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PERMTTTEE NAME/ADDRESS(7-o"Facility MosswLaesrras(/D(Qbwsr) <br />NAME <br />ADDRESS _ . , .. <br />60x :-a -1-3 5 <br />.ERSET CO 81434 <br />FACILITY :ORN CRK & ELK CRK MINES <br />LOCATION i=RSET CO 81434 <br />-,IES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDESJ <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 20404009 <br />MINOR <br />(SUER MH) <br />F - FINAL GUNI! <br />SURF RUNOFF TO N. FK GUNIS RIV <br />NOTE: Reed Inetructlone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br /> <br />EX OVENCY <br /> <br />OF <br />r <br />SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE { x <br /> MEASUREMENT <br /> PERMIT ### REPORT #'? ## # NCE/ %ISU(t <br /> REQUIREMENT ; 1,JST MAX MONTH <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 /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I n"tq r r penalty o bw thu Uhh d.xumrnt and all attachments were <br />prepared rode, my dlrsctlon w sup-talon In amrdon with ¦ system designed TELEPHONE DATE <br /> to assure that <br />ualified <br />ersonnel propert <br />gather and evaluate the Information <br /> q <br />p <br />y <br />sabmltled <br />Eyed on m <br />In <br />uir <br />of the <br />erson or <br />ersons who mana <br />e the s <br />stem i <br /> <br /> <br />• . <br />y <br />q <br />y <br />p <br />p <br />g <br />, <br />y <br />or those persons directly rnppdbk for gathering the Inrors don, the Inros dos <br />-' <br />? submitted k, to the best of my knowledge and belief, true, accurate, and comp". <br />' Y f h <br />t th <br />si <br />ift <br />m <br />ltt <br />lln <br />k <br />I <br />I <br />f <br />b <br />r <br />r <br />tb SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED ere are <br />gn <br />pens <br />a <br />or sa <br />m <br />ng <br />a <br />e <br />n <br />am aware t <br />a <br />o <br />ornr <br />n, <br />Indudtng the possibility of line and fnW Asonment for knowing Oolatloess. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ra/?ranca aN affachmenfs horal <br />?! c F; C=;!- T >1P n T APFL I ES FOR <br />=1 OYR, 24HR PRFC I P <br />PP 4- _ -1ND I, A. ._: P S -Ire <br />kA IlhiA: F _ Y - '-i? ?i?r=?;( MiIPJTHI i AV(, 17)URI1""G -!-R :-)n ref'"fh <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used _ , i Tkj4 is,3t4-W {arm. PAGE OF