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PERMITTEE NAME/ADDRESSa-h,&Fir111ry)V--WL«wte (/DO61) <br />NAME <br />ADDRESS <br />BOX <br />!NIA <br />FACILITY iR NO <br />LOCATION 'IERSET <br />J%l I F_L. <br />3 MINE <br />CO <br />SFAR, FRFSIDENT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM I/NPDESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form APProved <br />I( r / <br />MINOR OM9 No. 2040-0004 <br />(SUBR. MN ) <br />F - FINAL GtJ <br />RUNOFF TO N FIB( GUNNISON R I.VER <br />NOTE: Reed Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br />EX 7EOVENCY AMPLE <br />TYPE <br /> <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 6. 15 % <br /> REQUIREMENT r -i X I MUM <br /> <br /> SAMPLE <br /> MEASUREMENT <br />I <br /> PERMIT ri r .; . x •,r <br /> REQUIREMENT IL_Y <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##'t ?! #### li# -? *#### : 4 <br /> REQUIREMENT INST NA t. -^•I i <br /> SAMPLE <br />_ MEASUREMENT <br /> PERMIT Ftt 'ORT a litit #fi4 #lF#IF?F# =4-,? 1' <br /> REQUIREMENT Y fix <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT Ofd T #bFiF ### 3t jt <br /> REQUIREMENT MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/T1TLE PRINCIPAL EXECUTIVE OFFICER t entry under Penalty o low that this document and all uuchmcnu were TELEPHONE DATE <br />prepared under my diR lion or supereidon In a rdar with a sratem designed <br />to .mare that qullned personnel property gather and evaluate the Information <br />submitted. lawd on my inquiry of the Person or person who manage the system, <br />or those person directly ropomlbk for gathering the Informallow <br />the Information '" - - <br />, <br />/ <br />th <br />bets of m <br />kmwkd <br />s <br />b <br />itt <br />d Is <br />t <br />a <br />d b <br />tl <br />f <br />t <br />e <br />r <br />te <br />nd <br />kl <br />? - - <br />- <br />u <br />m <br />e <br />. <br />o <br />e <br />7 <br />gt <br />n <br />e <br />e <br />, <br />ru <br />, ateu <br />a <br />, a <br />mmp <br />e. /' <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />I <br />w <br />th <br />t th <br />re d <br />nifl <br />t <br />n <br />f <br />b <br />itti <br />I <br />r <br />lti <br />mi - <br />TYPED OR PRINTED am a <br />are <br />a <br />en a <br />a <br />Pe <br />a <br />m <br />g <br />es <br />or su <br />ng <br />te <br />n <br />orneatbn, <br />I KI Ing the paadblgtr of Ilne and ImprIsomnenl for knowing Hetatiorm OFFICER OR AUTHORIZED AGENT AREAJ <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re%rence eN attachments here/ <br />r(;; Tn: t iM` ti . <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. This 1S a 4-Pall form. PAGE OF