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PERMITTEE NAMEIADDRESS(7-"Fath#yN&.?L«.wd-((DIQ6.+n1) <br />NAME <br />ADDRESS - <br />LICX .3?il <br />'.ERSET CO 81434 <br />FACILITY BORN CP•K & ELK MINES <br />LOCATION :cRSET CO 81434 <br />Mt., T :^.nnpFk. f XF(- V P <br />NA11ONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM /NPOES) <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY yEAR O DAY <br />FROM TO <br />Form Approved <br />MINOR OMB No 2040-0004 <br />t SUB.R <br />1 <br />E;"RTW E RUNOFF TO HUBBARD CPI, <br />NOTE: Reed Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO IaIEOVENCV <br />of SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />E _ <br />F <br />C_ REQUIREMENT j_ <br />.T <br />I :. _ SAMPLE .. R <br />_ r 1i1FD MEASUREMENT <br />v0 PERMIT <br />1- LUEiv i _C' REQUIREMENT i-•1 T 1- <br /> SAMPLE v <br /> MEASUREMENT <br /> PERMIT ... <br />7C . <br />, <br />_ REQUIREMENT .. ^'i r,''?i? l)a i L <br />T, SAMPLE ?, .. <br />_ MEASUREMENT <br />- - PERMIT <br />-.NT URO REQUIREMENT "L)t;Ft Fi'?;? t `_Y (°?Y <br /> SAMPLE r , <br /> MEASUREMENT <br />`t'•<' t G ?? <br />I <br />' PERMIT .. _ .. - - ., .. ? _. <br />E <br />F1:F <br />L.UEtvr R08S VALIJ REQUIREMENT <br />_ _. !. SAMPLE <br />_n E ATMENT PLAN , ME-SUREMENT <br />- - i C Q PERMIT t :.. _ <br />Rn5S I REQUIREMENT :ODD t1:; :. IT <br />_ .._ .. t SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT "SOD' 4, uA I L Y , ;. <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I mmay a r prn' ty *(I.. that lhlr d-n,, ll and an .11arhment, were TELEPHONE DATE <br />prepared under-, dlrertton or supm-fWon In am. arsm with . system dMtined <br />to amum that qu.Mfled personnei Property gather and rr.luatr IM Inrnrmatbn ,I 1 <br />J Wbmlttrd. Based me m. Inquiry of the Person or Persons who mange the rysterrt i <br />t r <br />or throe persons dl reAly re+poredble for plhMn= the Informahew• the Information <br />Z X('C r ("? `i l,.. ' - '%.•? t submitted is. to the best or my knowledge and be W. true, accurvle. and complete. I 9104ATl1RE Of PRINCIPAL EXECUTIVE <br /> I am aware that thin are slgrdfieant Pendties for submitting raise information. A <br />TYPED OR PRINTED tnch,dlng the possibility of fine and Imprisonment ror knowing laistlom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION Ur ANY VIULA I IUNS Irfereronco an arracnmenra neraf <br />(I1 i;' vr7i.i 3 ,_.EABLE SOLIDS LMT APPLIED FOR :=10r 24HR PRECIP EVENT; <br />i i i c -r i A. 1, PP 4-?: _l o r_ `• ,• . <br />;4 7- - - ,- r - -W' <br />EPA Form 3320-1 (Rev 3!991 Previous editions may be used 1 _i i) = : Ttll$ is a 1-par(;, f4Tip. PAGE OF