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PERMITTEE NAME/ADDRESS(Yneisb Fartk'Y)V- tL°rarstwr(fD(dWvw) <br />NAME <br />ADDRESS <br />Bux 187 <br />IC; CO 81626 <br />FACILITY .PPER MINE <br />LOCATION --IG CO 81.625 <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTI AA ((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 />:SUDR JC) <br />F - FINAL MOF <br />UISCHARG£ TO WEST HORSE GULCH <br />NOTE: Read kietruc (ores before completing this form. <br />RAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, cnEOVENCr <br />OF SAMPLE <br />PA EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> <br /> MEASUREMENT <br /> <br /> PERMIT : n R Pr G <br /> REQUIREMENT I NST 111 I I( rJT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT _ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT l/ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT i <br />? <br /> REQUIREMENT - ? <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER ' «miry r pen, ty ° law ih.t this dcrumrnt and all .ttachtnenb were TELEPHONE <br />prepared under my direction or miss a/on In accerd.nn with • system designed <br />to more that qualified personnel properly g.ther and e.aittate the Information DATE <br />wbrtrltted. Based on my Inquiry of the person or persons who manage the system. <br />or those persons directly -,tponsibler for gathering the Infor nstlow, the Information <br />t <br />d <br />t <br />e, an <br />c npk <br />e <br />wbmitted b, to the best or. y knowledge and better, true, atcun <br />E OF PRINCNAI EXECiJTIVE <br />1 <br />A <br />I I <br />- <br />1 1 am swam that 'he- are significant pmsleee for submitting raise Information, 0N <br />TUR <br />6 <br />I <br />T AREA <br />NUMBER YEAR MO DAY <br />TYPED OR PRINTED Induding the possibility of line and Imprisonment for knowing riolsuom OFFWER OR AUTHOR <br />ZED AGEN CODE <br />COMMENTS AND EXPLANATION OF ANY vlvlA I IUlva wererenc• sr Irre.,+mwnta +,..a <br />18LE SOLIDS LIMIT APPLIED FOR <=10YRt24HR PRECIP EVENT- <br />1 JS MONITORING - I. B. 2. <br />f ? --- -- -a- _ - This is a 4-part form-- PACe- of - <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used.