ~AEQUIREMENT~ ~ ~. .. ~.~ . ~ ~ <br />:::. <br />~ ... <br />' . <br /> SAMPLE <br /> MEASUREMENT <br />:. :. ..:. <br />: <br />' ' <br />: <br />~ <br />. <br />. .. <br />. <br />::_.~ <br />'REQUIREMENT. ~ ~ ~ ~' ... ' . .'.~ .: ': <br />' '.... <br />,. ,: <br />' <br />~ <br />r ttnnT un er pn. Ir w bw N.I Nb darumem nM al ulrn~nL. wrrt <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER TELEPHONE <br />prtPn^a under m}tlintaonwrvpnlpon In waordnnrt.Ith uphm adFKd /1 f/~ <br />DATE <br /> la mart IMI qunlllld prnnM prgedT plMr nM nNUtle IM Inrnrmnlbn ~ <br />I p <br /> <br />wlMlld. !sJ en m} Inqulq of Ur Anon a prom wM1O nunge IM gfrrm, ~ <br />~ <br />\\~ <br />YY~~ <br />ff(( <br />J <br />y,. <br /> <br />~~r D ~~'~ ll'~Ct <br />~ or IM1ar pram alraca} rupnwaUk fa ptMrln~ Ur Inrormwann. IM Informllnn <br />mUrrlind4, IalM1ebelofmTYro.Mare.naleprlrme..r++,nre.nnaavmpele. <br />Inm..nrtuN mrrtnrtf <br />Nnum <br />nrlnn fnr <br />b <br />ium <br />nMl <br />r <br />l ' <br />TT <br />( <br />~ <br />C810NATVRE OF MINCI-AI EXECIlT1VE l <br />C l ' <br />l/U 11/-l1/<L~J <br />GL <br />D I / <br />0 <br /> p <br />rv <br />n <br />r <br />n <br />nrnul <br />nn, <br />F <br />l <br />I <br />al <br />TYPED OR PRWTED nc <br />n <br />y rM pmtlenll}ornm.na lmParvnrrenl rortm.lnr.lel.uolu OFFICER OR AUTHORIZED AOEM CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA 7ION ur AnT vIVI.A TIONS lRr/~r~nc~N/~rtechminh hen) ' <br />SETTLEADLE SOLIUS LIMIT APPLIES ONLY IF ::=l0YR,24HR Ph'ECIF' FVFIVT IS CLAIMC-D. IF CLAIM APPROVED DY Wi3CD, <br />'f5S L< IRON LIMITS' WILL NOT DE ..°.PPLIED TO AF.PORTEI: MEASUF.EMENTS - SEE I. A. 2. PG 5 F"UR SURDEN OF i ROOF <br />~~ <br />~ Q /Ip TC„ CI~.MOI TM1I/'4 TAICTUII/~T T}lA1C r ~' ~ Qr~ /.. <br />EPA~Fwm'JJ20.1 <br />~ 3/99) Previous editions may be used. <br />•.QO084 ~.4This.is~a_4-part form. PAGE <br />OF <br />y ~ <br />'L ..a.-Iu hd WwirSLlronntwW4.,(q.TWlr..r1~.M~ * u_, Al N_.... r6Ll.i~i4Ml~'NT ~~~~4k'"Ff'ANi'lillyTwl•",IA~iv~u ~ ' <br />