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PEAWME NAMElADDRESS (7mA-4n Fft-MFY m-- L«._rim dDO9 nw) <br />NAME <br />ADDRESS <br />LOX i87 <br />?G CO 8162E <br />FACILITY ' PER MINE <br />LOCATION G CO 8162E <br />%MOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM I/NPDES) <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE 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 />(SUBR JC) <br />F - FINAL I'IU A T <br />POND TO WEST PYEATT GULCH <br />NOTE: Reed k»1nlcdone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t) L) <br />_ <br />Ip'4f -,HL3t?-S VAL(.! REQUIREMENT MINIMUM MAXIMUM <br />.), .. ! . _ 77 0 I- E SAMPLE <br /> MEASUREMENT --_ ?_ <br />4 S 1 O PERMIT :. 0 <br />LUENT GRG` REQUIREMENT 30bA DAILY MX • " f`FUN <br />- - SAMPLE :. <br />? <br /> MEASUREMENT j?,? ?? •,' /;'? r. " <br />03 582 1 O PERMIT <br />EFFLUENT GRO`_- REQUIREMENT T.NST MAX *ENT <br />.. ; I <br />`" <U TREATME!.J Fi. -', `.' SAMPLE <br />MEASUREMENT <br />_ 1 <br />0 1 0 0 PERMIT ,. • . 1. IN h 11 <br />J'FNT GROt "+- L!. REQUIREMENT 30DA AVG DAILY MX ? <br />j,., •;: SAMPLE <br />T <br />- <br />l.. VED MEASUREMEN <br />1 O PERMIT s: <br />_ t t_ <br />F UENT GRO` REQUIREMENT = 30DA '.+ILY MX <br />E <br />M .._ _ L SAMPLE <br />M <br />N <br />V I SA- AL MEASURE <br />T <br />E <br /> PERMIT <br /> REQUIREMENT T MAX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITTLE PRINCIPAL EXECUTIVE OFFICER t `entry under pens Ir la" that this docvment end all attachments were ` TELEPHONE <br />Prepared. nder my direction or superel>lon In accordance with a system designed DATE <br />/ to a um that ooatleed personnrt property gather and eealvele the Inrornratlon <br />submitted. Bawd on my Inquiry of u» person or persons who manage the ,y.lem <br />or those perwar dlrecny responsible for gathering the Infor tton, tee Inroemadon _ <br />?' j <br />• . <br />, r <br />- submitted K to the bet or my know edge and better, true, accurate. and complale. <br />- ? . ... <br />SIONATIME OF PRINCIPAL EXECUTIVE <br /> I am aware that there are slgeFrkaof penalties for mbmilting raise Intomnallon, A <br /> Induding the pooiblttty orene and Imprtsonment for knowing ablation OFFICER OR AUTHORIZED AGENT CODE NUME3ER YEAR MO DAY <br />TYPED OR PRINTED _ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reforence a# •rucnmonrs norol <br />E3F t? E =ABLE SOLIDS LIMIT APPLIED FOR C=10YRn24HR PRECIP EVENT- <br />. <br />? <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. O,,)q Tf1ll9jPAGE OF