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PERMITTEE NAME,ADDRESS elruau& Facility- lame,Lovarion IrVij/emnf) <br />NAME ,]AL COMPANY, L_LC <br />ADDRESS is 1_ r MINE <br />WEST FIRST STREET <br />NIDAD (:O 83 <br />FACILITY ELK MINE <br />LOCATION :TON co 81 <br />'Y;qF c nVFRr)t41_F• <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO G <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBP <br />F - FINAL LAIIA5 <br />RUNOFF POND 5/PURGAT0[! E RIVER <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> EX OF TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />' SAMPLE <br />MEASUREMENT <br />- 1 PERMIT <br />T Gf-. _»5 VAL!Ji REQUIREMENT I`1 i Iti';"• i;-, =, .f f' :! i <br />al- SAMPLE <br />F. MEASUREMENT <br />PERMIT ##f - f-r aF##### #z ti1;F,=i ?iF 70 <br />_ F' :?R(]BS VALii_ REQUIREMENT 30DA ••".)GI 1"1: <br />3 E I ( L_E;?: B L. F- SAMPLE t.. ,. <br />?? <br />MEASUREMENT / ? <br />1 C O PERMIT r - , dF ?s x`.• ii x # > _ , . . <br />FLUENT GROSS VALVC REQUIREMENT <br />r'i rDTAL SAMPLE - <br /> <br />(;?S FE) MEASUREMENT V <br />0 ) PERMIT ii } #ir# tF #i :- xz#3i i _1 5 L <br />F GROSS VALI...'' REQUIREMENT «-:r+ 30DA AVG Ii <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT iii;x##r :q R F? # y_# - ¢#af# <br />•1LU•r REQUIREMENT <br />0R SAMPLE <br />- '._AN MEASUREMENT <br /> PERMIT REPORT R YR7 ? k, _ _ r ,_, ; rct <br />F GROSS VFti ; REQUIREMENT `3GDA AVM <br /> SAMPLE <br />'#k <br />_ MEASUREMENT <br /> PERMIT <br />F <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL E)(ECYPLE OFFICER I certify under Penalty 01 '13%% that this document and all attachments werc i' TELEPHONE DATE <br /> <br />l <br />? <br />0C prepared under my direction or super,is,on in accordance with a sNStem designed <br />s <br />! <br />t <br />f <br />t <br />th <br />lifi <br />d <br />d <br />th <br />d <br />% <br />l <br />th <br />i <br />ni <br />r (,4- <br />U 1 ! <br />?J - at qua <br />per ran <br />propcr <br />y ga <br />er an <br />a <br />ua <br />e <br />on <br />o os <br />urc <br />e <br />c <br />e <br />n <br />ortm <br />uirs of the <br />erson or persons wfio manage the system <br />submitted <br />Based on m <br />in <br /> . <br />. <br />y <br />q <br />p <br />or those persons direetlc respm ible for gathcrmg the information- the information <br />- <br />- <br /> submitted is <br />to the best of m <br />e and heltef <br />true <br />accurate <br />and complete <br />knowled <br /> , <br />. <br />, <br />y <br />g <br />, <br />, <br />h <br />tti <br />l <br />i <br />t <br />th <br />t th <br />f <br />t <br />lt <br />f <br />f <br />tt <br />I SIGNATURE OF PRINCIPAL E ECUTIVE <br />r <br /> ere are signi <br />or +u <br />n <br />am aware <br />a <br />ican <br />pena <br />ies <br />mi <br />ng <br />a <br />se <br />orma <br />on. OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />DAY <br />TYPED OR PRINTED including the possibility of fine and imprisonment for knowing violations. CODE MO <br />COMMENIS ANU LAPLANAI IUN Ul- ANT vIULAI IUND (rrererence an anacrtmenrs nere! <br />)D REPORTED CITL & CRFA`)E - FIEF T R I D. P ?t. T`35 & <br />L! <br />^t. . ?_ _ a ? 1 !• ! E - - e ' ' r j-ji= - ;c' L€ Ill-i=? i r+i - 'r?-ii ' tt1.r - - - _ -.? -? <br />EPA Form 3320-1 (Rev. 3,199) Previous editions may be used. i ?C," This, IS a 4-p#n fol"Ill. PAGE OF