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PERMITTEE NAME/ADDRESSQw°YkFeettry Nw?Locrlan#'DWWvW) <br />NAME <br />ADDRESS <br />BOX 187 <br />I6 CO 81626 <br />FACILITY 3 PER MINE <br />LOCATION T G CO 81625 <br />NATIONAL POLUlTANT DISCHARGE ELIMINATION SYSTEM I(NPDESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE Nl1MeER <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 SIC) <br />F - FINAL MOFA1 <br />RUNOFF/MINE WTR TO OAK GULCH <br />NOTE: Reed Inetructfora before completing this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCV <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ` - - <br /> MEASUREMENT <br /> PERMIT ###it## #it###f ###### 9.0 31.LF4.LY INS ITL <br /> REQUIREMENT MINIMUM MAXIMUM `L' <br /> SAMPLE ?: > .. <br /> MEASUREMENT <br /> <br /> PERMIT #tt#iEiE# ###is#'.t =: s# 35 RALi <br /> REQUIREMENT psi G, DAILY N l; NON, <br />? <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT z, >: x < s: i ice? # "i> I CINAL RIEPORT W. L.- GRAB <br /> REQUIREMENT `3Q117A AV DAILY rv1?; MCiNTi <br />_ i <br /> SAMPLE <br /> MEASUREMENT <br /> - <br /> PERMIT ,• i; i 4 ,000 bIJLIQ )NCY Aj3 <br /> REQUIREMENT 3{)D LIG OA I L 'y f'1 X MON' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT O )hI T 1 h ,; <br />1 REQUIREMENT INST MAX E:"ST <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT R)`i't I f A <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT a flt# :. :?#tt# t'i!i<:r.. FRCF,0j }'. •. I_ r <br />REQUIREMENT DAILY MX <br />CIPAL EXECUTIVE OFFICER I n~' y under Pe°a aw that thh document and ell atachmeMs suers TELEPHONE DATE <br />Prswred under my direction or superrlfion in accordance with a system deetgned <br />NAME/TiTLE PRIN <br />to cure that qualified personnel property gather and evaluate the Infermellon <br />Based on my Inquiry of the Person or persons who mange the system, <br />i - <br />! '- - mbnrtred <br />, <br />. <br />- or thane prisons directly rsapoMblr for gathering the tnformatian, the information ?l.• {? `" ? - - ? <br />.. ?; <br />Md <br />d <br />kl _ <br />h / <br />re and belle f• Irw. accurate, an <br />cemp <br />e. <br />submitted Is, to the bet of my know <br />INCIPA <br />EXECUTIVE <br />F <br /> I am swam that them are significant Penalties for wbmitnng fate Informadoo, SIGNATURE O <br />PR <br />L AY <br />TYPED OR PRINTED Including the Possibility of fine and Imp ism meni for knowing rlolauons. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO D <br />COMMENTS AND EXPLANA I ivrv yr firm T mrvt.n r tvrma to AIrrlnc, rr wrr.r rrrcrwrr.a r..r .r <br />ARLF SOLIDS LIMIT APPLIED FOR =10YR 24HR PRFCIP EVENT- <br />LNG _- <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used. V :j, jt 1 ? TARS is a 4.-pn fprtll. PAGE OF