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PERMITTEE NAME/ADDRESS(7..b bFwtbgNrr/L ,wit ((D(d....+:.: <br />NAME <br />ADDRESS <br />BUX 187 <br />'-IG CO E1162 <br />FACILITY '+PPER MINE <br />LOCATION I G CO 8162 <br />YMOND G. DU BOIS, PRES/GM <br />Form Approved <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM IINPOESI OMB No. 2040.0004 <br />DISCHARGE MONITORING REPORT (DMR) I NOR <br />SUBP <br />PERMIT NUMBER DISCHARGE NuMeEA - FINAL (`1L7Fk 1 <br />r'DND #3 TO MIDDLE PYEATT GULCH <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY - <br />FROM TO, <br />NOTE: Reed IrNitruetione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOuENCY SAMPLE <br /> <br />EX OF <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT MINIMUM MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT - ...... :, . sr _ <br /> REQUIREMENT ('1X f tOt NTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT SODA Ail""-; DAILY MX MONT <br /> SAMPLE r <br /> MEASUREMENT ; <br /> <br />= PERMIT { = I- <br /> REQUIREMENT 30 A AVG DAILY MX NT <br /> SAMPLE <br /> MEASUREMENT <br />•2 ]. PERMIT _ <br />IT REQUIREMENT ' INST MAX 1,;. GENT <br /> SAMPLE <br />r MEASUREMENT <br /> <br />v PERMIT <br /> REQUIREMENT GDH--A-VG DA I LY "'1}( <br /> SAMPLE " <br />OL MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT -SODA F;'?ti? 1*,AILY MX t' <br /> <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 reruty ¦ r penally o ow that th <br />prepared bider me direction -sup h document and all ¦llsrhmenU were <br />-Won In accordance with a system designed <br />TELEPHONE <br />DATE <br />" to ataon that <br />uaefled <br />nnel <br />the <br />e <br />r <br />erl <br />d evaluat <br />the I <br />fo <br />tl , <br />j q <br />p <br />rso <br />P <br />op <br />y ga <br />r an <br />e <br />n <br />erna <br />on <br />fnbmltled. Based on mr Inquiry of the per" or peraons who wan.ge the system. <br />?• - dbk f <br />th <br />i <br />th <br />dl <br />t <br />h <br />f ' <br />?'? - <br /> or <br />ose per.orn <br />rer <br />y mpor <br />or ga <br />er <br />ng t <br />e Ia <br />ortnatloa• the Info ilen ? <br />•..• : <br />- <br />.. - <br />" l <br />l ' i submitted h, to the best of my knowledge and belief, trw, accurate. and romplete. <br />I ...... that then ., Offninom penatNes for submirttn <br />f.ha Information <br />SIGNATURE OF PRINCNAL EXECUTIVE . ?. .. % .- <br /> g <br />, <br />l <br />h <br />TYPED OR PRINTED or <br />,aing the posefblllty of fine and tmprhonment for knowing violatlan OFFICER OR AUTHORIZED AGENT CODE NUMtjER YEAR MO DAY <br />COMMENTS AND EAYLAnA I turv ur nn t ? rvt_n t rv,va fnererence aft errecnmenr: neref <br />= ABLE SOLI1 <br />L'i _ DS MONIT01 <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used <br />APPLIED FOR 10YR,24HR PRECIP EVENT- <br />B. 2. <br />O(11 951r $Wtsis a 4-parhfprm. PAGE ,OF