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PERMITTEE NAME)ADDRESS Qwabr F.elhryNa.?Lacati- ((D(06w w) <br />NAME <br />ADDRESS <br />.J. Bux 535 <br />1ERSET CO 81434 <br />FACILITY '•413ORN CRK & ELK CRK MINES <br />LOCATION IERSET GO 81434 <br />iMES T. COOPER, EXEC V. P. <br />Form APproved <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOESI OW No. 2040.0044 <br />DISCHARGE MONITORING REPORT (DMR) 1 NOR <br />PERMIT NUMBER DISCHARGE NUMBER - FINAL Gu i41 <br />MONITORING PERIOD J-:DINEf-4T FOND TO HUBBARD CREEK <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read k»trucdone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCY <br />of SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE r <br /> MEASUREMENT <br /> PERMIT #II#fE REPORT #?F3t#¢ sett##sF #?I# 17 T S fi <br /> REQUIREMENT INST MAX <br />MONTH <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 /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMEfnTLE PRINCIPAL EXECUTIVE OFFICER I mrtlty a r Pena y o law eh al 1;f, document and on atlachmenLS were <br />TELEPHONE <br />DATE <br />prepared under my direcilon or suprr.hlon In accordatwe with a sysienn dedgnd <br />r - to assure that quaNfkd personnel property gather and evaluate the Information _ <br />i <br />i <br />f <br />' <br />ry o <br />, submitted. Based on my <br />nqu <br />the Prnon or persona who manage the sntem. <br />. <br />•: <br />. / <br />?: <br />?'? <br />- <br />or than Pwmans directly respondbie for gathering the Info tlow• the Information <br />. <br />' <br />- <br />, / 7 <br />th <br />t <br />k <br />b <br />d i <br />b <br />f <br />l <br />d <br />i <br />- '> - <br />ea <br />o <br />my <br />now <br />su <br />mitte <br />k to <br />e <br />e <br />ge and bel <br />ef. true. anvrstr. and comp efe. - <br />V i am aware that then an d <br />dfkant <br />enaltie <br />f <br />SIGNATURE OF PAINC}PAL EXECUTIVE <br />r <br />bmitti <br />f <br />e I <br />l <br />l <br />ib _ <br /> g <br />p <br />s <br />o <br />su <br />ng <br />a <br />n <br />orma <br />n• <br />s <br />TYPED OR PRINTED Including the poadbtliy of floe and Imprhonmrnl for knowing rtotstloon. OFFICER Oct AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments herel <br />.., '_ <br />LIED F D R <br />=f1 PP 4-5, - ,i <br />EPA Form 3320-1 (Rev. 3199) Previous edihcns may be used TW4 is)a.4_-p4n form. PAGE OF