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KRMITTEE NAME/ADDRESS17-,?6yf rWyMo.?Lo atiw(/D(#"-) <br />NAME <br />ADDRESS <br />BOX 18 <br />TG CO 816; <br />FACILITY :'PER MINE <br />LOCATION I G CO 916; <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (INPDES) <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO D &Y <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUBR JC) <br />F - FINAL <br />POND #32 TO <br />10 Al <br />NOTE: Read IrvetnicUot s bofwo completing this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX fREOUENCY <br />of SAMPLE <br /> <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> SAMPLE <br />MEASUREMENT <br /> <br />- I <br /> PERMIT M <br />' MAXIMUM <br /> REQUIREMENT M T N <br />: NU <br /> SAMPLE - <br /> MEASUREMENT > <br />- <br />? l'/ <br /> .. <br />- ? ? -: ? . <br /> PERMIT .... ,. - ... <br />?,. ? <br />30DA AVG DAILY MX MONTH <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> ?.. ,_ <br /> PERMIT r-L. <br />SODA DAILY MX MONTH <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> bufjv <br /> PERMIT yr x v <br /> <br />0DA AV <br />3 <br /> <br />DAILY - - <br /> <br />MONTH <br />_N _ REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />T MAX <br />; N? <br />GENT <br />_ REQUIREMENT a <br /> SAMPLE <br />MEASUREMENT j V, <br />R r I <br /> <br /> PERMIT <br /> REQUIREMENT 30DA ;TLY MX <br />„- SAMPLE <br /> MEASUREMENT <br /> <br />., PERMIT :. .. _ <br />!AILY MX <br /> REQUIREMENT . <br />PRINCIPAL EXECUTIVE OFFICER that t hh dorumeM and all ailachments were <br />, TELEPHONE DATE <br />NAME/TITLE <br />- ' t <br />" prspared under my dir.ctlon or supereINon in accordance with a syslem ddgned <br />to Oman that 4tuahrim prrsonnet property gather and evaluate the Information <br />submtted. Bond on my inquiry of the person or persons who manate the system. <br />or those persona directly mpo"We for gathering the Information, the information .{ <br />sA / <br /> t <br />d <br />l <br />r <br />- <br />t <br /> <br />.. a . an <br />comp <br />e <br />e. <br />. <br />rrt, aerur <br />submitted K to the bent or my knowledge and bette <br />ECUTIVE <br />I <br />t <br />E <br /> <br />. <br />t ? ' I am aware Uat there .nr slgdBcant penslths for mbmlttlnt rate Inrommtbn. NC <br />?Al <br />X <br />SIGNATURE Of ?R <br />T A A <br />NUMEIER <br />YEAR <br />MO <br />DAY <br />TYPED PRINTED InctudlM the possibility of one and imprisonment for knowing elolaUan OFFICER OR AUTHORIZED AGEN CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS Inference an arracnmenra neref <br />I: t?"Bl_E SOLIDS LIMIT APPLIED FOR ti=10YRr 24HR PRECIP EVENT- <br />- iR ING - i 1. r ._ <br />- - This is.a 4-part form. PAGE OF --? <br />EPA ?nrrC 3320-1 IRev 3'99', Previous editions Tay be used