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PERM(TTEE NAME/ADDiiESS p~r!«rbryx../Lerrrew UDIOGe^U <br />NAME <br />ADDRESS <br />;;~~x ~+ <br />JIA CG 81428 <br />FACILRY ~ ~ Nfl. ~ MINE <br />LocATION '~i I A C 0 81428 <br />._LIAM A. BEAR .1R.. MINE MGR <br />NATIONAL POIIUTANT aSCHAAOE ELIMINATION SY5TEM_ fNPDESI <br />DISCHARGE MONITORING REPORT /D R/ I`l I NOR <br />~UBR MH > <br />PERMIT NUMBER ascHAROE NuMeER ~ - FINAL <br />"":ENE DRAINAGE <br />MONITORING PERIOD <br />Form Approved <br />GMB No 2040-000G <br />"f0 GUNNISON RIB <br />Y MO OAY YEAR O D Y <br />FROM TO <br />NOTE: R~sd Irntructforr bstor~ compl~tir>y thb form. <br />LTA <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FaEOLrENCr <br />of SAMPLE <br /> EX TYPE <br /> ANAlrsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -:: ~. .. . x .. ti. <br />- - REQUIREMENY MIN 1 PSl11Vl MAXIMUM <br /> SAMPLE <br />' <br /> MEASUREMENT <br /> PERMIT ~ , .., <br />~ <br />~ , <br />i';;~': REQUIREMENT r <br />30DF, !~'..~ Pt'; <br />l._`! MX 't hi(11~ l <br />i-i <br />" SAMPLE ~ r , <br />• ~ -~ '~ MEASUREMENT <br />`~ 1 ~ PERMIT ~ - ~ <br />._ - ,, <br />~ <br />I;: r -:c• p~-; REQUIREMENT SODA A'Ji~ EJA I LY i`IX !''iClld f <br />t-i <br />;.. _ . SAMPLE <br /> MEASUREMENT <br />- <br />r. <br />. PERMIT _. ~ :- ~ <br /> <br />:.'.. r _ ' ~•:,: <br />REQUIREMENT <br />;; ~.i_ _, j ~,.',- i <br />~?AX t>F1VT <br /> SAMPLE <br />''~i ` ~ ~ ' MEASUREMENT <br /> PERMIT •- - _ <br />l .l.lEi~l i ~~ ROB :-• '•-':~'•; REQUIREMENT JDA A4,- r^, I LY MX . <br />r ~ _~ ~ - SAMPLE ~ ~ • <br />'AL MEASUREMENT <br />~ PERMIT - - _ ES ~ _ <br />~` `- REQUIREMENT I NST MA3{ ~~ :,_ <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER t recut) " r Pen. ry o I.w m.t tnlr eorumeet .na .u ut.cnrwenu were TELEPHONE <br />prep.rtd coder m) dirertbn a wyet+hiow In .cterd.nre wllh . s).tem daf~ned DATE <br />Io more tn.l qu.nned penowwei praptA) C.tner •nd e•.lu^1t Ine Infnrm.lbn <br />~ <br />wrbmltted. Sutd on m) Inqutr) of tM W^at a penero woo tw.n.Re Ine totem. ~ ~ <br />,. <br />'• <br />~' - <br />or tno.r ptnexra dlrettl) roporttis4 for ~.UMrK the I.form.llo., tht Inforrrrl{on i <br />- <br />~ ' <br />tubMlted ~ to the Sell of mt t.ewkd(e .rd Selkf, itvt, .rctlr.le, •nd rnmpkle. <br />_ <br />IONATURE OF -q~NCt-Al EXECVTT/E <br />r <br />R ~ = <br />i <br /> I ... ^w^re tA.t tner:.re dp <br />nra,rt Pa..lnte for wrSMtn.i nice I.rorm.tle., f A A AY <br />TYPED ~ ~p~~ Inrludln= the po.delny or nwt.oe Irtrprltoomem roc r,w.l.i .rot.uatt. OfFICfR OR AUTHORIZED AGENT CODE NUMBER YEAR MO D <br />COMMENTS AND EXRLwn~ I Ivn yr nn e <br />In~r~rmc• mr wr~wr..rrr r.w rr.r ., <br />JNSTRUCTION <br />EPA Form 3320-1(Rev.3199)Previous editions may be used ':-`04TH1OT~!~.'Ki.'A4-)~1'Q.~9>T11• PAGE <br />