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IsERMITTEE NAME)ADDRESS (Yod-& FarOry NwodLaearlan (/D(fwav) <br />NAME <br />ADDRESS <br />BOX 1B7 <br />.IG CO 6162 <br />FACILITY r5PER MINE <br />LOCATION f G <br />ww I'\w a? co 8162 <br />n n1 ? flel*r+ nrlrn /Ah! <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPOES) <br />DISCHARGE MONITORING REPORT (DMR/ <br />PERMIT NUMBER DISCHMIDE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEA MO DAY <br />FROM TO - <br />form Approved. <br />OMB No 2040-0000 <br />MINOR <br />(SUBR JC) <br />F - FINAL MOFAT <br />DISCHARGE TO HORSE GULCH <br />r ? <br />NOTE- Read Ir»tructlorw before complet" 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 T :, .. <br /> MEASUREMENT <br /> / %UA <br />1 0 PERMIT ##aa#;t REPO ii a # F # it st ii ###'? NC . <br />i_+JENT GRO` REQUIREMENT INST t1AX MC7N <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE i <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br />hc? t <br />? <br /> SAMPLE 1 <br /> MEASUREMENT ; i <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER i "rttry ¦ ' yen. ry Maw that this document and all ¦Itachmenu were TELEPHONE <br />prepared ender my dlrertton or superelsion In aceordsn with a system designed DATE <br />to inure that sloaMfled Personnel peopeAy ether and evaluate The Information <br />.. ! . L?. submitted. Based on my Inquiry of the person or Persons who mans=e the system, <br />th <br />Inro <br />allon <br />tl <br />es <br />ibl <br />f <br />the <br />i <br />th <br />Inf <br />ti <br />n <br />di <br />rec <br />y r <br />pons <br />or ga <br />r <br />ng <br />e <br />orma <br />o <br />. <br />e <br />rm <br />or those persons <br />e <br />s <br />ge and beW. Irw, accurate, and complete' <br />submitted K to the belt of my know <br />RE OF PRINCIPAL EXECUTIVE <br />1 <br />T <br />• <br />: I/ <br />- <br />/ ' <br />/ . <br />` ? <br />. I am aware that them a" sttnlfkasel Penalties for submildrig false Information. 8 <br />ONA <br />U A <br />A <br />R Y M <br />TYPED OR PRINTED Inducting the Possibility of Maw and Imprisonment for knowing violatlants. OFFICER OR AUTNORIZED AOENT CODE NUMBE EAR O DAY <br />COMMENTS AND EXPLANA I IVrf yr etav viwl p%t rvrva ir1WrWrlnal wr ..rs.w......a ....., <br />,. W;L ! 1 TI_EABLE SOLIDS <br />CIF rit?lUIR1._': i TDS MONITORI <br />E EPh Fc'm 33 _-t rRe, 3 99 s eo n -Ws ^ a, ,e used <br />NIT APPLIED FOR 4=10YR,24HR PRECIP EVENT- <br />- T n a <br />00474/OT-4' ba,4-p Cprm.