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FERMMMENAMJADDRESS17ne?Jefetkry N&.WLow,ast(rA#W .q <br />NAME <br />ADDRESS CRK MINES <br />=35 <br />CO 81434 <br />FACILITY CRK 4. ELK CRK MINES <br />LOCATION r1-4G17 CO 814:34 <br />JAMES .F. C17ONER, EXEC: V. P. <br />NATIONAL POLLUTANT MCHARGE ELIMINATION SYSTEM NPOES1 <br />DISCHARGE MONITORING REPORT Q R! <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />Y R MO DAY YEAR MO DAY <br />FROM TO <br />M I14OR <br />( SUBR M-{) <br />1 - FINAL <br />SURFACE RUIVOF F <br />Form ApproveC <br />ONM NO <br />2?a0-Q i, <br />' M <br />et <br />#* NO DIGCi••IARGE I YI } <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> EX K TYPE <br /> AN <br />VSiS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE :- • ,. - <br /> MEASUREMENT <br /> <br />. PERMIT 4 : 3} ?f ?f <br /> <br />M i r•! 1 MUhI <br />MA X I Fi _ • _. <br />I 1`.-;:? REQUIREMENT <br /> SAMPLE <br />11 MEASUREMENT <br /> PERMIT x <br />r <br />,/lfjr. <br />?., !! AU <br />i ', <br />MUM t <br />VHS ., REQUIREMENT . - <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />4 -- <br /> <br />PERMIT <br />?7- IF -7 w <br /> <br /> <br />`A AV <br /> <br /> <br />'IX <br /> <br /> <br />110NTI <br /> REQUIREMENT <br />• SAMPLE <br /> MEASUREMENT <br /> <br />r_ PERMIT <br />REQUIREMENT - ., <br />ta ,. <br />tir LY ItiX <br />.°i. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ <br />1:`d <br />' <br />_ ^1 I <br /> REQUIREMENT . <br />- 1 SAMPLE <br />REATriE r PLAN+ MEASUREMENT <br />O <br />L <br />" PERMIT ri r- . <br />, , -- <br />7TH <br />i S VA <br />U, REQUIREMENT <br /> <br />--? ?-• ? SAMPLE <br /> MEASUREMENT <br /> - PERMIT <br />•; <br /> REQUIREMENT " T tii?. r : <br />, <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' _-7 " Pe"•'y ° it. that th h dorwmtrN .nd ON.Il.ehmenh were <br />t <br />with ¦ s <br />stem dd <br />d <br />c <br />l <br />M TELEPHONE DATE <br /> on <br />anre <br />y <br />xne <br />Prepared andee my direr Ii- .r -p- <br />o <br />o a <br />. ., to O_, that qualified p.n -i property x.ther and ..atuatr the Information <br />or the pernawt d <br />rreons who -at, the system <br />bnthed <br />Bawd <br />In <br />.lr <br />a <br />m m I <br /> y <br />. <br />q <br />p <br />a <br />. <br />t <br />y <br /> or thou peestme dl-Ily rvpomthl. for gathering the Inrnrm.Ilow, the InrornulMn <br />- / <br />_ _ <br /> ime <br />.r-imir <br />and ront <br />t of my knowled <br />e and beNrf <br />iete <br />,hmilt <br />d b <br />the be <br />t - <br /> . <br />g <br />, <br />. <br />. <br />p <br />u <br />• <br />o <br />s <br />e NATURE OF MINCtPAL EXECUTIVE <br />/ <br />I <br /> I .m .w.re that there are dgntnrant Pnattfe. r r !"bmhttnx nk Inrnnnannn, S <br />G AREA <br />TYPED OR PRINTED Inrivdinx the pnniblllty of fine and Impr4onmenl for knowing ytolauorm OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference sN attachments here) <br />5n!_I[? 73 I_1!T APP'_IEti FO!' -1!?: 24HR PFF' 'F:VFNT: <br />EPA Form 3320-1 (Rev 3199) Pre+ious editions may be used This JS a 4-patT fOErn. PAGE OF