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PERMITTEE NAMEIADDRESS(7.A,&F.OtyR.?Le atimVD(OWv ) <br />NAME <br />ADDRESS <br />BGX 187 <br />G CO 81x;2' <br />FACILITY PER MINE <br />LOCATION i G CO 816211 <br />1MOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHAAGE ELIMINATION SYSTEM //NPDES) <br />DISCHARGE MONITORING REPORT (DMR) t I NOR <br />SUBR JC ) <br />PERMIT NUMBER DISCHAAGE NUMBER - FINAL <br />Form Approved <br />OMB No. 2040.0004 <br />O UAN GtiLC F <br />MSr AT <br />MONITORING PERIOD <br />YEAR MO DAY YEAR O DAY <br />FROM TO <br />NOTE: Read kwtrucdom botwi comp)-tiny We form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT : •it3i ; REPORT <br />;r## #3r <br />'a #aa i;-, <br />:i # <br />_ N '_. <br /> REQUIREMENT .,t-;ST MAX ? L' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,__-- - <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE i <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 />I .xntH u n pen. ty o ¦w IhH Uh den,menl and as ¦ttachmrnU were -f I <br />NAMERTTLE PRINCIPAL EXECUTIVE OFFICER <br />preparedundermydlrrctlonwwPe.vy ?In accordance with .system ddgned TELEPHONE <br />? <br /> <br />DATE <br />Io -hot qu¦Bfted pemeu ei properly g.thee and evaluate the Infnrm¦tlon <br />t t ¦ubnitted. Bawd ea my Inquiry of the person w peraorr who m .are the fyitem, <br />w those pe.aom dlreNly revpo,dble for pttheAng the Infonn¦tlom the Inforvrutu" <br />i ? - wb <br />ltl <br />to the be" of m <br />knowkd <br />e and D <br />d b <br />Mef <br />Irve <br />¦ <br />nt <br />d <br />t <br />- ? <br />" ? <br />y <br />( <br />m <br />t <br />e <br />, <br />, <br />tru <br />e, an <br />. <br />compk <br />e. <br />- <br />i ' I ........ that thrrr .r. dfnln,ant pen.trtn r- ruh?dtanf Ww 1nf-t1- SIONATURE OF PAINCNAL EXECUTIVE <br /> <br />TYPED PRINTED ir.ciudm f M p our r;..;r n- .., I imt.+> , t r , t? . ,r . ,: ,w•vr OFFICER OA AUTHORIZED AGENT AODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference sll attachments hotel <br />-AF! Tnc; LTMTT APi'L IF'U FC)F'. =10`!Qt 4HR P,F' TP ':'T^iT- <br />D <br />15 <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used. T1w,;_ is, a,'I-p4n lform, PAGE OF '?