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PERMITTEE NAME)ADDRESS (Y." rw&tyNe atLerrten (/D(4r..r) <br />NAME <br />ADDRESS , <br />!7LJA =JL) <br />-ERSET CO 81434 <br />FACILITY BORN CRK & ELK CRK MINES <br />LOCATION r_RSET CO 81434 <br />MES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NLIMSER <br />MONITORING PERIOD <br />YEAR MO DAY YE MO DAY <br />FROM I - I -d TO - ' <br />Form Approved <br />OMB No 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL UN IN <br />SURFACE RUNOFF TO ELK CREEK <br />NOTE: R*ad hwtructlorw before completing this form. <br />PARAMETER <br /> <br />[>< QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENcY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br />1 PERMIT : o. <br /> REQUIREMENT MINIMUM MAXIMUM MON + i <br />_ SAMPLE <br /> MEASUREMENT <br /> - 7 <br />- <br />v; U 1 PERMIT r', r <br />7Mt <br /> <br />.... <br /> <br />13 <br />777 <br />, <br />F- EN'T r; Cr. REQUIREMENT -JOV,-, AVG DA 1L .. ?iX MON i F <br /> <br />.,_ SAMPLE <br /> MEASUREMENT <br /> <br />- PERMIT y ' -l <br /> <br /> REQUIREMENT :?ODA AVG DAILY MX ;' . MONTH <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />1 Li PERMIT :.a <br />JWU <br />„., ... _ <br />y . <br />13 <br />-NT GROE,,-) REQUIREMENT SODA AVG DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br /> <br />2 1 PERMIT <br /> REQUIREMENT I NS T 111AX i <br /> SAMPLE <br />, MEASUREMENT <br /> <br />O PERMIT <br />RO ; V:,; REQUIREMENT AVM :IAILY MX < i "??rJTi <br /> SAMPLE <br />:.D MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT =_?RTR . A I LY MX <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certtly u r pen. ty o In. (her it , dor meet and d1 .lbthm entf were <br />TELEPHONE <br />DATE <br /> prep.red under me dlrectlon or supe rvision In aecordanee with • system dtWgned <br /> to mum that qualirhd personnel property gather and evelu.te the information. <br /> <br />- oubrn filled. Based on my Inquiry of the person or persons who man.ga the rystem, <br />i <br />L <br />) L <br /> or those persons dlr, clly re_tpordbie ror talherit.g the Information. the Information o <br />J <br />,1 V <br />??. <br /> submitted Is, to the best or my knowledge and belef. Irue, .eav-W end complete. <br />t .m .- u.l th- .re slrntnc.et pm.ttirt F„r suhmlttir <br />w. Ir,r,r,n.o ?SIONATLME OF MINCIPAL EXECUTIVE <br /> t <br />- RE <br /> <br />TYPED OR PRINTED <br />lhr p :bhun, rn r. a imp:lwnnrr.t r , x..,.i.,r .lrA-,-. <br />OFFICER, OR AUTHORIZED AGENT l <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPL.ANA 1 VN Ur Are T v tvt.rn i tvrra frfererenc• M eruecnmenra nore1 <br />aE I. : LEAT3l.-F SOLIDS LMT APPLIED FOR f=10YR, 24 HP PRFCTP EVENT, <br />+ ; i.: .' T f r .z <br />- , <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used r, `: 6 -2 y jltik_15 a 4-pall form PAGE OF