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PERMITTEE NAWJADDRESS(>?rfwrNryN?L«.rremf/p?e,e,./J <br />NAME <br />ADDRESS <br />BOX 535 <br />':ERSET CO 8143 <br />FACILITY :TORN CRK & ELK CRK MINES <br />LOCATION !ERSET CO 8143 <br />-.MES T. COOPER. EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT /O RI <br />PERMIT NUMBER EsciGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO ' <br />Form Approved <br />OMB No 2040-I:0C <br />F - FINAL <br />SEDIMENT POND <br />NOTE: Read 1"Ir coons before <br />form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FRIOU'Ncy <br />OF SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX J <br />ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##### # #it?Y# 6. S )rsI### 9. 0 :N CE i N <br /> REQUIREMENT M I N I MUM MAX I ML'i-, ODN'TF <br /> SAMPLE <br /> MEASUREMENT <br />- <br /> PERMIT #?r i-: .. #tz#atar? #ts##x?t 3 <br /> REQUIREMENT _ Uri 11... Y T: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##### # ?F # ## M # ###### R OR i REPORT <br /> REQUIREMENT ;SODA A'.tG DAIL_1` MX MCI,! , <br /> SAMPLE <br /> MEASUREMENT !- <br /> PERMIT ###### # :r#?F 3f a### ;(_;i :, : 6000 'NG / 7413 <br /> REQUIREMENT -'A AW DA I L 'V i-I X ` <br /> 7 MDl • <br />. i ` <br /> SAMPLE <br />MEASUREMENT <br />t <br /> .. <br /> PERMIT wit##ii !F ###### n <br /> REQUIREMENT <br /> SAMPLE <br />-_i-ll pL '. MEASUREMENT <br />C' PERMIT REPO[; :?SPORT ##11### #atsl# ::: ?F it 3t# <br /> REQUIREMENT ;ODA r <br />. .-+ILY MX <br /> . <br />;F SAMPLE <br /> MEASUREMENT <br /> PERMIT ?tin##i`it REPORT <br />## i•rt <br />##### <br />#Sf#ii;; <br />r.1 .t <br />' j <br />: <br /> REQUIREMENT f i'!S''(•' wIAY. . <br />- _ <br /> <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER ' Ce"n'y under penalty ° ''w that th" document and sit et[arhmens were <br />d <br />der <br />dir <br />ti <br />re TELEPHONE DAT <br /> <br />P <br />pare <br />un <br />my <br />ec <br />on or superelsion in accordance with a system designed <br />h E <br />- to Bare t <br />at qualified per noel property gather and evaluate the information <br />subrrditd. Based on my Inquiry of the prrson or <br />ersons who man <br />e th <br />- <br /> p <br />ag <br />e fyftem. <br />or that <br />vfoa directl <br />res <br />onsible ( <br />th <br />ri <br />th <br />I <br />( <br /> p <br />y <br />p <br />or ga <br />e <br />ng <br />e <br />n <br />or atim, the Information <br />itt <br />d K t <br />th <br />h <br />t <br />f <br />k <br />b <br /> su <br />m <br />e <br />e <br />ef <br />o <br />o <br />my <br />nowledge and beget. true, accurate, and complete. n <br /> I am aware that there ¦m significant penalties For lmbmitdng fatse Information -SIGNATURE OF PRINCIPAL EXECUT <br /> <br />TYPED OR PRINTED <br />r.r aw vrr?i , <br />Inwloding the possibility of Rae and imprisonment ror knowing vlolatlons. IVE <br />OFFICER OR AUTHORIZED AGENT <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />V Vne/renLle 1 V I\/eV V/?I ?r?Ier? I rvl? v r??• • ?,v?r? •,vleV Ilm wlrywl/Vw II/ wlnw{.///IIwI/Ii I/I/I/ <br />A?3:_-E SOLIDS MT APPL IET, FOR _ln:a "4HR 1^-'?G,° <br />EPA Form 3320-1 (Rev 3;99) Previous editions may be used Ti IS,a 4-part form. PAGE OF