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PERMITTEE NAME/ADDRESS (7..&* Fa dhryW-(L«riaw I/DlQwww) <br />NAME <br />ADDRESS <br />J. IiuA 1b/ <br />'TG CO 81626 <br />FACILITY :D PER MINE <br />LOCATION i G CO 81625 <br />?MOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT OISCNMGE ELIMINATION SYSTEM INPOES) <br />DISCHARGE MONITORING REPORT (OMR) <br />PERMIT NUMBER D13CHARGE NUMBER <br />MONITORING PERIOD <br />YEAR O f!? YEAR O D 6Y <br />FROM TO - - <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR JC) <br />F - FINAL MOFAI <br />POND #3 TO MIDDLE PYFATI GULCH <br />D <br />NOTE: Readlnstructione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREGUFNCr <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />• R _ REQUIREMENT M I N I MUM MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r <br />it- W IF WW-77- <br /> <br />: - <br />C;' REQUIREMENT 30DA AVG AILY MX ;hN <br />- SAMPLE <br /> MEASUREMENT <br />S 5 1 O D PERMIT ` <br />' SS v REQUIREMENT ( 3ObA AVI3 DdI LY MX MONT <br />:: • , SAMPLE <br /> MEASUREMENT % <br /> PERMIT 7770 <br />V <br />UEN'T V/3LUr REQUIREMENT 30DA R G DAILY MX MONTH <br />.. n SAMPLE <br /> MEASUREMENT <br />'2 - PERMIT 10 <br />--DENT REQUIREMENT INST MAX t?:-``IT <br />1714- ! SAMPLE <br />Rl=: ;, ' ; i ? F' MEASUREMENT <br />:.) PERMIT <br /> REQUIREMENT JODA iL,. AILY MX <br /> <br /> SAMPLE <br /> MEASUREMENT <br />,. <br /> <br />n V-1- Lin <br />PERMIT <br />REQUIREMENT :SODA AV(, DAILY MY <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' -n"' " r Penally ° 1" that this document and ell atlechmtnta wen ` TELEPHONE <br />prepared wmk, my direction - fupenI on In w,,. not with • ayair dedgmd .. DATE <br />_ to ataure that qualified persona! property gather end evaluate the Inrorwulion <br />fob-Ilted. Bred on my inquiry of aw p r m% °r persona who roan.,, the e)etem. <br />? <br />enore dlrertl <br />ret <br />the Intoemeli°n <br />The Information lr <br />or th <br />w <br />orelbk fur Whirrin . <br />7 <br />p <br />. <br />a <br />p <br />g <br />f <br />wl <br />t <br />I <br />h <br />b <br />k <br />d <br />d <br />w I <br />d <br />kl <br />' <br />•?' -? <br />. r <br />no <br />e <br />g, an <br />r. an <br />fubmilted <br />& to t <br />e <br />eat o <br />my <br />be <br />rur, arcnra <br />mmp <br />t. <br />,- <br />i I ' 1 / • <br />SIGNATURE OF PIRNCNAL EXECUTIVE - <br /> I .m aware that Ih[re an alyditant Penaltits r°r Nbinildng raw information, AN <br />TYPED OR PRINTED Including ltw poadbluly or flat and Imprisonment for knowing rtat.tiom OFFICER OR AUTHORIZED AGENT CODEE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IReforonce on orrocnmonra nerd/ <br />BLE SOLIDS LIMIT APPLIED FOR <=10YR,24HR PRECIP EVENT- <br />EPA. Form 3370-1 (Rev 3%49) Preaous editions may be used This is A 4-pan form PAGE OF