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PERMITTEE NAME/ADDRESS(hadr4Farsiq Nar?Lnrarfon VD(Qbanr) <br />NAME <br />ADDRESS <br />BOX 483 <br />'NIA C0 81428 <br />FACILITY 'I E NO. 3 MINE <br />LOCATION J N I A CO 81428 <br />I 1 TAM A RFAR . IR . M T NF M('-R <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPOESI <br />DISCHARGE MONITORING REPORT /D R/ <br />PERMIT NUMBER 1 AROE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />M I N D Imo: <br />(SUBR MH <br />F - FINAL DELTA <br />DSCHG OF SR TO GUNNISON RIMER <br />i <br />NOTE: Read instructlone before complaonp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #sr#it#?t ##!I#IbiF t. t9litlt 9.0 IEEKl_`• !i•!`: <br /> REQUIREMENT ('i Z ":' 1. 'i•.. i'1 MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT s ##?xir 'k#31### xit :r a i <br /> REQUIREMENT AY G <br />?•'•; i_'Y <br />-MX <br />;.-- <br />Pi?PS ri <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT # 1tiE 143t9'I ###### r. # fit If## REPOR T REPORT It;` "riL: <br />tL ^. REQUIREMENT 30DA AVG DAIL1' MX MONT. <br /> SAMPLE <br />(?? r MEASUREMENT <br />r7, I PERMIT :; # a 3000 6000 NC E / RA G <br /> REQUIREMENT 30DA A7 '- ",ILY MX fCNTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT i NST MAX <br /> SAMPLE <br />t • , , MEASUREMENT <br />_.j PERMIT REPORT REPORT <br />Jtc?.,; REQUIREMENT -)DA r;. ILY MX <br />°. SAMPLE <br /> MEASUREMENT <br />PERMIT ##k.,. REPORT s -?rat r; <br />REQUIREMENT i1T MAX <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER t "",ly ender penalty ° law that this document and alt attachmerw .tee <br />TELEPHONE <br />DATE <br />prepared under my direction or suprrelslon In accordann with • fyslem designed <br />to asum that quallned prrwmnel properly gather and r•aluatt the Infornutbn <br />tabmllled. Bred on my Inquiry of the penot or persons wko rnansge on, snttm, . <br />f <br />tl <br />e <br />rdbl <br />th <br />i <br />th <br />I <br />f <br />th <br />I <br />lh <br />di <br />U <br />f <br />tl <br />rec <br />y e <br />epo <br />r <br />or ga <br />er <br />ng <br />e <br />orma <br />en• <br />e <br />n <br />ornr <br />ee <br />or <br />oae persons <br />n <br />k <br />l <br />f <br />d <br />d b <br />W <br />l <br />my <br />now <br />submitted Is. to the bat o <br />y <br />ge an <br />@ <br />. true. Kc om <br />t, and eomplate. <br />SIGNATURE OF PRINCIPAL EXECUTIVE - <br /> I am aware that there are significant penames for submitting fate intorv don. AREA <br />TYPED OR PRINTED Induding the possibility of liar and Imprisonment for knowing efolouoes. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Retorence 0 attachments hers/ <br />t{rrr Tr• r-c17-!T IS CLAINF.T) TF CL-A71" APPR0%fF!-) 13-y' <br />ll t'D, <br />SEE I <br />rl?-ral W X t, <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. This is a 1-part form PAGE OF