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PERMITTEE NAME/ADDRESS (yno46 Fwa,,)V.../Lx. #. ((DW. w) <br />NAME <br />/ADDRESS <br />Fl IJ x 1.3 <br />RS-ET CO 81434 <br />FACILITY ,DRN CRK & ELK CRK MINES <br />LOCATION 7..RSET CO 51434 <br />IES T. COOPER, EXEC V. P. <br />Form Approa-- <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) OMB No 204;;-C1C4 <br />DISCHARGE MONITORING REPORT (DMR) <br />'Uf3f: t••f <br />PERMIT NUMBER DISCHARGE NurvIBEIt - F 1 i -'; <br />MONITORING PERIOD SCHARGE TO ELK LRE.I <br />YEAR MO DAY YEAR MO DAY <br />FROM TO /I <br />IUnTF• IM-A L-#-c.-•1..aa. "f........?..at?•t.aw e{.1. f-- <br /> QUANTITY QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FRIGUENCY SAMPLE <br /> F <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX j <br />ANALYSIS TYPE <br /> SAMPLE .+ > <br /> MEASUREMENT <br /> <br /> PERMIT = ii## b. 5 tt zrjr ::: 9 <br />0 NC ! <br /> REQUIREMENT MINIMUM . <br />MAXIMUM MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT 3S 70 <br />4T (-:;R0S ., REQUIREMENT AVG MX 7E, AV MOPiTi <br />t A_ SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT r: „-s ###### #it### 31 30()0 b cl0 77=7- <br /> REQUIREMENT SODA AV-' : <br />I <br />' <br />1. <br /> I <br />A <br />I. <br />v <br />1x MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ?F#### i <br />7 <br /> <br />1 <br />0 <br /> REQUIREMENT INST MAX <br /> SAMPLE <br />i MEASUREMENT <br />1 O Q PERMIT' .. . <br />c <br /> REQUIREMENT . <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT T X t si <br /> <br /> REQUIREMENT MAX <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' nnnty r pens ty o law that thh d=.l and all attachrnenta were <br />TELEPHONE <br /> prepared under my direction or fuperrW In accordance wUh • system deigned DATE <br /> to am" that gw&hn d personnel Properly gather and evaluate the Infriematlon <br />d <br />b <br />lt <br />d <br />B <br />I <br />i <br />? <br /> au <br />m <br />le <br />. <br />aw <br />m my <br />nqu <br />ry or the Perron ce persoat who manage the systrm• - " <br /> <br />-' - W those penooe directly respondbk for gathering the InformaUow, the Inforrrlatlon •- _ <br />- .. - . •, .. - ) <br />_ submUted I& to the best of my kno.rkdre and bt)W. Irwe, accurate. and corrtpkk. <br />1 am aware Ebel there are algenlfkant penalties for nbmittlng War Inform eck. <br />SIGNATURE OF PRINCIPAL EXECUT r-, .. .- - .. - <br /> <br />YPED OR PRINTED . <br />Includin <br />the <br />oadblut <br />of nor and Im <br />i <br />r <br />nt f <br />k IVE <br />T <br />wwaa••?aTw •ar11 LVlf1 •\IaT1A\I AC .\1V \/IAI g <br />p <br />y <br />pr <br />a r <br />w <br />or <br />nowing vloladoai <br />aTlr'1ale• ,n_i______ _w _.?__\___._ a OFFICER OR AUTHORIZED AGENT COOS NUMBER YEAR MO DAY <br />>E IS HIGHEST LY AVERAGE DURING F <br />k. <br />,'PORTED. OIL & GRl <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ( ,: ; -I C, : ; Ffi?sjS B 4-pa form. PAGE