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PERMITTEE NAME/ADDRESS (1wd.i6 FortlrryNaaaou,ocwioa (/DtIpam s) <br />NAME <br />ADDRESS <br />I. BOX 187 <br />CRAIG CO 81626 <br />FACILITY i eAPPER MINE <br />LOCATION - I G CO 81625 <br />..YMf1NT2 h nt) RnTS. PRFEi/aM <br />NATIONAL POLLUTANT DISCHAAGE ELIMINATION SYSTEM (/NPDESI <br />DISCHARGE MONITORING REPORT IDMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM I TO <br />Form Approved <br />OMB No 2040-0004 <br />MINOR <br />(SUBR JC) <br />F - FINAL MOFA1 <br />DISCHARGE TO COYOTE GULCH ' <br />NOTE: Reed kwtrucdorw before'completir?q this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br />EX Fie"LI NCY SAMPLE <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />_ SAMPLE <br /> MEASUREMENT <br />0 PERMIT ##### REPORT ;_: -' ### x x### NC :! JTSUA <br /> REQUIREMENT INST MAX IQ= 0 MON1 <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 /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/T1TLE PRINCIPAL EXECUTTVE OFFICER i -ria? u er pen. ty n 1-wlha? t> t? don ment and all .ttachrne.0 ere <br />TELEPHONE <br />r <br />d <br />nd <br />m <br />n or w <br />•t/on In <br />d <br />with . <br />Iern de <br />dire <br />ti <br />i <br />n <br />d <br />DATE <br />prepare <br />u <br />er <br />y <br />p <br />r <br />accor <br />- <br />c <br />o <br />" <br />s <br />g <br />e <br />' <br />/ .. to care that quallned personnel Properly gather and eeahrslc the Informallon s <br />4 submitted. Bred on my inquiry of tat person or persona who manage tat "wrn. <br />1 <br />- <br />or thaw persom directly respoadble for gathering the Into matlm th c Information <br />. submitted Is, to the best of my to n ledge and beset, true. amirate, and complete. , `• <br />SIGNATURE OF PRINCWAL EXECUTIVE <br />- <br />' <br /> I am were tltat then: are dgatflcant penaltles for submltting fallow lnrormatbn. AllliA <br />TYPED PRINTED InAuding the possibility of ene and hnprleonment for knowing • ol*Oo to OFFICER OR AUTHORIZED AGENT ODE NUMBER <br />C YEAR MO DAY <br />COMMENTS AND EXPLANATION Or ANT VIULA I Ives I/iarorence an •rracnmenrs nerar <br />i 49LF SOLIDS LIMIT APPLIED FOR f=10YR,24HR PRECIP EVENT- <br />PAGE OF <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used.