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I'ERMITTEE NAMElADDRESS(/we~ilFeefbryN.s.iLxr,etrl/DIQGrwr) <br />NAME <br />ADDRESS <br />C. 80X I B7 <br />?~~IG C0 81626 <br />FAaLm 'PER MINE <br />LocanoN ~ G CO 81625 <br />• ~'MOND G. DU DOIS, PRES/GM <br />NATIONAL POlltlTANT gSCHAROE EiIMINATION SYSTE7.1 /INPDESI <br />DISCHARGE MONITORINQ REPORT IOMR/ <br />PERMIT NUMBER gscNAaoE NuMeEn <br />MONITORING PERIOD <br />YEAR DA Y AR MO DAY <br />FROM - TO <br />F•urm Approved <br />OMB f•!o 2040-0004 <br />MINOR <br />(SUER JC) <br />F - >:INAL r~ol•aT <br />POM1ID #Z TO EAST PYEATT GULCH <br />NOTE: R~~d InetrveMor>. b~tor~ compbtlrtp thb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />of SAMPLE <br /> <br />TYPE <br /> ANA~YSfs <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEN <br />A <br />UR • ~ ~ <br />r1 F <br />_ <br />d I ,_ a - - <br />r; <br /> ME <br />S <br />E <br />T r / , <br /> PERMIT - - - tJ -... r•:_ <br />.; c +~ ~ L. r REQUIREMENT - Y I'I I N I MU r: MA X I MUr1 _ <br />' SAMPLE ~. :.. <br />.- <br />~ ~ i - <br />~~PENDF:. MEASUREMENT ~ r. ( , <br /> PERMIT .. -,~ . ~ ~ <br />iGC <br />i <br />" <br />'1~% ~ <br />GAIL•r I'iX ~ ~ <br />i•i~_l <br />`TH .r <br />•~.rt':~ i~ ~~; REQUIREMENT ~ r <br />; <br />) ~ ; <br />_. ~ ..- ~ SAMPLE <br />NT <br />S <br />R <br />M ~ . , <br /> MEA <br />U <br />E <br />E L ~ --_ , : ~, . , <br />~ `~ PERMIT ~ ' r~.. _, 'tr <br />. - FJl .=R C;` REQUIREMENT 3i~DN r'=`••'~ DAILY ItX i'~_i__ f~iQi•JT~ <br />L <br />S SAMPLE <br />SUREMENT - <br />'/ <br /> <br />~ ~ <br />/ _ - <br />%~ <br /> <br />: <br />(A <br />F MEA ice, ~ <br />S 1 PERMIT -..... j ~??:- -, <br />1 UE' REQUIREMENT ~+~ DN r • . '-: `'~,=~ I LY NIX ~~- . `-IOPdT! <br /> MEASUREMEENT ~','/'f <br />/i <br />/ % //. <br />I/ ~;4 %, <br /> , <br />;~ C' PERMIT f-~ <br />':•J., ~~~~ Jr~~ ',:: i ': REQUIREMENT INSI' MA'i ~ ; •~t `~'T <br />~•. •~t ~Vi <br />-r ;.cl.t r F' <br />: <br />• <br />' SAMPLE <br />EASUREMENT <br />~ _ <br />' <br />• <br />A <br />_ <br />. <br />I Rk M _ <br />1 _ <br />I r <br />. <br />^' r- t~ PERMIT ... -.~ - . ., , ;. , - _ r <br />~~ GROSS `:- _. REQUIREMENT DAILY MX - <br />- <br />-~ - <br />r SAMPLE <br />MEASUREMENT <br />( /: <br /> ~ (~ ; ., <br />PERMIT ,... ... .. _ . _ - <br />AEQUtREMENT 'i~~DA AVi; DAILY ~1k <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' n"IIy Y ` pe"' Iy ° I,. Ih.l tAll dOtumt"/ .nd w.n.cnmenu were TELEPHONE <br />Prtps,ed YOder my direcibn Or suPenlslon I" .cc'ord.nce wlth . syttem dOl[exd <br />10 slYR ItiM ~YeNOed Penennel P~"7 [atAtr .nd tr.lY.lt IM IMOnna11o0 / ' ~ - I .~ <br />/ <br />~ DATE <br />A/ (_ _.!.: r ~ wlbmltted. SI~<f oe m7 Inquiry Of 111e Otrso" or Pendls wbo nrns[e [At system. ` -` ~ <br />-.'..~ ` <br />~ ~ "'t-'~ <br />. <br />~ <br />~ / <br />' or lhost perssm dlrattly rtspo,dbk fa ptAerttK IAe InfoemeUow, the Inforwrtbn // vV ~f J.. <br />/ ` <br />~ wbmllled b. t0 the bell °f my knewW[e snd bcltef, Irw, attYnle, .tld comPkle. ~ , ~' `/ !l i ~ i <br />d <br />itONATt/RE OF -RINCt-AL EXECtlTNE ~ <br />' -' ~ ~'%~ ' I <br />Ib <br />b <br />Nrk <br />t <br />t <br />f /~ 4i' <br />! ,: . -- <br />r - <br /> .m esee <br />n I <br />err.re I <br />[ <br />an <br />pendNa for wlbml <br />tln[ f.be In <br />otwrtlow, <br />TYPED OR PRINTED IntfYeln[ the po.Ibluly anne.na Imyrlsonmmt r°t knOwl"[ rtol.Han 1)fFICER OR AUTHORIZED AoENT CODE NuMEIER YEAR MO OAY <br />COMMENTS ANO EXPLANATION OF ANY VIOLATIONS /Rtrl~r~nc• ~Il •ftachm~nls h~r~/ <br />~~ `-- -. '. ::~LiLF G17L.IJ5 t_TMIT AFPI_IED FOR ~=10YR: 24HR PRECIP EVENT- <br />r 3 ~_' i i ~ ': ~ ~ OIL ~ < Wit'-; '-- -- ; i F - r .. _- <br />-~ r~ ~ e~ i~b i f`i~r+4 i i-~i~~r r+`•~~Flr'~b ~ i~1~R tl'~ ~ `- - - <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. i~!;•c:. ~ ~ i:~?~!~~a; a'.4'Q~j"~jQEfil• PAGE _OF ~ <br />C'~ -- <br />