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PERMRTEE NAME)ADDRESS QneLb faeWry Nae.?Loeari u 11D(0W q) <br />NAME <br />ADDRESS <br />BUX 187 <br />iG CO 81626 <br />FACILITY ;PPER MINE <br />LOCATION ., I G CO 81625 <br />,vmrznln r- nit pnrc. FpI~c ir_rA <br />NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM //NPOES) <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 />MINOR <br />(SUBR JC ) <br />F - FINAL MOFAT <br />DSCi- Q TO F M T DEW E FLUME GULCH <br />NOTE: Read instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCY <br />of SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> <br />MENT <br />E <br />S a y. r <br />/ <br /> M <br />A <br />URE <br /> PERMIT ### {# ###yt s<? 9.0 1EEKL 1 NCI I T' <br /> REQUIREMENT MINIMUM MAXIM = <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT ### ii # #31 sE it r ? ##'t## 35 70 ! ;RAE <br />V'-'; REQUIREMENT 3 A VG DAILY f'iX - NT <br />?t_.E SAMPLE i f <br /> MEASUREMENT 1 <br /> PERMIT 'f# 1 x ## OPTIONAL REPORT <br />r"tl_ REQUIREMENT 30DA AVG DAILY MX 11 GN +- <br /> SAMPLE <br />,r' / <br />t AS FE ` MEASUREMENT - <br />1 t` PERMIT `00 6000 NiCE% xRAB <br /> REQUIREMENT 3 V,A A V G DAILY P1X "I.04T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :fi -rx # !# 1# 10 )NTIi -":rAt3 <br />i REQUIREMENT INST MAX `.ENT <br /> SAMPLE <br />SUREMENT <br />E <br /> M <br />A <br /> PERMIT REPORT REPORT <br />;5 `. REQUIREMENT 30I)A ;.,ILY MX <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT ,ODA -' ILY MX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />rh <br />p1rsre„paremd u" ender penFly m my y direction w a that <br />sup <br />e <br />h retsl M aon In n a andeeordadlnan with • sys with a e systetro m dar d ned <br /> <br />? i <br />TELEPHONE <br />DATE <br />- <br />1 - . : ( to aasmrs that qualified personnel property gather and erNuale the Info tmatlon <br />sobmined. eased m my 1ngWr7 of the Person or persdu who manage the syslrm, - <br />n., <br />J <br />1 "- <br />? or those presents; directly msporelbk row tethering the Iaf°rnullm the information <br />? <br />1 <br />I <br />' - r t Atbretlllyd K to the bat oI'my keawledge and belief, tm.. aecunle. and eomplele. <br />dn <br />f <br />I <br />h <br />h <br />lr <br />f <br />b <br />ltt <br />b <br />f <br />t <br />&IGNATURE Of PRINCIPAL EXECUTIVE <br />,. <br /> eewi <br />1 am aware t <br />at there are s <br />g <br />pena <br />la <br />or ve <br />m <br />ing <br />rae <br />n <br />orma <br />ion, AAEA <br />TYPED OR PRINTED Including the poss1b111ty of nne and Imprisonment for knowing Aolallom. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />l <br />COMMENTS AND EXPLANATION OF ANY VIUEA I ION5 fRararance off arrocnmanrs nera) <br />1 F f? It T 7j!:: L. I' M I' T A••PPI_ T ELL FOR C=1 OYR , 24HR PPFC T P EVENT— <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used. This 15 8,4-p4rvf4rm. PAGE OF ^