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PERMITTEE NAME/ADDRESS (tnAi & FaelbryN--?L«arlan t(DWsrww) <br />NAME <br />ADDRESS <br />BOX 535 <br />=RSET CO 81439 <br />FACILITY ,HORN CRK. $. ELK CRK MINES <br />LOCATION -RSET CO 6143,4 <br />'•IGL2 T !'flnorp. F'YFt^ V P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM_ fNPOESI <br />DISCHARGE MONITORING REPORT /DMR) <br />PERMIT NUMBER DISCHAAGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM - I I d TO <br />Form APPfoved <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH: <br />F - F I NAL <br />SED I €'4ENT <br />NOTE: Rood k»tructione before completed" this form. <br />iUli I r <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?f##?## REPORT #it#risl ? ##x#?# #####?? CE' <br />= , I REQUIREMENT T N 5 T !'IA X U:- ". MON <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 />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Cerny ° r penalty o (law that this document and au a1l.chments were TELEPHONE <br />erslslon In . <br />cord.nee with a s <br />stem desi <br />ned <br />ed u <br />der <br />dir, <br />tl <br />n or fu <br />re DATE <br />p <br />y <br />g <br />p <br />par <br />n <br />my <br />r <br />o <br />c <br />to care Ihal quallned personnel piopeA) Lather and t•aluale IM Inforrrutaon _ <br />• sub"11M. Bred on my inquiry of the pereon or persons who manage the ystem• i - <br />?,?•. <br />lbl <br />f <br />h <br />/? <br />i <br />' <br />- <br />- <br />:. ;, r <br />or those persons dlrecty r pons <br />e <br />or gat <br />ering the Information. the Information <br />• <br />- <br />f <br />?- submitted K to the best of my knowkdge and b~. true.. rale• and eompWo, <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> 1 .m aware that there are significant penalties for mbmitdng false Information, 1111A <br />TYPED OR PRINTED Including the poadbmy of nne and Imprisonment for knowing .iol.Uona OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re%rence Bit attachments refuel <br />t: FF SOLIDS L_MT APPLIED FOR '-IOYP. 714F4R PRE IP ?) EN7 <br />T-S '_ <br />EPA Form 3320-1 (Rev 3,99) Previous edit,cns may be used T?11S is ,a 4-pall forin. PAGE OF <br />0" o -4 <br />.,