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PERMITTEE NAME/ADDRESS(7.e"FsrtAryNe.WL««1onIJD(feewr) <br />NAME <br />ADDRESS <br />',JIA CO 81421 <br />FACILITY ! E NO _ ; NE <br />LOCATION i I A .-,D 8142 <br />•LIAFi MINE MGR <br />NATIONAL POLLUTANT DISCHARGE EUMINATION sYSTEM JNPDESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE Nl1MBEA <br />MONITORING PERIOD <br />YEAR MO DAY I Y A MO DA <br />FROM TO <br />:>;;rm Appro,ed <br />- VE Nc 2040-0004 <br />MINOR <br />(SUAR MH) <br />F - FINAL DELTA <br />OSCHC OF SR TO GUNNI Slily RIVER <br />NOTE: Read Iristructlons beforta completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX Fntout'ICr <br />OF SAMPLE <br /> <br />TYPE <br /> ANA<rsts <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .E##sr## ### t## ii ####s - a r' :?'. <br />I-! REQUIREMENT MINIMUM MAX I MUM <br /> <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT R?It## tr ?• ### _- L t. <br /> REQUIREMENT DAILY I'. i IUNT! i <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT #i # ': #i ::-:a tt# fb## i>: REPORT REPORT <br />L ": <br />Ytr, <br /> REQUIREMENT 30DA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br />•= 5 ? PERMIT #####?t #? !t#it• ? ###### 6000 <br />1 1.: J= i <br />i-. H i <br /> REQUIREMENT :30UA At/U' DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT +# K:: ?> t` ####tf; ??#iF?E#lF 1r? ?Pl. I,a . <br /> REQUIREMENT INST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT REPORT <br />,- _ UEN T F, REQUIREMENT .30DA , I LY MX <br />?r • ..:= SAMPLE <br /> MEASUREMENT <br />PERMIT t L: , . <br />REQUIREMENT ; I1'i1 MAX <br />NAME/T1TLE PRINCIPAL EXECUTIVE OFFICER I -n-fy under prru ty o law that this document and all attachments were TELEPHONE <br />I <br />i <br />i <br />t <br />d <br />i DATE <br />n sccordann w <br />prepared under my direct <br />on or superrh{on <br />th a sys <br />em <br />es <br />gned <br />h <br />to more that qualified panonnd property gat <br />er and evaluate the Information <br />submitted. Bred en my Inquiry of the person or persons who manage the system -+-- <br />ibi <br />th <br />i <br />I <br />th <br />i <br />tl <br />f <br />th <br />r <br />lt <br />I <br />f <br />t <br />J <br />or ga <br />er <br />ng <br />n <br />or those perverts d <br />rec <br />y misons <br />e <br />ornu <br />ow, <br />e <br />n <br />orma <br />ion <br />. <br />submitted Is, to the bet of my knowledge and belief, true, a rsle. and complete. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />k <br />M <br />b <br />il <br />i <br />i <br /> 1 am swan blot Ihers are slgNi <br />int penalties; <br />e sa <br />m <br />ling ra <br />se informat <br />on, AREA <br />TYPED PRINTED including the possibility or fine and imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT ODE NUMBER <br />C YEAR MO DAY <br />COMMENTS AND EXPLANAI IUN yr AMT V IVLn t IUIr? frferorence M artacnmernra nirieri <br />:,AP pRECTP EVENT TS CLATMFO TF CLATM APPROVED QY W,OCD, <br />" <br />? <br />EPA Form 3326.1 (Rev. 3199) Previous editions may be used Thig is a 4-p , q Corm. PAGE OF