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PERMIME NAME/ADDRESS(7nd6&Fw&oyNomWLocartar(/DW wst) <br />NAME <br />ADDRESS <br />P. 0. BOX 167 <br />?G CO 81626 <br />FACILITY -PPER MINE <br />LOCATION I G CO B 162S <br />,/Mrlatr% r% ne a nr"I ,c 00== inM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPOES) <br />DISCHARGE MONITORING REPORT (DMA) <br />?r1 <br />PERMIT NUMBER DISCHARGE NUMeEw <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form APProved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR JC) <br />F - FINAL <br />POND #1 TO UTE GULCH <br />MOFAT <br />NOTE: Reed Irlstructlorle bofw• ccmpibt" thib form. <br />U <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX ALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS AN <br />P., f SAMPLE K > x <br /> MEASUREMENT <br /> ' 11SUA <br />1 O PERMIT ###### REPORT ### # ? ##### ### #? :. NC <br />NT GROSS '. REQUIREMENT I NSI MAX MDN r 1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,l <br /> REQUIREMENT _ / <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT II <br />1 f <br /> <br /> SAMPLE t <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 />NAME/TITLE PRINCIPAL EXECUME OFFlCER 1 cemly under pers. t7 ° lam that this docunrnl and ap atbdtments were TELEPHONE <br />prepared under my direction or supervision In sacordanre with • system designed % DATE <br />to assure that quonned personnel properly gather and evaluate the Information <br />bawd on my inquiry of the person or penmen who manage the system. <br />submitted <br />. <br />- - or those persons directly RespensIble for gathering the Inforntatloq the Information " - <br />or <br />, ? <br /> <br />- <br />submitted I& to the best of my knosrkdge and belief. Irma, aecmnte. and complete. r <br />TURE OF PRINCIPAL EXECUTIVE <br /> i am aware that there see signlfkaot peaalctn for submitting ralw Inrormatba, SIGNA AKA <br />NUMBER <br />Y <br />AR <br />MO <br />D <br />TYPED OR PRINTED Induding the poasiblgty of fine and Imprfsunmrnl for knowing Nataeosd OFFICER OR AUTHORIZED AGENT COOS E AY <br />COMMENTS AND EXPLANATION OF ANY VIOLA 110145 (lferoronco off •rrocnmonrs norof <br />?L?_ iBLE SOLIDS LIMIT APPLIED FOR=10YRr24HR PRECIP EVENT- <br />_ i,JIREM,_.- . ;:)S MONITORING - I. B. 2. <br />EPA Form 3320.1 (Rev. 3149) Previous editiorts may be used - T?U&?6}ffi4-Ortn.