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PERMITTEE NAME/ADDRESS17-6,*FeewyN..?Lxwi-(fD(p.ewo) <br />NAME <br />ADDRESS <br />- SOX 18/ <br />,IG co 81 <br />FACILITY PPER MINE <br />LOCATION -', I G C 0 81 <br />.,,YMOND G. DU BOIS, PRES/Gh <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D AIR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO Y MO. DAY <br />Form Approved <br />OMB No. 2040-0004 <br />f SUL F, <br />F - FINAL MOF-A f <br />POND #1 TO UTE GULCH <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT - ?• <br /> REQUIREMENT M I N I1`24N7 MAXIMUM <br />- ri.. SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /><, <br />7. <br /> REQUIREMENT % ?e,1?ti AVG DA 1: MX AOP•ITF <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT " ' ` ? •'• ^ ? <br /> <br />REQUIREMENT 30DA AVG UA ? LY `1 MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />I j U <br />_ UI- i = REQUIREMENT / 3QDA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ?s <br />LN. REQUIREMENT I .I`) i MAX GENT <br />k, L SAMPLE <br />ATht _: MEASUREMENT <br /> <br />0 1 0 PERMIT 7-177 1 -:. <br />GRC??: REQUIREMENT ?30r)A AVG DAILY MX <br />- SAMPLE <br /> MEASUREMENT <br /> <br /> <br />x. <br />PERMIT ,. . <br />REQUIREMENT ?,.'1)A AW, DAILY MX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 n^.tl ader pens 17 o Ia+ Inat u h dnrument and ax atlarhmcnta were TELEPHONE <br />prepared under ml dlreetlon a sup.r.hltm In accor<lann with • alllem ddgned <br />to aatlre that guafloed pwnunnel popery nth., and ..wale the In -1 mat)" <br />f 1 a `: Yr 1. / _ submitted. Based on ml Inquiry or the person or persona who maoisp the al,tem. " <br />or those peraoln direcly mponable r« gathering the Inrormauora, the Intoemation - <br />L } submitted b. to the bell or my knowledge and beset. 1r , sm,rale. and complete. <br />I am swam that them are rgdncant penalties For submitting star Intor,muon <br />SIGNATURE OF PRINCIPAL EXECUTIVE y DATE <br /> <br /> <br /> <br />. <br /> <br />! ; <br />TYPED OR PRINTED . <br />Including the possibility of flaw and Imp 1" menl nor knowing .IolitUorm <br />OFFICER OR AUTHORIZED AGENT A AEA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS ANU tArt_nnn t tvn yr e.1e 1 e1- 1v1w In IIAIr,6W sae wa uernnwn to r,wrap <br />t. ;r;IT?D vj1 _I_ AI'.'1=Ii• T.' !=ABLE SOLIDS LIMIT APFL] <br />ADS MONITORING - I. B. <br />)R =1 OYR, 24HR PREC I P EVEN1 <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used rj ( 1 55 % ( 41*4"4'ParIqfiprm PAGE OF