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PERMITTEE NAME/ADDRESS(7-d6&F-**Newarlocrson((DWIa,rel) <br />NAME <br />ADDRESS ; ; F•. <br />13UX 535 <br />'FRSET CO 914 <br />FACILITY -TORN CRK ELK CRK MINES <br />LOCATION ; . RSET CO 214 <br />MES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION Sy9TEM (NPOES) <br />DISCHARGE MONITORING REPORT /DMRI <br />PERMIT NUMBER DISCHARGE NUMIl <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />MINOR <br />( SUDR MH ) <br />F - FINAL SURFACE RUNOFF TO ELK CREEK <br />NOTE: R?Bd frntructlonB before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO <br />. FREOUENCY <br /> <br />OF <br />SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />?t <br /> MEASUREMENT <br /> PERMIT #it##It REPORT <br />#sFiEk'r <br />### <br />..## <br />)F_ REQUIREMENT I NST MAX M' 'I <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 /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br /> <br />Pre dl l oficlation . th or at supervision pereresupervision In nl aKarseyx ore machrments with . "stem were ds>agnad TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />pared under mr dance <br />DATE <br />to Insure that quo"fled personnel propert, gather and erduate Ike Information -1 I <br />-? <br />- <br />wh <br />r th <br />s <br />t <br />I <br />i <br />th <br />' <br />" <br />- <br />. <br />. <br />... _ <br />ry o <br />e per <br />on or persona <br />o mantle <br />e "s <br />em. ; . . <br />nqu <br />submitted. Bred on m) <br />- - - <br />C G 1? - <br />erm directly responalbie ror gathering the Information, the Information <br />or those <br />' <br />p <br />/ submitted h. to the best of m7 knovkdge and belief. Ime, accurate. and compkle. - <br />ilONATVRE OF PRINCIPAL EXECUTIVE <br />`? ?^ <br />- _-- <br /> t am aware that there art signlflcsai penattle for mlimtltting (tier Information, A A <br /> <br />TYPED OR PRINTED Inducts the blot orflne and Ina risonmrnt For knowing Aolauoms <br />nt P OFFICER OR AUTHORIZED AGENT NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reforenc• N/ •ffecnm•nrs /forte/ <br />FABLE SOLIDS LMT APP[..TFn FOR 10YR,24 HR PRECTP FVFNT; <br />24HR EVEN T <br />A t !lA - - ; <br />Tfti?R-js,•a,4- aR form. PAGE OF <br />EPA Form 3320-1 (Rev. 3:'99) Previous editions maybe used. P