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PERMITTEE NAME/ADDRESSp+roYiF.rlbryNawa?L wl-((D(olowv) <br />NAME <br />ADDRESS <br />O. BOX 187 <br />IG CO 81626 <br />FACILITY P P ER MINE <br />LOCATION I G CO 61625 <br />YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM (MPOES) <br />DISCHARGE MONITORING REPORT IOMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No- 2040-0004 <br />MINOR <br />(SUER, <br />F - FINAL. iiOr=AT <br />POND #2 TO EAST PYEATT GULCH <br />NOTE: Road instruction before completing thla Iwm. <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 #### REPORT ###ar: :< I### ??### E1=N;LY /ISl1a <br />lJi ) REQUIREMENT INFT MAX .` - <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 />AME/TITLE PRINCIPAL EXECUTIVE OFFICER "FT.-IT u er Pena ty or .. that thH 6-tmenr and all .u.chmmn were <br />TELEPHONE <br />DATE <br />Prepared under my dlrertlon or mper hi- Ia accorda x ..IIh • system designed <br />N <br />to ease" that quaMfled personnel Properly ether and erah,ale the Inrormatlon / i <br />b <br />itt <br />d <br />Ia <br />l <br />f th <br />r <br />wh <br />th <br />t <br />t ®! <br />d <br />B <br />su <br />m <br />e <br />. <br />re <br />on my <br />qu <br />r7 o <br />e peesua o <br />persom <br />o manage <br />e sys <br />em. <br />or those persons directly responsible rear pthering the Info-twwst ma the Infoe don <br />' <br />submitted Is, to the best of my hobo Ire and beW. Irw. oc-mle, and cotnpkk. - <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> 1 am a.are Ual there are dt{Nflcam penalties for subnrlNn{ raise Informadow, A A <br />INTED <br />P Indodtn= Ibe powubinq of flaw and Imprlsonmmt for mowing rWsUmn OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />R <br />TYPED OR <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aN attachment: hare/ <br />',BLE SOLIDS LIMIT APPLIED FOR c'=10YR, 24HR PRECIP FVENT- <br />MONITORING - -i!L :. .. -". r_ T r, t <br />R TnD RFPnR T Fi, <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ; )T1$_1$j&4-V RW fIDFITI. PAGE OF ---7,