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PERMITTEE NAWADDRESS(1radJrir•dryNr.L«rren?DIdF?) <br />NAME <br />ADDRESS - <br />0. BOX 535 <br />RSET CO 81434 <br />FACILITY :,ORN CRK & ELM, CRK MINES <br />LOCATION _RSET CO $1434 <br />lFq T CnnpFR. FXFC: V P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (/IVPDESI <br />DISCHARGE MONITORING REPORT IDMRI <br />PERMIT NUMBER olscHARDE NLOASER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO I _I <br />Form Approved. <br />OMB No. 2040-OZ" <br />M I NUR <br />(SUBFI-l' <br />F - FINAL • <br />SURFACE RUNOFF TO ELK CRE. <br />NOTE: Reed I natructlorn before completing this tam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />1 <br />MI1\1 I MUM <br />MAXIMUM <br />= • . <br />MCJN T <br /> SAMPLE l - <br /> MEASUREMENT <br /> PERMIT <br />W_ x <br />t <br />r- ; <br /> <br />[Ali <br />UE.N-T REQUIREMENT CiDA A`JG DA I LY M X MONTH <br />.;, 1-7- SAMPLE I ? <br /> MEASUREMENT <br />1 PERMIT :.... - .., &RAS <br /> REQUIREMENT 30DA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br />- PERMIT _ <br />! N I GRCJ-b REQUIREMENT 30DA AVG DAILY MX MONTH <br />11,10 t7 -1 L_ SAMPLE <br /> MEASUREMENT <br /> <br />` PERMIT <br />i UENT 0-P . . REQUIREMENT INST MAX GENT <br />_ ." <br />: SAMPLE <br />M <br />F1 <br />! TR1=ATM MEASURE <br />ENT <br />Cr i fi PERMIT :r•x_ .. <br />F" - ??"1 3R0 REQUIREMENT 30DA Ai` .: .•^tiILY MX R PION T F <br /> <br />r SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT ? i,i3T MAX MONTi- <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I amity er pr.. Ir .(1- + Ihal thh document and all attachnrnts wen <br />PRpared under my dlncllon or sup",h"n In accordance with a system designed TELEPHONE DATE <br /> to assn that ouagrltd perwnnef property gather and -alwalt the Information <br />submitted. aimed on my Inquiry or the penort or peraora who manage the system <br />- = <br />` . - <br />t <br />' <br /> or Ihoat pvraeris directly mponsiblt for gathering the Information, the Information r <br />? - r <br />- <br />, <br />K' submitted h, to the bnl of my knowledge and btw. true, afcurau, and -pMle. <br />l SIGNATURE OF PRINCNAL EXECUTIVE - <br />/ <br /> I am sman that then ¦n dgrdflcant penalties for sabm <br />tting false Information. AREA <br />TYPED OR PRINTED Inck.ding the posetbflity of nne and Imprisonment for knowing Aolatkmn OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re%rence a# attachments here! <br />PABt_F SOLIDS LMT APPL TFD Fns? I OYR: 24 HR PRE, TP EVFIVT; <br />_ 'JENT-SEE I F. <br />_ - - "t+, ? l ? `.' i i? ie ? i ?- 3 ? ? iw????rL4? i-?e?i-k ?, -- <br />EPA Form 3320-1 (Rev 3'99) Previous editions may be used TINS 1S a 4 -Pail form PAGE OF