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FERMfTTEE NAMEIADDRESS(T c&&Fwiktj)V..WLe ot#" /DoWwv) <br />NAME <br />ADDRESS <br />O. I lUX i6i <br />CO 8166 <br />FACILITY -"' ER MINE <br />LOCATION , CO 81625 <br />?9OND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHAIGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER DISCHAAGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO L_ I <br />Form Approved <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR JC ) <br />F - FINAL <br />DISCHARGE TO DEAL GULCH <br />NOTE: Read kletrucdtxle botoro'complItiting this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX F#EOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##Ir#is # #### 6. S 3Eit###tt 9. G =EKL <i••'`?' ' <br /> REQUIREMENT MINIMUM FLAX IMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##3!#st# ? ?###if 3t3i-4 t_?t - '0 ,dC Ei "'; <br /> REQUIREMENT PA 1 L'i f•1'4 , IONTr- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #?tx# * TIONAL REPORT <br /> REQUIREMENT ` -- <br />11 77 30DA AVG DAILY MX <br /> SAMPLE s <br />i <br /> MEASUREMENT <br /> PERMIT x J &W *7W* -14 #1F## . ''000 6000 ltdC / GRJA <br /> REQUIREMENT i <br />TI <br />,'3O A AVG. <br />DAILY NIX <br />t •`AT <br /> SAMPLE <br /> MEASUREMENT <br />r PERMIT ] ;QtJ r It F. I, <br /> REQUIREMENT • <br />1 M <br />X <br />T <br /> f <br />l <br />A <br />r11? 1 I SAMPLE <br />__fJT P MEASUREMENT <br />0 PERMIT REPORT REPORT x' r T i'421 AI <br />i L N i GR OE `> REQUIREMENT '30DA ' A I LY MX <br /> <br />T-071 AL SAMPLE <br />LVEi MEASUREMENT <br />PERMIT <br />REQUIREMENT _',10DA AVG DAILY MX <br />NAME/T1TLE PRINCIPAL EXECUTIVE OFFICER i reriny voider pens ty o Isw that this document and all sitachmeoiu were TELEPHONE DATE <br />prepared voider my direction or supervision In accordance with a system designed <br />d <br />to stature that trusBlle <br />personnel proprrly gather and t•aluste the Information <br />submitted. Bred on my imi.try of the person M pereom he manaR the system <br />' <br />. <br />or than person directly responsible for gathering the inforrrtatlen, the Information <br />submined is, to the best of rtty Lnewkdp and beeef, trtre, accurate. and coatpkle. - - ' <br />- - - <br />f , <br />I am swam th <br />SfONATURE OF ?RIMCI?AL EXECUTIVE <br />t th <br />i <br />dnca <br />t <br />Nle <br />bmllli <br />f <br />f <br />l <br />I <br />f <br />d . _ <br /> a <br />en are t <br />g <br />n <br />pena <br />s <br />er su <br />ng <br />a <br />se <br />n <br />erma <br />on, AREA <br />TYPED OR PRINTED lnciuding the possibility of Brae and Imprlsonrrtent fa kmwing rbtaearts. OFFICER OR AUTHORIZED AGENT CODE NVMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION VI- FlNT VIULA I Ives (fforeronce on errocnmenrs nere) <br />MBLF_ SOLIDS L.IM £ T APPt T Er FOP '=10YR, 24HR PRFC £P EVENT- <br />EPA Form 3320-1 (Rev, 3/99) Previous editions may be used y44-pf0ry?. PAGE OF