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FERMITTEE NAME/ADDRESS (toll Fw*yNo.WLacatlon ((DOWD w) <br />NAME <br />ADDRESS <br />BOX X35 <br />i'=ERSET CO 81434 <br />FACILITY 'BORN CRK & ELK CRK MINES <br />LOCATION MERSET CO 81434 <br />;MES T. CnnP1=Rr EXEC V. P. <br />NATIONAL POLLUTANT OISCNAROE EUMINATION SrsTDTA (NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM . I I d TO <br />Form APPf0ved. <br />OMB No. 2040-0084 <br />MINOR <br />(SUER MH) <br />F - FINAL QUN? <br />SET31I`-1=t-JT POND TO E!-.# I=_" <br />i <br />NOTE: Read kletrvctlons before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br /> <br />EX FREOUENCr <br /> <br />of <br />SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #•fsr :. ### 6. lO 4CE/ I;, .. <br /> REQUIREMENT MAX IMUM MONTH" <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ### rl #3t #'.i# i! #?f #-t#3f ie ^ 70 <br />t.; <br />,. REQUIREMENT A DAILY k (r: - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT a#3P#it #### # '###### REPORT REPORT `4'v ys~AH <br /> REQUIREMENT 3C?GA A'JG DAILY 19X MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###### :r ####It# 30W 6000 •f' CE/ =?C? u <br /> REQUIREMENT 30 DA AVG DAILY MX !' +=i J <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT'' "QNT It _ . <br />:t'•:'` REQUIREMENT II`•Ij'. ii, :; -ENT <br />COhi' SAMPLE <br />rME MEASUREMENT <br />0 PERMIT REPORT REPORT <br />_UENT GR0S>? REQUIREMENT -3ME;A AVCl DAILY ('IX <br />: DS, FATAL SAMPLE <br />_3OLVE D MEASUREMENT <br />PERMIT ****Aix r### iF#If### REPORT <br />REP RT <br />REQUIREMENT QR TR F''•: DAILY MX <br />NAMElTITLE PRINCIPAL EXECUTNE OFFICER I cert,ly under penes 1y o law that thh document and all attachments were TELEPHONE <br />k <br />l <br />l <br />f <br />I <br />l DATE <br />Prepared um <br />r my d <br />rect <br />on or super. <br />fon <br />n accordance with a sys <br />ern designed <br />to more that rlvallned perwnnel properly gather and evaluate the Inforanallon <br />submitted. Based oo my Inquiry of the person or persona who manage the system. - <br />r <br />- <br />_ <br />. <br />ectl <br />res <br />onsible fo <br />ethe <br />or the <br />e <br />ee <br />di <br />l <br />th <br />I <br />% <br />th <br />ti <br />I <br />f <br />ti <br />y <br />r g <br />se p <br />rs <br />e <br />r <br />p <br />r <br />ng <br />n <br />cme <br />e <br />n <br />orma <br />on <br />e <br />m <br />submitted h. to the best of my knowlydge and brief, lrtee, smrrste. and complete. ?/ - <br />BIGNATURE OF MIINCWAL EXECLMW <br />I am <br />w <br />lh <br />l <br />llk <br />m <br />n <br />ttl <br />f <br />lln <br />l <br />I <br />l th <br />b <br />I <br />f <br />t <br />- <br /> s <br />an <br />s <br />en on s <br />ga <br />s <br />pe <br />es <br />m <br />ng <br />e <br />a <br />or m <br />s <br />n <br />ore <br />bn• - AREA <br />TYPED OR PRINTED Including the posslb4ly of flat and Imprtsonmrnt for knowing vidatfa OFFICER OR AUTHORIZED AGENT COON NV MBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Relorance 1rN attachments hole) <br />.1 - TLFA`?-E SOLIDS LMT APPL IED FOR -10YR, 24HR P-1-< <br />- _L 0', =VENT-SEE -. 1 PP 4-5, <br /> <br />EPA Form 3320-1 (Rev 3149) Previous editions may be used. f ?& is a 4-part forth. PAGE OF