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FERMITTEE NAMEIADDRESS ()noY4 FararryVomWLoeotiw l/D(Qwws ) <br />NAME <br />ADDRESS <br />BOX 463 <br />,JNIA CO 8142 <br />FACILITY ; I E NO. ., MINE <br />LOCATION N I A CO 8142 <br />r I TAM A R PAR )R M T NF Mr-'R <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPOE$) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />i?SCGH OF SR TO GUNNISON RIVI <br />DELTA <br />NOTE: Read Inatructior» before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br /> <br />EX EQUENCY <br /> <br />OF <br />r <br />SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT itss it### o-ir### r ##3F## 9.0 <br />! !' <br /> REQUIREMENT ('I I ! I i 5t ;1 MAXIMUM <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT sI### ?# ###a ;1##s 3S <br /> REQUIREMENT J T' VG i•l x t9?? <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###### ###### r ###### REPORT REPORT NCEi ,RAB <br /> REQUIREMENT 30LA AVG DAILY MX MONTH <br /> SAMPLE <br />lr, MEASUREMENT <br />rn PERMIT :. ##af# # `^ 3-1000 6000 ONCE/ RA : <br /> REQUIREMENT 30GA AV'G DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - I 0 ON T f i,, <br /> <br />;; . REQUIREMENT I.idMA x GENT <br />i fd 1` OI`_" SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT .. -. ##a•### -. ., :.- V r r ; <br /> REQUIREMENT .:?ILY MX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT dFjFlt t ry'. ?# t9i itiF###x REPORT REP R r R ,r*t? <br />REQUIREMENT CARTR AV< QRTR MAX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' ""' " ` penalty ° law that we document and .u .ttachmenU .art <br />TELEPHONE <br />DATE <br />prepared under my dlr"Ilon or supervision In accordance with a system dedrined <br />to assure that qualified personnel properly gather and esaluate the Information <br />mbrnllled. aaaed " my Inquiry of the person or persons who manage the system, <br />h <br />dl <br />tl <br />Mt <br />th <br />f <br />i <br />f <br />i <br />th <br />I <br />h <br />f <br />ree <br />y mpo <br />l <br />e <br />or ga <br />er <br />or t <br />ose Persona <br />ng <br />e <br />n <br />ormation, t <br />e In <br />ormation <br />submitted b, to the best of my knawkdge and bdW. Irv*. accurale. and coatpleie. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />h <br />l <br />fl <br /> <br />- <br /> 1 am a.an that t <br />ere art s <br />gnl <br />nnt penatths for submlttlng War Information. <br />TYPED OR PRINTED fm*.dint the posdbluty of Ilne and Imprisonment for knowing Aolatlons OFFICER OR AUTHORIZED AGENT CAE NUMEIER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference ad attachments hors) <br />'-IF' -`-RECIP EVENT IS f:L_ATMED. iF CL-ATM APPROVEC <br />ASUREMENTS-SEE i . A. f', U}; :F?DEN ?F 1, i _;c <br />it - -4N1P1 I nail-, rr..i-,rat 1r ; F t tN,:-:- r <br />EPA Form 3320-1 (Rev. 3M) Previous editions may be used -, TJVt;1& A 4-par>3 f?rtn. PAGE OF