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PERMITTEE NAME/AODRESSp~.rrbF.ewryNw/Lx.nanl/DIAr"b) <br />NAME <br />ADDRESS ' <br />BOX 187 <br />- "TG GQ 816 <br />FACILfTY ~ NPER MINE <br />LocATaN .. ' ...t ~ G O 816 <br />;.;YMOND O. DU DOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SY4TEM NPOFSI <br />DISCHARGE MONITORING REPORT /D R/ <br />PERMIT NUMBER ascHA-wE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040.0004 <br />MINOR <br />~ SUDR •~C ) <br />F - FINAL MOFAT! <br />D5CH6 TO E MIDDLE FLUME GULCH <br />~, .- <br />NOTE: Reed kt.tructloM boforA eomphtlnp thb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FflEQUENCr <br />of SAMPLE <br /> EX TYPE <br /> ANALr~s <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />;~ i" c;r SAMPLE - ~% :- I / ~ ~~I <br /> <br />UREMENT <br />E <br />r . <br />V '' <br /> M <br />AS , - <br />U PERMIT ~'#x#-~# R P k _ ;:i #### ,'~•~ststirtr ####3F# ~~~=~ --~-r.'_ <br />• -• REQUIREMENT I N5'C MAX i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/T1TLE PRINCIPAL EXECUTIVE OFFlCER ' ren'l) " r Pe""r ° 1•~ lMC Ihh dorvmtnt end .n .u.cbmenu.ere - TELEPHONE <br />prep.ntd ruder inT dlrecllon or ,uper.ilon In .ccord.nte wllA . ryslem dt>d[ned <br />_ to an"rt Ih.l ~".Ilikd perwnnN PropeA) [.Mer .nd rr.lu.le IM fnfernrlbn /~ <br />~ <br />- <br />/ DATE <br />' ~ 1 ~ srbmllled. ^rred en ~~ Ingrlry or lbe prrson a pertnn, wbo Trnr[e lbe e~riem, / <br />v <br />~ ~ <br />is ~ <br />"' <br />~ <br />- <br />.- <br />- ' <br />C,y <br />°r Ibpee penom d)rec1M respordbk for plherln[ Ue Informrllen, the lnfornrllon /// <br />c <br />~ - <br />:' <br />' <br />~ <br />. , <br />~ <br />i , ~ w'brnllled h. to the brse o! m7 tnewMd[e .nd belMf, lrw, recvr>r1e. rwd eanp/ete. , . _ <br />{IONATURE Of MINCI-AL EXECtlTiVE <br />1 <br />~ ' ~ _ <br />. <br />. <br />~ <br />/ I .In.wflT Uul Ibfre rR d[nlflrrnl penaMn ror Mbmlltln[ r.he Inronertkrl, <br />TYPED OR PRINTED Inrlydln[ the porlblYl~ or Arend Imprlsen~nent fa knewln[ rld.Uent OFFICER OR AUTHORIZED AGENT CODE NuMEIER YEAR MO DAY <br /> <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRd~rsncA sN iKAChmAn~: h~r~/ <br />_ ~ ..;: I_;. aPt_I' S©LIDS L?MIT APPI_IFD FC3R ''-10YR, ~4HR PRECIP E'JFP•!T- <br />EPA Form 3320-1 (Rev- 3199) Pn3vious edlbons maybe used. _ ~ , . _ - ~ - , , -, T~1S1~;1;4-~~.,COrn1. PAGE OF~~ <br />