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FERMITTEE NAME/ADDF%ESSpwrY&Jrw&*N.WLe woa.UDO. W <br />NAME <br />ADDRESS f r r!s: <br />BOX 535 <br />'_RSET CO 81434 <br />FACILITY uORN CRK & ELK CRK MINES <br />LOCATION- -IT'RSET- CO 81434 <br />AES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT CPSCHAIRGE ELIMINATION SYSTEM (INPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO OAY YEAR MO DAY <br />FROM TO - <br />MINOR <br />(SUOR MH <br />F - FINA <br />SEDIMENT <br />Form Approved. <br />OMB No 2040-0004 <br /> <br />NOTE: Read Imtructione before completing this form. <br />PARAMETER <br />[>< QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCr <br />OF SAMPLE <br /> <br />YPE <br /> ANALrs1E T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />' <br />` <br /> MEASUREMENT ] . _ '' 7•' <br />; <br /> PERMIT ####'- ###### , S #i> 43F?l7 9j. <br />. REQUIREMENT rMINIMLIM MAXIMUM <br />r;'s F <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #4t3t#3t# ###it 't##it## JJ 7U <br />? REQUIREMENT ?31t.•DA AVG DAILY MX <br /> SAMPLE <br />/ <br /> MEASUREMENT <br /> PERMIT #### t ;t #!t !k### i t t?l #?t # REPORT? REPORT <br />f':? <br /> REQUIREMENT 34DA AVG DAILY MX t11? INT <br /> SAMPLE <br />MEASUREMENT <br /> <br />f} PERMIT #?1###* #### at#### 3000 6r)00 N . •Ri•.[' <br />NlT GR0' REQUIREMENT '3CtDA i V(• 17 DAILY MX F Ni7I•dT? <br />:(DID Csi E , ' is SAMPLE -rz .,. ; <br /> MEASUREMENT <br />?^ ?- `) PERMIT iF#*### -?:t###!# ##iF?IF# i!#iPeF's=: IQ ?O[dTiP ." <br /> REQUIREMENT It••f i z'EN-T <br /> SAMPLE <br />M <br />S <br />R <br />M <br />N <br />I EA <br />U <br />E <br />E <br />T <br /> PERMIT REPORT REPORT <br />UENT REQUIREMENT -;ODA AVl^ 71AILY MK tsTt <br /> <br />_ ANT SAMPLE # tr <br /> MEASUREMENT <br />PERMIT <br />REPORT <br />REQUIREMENT L NS T ~IA <br />i Rrttty u "&r penalty o law that thh document and .11 attachment. were TELEPHONE <br />NAMUME PRINCIPAL EXECUTIVE OFFICER DATE <br />p <br />mp.red under my direction or super.N{on In accordnme with a system deigned <br />. .j to cart that quamned Personnel property gather and evaluate the Information <br />" rbmitled. Bred on my inquiry or the Peron or person who manage the system <br />. <br />or those persons directly responsible For gathering the Informatlon <br />the InformaUen <br />, <br />J <br />- - - submitted If <br />to the best or my knowledgt.nd belief <br />true <br />arrurte <br />and c <br />l <br />- ?-• : -' - <br />t ! <br />,., <br />, <br />. <br />. <br />e <br />. <br />omp <br />e. <br />" 1 am awan that there are signlfleiM penaltln for aubMttin <br />fal a tnFo matim <br />SIGNATURE OF PRINCWAL EXECUTIVE <br /> g <br />. <br />l AREA <br />TYPED OR PRINTED Inc <br />uding iht pc.ssibllitr of new and Imprlaonrtwn, for knowing Iolst; r OFFICER OR AUTHORIZED AGENT CODE FIUMBER YEAR MO OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a# attachments horel <br />)-DR(_P cO:.TDS _tIT A r'- !ED FOR 1r/YR, 24HR PF?=7Tp c7JFr.;T; <br />- , <br />!a 1 <br />Tti151S 3 4 ?37L 1pfiT1. PAGE OF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ? .? . - r•.: }