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KRMITTEE NAWADDRESS Ondrir farWyXaar/t?eaerem I/D(Qwwer) <br />NAME <br />ADORESS <br />J. BOX 187 <br />,IG CO 8162E <br />FACILITY UPPER MINE <br />LOCATION I G CO 8162=_ <br />+YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE EUMINAnoN sysTvA WIDESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHAME NUMBUt <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 MOFAT <br />POND #2 TO EAST PYEATT GULCH <br />NOTE: Rood Instructions before completing thb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENcr <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />? <br /> MEASUREMENT J' -VIL <br />' <br />6 0 PERMIT ? ?} >f sl ?t al REPORT <br />=ROSS REQUIREMENT I 04 <br />1-1 ' T MAX <br />- C) <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER t "r"" u cr pcn¦ q o law that U <br />pre <br />ared under my direction or mp b document and all atlatherenU weer <br />-hilon In accord,nce with a system designed <br />/ - <br />TELEPHONE <br />DATE <br /> p <br />to am" that qualified Personnel Properly gather and evaluate the Information / <br /> <br />J submitted. Based on my Inquiry of the pasoo or Persona who a age the system <br />or those person directly responsible for gathering the Information, the Information <br />f wabmttied b, to the best or my ke lydte and belief, Ime, accurate, and complete. <br />RE OF PRINCIPAL EXECU TWE <br />N <br />T ?^ <br /> I am aware that there are significant penances for mbmittlng false Information, A <br />U <br />F SIG A A <br />TYPED PRINTED ? Irechrding the pneabiuly of nne and Imprisonment for knowint vtalaWrmi OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference &d ettechments here) <br />.-ABLE SOLIDS LIMIT APPLIED FOR <=IOYR,24HR PRECIP EVENT- <br />:... _ i'IFJ ,J I TOR I NG - I. B. 2 ) i ` sa r_ASE - SEE 10. <br />i i(,i+Fl; T MOINTHI Y AIIF ;k I F i fln ..-PnRTFTi <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. PAGE 9FC