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PERMITTEE NAME/ADDRESS flanla rFarW(y Nth-WLxsrlow((D(Q4rens) <br />NAME <br />ADDRESS <br />LU:' <br />ISADE CO 81526 <br />FACILITY DS I DE NORTH & SOUTH MINES <br />LOCATION aR PALISADE CO HIS26 <br />:-=SON L.. KIDDER, V. P. <br />NATIONAL POLLUTANT DISCHAROE ELIMINATION SYSTEM I/NPDESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YE MO, I DAY- <br />FROM TO <br />Form Approved <br />!I NOR OMB No. 2040-0004 <br />SUP <br />r 1 rah AE <br />OADSI DE C34 TU COLC)RAi)u R I V <br />NOTE: Read Instructions bat ore completing this tam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT - „ MAX I M? 'n <br /> SAMPLE <br />-NDEA MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br />7A I L'v Iiix <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> <br />_ °. PERMIT <br />REQUIREMENT <br /> <br />x. <br />" SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> PERMIT <br />REQUIREMENT L Y <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />CIRTR MAX <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> <br />NAMEf"TLE PRINCIPAL EXECUTIVE OFFICER I rertmy under penalty o aw that this dolvnaenl and all attachments were <br />l <br />TELEPHONE <br />DATE <br /> prepared rnMr my direction or mp. w <br />lon in accordance with a system designed <br /> <br />Q n ?( Cam to aauce that Quallned ptrsannel propeAy gather and evaluate IM Infaerne0" <br />submitted <br />Based on m <br />In <br />uir <br />or the <br />r <br />n <br />h <br />t <br />. <br />} y <br />q <br />y <br />pe <br />. <br />so <br />or pen w <br />o manage <br />he system, <br />- or those persona directly responsible for gathering the Infor ,nUon, the Information 7 <br />}C e . l aubrdUed I& to The best of my knowledge and beller. true. accurate, and complete. - - <br />I am ¦ er that there are egdnrant pen.Itks for submllnng false Information <br />SIGNATURE OF PRINCWAL EXECUTWE ! ; <br /> , <br />TYP£D PRWTED Including the possibility of nm and lmpresonmrnt for kno ing rlolatkn OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRtdsrsncrr ail sttechmonts hsrst -AL SUSPENDED SOLIDS (TSS) , TOTAL IRON AND! Of <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used Th-, tS 3 4-Part form PAGE OF