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PERMITTEE NAME)ADDRESS(7nr?t4Faefbry)VwWL,&cWsanVD06wel) <br />NAME -UPPER MINING, INC. <br />ADDRESS "UPPER MINE <br />' BOX 167 <br />SIG C <br />FACILITY TRAPPER MINE <br />LOCATION '? I G C <br />`•.YMOND G. DU BOIS, PRE <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPOESI OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT WWI <br />PERMIT NUMBER DISCHARGE NUMBER FINAL MOFH <br />{ MONITORING PERIOD iD #Z TO EAST PYEATT GULCH <br />YEAR MO DAY YEAR MO DAY -- <br />O FROM Tp <br />NOTE: Reed Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />YPE <br /> ANALYSIS T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT it a? it REPORT A ' I <br />LY <br />I UA <br /> REQUIREMENT INST MAX :?J=O ' <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />1 rertrty r r pens t) o Is' that this document arid :11 ¦ttachmenty were <br />TELEPHONE <br />NAMEI ITLE PRINCIPAL EXECUTIVE OFFICER <br />a <br />DATE <br />prepared under my direction or superv <br />on In accordrnm with a system designed <br />to inure that quallned personnel property gather and evaluate the Inhwmslon <br />submitted. Bared an my Inquiry or the person or persons who manage the system. <br />s <br />f <br />or those persona directly respons <br />or gathering the Information, the Information <br />bk <br />kn <br />itt <br />d l <br />th <br />b <br />t <br />f <br />wkd <br />r <br />t <br />t <br />b <br />t <br />d b <br />tt <br />d <br />' - <br />?. .. <br />? <br />su <br />m <br />o <br />e <br />es <br />o <br />my <br />o <br />te an <br />e{ an <br />e <br />s, <br />e <br />e <br />. <br />rue. accura <br />compkle. . <br />i <br />. I am swan that there are slgNncanl <br />enalttea for mbmltttn <br />false Inrormad <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />n . <br />OR PRINTED g <br />p <br />o <br />• <br />Including the possibility of Arse and Imprtsonmenl for knowing violations OFFICER OR AUTHORIZED AGENT ARIA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference SIN attachments here/ <br />,nl r ?! a TDS 17 TT APF-LIFP FOR i0YR. 7414' <br />,..' 1R.1 IATCC M[IN Hi Y AVF=RA t yc ri <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. C; c':, ti /'1I8 1$:54-p.T[tOrTTI. PAGE OF ?)