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PERMITTEE NAMEIADDRESSpmei,drFaRbFHnse?L cette Vo(oWvm) <br />NAME <br />ADDRESS <br />BUX i57 <br />SIG CO 81626 <br />FACILITY .;PPER MINE- <br />LOCATION SIG CO 81625 <br />`. VMfti\Ill 11 TI I rrn v c 970=4 rf-%M <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 20404004 <br />MINOR <br />( SU B R Jr-) <br />F - FINAL <br />DISCHARGE TO HORSE GUI <br />NOTE: Read Irmtructlons boforf orrtpleting this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOVENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE , . . <br /> MEASUREMENT <br /> PERMIT #####tt ii # It### 6 tt# - ; ^I <br /> REQUIREMENT 1 J .. "if r i MUM <br /> SAMPLE <br /> MEASUREMENT <br />1 PERMIT #tFtt -; #>i>;#it -r- 'k ##?r ;j <br />IJ i'! ;•'? REQUIREMENT x 30X7 AVt, DAILY :'IX MONTI- <br />-,c SAMPLE <br /> MEASUREMENT <br /> PERMIT # #e si - sE# ## t tt#?t?E P IONAL REPORT WCEi G?AE <br /> REQUIREMENT /? DA AiJG DAILY Mx ilk! :,10NT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br />I 3600 6000 <br />NCEfl <br />GRr„j <br /> REQUIREMENT 30DA V'': DAILY MX ;'fflhaTF <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT % (ht5 MAX <br />C <br />J <br />i I'J 7 SAMPLE <br />FRS-. P MEASUREMENT <br /> PERMIT REPO!. T <br />' •' .. REQUIREMENT OT)A MX .. , <br />;L SAMPLE <br /> MEASUREMENT <br />;t IFa'f x? #'#?faE #•st=o-: REPOR <br />PERMIT REPORT <br />t' ;;t. <br />REQUIREMENT -30DA GAILY MX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I m lity under pen.'y ° ¦w that this domment and am attachments were TELEPHONE <br />ti <br />et <br />n I <br />d <br />ith <br />t <br />i <br />d <br />d <br />di <br />l <br />d <br />d DATE <br />prepare <br />un <br />er my <br />rec <br />on or mper <br />o <br />n ecmr <br />.nn w <br />a sys <br />em <br />s <br />e <br />gne <br />to avers that quallned perwnnel Property tether and evaluate the Informatlon - <br />/ubmitled. Based an my Inquiry or the penow er perwne who manage the system <br />. <br />h <br />tl <br />e <br />W bi <br />f <br />th <br />th <br />I <br />tl <br />di <br />th <br />i <br />I <br />f <br />ti <br />f <br />rec <br />y r <br />epo <br />or ga <br />e <br />n <br />orma <br />on, <br />e <br />n <br />orma <br />on <br />or t <br />ose persons <br />e <br />er <br />ng <br />k <br />b <br />w <br />d <br />d <br />( <br />noe <br />submllled Is. to The <br />et 0 <br />re an <br />belief, true. aceumle. an <br />complete. <br />-y <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> I @- aware that (hers ors dgNfkiret penaRle for submitting fain Information. ARE* <br />TYPED OR PRINTED InAtrding The poodblilly of Am and Imprisonment for knowing .TolatIon. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIVLA I IUNS imeroronce off •rrecnmonrs norei <br />4HR PRE=?f? EVEnIT- <br />! FAB F qOt_ Tnq LIMIT APPLIED FOR .=20Yf?, 2 <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used r, 04 77 / OT4I?"I!); 4-N?Qrnl. PAGE OF