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KAMITTEE NAME/ADDRESS pwaYferworyNor/Locett VrDtpvaa,) <br />NAME <br />ADDRESS <br />iiUX 187 <br />IG CO 81626 <br />FACILITY "PER MINE <br />LOCATION I G CO 8162E <br />r'Mf11Vn f: nil FIflTS. PRFG/P-M <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO L_ 1_ " - <br />Form Approved. <br />OMB No. 2040.0004 <br />MINOR <br />(SUDR JC) <br />F - FINAL MOFAT <br />DISCHARCF TO WIEST HORSE GULCH <br />NOTE: Read In.trucdone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX EQUENCY <br />OF <br />r SAMPLE <br /> <br />TYP <br /> ANALY99 E <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###it tt ## tt ## ##; O EE _` T <br /> REQUIREMENT MAX IMUM <br /> SAMPLE <br />- MEASUREMENT <br /> PERMIT rrtt#tttr? psis: fryer `__, 1 _/ <br />- <br />.?R1D s_ REQUIREMENT iiLN?r <br />r r f= SAMPLE <br /> MEASUREMENT <br /> PERMIT # t: /#x * t "f?? I P OIVAL REPORT -- <br /> REQUIREMENT v ODA AV DAILY MX ?I <br /> SAMPLE <br /> MEASUREMENT <br />I <br /> PERMIT 3: ## # ## 3000 6000 N,-- E? .-RAI. <br /> REQUIREMENT 30D AVG DAILY MX i°1ONTU <br /> SAMPLE <br /> MEASUREMENT <br />s 1 O PERMIT > •. - , r .: i >... _ .1 ON•I US .:— <br /> REQUIREMENT 1A'+Y. T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br /> REQUIREMENT i L % MX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT REP(-!F< <br />REQUIREMENT MX <br /> <br />au attachments ere TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I mrtily under gene ty o few that this document and <br />Prepared under my direcllon or saper+4sion In accordance with a system designed <br />DATE <br />- to asum that qualified Personnel party gather and evaluate the Information <br />! <br />submllted <br />Bawd on m <br />In <br />uir <br />of the <br />erson or <br />ers <br />ns wh <br />n <br />m <br />th <br />t <br />• <br />- <br />3 <br />y <br />q <br />y <br />p <br />p <br />. <br />o <br />o <br />a <br />age <br />e sys <br />em, ? <br />a - <br />or thaw perverts directly mportsible for gathering the Iefarrea tles, the Inrot lion - ?? <br />h <br />f <br />" <br />submllled Is, to t <br />e best o <br />my know Mdge and belief, Irv*, accurate, and complete. <br />r I am aware that then an si <br />nificant <br />tIONATVRE OF PRINCIPAL EXECUTIVE <br />enalties for <br />bmilti <br />f <br />l <br />I <br />r <br />d <br />TYPED OR PRINTED p <br />g <br />ng <br />a <br />se <br />n <br />ormo <br />on, <br />wr <br />IndudIng the po olblsly of fine and Imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aM attachment: horol <br />?LIL F SDI.TY?S LIMIT A,PP!.IFD FOP .=10-YP, 24HR PPFC.T=' FtIFf?JT <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. ? I-Tb J- jp, , p%%,jf9rri1. PAGE OF ?-?