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PERMITTEE NAME)ADDRESS (7m*- & Fw4heyNor/Leraf'm (006-w) <br />NAME <br />ADDRESS <br />BOX 187 <br />:G CO 81 <br />FACILITY "PER MINE <br />LOCATION i G CC) 81 <br />•'MrlNtn r, ntt Orly(- OOCC /r•M <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM I/NPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHAAGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040.0004 <br />MINOR <br />(SUAR JC) <br />F - FINAL MOFAT <br />1191- 'ARGF TO FLUME GULCH <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />R <br />M <br />N <br />f N <br /> MEASU <br />E <br />E <br />T <br /> PERMIT 3E##3f ?E# # ###t£ j 6. 9. 0 kL IN ST I <br /> REQUIREMENT MAXIMUM <br /> SAMPLE <br />S <br />M r,1 <br /> MEA <br />ENT <br />URE <br /> <br /> PERMIT #??# #a ## ### _ :_! <br /> REQUIREMENT .;Q A AVi? ATLY MX <br /> SAMPLE <br /> MEAS <br />UREMENT A <br /> <br />PERMIT <br />Cif-"-CIONAL <br />REPORT 2 <br /> REQUIREMENT 30DA AVM DAILY MX r <br /> SAMPLE <br />R <br />M <br />T i <br /> E <br />EN <br />MEASU - ?- _ <br /> PERMIT it# tt It# a :r - lr .. ?F :: .... 3GOCi 6000 <br /> REQUIREMENT :ODA AVO DAILY MX fIN <br /> SAMPLE r 1 f , <br /> MEASUREMENT / <br /> PERMIT <br />i. REQUIREMENT INST MAX :TEf 1T <br /> SAMPLE <br />I <br />ML,. MEASUREMENT <br /> PERMIT RED REPORT <br /> REQUIREMENT }(jLA rl .' .. i-?,I LY MX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT i; sF# ## F i<#3E !?- * I <br />REQUIREMENT 3oDA AVG ?AILY MX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t sen't` ° ` pe". ty ° ¦" that this donrment end all ¦ttachment3 .sees TELEPHONE <br />Prepared under my dirertlon or suPeretsion In ecaordanca with a system designed DATE <br />to asure that qualIrled per nmf properly gather and evaluate the Inr° tlon i . <br />submitted. Bred on my inquiry or the person or persons who manage the system, <br />or those peneru directly responsible For gothenng the Inrornuitlon, the Inrormatlon <br />- submitted Is, to the best oI my knowledge and beMer. Init. accorste, and complete. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> 1 am swam that there are significant penalties for abmliting raise Inronnethm, <br />TYPED OR PRINTED <br />Including the possibility of flow and Imprbonment For knowing rWatlaa <br />OFFICER OR AUTHORIZED AGENT <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/arenca &H arracnmenrs nsrel <br />ABLE SOLIDS LIMTT APPLIED FOR 10'1'Rr ?4i?R PRECrP FVFN,- <br />110NI TOR IN'= <br />c ; T?It,? ?s;a s-@?rt form. , <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. PAGE OF