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PERMITTEE NAMUADDRESS (lw" FwOtyN..WLer.rim ((Dlpbwv) <br />NAME <br />ADDRESS <br />i:o, itUX j!Q <br />PER UT 5452 <br />FACILITY iGER CANYON MINE <br />LOCATION •1A CO <br />,BID B. MILLER, BUSINESS 111GR <br />Form Approved. <br />NATIONAL POLLUTANT DISCHAROE ELIMINATION SYSTEM (NPOESI OMB No. 20404=4 <br />DISCHARGE MONITORING REPORT (DMRI - r` <br />PERMIT NUMBER k7HMGt NUMBER - F I NAL G': LD <br />T WTR DSCHG TO (?tVA1GER GR. <br />MONITORING PERIOD <br />YEAR MO, DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read Irretrvctlorm before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION E <br /> <br />Ex fiIEOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT , <br />:=,uT :f: REQUIREMENT <br />07, SAMPLE <br />~•I'' MEASUREMENT <br /> PERMIT <br />ir`? ?l <br />: <br />r t <br /> REQUIREMENT : <br /> SAMPLE <br /> MEASUREMENT <br />O: PERMIT .- _, <br />• - <br />i0; I <br /> REQUIREMENT ii y f <br />1r <br /> SAMPLE <br /> MEASUREMENT <br />c,$2 1 C? PERMIT <br /> REQUIREMENT I NS T MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />GRO Vr` t REQUIREMENT A Jl= [?AILY MX <br /> SAMPLE <br /> MEASUREMENT <br />i 0 PERMIT .. I - <br />7 T MAX <br />:. <br />N REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' ttft"y under p'n' ty ° law that thh document and .I1 attachments .ere TELEPHONE DATE <br />prep.mcl under mr direcflon ce s,p. islon In acrordancr with. system designed <br />to onum that qualified personnel prWerly gat)wr and eealu.le the Information <br />j - I - , submitted <br />Bawd on m <br />inquiry or the perms or persons; who manage the s <br />slem <br />. <br />y <br />y <br />• <br />L <br />or Ihow persons dlreallr rtspoedbk for gahering the Inform.llow, the Information <br />' • <br />f <br />k <br />b <br />l <br />d <br />d <br />d <br />/ ... ?' •, <br />/ . <br />,'? i <br />/ <br />my <br />now <br />I submllled I.• to the <br />est o <br />ge an <br />beW. Ime. accurate. an <br />mospkte. <br />e <br />? <br />' SIGNATURE OF PRINCIPAL EXE CUTTNE <br />L . <br />? / <br />? <br />' I am awars U1.1 Ihere am slgnilkant penaiNa for aubmlleng fate Infarmalloa• <br />TYPED OR PRINTED Including the powlbliity of fine and Imprisonment for knowing eloletlorm OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO COMMENTS AND EXPLANATION yr Arvr vlvt n l tuna <br /> /If1/If/IIC• an srrernmrnra nerer WERAGL IS HIGHEST MONTHLY AVG. DURING PERIOD REPORTED. <br />EPA Form 3320 1 (Rev 3199) Previous editions maybe used. r ' ' Ti1is S. A 4-pan form. PAGE OF