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PERMITTEE NAME/ADDRESS(7-"FarftNw?LeermwA(D(Se.w.) <br />NAME <br />ADDRESS <br />BOX 535 <br />ERSET CO 814 <br />FACILITY ORN CRK & ELK CRK MINES <br />LOCATION t_RSET CO 814 <br />'-IFS T C:nnPFR. FXFr V P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NLtM6ER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR t1;, <br />F - FINAL Guff I It <br />SEDIMENT POND TO SANBORN CREEK. <br />X . <br />NOTE: Read Instructions before completing We form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREDUENCr <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />1 PERMIT #### REPORT <br />r,l r REQUIREMENT I NST 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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />MERiTLE PRINCIPAL EXECUTIVE OFFICER t ceruty u pen¦ ty o Is. that this document and all attachment wen <br />TELEPHONE <br />DATE <br />NA <br />prepared under my directbn or superehton In atcwdante with ¦ system designed <br />to stare that quatlfled personnel Properly gather and evaluate the information - <br />. subudited. Based on my Inquiry of tin person or persons who manage the system. <br />- <br />^ - <br />or those persons directly responsible for gathering the IMoemadme <br />the Information <br />•. -. • <br />. <br />u . /? . <br />/ 1 <br />- ( wbmlHed b to the belt of my knowledge and betlef, Iraq, accurate, and complete. <br />e r <br />SIGNATURE OF PRINC"L EXECUTIVE <br />, I am aware that there am sfrdfieastt penalties for submitting raise Inform¦do t, AREA <br />TYPED OR PRINTED Including the poedblilty or fine and Imprisonment ror knowing v¦dstlorn OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aH affachmenta here) <br />^I.Y SOLIDS Lr`17 APPLIED FOR --10yR "I"R `T--C-r7' i -P4T-S L- PP 4-1 <br />M1 F Hem <br />EPA Form 3320-1 (Rev 3:199) Previous edibons may be used T111'S IS a 4-pall IOI'TII PAGE Of