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PERMITTEE NAMENIDDRESS(7-&&FortheyNe.WL oti-((D(fmm) <br />NAME <br />ADDRESS <br />0. BOX 167 <br />AIG CO 8162e <br />FACILITY r:?PPER MINE <br />LOCATION,. :AIG CO 8162! <br />aYMOND G. DU AOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDESI <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. 20404004 <br />MINOR <br />( sUBR JC) <br />F - FINAL <br />DISCHARGE TO EAST FLUME GULCH <br />I. OF•AT <br />NOTE: Reed imtnfctione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br />EX M SAMPLE <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT 'k rt?Eit <br />RE-PORT ii ' ::.: : ?EiE3f9D iEiF sr#R fr I SUAL <br />'-L:JLNi REQUIREMENT INST MAX I;;: > .. .. <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 />NAMEM LE PRINCIPAL EXECUTIVE OFFICER I `rr"tr " ndtr penalty o Is. that U <br />prepared enear m, dlrsrtlon or supe b document and 911 ettaChmenU Were <br />r.lfon In accordance with a system deNSneA <br />TELEPHONE <br />DATE <br /> to inure that qualified personnel properly gather and er.luste the Infonn.tlon <br />submitted. Bird on my ImNlry of the person or persnr..ho rtin.Se the systeva, J . <br /> r ; :X ?•" <br /> o< those prrser. directly re,perr> <br />ble for pther,nE the Inibrrrtatlon, the information i <br />44 <br /> submitted b, to the best of my kno.4dge and belle!, lrve.. rate, and complete. ,? <br /> i <br />ificant <br />e th <br />t th <br />tt) <br />litl <br />l, <br />I <br />tl <br />r <br />b <br />f <br />t SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED gn <br />..ar <br />a <br />ere an s <br />pena <br />or su <br />m <br />n= <br />a <br />r <br />n <br />orma <br />oo• <br />e <br />Ind"nE the passibility of fine end Impr%ammem For ?no.lnE rW.0- OFFICER OR AUTHORIZED AGENT AREA <br />CODE NVMEIER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fReforence aN attachments hare) <br />L ! FAR! c30!_ Ti1P LIMIT APPL FFl) FOR -=10YR, 24HR PREC IP FVFNT - <br /> <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used, - Thi?j;.,aA-pa1tt ?rIn. PAGE OF