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PERMITTEE NAME)ADDRESS(.AkfwdmyNa.?L«ofi-(/D(fG e) <br />NAME <br />ADDRESS <br />J. LOX 187 <br />,SIG CO 8,1626 <br />FACILITY :,-iPPER MINE <br />LOCATION N I G CO 81625 <br />,_AYMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM rrNPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DtSCHAROE 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 JC) <br />F - FINAL MOFA1 <br />POND TO FAR EAST BUZZARD GULCH <br />NOTE: Reed instluctione before completing this town. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREOVENCY SAMPLE <br /> <br />EX OF <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ##s ## <br /> MEASUREMENT <br /> PERMIT REPORT ### y" = # # #### NCE,' II.`Uh <br /> REQUIREMENT I,VST MAX. - MONTt i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT \JU <br />l <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 />I rerldy u v Pen. Iy I.w thal this dorumeM and alt .tl.chments wen l <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE <br />DATE <br />prepared under my dimtton or mprr.istow In .ccord.nn with ¦ system designed <br />_ to .aan tho' quaMRed Personnel Property gather and tealu.le Iht Infonrrllon j <br />m submitted. Based en my Inquiry of the person yftem, <br />, (? -, <br />J j <br />or persons who ~are the . <br />n 1 <br />, <br />. <br />y <br />t/t • 1 _ <br />of those persons directly resporedble for gathering the In/asn.Uon, the informed" _ <br />l j tetbndtled K b the belt or my knowledge and bgIW <br />Irwe <br />acrunte <br />and compk"p <br />• ' <br />. <br />, <br />. <br />r.' Gt - 1 .m.ware that there an slorIcsnt penalties for submittin <br />fain Inrorm.UOn <br />5143INATURE Of PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED g <br />, <br />Inrtuding the possibility of Roe and Imp Asonment for knowing vWsdom <br />OFFICER OR AUTHORIZED AGENT ARE <br />CODEE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION oI- ANT VIOLA I IONS (Reference off strechmenfs here) <br />__F SOLIDS L I M T T APP! !ED FOR =1 r?IYR. 24HR PREC I P FVEI'JT- <br />EPA Form 3320-1 (Rev. 3194) Previous editions may be used :113 '': ! l?I}??'?.'t-p?tl}(ORII PAGE OF