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PERMITTEE NAME/ADDRESS(7weir4Fwo,,,v..?L,,,..tfoW..u) <br />NAME <br />ADDRESS <br />?. y70x s? <br />)MERSET CO 81 <br />FACILITY ',NDORN CRK & ELK CRK MINES <br />LOCATION IMERSET CO 81 <br />DAMES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (INPOESI <br />DISCHARGE MONITORING REPORT (OMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-00¢4 <br />MINOR <br />t 5UDR h' <br />F - FIN,-,L_ 'IUnI S <br />SURF RUNOFF TO N FK GUNNISON R <br />NOTE: Read instructions beftxe completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />_,UAL MEASUREMENT <br /> PERMIT ¢#}.. REPORT it3t #-<> #### t. i DUAL <br />_liF W GR01'3 REQUIREMENT INST MAX MCI N, i <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 /> <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 /> <br />NAMU/TITLE PRINCIPAL EXECUTIVE OFFICER I nrtrty under pen' y o low that thh document and atl attachments wen TELEPHONE <br />a DATE <br />prepared under my dirretlon or Pup, ry <br />on In smordanre wllh a system designed <br />to aaun that quart fled Personnel FrOW, 9.0w and eraluale the Inforwsalbn __ - <br />wb d1ted. Bend on my I"Wry 0(&- Person or person who manage the system <br />- <br />I <br />. r J <br />or those Persons directly MPom0b4 For ptheAra <br />the Inforynati <br />w <br />th <br />I <br />f <br />n <br />- <br />r -' ' - a • <br />lf - <br />g <br />, <br />o <br />e <br />n <br />n <br />on <br />o <br />- <br />- <br />mbmitted Is. to the best of m knowkd <br />7 Rand beget <br />Irw <br />atcvnte <br />and <br />l <br />r _?- <br />, <br />, <br />, <br />cooP <br />e. <br />e <br />. <br />1 am aware that then are slgNflcsnl Penalties for sabmlttin <br />rate Inform eon <br />sIGNATURE OF PRINCr?AL EXECUTWE <br />TYPED OR PRINTED g <br />, <br />Including the podbillly of One and Imprtsonmenl for knowing yldatlors OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reforenc• art attachments her*] <br />i _F SOLTDS, LMT HPPLTED FOR -':=10YR, 4F PRA <br />H, T <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ;-Tiflis ma 4-pa[( form. PAGE , OF