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PfRMRTEE NAME/AODRESSpneW.f«rYryX~./1.«rf«I/D(Qi.«r1 <br />NAME <br />ADDRESS r. 1 ; .:. <br />r~ O. BOX 187 <br />_ •, ` G C 0 61626 <br />FACILmr 'PER MINE <br />LocAnoN ; G CO 81625 <br />' .!fV f"11.IT I1 RI I Rr•1Tf^ nr.~r-c //1fY1 <br />NAnowAt ra~uT~r+T ascHAaoE EtIMINAnt7N srsrE~ //NPDES/ <br />DISCHARGE MONITORING REPORT /OMRI <br />PERMIT NUMBER ascNMOE NUMtiEt1 <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUiiR JC ) <br />F - 1-INAf~ <br />GiSCHARGE TO WEST HORSE G: <br />' NOTE: Raad If>"tluedofw b~fo~~ mpl~tinp this iwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ• <br />EX Ia1E00UFMCY SAMPLE <br />TYPE <br /> ~u+,tirsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ~ _.: <br /> MEASUREMENT <br /> PERMIT ~•#si••##-n •#-~•3t•#•## ~t##it•## ': ,fc =: ,. - '•!.°IT~. <br />~.;~Iy ~ sr•:J'. REQUIREMENT :~ !9!_'' f11':: '', <br />L75, TOT =• SAMPLE <br />=hlr;r=. T; MEASUREMENT <br /> <br />_ PERMIT f#::~•## ###-;f## .~ ~: >s~-u~•## ;L; 70 t':. >RFht3 <br />.. REQUIREMENT ~:f; ~ fi'•1.G k i • Y C'i k P'iC)i',i r; <br />. . - t._ SAMPLE ~- i <br />~ <br /> MEASUREMENT ~ ~ - ' <br />5 PERMIT 3t-it•#~~•~ •I<3t-iP ~~ = *~-~•x •~ '•' OP IONAt_ REPOR`f~ i'•l;~i.: ~ ;:="l~R <br />;,t~-,. REQUIREMENT 1 ~. A 1=Y'' i~ GkILY i'1X r ~~~i•aT;- <br />i i SAMPLE <br />•i~, <br />~ AS MEASUREMENT <br />1 <br />l ~_; PERMIT ~i;':, <. ~..;';i' ~. :rya: n'-a ; 3U{3~; 4;OOt7 NCE/ =FURL <br />iR0` REQUIREMENT ;:OLIA n~ ~. DAILY MX `- ~iil.~•T•F <br />~~REA'_ SAMPLE <br /> MEASUREMENT <br /> PERMIT i% .. ,. ~ _ _ _f :. rr - 1 ~j . . <br />11~ ,.. REQUIREMENT :. NS 1- MP, X <br />~, 1GU I T SAMPLE <br />_ _N7 MEASUREMENT <br />t; r~1 PERMIT 'r".:,•i_Ir'. , i~EPORT . , :~~-; ._ _ -, •~s-~:{#-rr# .!, ,=.^ <br />•ROS'~ '~; REQUIREMENT '. ;"3ILY i~X <br />-- - <br />- <br />`•A SAMPLE i •i <br /> MEASUREMENT <br />PERMIT ~~t•~; ~•~:: ;; ~ .. ;::a•Iraf-~'= , <br />AEQUIREMENT _ ~ : ~ = ~,VG DA IL.Y M:Y: ~ - <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER ' nr61r r er prn. y o i.: m.i mlr doallnent .I,a .x ut.chlnnln .ere <br />TELEPHONE <br />prep.red coder Ind dlrerllon a wper+ty« In .ecord.nte wlth . f)fteln de.l~ned , <br />DATE <br />to aware that qu.Nned personnel properll ptMr .nd er.Iu.te tht Infenrut{on <br />~ ftlerrllned. .fed on Ind inquiry of the person or penom who nun.te the fyftml, i ~ 'i - <br />the Infonlutlon ~ ~ :.~ ~~ /l/~' t = L... - _ _ <br />, <br />~ - w thmr <br />rnma dlrectl <br />res <br />oealble for <br />lherlrl <br />the Inlw+ution <br />_ <br />p <br />~ <br />p <br />p <br />x <br />, <br />/ ~~. ;•~ fabmltted b• to the Aet of IIry knowkdp .rtd eeNef, trw..rfvntr..nd tuvlpWe. ~ ~ ~ ~ .~ <br />t10NATURE Of -RINCMAI El(ECtfTIVE <br />~ ~. <br /> t ^In .+.re Ot.t there .re rilwnc,nt penNtla fm wrbmltnrrx hbr Infonlrrlon. <br />TYPED ~ pRpyTEp ,• Inc+wllKtheporemryotnne.ndl+Ipnfonrnrntror-nowlnx.+d.uw.~ OFFFCER OR AtlTHOR12ED AoENT CODE ~~R YEAR MO OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (R~l~r~nc• sN' ~ltachm~nt~ h~rtrl <br />- ~ - '',.E'LF' SOLIDS LIMIT ApPi_IFL'> F'iJR •`=10Ya, 24HR PRECIF FVEf•,?T-- <br />_ ,.- - _ .. TOR ING ~- i _ <br />EPA Form 3320-7 (Rev. 3199) Previous editions may be used. (_ ;~ ~ 1 i r-y~Tlj~aj8,~3-~~'®rm. PAGE OF /'1 <br />