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PERMI TEE NAME/ADDRESS (7.d6& F erMr, Nas.?Ler.naw yD(pbrey <br />NAME r? <br />ADDRESS <br />LOX 1Si <br />TG CO 81626 <br />FACILITY ;?PER MINE <br />LOCATION , I G CO 81625 <br />':YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT OISCHMGE ELIMINATION symm (rNPDES/ <br />DISCHARGE MONITORING REPORT /DMR) <br />PERMIT NUMBER DISCHAAGE 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 />(SUBR JC) <br />F - FINAL MOFAI <br />POND TO FAR EAST BUZZARD GULCH <br />NOTE: ReMd Irntructlorw before complei" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOt1ENCY SAMPLE <br /> 1>< OF <br /> EX ANALrsis TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE = =: <br /> MEASUREMENT <br /> PERMIT ##### REPORT = xit###a? -##ir? ##it### :_/ ISUAi <br /> REQUIREMENT TNST MAX E•i;li,iT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -- <br /> REQUIREMENT \. <br /> <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 /> <br />PERMIT <br />REQUIREMENT <br /> <br />1 cerllly Y Pena ty o law that this document and all attachments were TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />DATE <br />prepared under my direction or supenhlow In accordance with ¦ system designed <br /> to assure that qualified personnel property gather and etaluale the Information <br />submitted. Based em my Inquiry 0(the Person or per"M who mana <br />e the s <br />t <br />m <br /> <br />/ g <br />ys <br />e <br />, <br /> or those diredl ble For olbertnthe Informa <br />Prettiest r yesP«d c g torn. the Information <br />- <br />f submllled Isk to the bell o(my knowledge and belW. Irue, accurate. and complete. , - `- <br /> 1 am swan that there are slgtdtlcant penalties for swb"ItIng false Information SIGNATURE OF PRINCIPAL EXECUTIVE / <br />TYPED OR PRINTED . <br />lnc%&Wng the porlbluty of fine and Imprisonment For knowing violations. OFFICER OR AUTHORIZEO AGENT <br />AREJ <br />ODE NUMBER <br />C <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />a.vmMCr`s I J AfYV car a.e+.•.. • ..... ... .?... ......,? ....a..e Ir. wrnwrra.w sun waawa,rrr rrwr.aa rrwr w, <br />-L 3i WA iBLE SOLIDS LIMIT APPLIED FOR '=10YR, 24HR PRFCIP FVENT- <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used. 00338 / (`lld%6C*,A-p7 Vhrm. PAGE -OF