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FERMITTEE NAME/ADDRESS(7-"FeaklY ?LorMla. yD?wwuj <br />NAME <br />ADDRESS <br />f - BUX 187 <br />.. IG CO 81626 <br />FACILITY .:'PER MINE <br />LOCATION = Y G CO 61625 <br />YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (/NPOESI <br />DISCHARGE MONITORING REPORT (OMR) <br />PERMIT NUMBER DISCHAR NUMEEII <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 JC) <br />F - FINAL MOI` AI <br />POND #2 TO EAST PYEATT GULCH <br />NOTE: Reed instmctione before completing thle 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 <br /> MEASUREMENT <br /> PERMIT .., _ _ I IN Z3 <br /> REQUIREMENT MINIMUM MAXIMUM <br /> <br />hl SAMPLE t' r <br />i_- <br />E MEASUREMENT <br />i0 PERMIT <br />IJI= REQUIREMENT 30DA AVG DAILY MX MONTH <br /> SAMPLE <br />- - <br /> MEASUREMENT ? <br /> <br />PERMIT <br />= 74V? _7- <br />. . <br /> REQUIREMENT 30DA AVG DAILY MX 'I MONTH <br /> SAMPLE <br />MENT <br />R <br /> <br />i <br /> MEASU <br />E <br />S 1 PERMIT ._ <br />t NT Gk U,-- REQUIREMENT 30DA AVG PA T I_Y MX i MONTH <br /> SAMPLE + t <br /> MEASUREMENT ??? ?,? ?',' <br />1 C PERMIT <br />kJEiv REQUIREMENT INST MAX GENT <br /> <br />t-t r F <br />f ti <br />' SAMPLE <br />MENT <br />SU I <br />Z <br />l <br />i <br />TR <br />r MEA <br />RE . <br />Q 1 D PERMIT <br />.VENT C, V REQUIREMENT :?ODA F'. DAILY MX <br />- <br />- <br /> <br />SO <br />E SAMPLE <br />MEASUREMENT 1 - <br />LV <br />PERMIT , <br />REQUIREMENT :'?DA AVG DAILY MX <br />NAME/TFTLE PRINCIPAL EXECUTIVE OFFICER i Knur ° cr Pen. q o la. Ch of thi+doeument rd .l .Itachment+were <br />TELEPHONE <br />prepared under my dlreellon or +uper.Hlon In . rd.nce with . +y+lem de>dgned <br />DATE <br />.the <br />? to <br />re that <br />u <br />lned <br />er <br />l <br />rt <br />d <br />•atu <br />te th <br />I <br />fnnr <br />tlo <br />? <br />Aa <br />q <br />a <br />p <br />wnne <br />prope <br />y g <br />r an <br />e <br />. <br />e <br />n <br />u <br />n <br />asbmlltrd. based en my Inqul y o( Owe person or pereotu who nwt.te Ch. frCtem, <br />onllble for <br />atherin <br />/ or tho.e <br />ersms directl <br />rn <br />the Informatlm <br />the lnform.llon <br />` ?`?? <br />• ?' <br />p <br />y <br />p <br />g <br />g <br />, <br />- _ <br />.. <br />bnt of m <br />knowled <br />e a <br />f <br />l <br />ill <br />d I <br />t <br />th <br />d b <br />l <br />t <br />d <br />m <br />'- / ' `' • <br />l <br />t -' / ?- ' <br />y <br />g <br />, <br />ou m <br />e <br />s, <br />o <br />e <br />n <br />e <br />e <br />rue. ?rs <br />e. an <br />co <br />p <br />e <br />e. <br />SIGNATURE OF PRINCWAL EXECUTIVE <br />. - <br />re th <br />t then am si <br />nitkant <br />en.lrln for <br />ubmtlt{n <br />falm Infe-tlon <br />I r <br /> <br />TYPETI PRWTEO L a <br />g <br />p <br />g <br />. <br />a <br />a <br />. <br />lncfuding the posatbluly or nnr .M Imprhonment for kno.ing elel.0l <br />OFFICER OR AUTHORIZED AGENT REA <br />COOP NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference eat attachments here) <br />-: API '= c301 IDS LIMIT APPLIED FOR f =10YR, 24HR PRECIP EVENT- <br />_ JR INO - i. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. `? TeTja d'p1 ifgrltt. PAGE OF ??