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FERMITTEE NAME/ADDRESSpwr`IrF.eyYrylrw/toe.rre^UD(0~+^U <br />NAME . <br />ADDRESS ._ - ~. <br />~- o. Box 187 <br />~~'RAIO CO 8166 <br />FACILITY ~i RAPPER MINT <br />LocATIONCRAIG C0 81625 <br />' i~dVMt•tRlf> f'+ Tll t 1]f7T~. PAF~ /!~M <br />NATIONAL PODUTANT OISCHMOE ELIMINATION SYSTE7d IIVPDE$1 <br />DISCHARGE MONITORING REPORT (O Rl <br />PERMIT NUMBER DISCHMOE NUMeEtI <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO - <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />JC) <br />tSUBR <br />F - FINAL MOFAT <br />POND ~F3 TO f~f I DD L1= PYEATT GULCH <br />., j.<' <br />NOTE: Reed Irwt-uetlorw (>+1ore compbtMp fhb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCr <br />OF SAMPLE <br /> <br />TYPE <br /> ANALysls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />"L ~ . cA: _ SAMPLE ~#~- :-# <br /> MEASUREMENT <br />~~ PERMIT at at#~I-#+~ RrPC3RT ####:: , #~k.; ;< ~ ~s~~ ?hJCE/ ISU <br />-. REQUIREMENT IN8T MAX ~-~' : MON'f <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ <br /> REQUIREMENT <br /> SAMPLE j , i ' <br /> MEASUREMENT <br /> PERMIT <br />REOUIREMENT (\ ~ J <br />U <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT 1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PER MIT <br />REQUIREMENT <br />NAMERiTLE PRINCIPAL EXECUTIVE OFFICER 1 cent r r r pen^ Ir 1^w i~^t Ihb davmenl •nd ^N .It^chrrmv wrr. - <br />TELEPHONE <br />DATE <br />prrp•r.d under rnr dlrecllon or ^upenhllon In ^ccord^nre wtlh ^ ^7^eem darned .! <br />: <br />to ire tAN ou^NMd prnonnel propeAr ether ^nd e•^lu^le IM Inrenn^Ibn ' <br />/. ~ ^rlMlled <br />!^^ed on enr In <br />ui <br />of the <br />erson ea <br />ers^eu who nwu <br />thr <br />^tern <br />i <br />/~ <br />q <br />ry <br />p <br />p <br />p <br />ry <br />. <br />, ,/ <br />er tho^e persewe direttl. rtepeedbk for plherln~ eK Infonn^Ilow, IM Inform^Ibn ~ <br />'~ / ~-~ (./ ~`"~ ~J -~ ..~ ~~ ~ ~ .~ <br />/ _ susrnllled Is, b the flat o! m~ \newted~e ^nA Setler, Irre. ^ccunle. •nd mmpW. ~ <br />iIONATURE OF -RINCtrAI EXECUTIVE ~ <br />f <br />rk <br />-' _"~ ~ ,_ <br />, <br /> - ^m ^w^re ee^I Ihers ^re e <br />~N <br />^nt penNllas for ^rEen1111M f^tee lnkam^tlen, <br />TYPED ~ PRATED IndWInE the pa^rE1M1~ of fl^e ^nd lenprf^onenenl lea knowing .1d^uerei OFFiCE11 011 AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA 1 Ivry yr nn r vw~r-1 tuna Inererence •n •rwcnmmra never <br />c;-~ ~. ~ ~~BLE SUL_IDS LIMIT APPLIED FOR '=10YR, ?_4HR PREOIP EVENT- <br />EPA Form 3320-1 (Rev. 3199) Previous editions maybe used. J is 1 9 2 i i ~~1~&i~4-~;fQRil. PAQE OF ' <br />~_~ <br />