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PERMITTEE NAME/ADDRESSpwaV4r FreWryX..rL«rraw(/DIQir+~r! <br />NAME _ <br />ADDRESS _ ._.,. <br />~. DOX 197 <br />-IQ CO 82626 <br />fACILfTY ,PPER MINE <br />LOCI1T10N , I G CO 81625 <br />-;YMOND G. DU BOISE PRES/GM <br />NATIONAL POLLUTANT OISCNMOE ELIMINATION SYSTEM (INPDESf <br />DISCHARGE MONITORING REPORT /OMR) <br />PERMIT NUMBER ascaMOE NuMeEn <br />MONITORING PERIOD <br />YEAR MO DAY Y AR MO DAY <br />FROM - TO <br />Form Approved <br />OMB Na. 2040-0004 <br />MINOR <br />tSUBR JC) <br />F - FINAL MOFAI <br />DISCHARGE TO SAGE CREEK <br />NOTE: R~~d k»tructloM b•/ate compl~tiRq thh tom. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FgcovENCr <br />of SAMPLE <br /> <br />TYPE <br /> µ~Y~y <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />!'~~ SAMPLE -. _,, !r-;~ -~ - i;.;t ;: _ .. <br /> MEASUREMENT <br /> PERMIT ####~.IS ~:: `:- =-r# ~ ::.: ~. is##### '-~. O ;L ..~i Y {~'G+i !. <br />•_,,_(~ ; _ : L: REQUIREMENT ~=- ~~ ;~ Mj-~i3-t°SIJi-~ - MAX I ~IUM <br />L~~~, TTL SAMPLE r .. _ <br /> MEASUREMENT <br /> PERMIT ###### #:~#~irir ~'- ~##### _ A (.~. _ J~ ~' ztt.=; 1r% <br /> ~tEQUIREMENT I ~ JU ' H':'v DA LY M t ;viL~NT!-1 <br /> SAMPLE <br /> <br /> MEASUREMENT <br />_' PERMIT # ### 3F !~ # ## # :: i ,' _ t•. r', l- <br />~_.U>'PJ i V. ,. REQUITEMENT ` I :il~ 3'lAX ~~i=fJT <br />. ., ,. i ~ SAMPLE , <br />~1 Rah + I'i>/( P:. MEASUREMENT <br />'. <br />~0 1 0 C) PERMIT ###### ###### ###### r - _ ',~ , <br />_UENT GROSS ~'~~' REQUIREMENT 30DA AVM DA : L1' htX ~ ~ , <br />_ .... SAMPLE - r <br />~(7L V r= D MEASUREMENT <br />'S 1 O PERMIT q; . •i''i C r. _r;~•.i' <br />UENT GRO`- fiEt1UIREMENT D~~ A~1C Ur-.ILY PiX I' ~:: <br />,_, _ SAMPLE f <br />%AL MEASUREMENT <br />6 1 C. PERMIT ~t_;~; ,~ ~ <. is : # ": -. ~ . _ .. ;: ~ -.~:~. ., _ . -. <br />';_;•:l .~:[?[1;..-. ;, REQUIREMENT INST MAX ~~; M[). t.. <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TTTLE PRINCIPAL EXEt:UTNE OFFlCER ' cfnllr . r pfna Ire •. mat thb doev menl ^nd di altachmrnb Overt - <br />TELEPHONE <br />-~ prtpartd Yrdfr n,~ dirttlbn or aper.illon In accardanrt rrlth ^ ftftem darned <br />DATE <br />s 10 asurt IAN ~YaAfkd pfrsonnel PfOpfA~ ~NAer and fralualf IM Intornslbn <br />~-/ / <br />~' ! <br />~ ~ <br />~~ <br />I <br />l <br />f <br />~ <br />_ ' <br />/ <br />/ <br />~ <br />, <br />soAmllted. seed en Ind <br />nqu <br />r7 o <br />uk Penon a prnwu -Ao mrn~e tl.e ryatfm, / __ <br />a Ihose persar dlrfcty repoldAk ror pIAMIr~ the In(ornutloea, lAe InlernuUen <br />i-'~- ,~ ~-.- I <br /> <br />! i <br />` <br /> <br />- % ~, /~ , aob~tled b, b Ifie Aat of m~ tnewLdtf and bteer, Iroe. accvrale. aM cvnlplele. / ' ~~ , • - ~ <br />610NATURE Of IRINCMAI EXECLlTTVE <br />IJfk <br />Nd <br />% ~ 1 <br />IAN Ih <br />• <br />l <br />f <br />f <br />l <br />f T <br />' _'; <br /> { <br />an <br />pen <br />un a.art <br />frr ar* <br />a <br />or ehmlttlnt <br />ahR <br />n <br />onnatloa. <br />TYPED CR PRNVTED 1'wYeln~ IAe poelElMl~ atone and ImpAronlnfm for tnowln~ rlNauolK OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION Of ANY VIOLATIONS /Rderenc• aJ/ •tt~chm~nta h~r~l <br />• ,': ~';LzLE SOLIDS LIMIT APPLIED EDP. ~=10YR, C4NR PRECIP >='aENT- <br />_ . _ .- - ~, MDNITORIh~:_ - I- ._ ~ ~TREAE. : ~i. .- ii?- <br />- ~, L>A i ~ Mllf~,l (t-if •r AVFRA~•t~ i-~li. _ =R ., i Ii; Rr=PCiR i !=i~~ - <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used- - - _'.. _ . ~_~j~;~e4-~y~;jpRp. PAGE ~Of / <br />