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PERMITTEE NAME/ADDRESSt7mb-&Fa^tbgN-mwL 01"" /Dd6'0" <br />NAME <br />ADDRESS - <br />BOX 167 <br />fG C <br />FACILITY P P ER MINE <br />LOCATION i;- - - - ---- --C <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPOES) <br />DISCHARGE MONITORING REPORT /DMR? <br />PERMIT NUMBER DISCHARGE NUMBER <br />D 816 MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />O 81 ! r FROM TO - <br />Form Approved. <br />OMB No. 20404004 <br />MINOR <br />(SUBR JC) <br />F - FINAL MOFAT <br />DISCHARGE TO COYOTE GULCH <br />if s= ;- I <br />NOTE- Read kt•tructiorn bof«s cornDlstino this form. <br />PARAMETER 1 ` J QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX rREDUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> <br />:L SAMPLE <br />MEASUREMENT <br /> - ' VISUAL <br />6 1 G <br />UFNT GR U: PERMIT <br />REQUIREMENT ?t # REPORT <br />I NST MAX = # ?? <br />--- # # # ? .: u <br />PIT <br /> SAMPLE <br />MEASUREMENT <br /> } <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br />MEASUREMENT f ` <br /> <br /> PERMIT <br />REQUIREMENT ! <br /> SAMPLE <br />MEASUREMENT <br /> <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 />AL EXECUTIVE <br />I OFFICER i etmly ..der prn¦ q o law that th is document and sg attachments were TELEPHONE DATE <br />P <br />NAME/TfTLE PRINC prepared under my dlrectlon or p.-,W" In accordance with ¦ system designed <br />_ <br />,C - to more thH q..11nad prrwnnel 1 ro1Ay gather and eedusle The inbrm¦tlon <br />sohndurd. ett¦ed on my Inquiry or the perma or pervors who m¦rtar the sntem, <br />or those persote directly r"pot bk roe plheAng the Inform¦uon, the Inrornrtlon ? <br /> <br />` - <br /> <br />1 <br />.. .. <br /> <br /> <br />I <br />. <br />the heft of my kaawkdge and bdW, tyre. s mfe. and compkle. <br />suhmltted 14 to <br />L EXECUTIVE <br />F <br />IN <br />IP <br />- <br />, <br />: ? <br />?. ¦m ware that there are slgrJfkam pmNtks for mbrWttlng rate Information, PR <br />C <br />A <br />SIGNATURE O AREA <br />NUMHER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED -- IncArding the possibility o<Ilse and ImpAsortrneof for knowing eblatloem OFFICER OR AUTHORIZED AGENT CODE <br />COMMENTS AND EXPL.ANAIIUN Ur AMT VIWL-f%lI%Jno fnwrwrwrrew rr <br />T W I L _ DE F< ?)=TTL.FABLEtnSOLIDS LIMIT APPLIED FOR <=10YR, 24HR PRECIP EVENT- <br />. {r1'- tvN T'rlp T l? `, <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. 0to 1 14 / CT#118-16,3 4-parT'fOrm PAGE -OF