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PERMITTEE NAME)ADORESSpmo,6&F.rwryN..?Le ,wig VID(Qleeww) <br />NAME <br />ADDRESS i i.. <br />(_j' BOX 53S <br />IERSET CO 8 <br />FACILITY .'-IBORN CRK & ELK CRK MINES <br />LOCATION f•IERSET CO 8 <br />:e?MES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT OISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT /D RI <br />PERMIT NUMBER DISCHMME NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />M I r40P <br />(SUBF <br />- FINAL GuFJi_ <br />RUNOFF TO id FORK GUNNISON R. <br />NOTE: Reed ktatrucdons bsfors completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />E OF <br />Y <br /> X ANALYSIS PE <br />T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##iF#A# b. a7!#= 9. O N _N'c:? r, <br /> REQUIREMENT MAXIMUM 1-1O. T <br /> <br /> SAMPLE <br />,p E!•.! MEASUREMENT <br />` PERMIT #3tsl3f# #tti! to :tit#?t- ::? -A <br />jr <br />REQUIREMENT <br />i(iVA Al"., <br />F?AILY f <br />k SAMPLE - <br /> MEASUREMENT <br />- <br />to f; PERMIT ### ## ###### ##### REPORT REPORT t s i-_, <br />Roc= REQUIREMENT wQbA AV<.--- DAILY MX <br />,-,L SAMPLE <br />F MEASUREMENT <br /> PERMIT ## It ### ## IF##?t #'t#iF#? 3000 6000 tJ E. p,',,:? <br />- •q : ?; : -- REQUIREMENT 30DA AV G DAILY II X <br />d Tr <br /> SAMPLE <br /> MEASUREMENT <br />=32 1 0 PERMIT !###### ###### - -#ii t 10 ,, <br />!-:NT GROG: REQUIREMENT INST MAX NT <br />N CONDU' SAMPLE <br />REA rMEN < MEASUREMENT <br />?. G O PERMIT REPORT REPORT - *# ## s .. ###### JN 'E, fat-. <br />1 L UI:' REQUIREMENT 30DA .,?iI LY MX Mot-; ; <br /> <br />At: _A-1 - <br />L <br />SAMPLE <br />r- <br /> MEASUREMENT <br /> PERMIT -.f :i :.1 REPORT #tr 4? ..# „ . ?( ## jNC: <br /> REQUIREMENT PdST MAX (`?r?i.'. <br /> <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER 1=tit; under penalty law that thh document ¦nd aN attachments wen <br />TELEPHONE <br />DATE <br /> prepared ender my direction or mprreW In accordance wlth a syrtern designed <br /> <br />- to assort that qualified penonnel p ope?y gather and evaluate the Information <br />srbmltted. bred on my Inquiry of the person or Persons; who manage the system, <br /> or than Persons directly responsible for gathering the informatloet• the Information iJ • , r; i <br /> <br />/ - <br />sebmllted K to the best of my knowledge and belief, true, ter mle. and complete. <br />I am aware that then are significant Penalties for submittin <br />fatter Information <br /> <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />% / <br /> g <br />. <br />i <br />I ARIA <br />TYPED OR PRINTED Inducting the passibil <br />ty of fine and <br />mprtsonmrnt for knowing •lolat cross OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IReforence a// attachments hare/ <br />J: -, rLEABLE SOLIDS LMT APPLIED FOR _ -+ nYR, 2='-HiR P9Fr!-P <br />r 24HR EVENT-SEE I . A. 1, FP <br />EPA Form 3320-1 (Rev- 3/99) Previous eddions may be used. This 1S a 4-part fOrl1L PAGE OF <br />•_