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PERMITTEE NAME/ADDRESS (Inrblr f.rWryN..?txutaw yvlprwmrj <br />NAME <br />ADDRESS <br />13UX 18I <br />iG CO 8162 <br />FACILITY ' PER MINE <br />LOCATION Z G CO 8162 <br />`rMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM- WPOESI <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHARGE NUIWISER <br />MONITORING PERIOD <br />YEAR MO D YE R MO DAY <br />FROM TO 1_ I <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR JC ) <br />F - FINAL MOFAI <br />POND #1 TO UTE GULCH i <br />NOTE: Read Instructions beft f a complatln9 this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. EQUENCY <br />F SAMPLE <br /> <br />EX AL <br />r TYPE <br /> Y-3113 <br />AN <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE _ ,. <br /> MEASUREMENT <br /> PERMIT ?. _r_ 4.:] . <br />R(35'_ AL' . REQUIREMENT 1 MINIMUM MAX I MUM <br /> SAMPLE <br /> MEASUREMENT <br />` PERMIT -. .. ? , ,.., _, , <br />71 •:? ., - . 7 <br />? <br />i0 E., SAL;.?;: REQUIREMENT l 30DA DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT 3A ---T7-qt*W It <br /> <br /> <br />i UP <br /> <br />71 UMAL <br /> <br />" <br /> <br />t <br /> REQUIREMENT 30DA AVG ILY NIX MONTH <br /> SAMPLE <br /> MEASUREMENT <br />4 S 1 - PERMIT **7 WN <br />- <br />._UENT GRQ REQUIREMENT 30Dt`"y" AVG DAILY MX MONTH <br />_- - SAMPLE <br /> MEASUREMENT <br />I O PERMIT a ;. lh ' : 'rti <br />-i.t SRC REQUIREMENT kx's, INS"T MAX T <br />.1 . ', • SAMPLE V <br /> MEASUREMENT <br />J PERMIT :. r <br />GRO`L, REQUIREMENT 30DA AVM- DAILY MX <br /> SAMPLE <br />-l MEASUREMENT <br />PERMIT -r .. .• . <br />" <br />ODA AVG DAILY MX <br />REQUIREMENT <br />NAME/TTTLE PRINCIPAL EXECUTIVE OFFICER ' ""'17 " r Prim ty w s. that thh document and aN ¦ttachmeets .ere TELEPHONE <br />prepared under my direction or atrpe"WOn In accordance with • system, designed <br />•: <br />? DATE <br />?. .. to mere that quellned Personnel Properly gather and evaluate the Information f ?? <br />, <br />/ - - submitted. Seed on my Inquiry of the Person or persons who senate the system, <br />or those perst s dimelly responsible for gathering the Information. the Information ? ! t-?= '? <br />to the bet of my knowledge and beer! <br />- submllled Is <br />lroe <br />accurate <br />and com <br />lete <br />• <? <br />, <br />• <br />, <br />p <br />. <br />. <br />SIGNATURE OF PRINCIPAL EXECUTIVE ' - <br />l <br />I <br />fi <br />r <br />S I am aware that there are signi <br />cant penalties for subm <br />tnng fain <br />nformation, AREA <br />TYPED OR PRINTED including the possibility of Rise and Imprisonment for knowing rldatlo OFFICER OR A VTHORIZEO AGENT ODE NUMBER <br />C YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fReforenco all attachments hare/ <br />BI-E SnL-TDS LIMIT APPLIED FOR =10YR, ?4NR PRECIP EVErvT- <br />;i _i - <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. :y, C, i _; 7.1 OThtis: #;4-pgggrm. PAGE ,OF ??