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PERMMME NA ME/A DDRESS pnevi FaeeTry NamJL«.Hen 1/Dobrawj <br />NAME <br />ADDRESS <br />J. LWX 187 <br />?AIG CO 81626 <br />FACILITY ?APPER MINE <br />LOCATION ? A I G CO 81625 <br />AYMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION 71'STEm f/NPDESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NuMeErl <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 />D I SCHARGE <br />HORSE C- <br />MOFAT <br />NOTE: Reed kletructiorw before completInq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCr <br />Of SAMPLE <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE #t: h <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />,. t <br />,r , <br />In, i MUI~I <br /> SAMPLE <br /> MEASUREMENT <br />± i PERMIT x 3t Y 3E# a ::it tt ?s r t 7C 1;. <br />i1Efd i REQUIREMENT v ,' iUl`i I t <br />D` 51 SAMPLE <br />a <br /> MEASUREMENT J <br /> PERMIT #####,1 ! gar # a#* ## OPTIONAL REPORT ?-! GRAB <br /> REQUIREMENT 30DA AVG DAILY MX ; St •"J i F <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?!#?#4t # ## #dF !i?: . , 3000 6000 NC'E/ <br /> REQUIREMENT 30DA 4vr" DAILY MX "h'fT1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 1 U (}Jri! Z !-.3 <br /> REQUIREMENT INS-I 111Ax ?,t:rlT <br /> SAMPLE <br />REAM MEN T F-'! MEASUREMENT <br />I 1 n PERMIT fiI= f _ux,- ;?_,_ I•.. Tf;? iAi <br /> REQUIREMENT <br /> SAMPLE , <br /> MEASUREMENT <br />PERMIT REPORT REPORT <br />REQUIREMENT 30DA AVG DAILY MMX <br />1 ferity u er pens ty o .w Ih.t this documcnl and as attachments were <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE <br />DATE <br />prepared ender my dlrt¢tlon or wPer Nflon In accordance with . system designed <br />?- to ..sure that quaaned Personnel Property gather and evaluate The Inrormation <br />n A ! sebmilled. Saud on my Inquiry or the Parson or persoer who manage the system <br />_ <br />or those p"te s directly mponsible for gathering the Inrormatb.. the Information <br />t - ?` submitted Is. so the best of my knowledge and bdW, true. accurate, and complete. % % ,'"?• !? ?' <br />!x-' I am aware teal 'here an dgn1ncaM <br />enalties for seebmitiin rale <br />I <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />r <br />e <br />i <br /> g <br />P <br />e <br />n <br />ornr <br />ew• <br />KFA <br />TYPED PRINTED IrKlerdlrrg the, peretaq or tine and Imprisonment for knowing rld.tlau OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA I lvm yr mrrr vwt.rl I lvns fpforerence an erreenmenre nero, <br />,=AISLE SOLIDS LIMIT APPLIED FOR =10YR, 24HR PHECIP F,,IEttiT- <br />':: MONITORING - I . P . ; <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. PAGE of