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PERMfTTEE NAME)ADDRESS (IaabH FaeYrry Nswa?Loranas ((D( w") <br />NAME <br />ADDRESS <br />P. U. BOX 167 <br />IG CO 81626 <br />FACILITY P P ER MINE <br />LOCATION IG CO 81625 <br />,mmn a no AnTSI PRF(;/GM <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM IINPOES1 <br />DISCHARGE MONITORING REPORT IOMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO. DA Y DAY <br />FROM TO ' -' I <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUBR JC) <br />F - FINAL MOFAT <br />POND #1 TO UTE GULCH <br />NOTE: Read Instructiot before completing tfib fofm. <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 x :. - <br />L UL I,! i REQUIREMENT M I ki I MUM'I- -?? ;-!Ax I MuM'i <br /> SAMPLE <br />?= !_iSP i=NDFD MEASUREMENT <br /> PERMIT ?.. .i 7. J J t: <br />b: <br />TIN <br />o r1 <br /> REQUIREMENT 30DA AVG MIX <br />M`if11'•'. Ti <br /> SAMPLE <br /> MEASUREMENT <br />00545 0 PERMIT <br />?F .'. GRO`' REQUIREMENT /' U 30A AVG DAILY MX Ii_,% TI <br /> SAMPLE <br />I <br />AS FE ' MEASUREMENT ' <br />i 0 PERMIT <br />S <br /> <br /> <br />t_UENI" ORO - <br /> <br />REQUIREMENT <br />^ ?•', _; <br />0 ?- ? <br />/? <br />DAILY MX <br />t-; <br />hIONT <br />71140 _ __ SAMPLE <br /> MEASUREMENT <br />1 O ?i PERMIT _ <br />EFFLUENT GROSS i. REQUIREMENT / INST MAX _ GENT <br />1 1 a i SAMPLE ' ; <br />THR'•: TREATMENT Pmt MEASUREMENT <br />0 O PERMIT u r - <br />V" REQUIREMENT f'IX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT = - <br />REQUIREMENT DODA A`JG DAILY MX <br />NAMERiTLE PRINCIPAL EXECUTIVE OfF1CER ' "n'Iy under penalty o ow that thh document and all atrachns nu were TELEPHONE <br />Prepared under my direcllon or supervision In accordance with • stem designed DATE <br />/ i to assort that qualified personnel property Lather and evaluate the Information ' <br />1 1 ' submitted. Based on my Inquiry of the person oe persons who manage the system <br />? <br />l <br />or those persons directly raponnlbk for [atherl n[ the information <br />the Information <br />Ick <br />? <br />' <br />• <br />, <br />., <br />, <br />?, <br />/?E ` <br />th <br />t <br />f <br />k <br />vl <br />li <br />t <br />d <br />b <br />d <br />d b <br />! <br />t <br />d <br />W i <br />my <br />eec <br />e <br />ge an <br />rue, accura <br />e. an <br />comp <br />submitte <br />Is, to <br />e <br />es <br />o <br />e <br />e <br />, <br />a. <br />NAT <br />RE OF PRINCIPAL EXECUTIVE <br />S <br /> I am aw,n that them am sipifksnt pen,ltle for submitting lake IniormaUen, IG <br />U <br />IN <br />ED Including the possibility of fine and Imprisonment for knowing vlolatlor? OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />T <br />TYPED OR PR <br />COMMENTS AND EXPLANA I IUN ur An tr vtvt.A t tvrlo Ir+wrsrsncw sit wttwc,rrnwrrta raterw, <br />'- Tc WIL_ i_ABLE SOLIDS LIMIT APPLIED FOR ti=10YR,24HR PRECIP EVENT- <br />MONITORING - I. B. 2. <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. 001 S 3 / r bA? 4 -- Pa-r49rM