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PERMITTEE NAME)ADDRESS(7ft*ArF-OryN..?Lxrtw$fD(#Wvu) <br />NAME <br />ADDRESS <br /> 18 17 <br />IG CO <br />FACILITY "'?PPER MINE <br />LOCATION ' I G is O <br />?YMOND G. DU BOIS, PRES <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER OISCHMGE NUMBER <br />MONITORING PERIOD <br />B I YEAR MO DAY YEAR MO DAY <br />FROM TO <br />GM <br />Form Approved <br />OMB No. 2040.0004 <br />I'I i I•v ?]f(SUBR <br />F - FINAL NU AT <br />DISCHARGE TO GROUSE GULCH <br />NOTE: Read Irlatruetltxn before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX Fn[ouENCr <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT x P. <br />-A 6. b - ,. EE-7 i <br /> REQUIREMENT M I N I MU'-1 hA X I MUM <br /> SAMPLE :> > <br /> MEASUREMENT <br /> PERMIT 7. a <br />7 -7 <br /> <br />it <br /> <br />.., <br /> <br />: . <br />L a REQUIREMENT 3 O- A W.) G DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br />- PERMIT <br /> REQUIREMENT INIT MAX GiNT <br /> SAMPLE <br />` f ,. . <br />Tr-, ILI ! MEASUREMENT I <br />O I G PERMIT <br />-i•! I GROSS REQUIREMENT ?pPA AVG Y h1X <br />_ SAMPLE a v <br /> MEASUREMENT <br />-- `-•' PERMIT a' t' <br /> REQUIREMENT 30DA ?=i.' DA1L, MX <br />;1111 LT SAMPLE <br />JAL_ MEASUREMENT <br />1 PERMIT <br />Jill: <br />G-1.?,-,, •. REQUIREMENT r MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECI THE OFFICER Cen'arend mnd? coder my Py di re°cation w othat th <br />r wP s p <br />tre Is <br />er.tttan In Won In nt scancwddaas?nee with • with a sy"?ste.em were <br />designed <br />TELEPHONE <br />DATE <br /> p <br />p <br />to assure that quashed personnel Property gather and evaluate the Information <br />4 submitted. Bawd on my inquiry of tat person or Persons who manage the tyslem. <br />J <br />.' ?. or those pmom directly responsible for gathering the Information, the inf--stion ? ' - -- <br />" <br />. <br />• submitted h, to the best of my YnowieEge and bellef. true. accurate, and complete. -.. _ ., <br />. - <br />?/ <br />- an <br />i <br />l SIGNATURE OF PRINCIPAL EXECUTIVE <br />.. I am aware that there are s <br />gr <br />cant Pena <br />ties for submitting false Information, AREA <br />,ryPED OR PRINTED Inchrding the possibility of now, and Imprisonment for mewing Ool.tlore>, OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ad attachments hare) <br />ABLE SOLIDS LIMIT APPLIED FOR C=10YR,24HR PRECIP FVENT- <br />i'10NITORING - OIL A .L z 1 <br />r.1Qi Its1. p? <br />t <br />I1t ?, 4S`YORTI. <br />?? T <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. PAGE