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PERMITTEE NAME/ADDRESS (7.i A. r iwroyN..WLxatfarr (/D(Oiwmi) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPOES) <br />NAME DISCHARGE MONITORING REPORT IOMRI <br />ADDRESS <br />J. BOX 5-:j`- PERMIT NUMBER DISCHARGE NUMBER <br />•1ERSET MONITORING PERIOD <br />FACILITY 3IIORN CRK N ii( .: YEAR MO DAY YEAR MO DAY <br />LOCATION 'iERSET C C; FROM TO <br />MIMES T. COOPER) EXEC V <br />Form Approved <br />OMB No 2040-0004 <br />MINOR <br />(SUER MH) <br />1= - FINAL <br />RUNOFF TO N FORK GUNNISON R. <br />NOTE: Read Imtructiom boftore completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />E OF <br /> X ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />L SAMPLE <br /> MEASUREMENT <br /> PERMIT first#ib# REPORT K#t r wit#Kit,f lritit### :_/ l.t;?'tA <br /> REQUIREMENT INST• MAY "tt.-!NT. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />I remlr ..der pens if o aw that Ihis dommenl and ail attachments were <br />TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />DATE <br />prepared uMtr my dI-Ik n or mpe,W- In accordance ith a rrtem ddgned <br />to care that auantled personnel properly gather and e.aluale the Informallon _- <br />uir <br />- ` <br />b <br />itt <br />d <br />m <br />I <br />of th <br />r <br />d <br />D <br />su <br />m <br />ow <br />on <br />y <br />nq <br />y <br />e pe <br />e <br />. <br />son or persors who manste the rystem, - <br />onsibl <br />es <br />f <br />th <br />ne dir <br />tl <br />athtfin <br />I <br />th <br />th <br />f <br />ll <br />t <br />r^ <br />or <br />ose perso <br />ec <br />y r <br />p <br />e <br />or t <br />g <br />e <br />n <br />ornu <br />on, <br />e Inronna <br />lon <br />bet of m <br />knowled <br />b <br />itt <br />d k <br />to th <br />d b <br />W <br />1r <br />t <br />d <br />?: <br />su <br />m <br />e <br />e <br />ge an <br />e <br />. <br />. scrurs <br />e• en <br />% <br />y <br />complete. <br />r ' I am aware that there are sipdflcant penalties for submltdn <br />tali Information <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> g <br />. <br />TYPED PRATED Including the pos Iblutf or floe and Imprisonment for knowing elolaUorm OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference 0 sttechments here) <br />rt) FOR = I 0'-' <br />1 <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used r?I1SlS a 4 pflrt fOrln. PAGE OF