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PERMITTEE NAME/ADDRESS(IwcbftFrYrry Nr+/Lor.ltaw lfD~Yrwu) <br />NAME <br />ADDRESS - - <br />fiOX 187 <br />~G CO 61626 <br />FACILITY =' P ER MINE <br />LocAnoN : G C O B 1625 <br />ti"MOIdD G. DU BOIS. PRES/GM <br />NATIONAL POLLUTANT gSCHMOE ELIMINATION SY4rEM /INPDESI <br />DISCHARGE MONITORING REPORT /OMRI <br />PERMIT NUMBER gSCNMOE NUMBER <br />MONITORING PERIOD <br />Y AR MO- D Y MO DAY <br />FROM TO <br />Form Approved <br />OMB No- 2040-0004 <br />MINOR <br />(SU$R JC? <br />F - FINAL MOFAT <br />POND #3 TO MIDDLE PYEATT GULCH <br />'. ;;; ' <br />NOTE: Read k+atrvcdtxn b~iw~ comptetMp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np, <br /> <br />EX FREOUENCr <br />of SAMPLE <br /> <br />TYPE <br /> ANavsle <br /> AVERAGf MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE _ ... ~ -,. x -< <br /> MEASUREMENT <br /> PERMIT ,. - - .. .J : t_t •. <br />. REQUIREMENT i'i I f•J T !•il: ^'~ - f'It,, XS M(Ji"1 <br /> SAMPLE ~-- <br />-- MEASUREMENT <br />•G 1 PERMIT ..... s~ .. .iK _~.i ~ ~ .,.. <br />tJENT ~:; ~r f~•`-~'-~ '• REQUIREMENT 1 3CiDA .=1`,31- I1F;1~.Y ':- .'. i'i •:; t1UNTH <br />-t SAMPLE <br />' j <br />/ ~ <br /> MEASUREMENT I ; <br />/~ <br />+S ]. 0 '-` PERMIT " .` ~ - -' ._ <br />J , L• <br />tJ1=N'f ~'.~5 '~-~i REQUIREMENT -• ~ 3y~CiFi ~riS1G DFIILY i'!X ~ - 's`iONT)- <br />. , SAMPLE <br />I , .. ,_. <br />I ~• I <br />- ~r.... -.. <br />~I ~~ _ .. <br />i rt:~ ~ MEASUREMENT ~ <br />. 5 1 G .~ PERMIT -. - , : ~ _ .~ <br />'=IUT GROSS REQUIREMENT ' 3U1`}A F.; DAILY r!X r•t=~~~~T <br /> <br />~'- SAMPLE ., <br /> MEASUREMENT <br />_ 1 (} PERMIT -sr - x it, <br />Utf~! : `- . . -. REQUIREMENT IP•1ST i t~•:X ~ : ~ i,•T <br />. ~ ,.!i• .~ ~ SAMPLE ' <br />TR i "-. ` •?ANT P i_ MEASUREMENT -_ <br />'_ O G PERMIT ._~ _ ~ :~ ; <br />~~ I'd i ~` . :-, REQUIREMENT 1CDA A LLY MX - <br />-- <br />.~, ~ SAMPLE _ - <br />a '.' - i_~ MEASUREMENT <br /> <br />' PERMIT .. `; ~ ;- .. .. .., -- <. : ~: , : -: <br />a ~ ~tEQUIREMENT .:~'.)I1A A',/t~ DAILY t^ X '•• . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 RA)) Y r pen. ry ,. thu uh daottewt end W etlYChmenla were TELEPHONE <br />PRPY^d ^neer mr direction w tupenNow In YccordYllR with ^ t~rtem dnl~rNd ; r' DATE <br />- to l'YR IhYI quYtlfMd personnel PrWr~7 ~elher end r~[Juete the InfornMtl(M / ' <br />r y. fobmltted. a.ee on mr Inquiry d tlx prrmn a grtom who rnYnYte the tyTttm, / ~ ~ '~/ <br />' ~ J <br />~ - or thttfr penere dlrectl. rnperdlir for puMrq ur fnlormYtlon. IM InrormYthtu !!!"' ~ <br />' <br />': : J ~ , . / .. <br />~ <br />' <br />~- fulmltled b, W tM left of rrry lnow4d~e Yr1O beaer, Iroe. ncavmr, End complete. ~ <br />~.~, . r - -. ""~ • I Ym Ywen uu urre Yre fl <br />niflnm <br />enalise for <br />lmlttlr <br />fY6e inr <br />810NATVRE OF /RINCNAL EXECUTIVE <br />•mYtf <br />.,t ~ - -i <br />.. <br />~PW ~ PRM~ITED ~ <br />K <br />p <br />w <br />ot <br />on, <br />InAudin= tM pofd Dllltr or flay atd ImpAsmtnrnt ter kno.lrq .leiatlgra OfFFCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPL.ANA l lUn yr wn r trwt.n 1 tvna'rrareianc• avr irocnmmra n~re/ HBL E SOLIDS LIMIT APPLIED FOR ~=1 OYR , 24HR PR EC I P EVENT- <br />, •• ~c_•~,i-~. - i:: f.,,._',ITORIt~ '- i' <br />EPA Form 3320-1 (Rev. 3199) Previous t3ditions maybe used. n f ~ r'; i6;a Z-~Qrii1, PAGE ~ ' <br />~_~ii_~±~.~.s <br />~-`- <br />