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PERMITTEE NAME/ADDRESS (Inriedefardiry Nar?Loearion (/D(#Wwu) <br />NAME <br />Jam: <br />ADDRESS <br />?. BOX 'i35 <br />?-JMERSET CO 81434 <br />FACILITY tNBORN CRK u ELK CRK MINES <br />LOCATION ^1ERSET CO 81434 <br />MMES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM fNPDES) <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />M <br />( INOR <br />SUBR <br />MH) <br />F - F INAL <br />S URFA CE RUNOFF <br />ELK CREEK <br />3Uf • :i <br />NOTE: Read k»tructione bofwa completing this fwln. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />YP <br /> ANALYSIS T <br />E <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />?i !=t PERMIT #### .< REPOR i ###### ###### ###### NCE % I ?UF;I <br /> REQUIREMENT INST MAX MON7I <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 />NAME/TTTLE PRINCIPAL EXECUTIVE OFFICER I cenur under penalty o law that thh document and au .ttrhmenu were TELEPHONE <br />I <br />t <br />d <br />d <br />l <br />• <br />h <br />d <br />i <br />d DATE <br />Prepare <br />e wit <br />un <br />er mr dlrect <br />on or supo on <br />n exordane <br />¦ sys <br />em <br />es <br />gne <br />-t <br />th <br />i <br />th <br />v <br />l <br />t <br />th <br />ti <br />t <br />lifi <br />d <br />l <br />I <br />f <br />o mare <br />qua <br />proper <br />e <br />n <br />orma <br />a <br />e <br />personne <br />y ga <br />er and e <br />a <br />ua <br />e <br />on . <br />w <br />itt <br />/ <br />m <br />In <br />of the <br />o <br />wh <br />r <br />,n <br />t <br />I <br />b <br />d <br />d <br />i <br />th <br />-? <br />r penona <br />r <br />e <br />. <br />on <br />y <br />qu <br />ry <br />person <br />o <br />na <br />wr <br />e shs <br />em, <br />- <br />m <br />re <br />J <br />r e or than peraoN directly responsible fr gatbMng the Iniormatlon, the Informaliom <br />/ submitted K to the bet of my knowledge and belle f, Irw. aresrrale, and complete. <br />e t I am <br />w <br />nificant <br />en <br />fai <br />Infe <br />SIGNATURE OF PRINCIPAL-EXECUTNE <br />r <br />th <br />t th <br />are si <br />lti <br />f <br />b <br />diti <br />nud <br /> g <br />p <br />a <br />a <br />e <br />a <br />en <br />a <br />es <br />or w <br />er <br />ng <br />n <br />r <br />on, <br />TYPED OR PRINTED ineiudlrrg the pamdbnllr or fine and imprisonment for mowing vlelatio OFFICER OR AUTHORIZED AGENT BODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference d/ attechmants here) <br />-',RL-: 7C11-_TDS 1_-MT APP! TF_^ FOR "_1.0YR: =4 FJR PRECrF FVENT; <br />I ''NT <br />??? IT A r/ r )I?i i AVt <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. form. PAGE OF