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PERMITTEE NAME/ADDRESS (Iwdrdrf.eNByIJ?.?[?rrf«t/D(QinwU <br />NAME 3S6ml-kP CUhL CCV.1ANY, lh?-. <br />ADDRESS1W A b6 I D E NOrilll 6 SUtJlti MINE.i <br />Pot.;* r OX 1430 <br />11PL15A1) - CO 8lb26 <br />FACILrTYHUADSIDL NOh'1H b SUU'llf MINES <br />LOCATK*/ 4 EA Ii PALISADE: CO 81526 <br />ui•:'I.S,ON L. KT n[IFR_ V_ A_ <br />Form Approved. <br />NATIONAL POLLUTANT DISCNMGE ELIMINATION SYSTEM (NPDESI OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT (DAR! <br />MINOR <br />lron0-)jjaA OIL , (SUbR LW) <br />PERMIT NUMBER IXSCHMGENUMeEA F - FI N a L t! Si, <br />MONITORING PERIOD POND 2 T C CC LO R A L C E I V E fi <br />YEAR MO DAY YEAR MO DAY <br />FROM .H'1 TO 4v- NO GIEChARCE 1_ <br />?1 -y;y <br />n n4 '61 .. nla t- NOTE: Reed Instruction befws completing this form. <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION NO. FREQUENCY <br />SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br />y SAMPLE 4 <br /> MEASUREMENT <br />04UU 1 U U PERMIT h>sv91 '717, <br />?n.3?wt7S+Tk '4R tyr 6.'. <br />j x q <br />? i <br />a'' CF <br />LY <br />( <br /> <br />r'r'LUF'iti'1' IUItUS. A i REQUIREMENT <br />nf? <br />11 <br />! r..f?rnisa:;(1,.+r: <br />4?>ax1 .v <br />i <br />.Ti, ,v <br />? ? <br />?r t t <br />- <br />TOTAL SAMPLE <br />AS I ( 15 ) <br />U 5 It, h N G i; U ME <br />UREMENT <br />J:15 SU 1 U U PERM T <br />I' s°«?t, <br />r r r+Cv'i?7 <br />^; <br />f22c`4 '? <br />?4r' <br />r. <br />r <br />f <br />1• <br />2 <br /> <br /> <br />(;N()S5 VA <br />L U : REQU REMEN7 ? <br /> <br />!,'r ti„t +'?tt <br /> <br />Y7 2r? t <br /> <br />S ., <br /> <br />' <br />MG /l <br />I . <br />_ UL1DS, SETTLEABLE, SAMPLE 25) <br /> MEASUREMENT <br /> <br />JU545 1 U U PERMIT ,a; i1=}?sti J <br />??h?k 6>r?- <br />".r'E'LUENT t,hUSJ VALUt•. REQUIREMENT a,+?f ,r' .° ?? ? <br />Fr ??yT +? th v`'•! :x Q tSL L <br />nON, TOTAL SAMPLE ..ram, T .f(•`.-t,?Y? vt AK+3kR ( 2?) <br />(A 5 f b) MEASUREMENT <br />iIU45 1 U U <br />PERMIT <br />43 4 <br />r't'LUF h`P c;fiU? J V <br />A6L Ur <br />REQUIREMENT <br />a,lva <br /> <br />UG/l <br />iJ11, AND GREASE SAMPLE tr -:4tv0 )a-0xta bx41 ?DRt:t?9c,t ( 1S) <br /> MEASUREMENT <br />Ui!)U2 1 U U PERMIT tt?t 0R <br />I'l <br />c. f' F' L h: N" G H O:; S V t REQUIREMENT & <br />, f <br />YLUW, 11J CONDUIT UH SAMPLE <br />( 03) y <br />TilAU TREATMENT PLAN' MEASUREMENT <br />5 U U 5 U 1 U U PERMIT l Y2n { I?, r1< c r Ea r t I 4 t t <br />. 4 <br /> <br />-'?T+ <br />GRC)., <br /> <br />r.rr'LUENT Ui <br />S <br />VAL REQUIREMENT <br /> <br />? <br />rG <br /> <br /> <br />°tir <br /> <br /> <br />`? <br />{ .? <br /> <br /> <br />a <br />rs? <br /> <br />4 i,E4L Y <br /> <br /> <br />"? s L-I1, <br /> <br />UIL AND GhEASL <br />SAMPLE <br />KJ:?`It-'r: <br />( <br />94) , <br /> <br />_ r , <br />. r <br />. <br />4' ..-• . <br />V l j U AL MEASUREMENT I <br /> <br /> <br />ttlUOb 1 U U <br /> <br />PERMIT TI <br /> <br />W?1A <br /> <br />' <br />- _ <br />r- <br /> <br />L <br /> <br />LFr'1,UEN'P ("W55 VA OF REQUIREMENT 1 Y ?Z '3a <br />t,r's ire :,• ra <br />?> <br />Y;x. <br />0=U Y4f E .^;.. <br />;r ?ar:x.<sy <br />t* l AL <br />Y YI L}I <br /> , k?? <br />NAMEMTLE PRINCIPAL EXECUTNE O F <br />. ed -dH m <br />d. T <br /> <br />i <br />•°,• t <br />w F <br />'"" ew•"n.d y..,.wr <br />ro <br />d <br />w <br />w lrlew, /dtnW <br />I PHON D A T <br />E <br />t rCa yvx nl o t'l c <br />T n L 10.. <br />J T ru.r P <br />wy r <br />... <br />.r. <br />++« Penes wr«,w.uow <br /> dlNd dlncll) rrM+rW <br />I,, N We ?..1 o/ wq \...I W tUw1wg U,. I?fnw.UM <br />.r <br />e , IM Iwf?rwwlN . / <br />? <br /> <br />d <br />dfk_l t <br />W y <br />/ 7 0 0 5 Q <br /> <br />TYPED OR PRINTED <br />l <br />. t <br />h P.. <br />s N.r r?,.Ild.t I.i. . IMrw.0 , SIONA RE OF PRINCIPAL E XECLJTTI/E <br /> - <br />rr <br />wt <br />- <br />t <br />e Poe.Inllur sr flwr ,wd <br />OFFI <br />CER OR AUTHORIZED <br />AGENT <br />A <br />NUMBER <br />Y <br /> <br />AND EXPLANATION OF A <br />COMMENTS <br />NY VIOL <br />ATIONS <br />(Reference eJI •ttec <br />hm-t. h.r.I <br />CODE EAR MO DAY <br />SEE I.A.1.6. FOR ALTERNATF LIMITATIONS WHEN 10YR,24HR PRECIP. EVENT OCCURS, SUBJECT TC BURCFN OF PFCCF <br />HLVUIRhMhNTS - SFE I.A.2. - <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. G U j 3 / UZLISIS _ pa?t31'Q?rm. PAGE OF <br />11 L l.LJ 1