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PERMITTEE NAME/ADDRESS (Include Facility Name/Location iJ(DerenQ <br />NAME <br />111NREGr INC'. <br />ADDRESS BLUE RIBBON MINE <br />C I I <br />2... 24? 1/,:.., R1..A D, UN Y <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) ? M I NOR <br />r I ' ': ( FLUB R 111-0 <br />PERMIT NUMBER DISCHARGE NUMBER I _ FINAL- <br />I NAL- <br />Form Approved. <br />Form <br />OMB No. 2040-0004 <br />DELTA <br />GRAND JUNCTION CO 81 505 MONITORING PERIOD ? POND 4 D`;CHRG TO HUIiBARD (r RE-LK <br />FACILITY <br />Y LA.iE. RIBBON MINE YEAR MO DAY YEAR MO DAY <br />LOCATIONPAONIA CC) 91428 FROM d • TO r , ( <br />77 01 x ii•3t NO DIt;CHAROE 1 xv <br />t 1"'- V . T 0 1 FY 2 1C I R, P R TEG I DENT NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE J MAXIMUM UNITS <br /> SAMPLE #ir# #i! !f#k##I? tf ##If !t# ( 12) <br /> MEASUREMENT <br />rlt tit G1 1 S %1 PERMIT ti i t t .x "tai #' t IS # . ### 6 3 r # k c? f) N 1 ??C fS.i? <br />° f CROSS V Lt1 REQUIREMENT # ##31 i11TNIMUI"1 I`1AX'C1?1JF1 S(1 ?'itJ(1TFi <br />"1?1.,- T I?:=„ Sz T'°I L..i?+?IiL•.E SAMPLE 3t 3F #### # 3F !i #d8# #### i; # ti 3 <br /> MEASUREMENT <br />:;%0 i4?Ki ;, 0 ,r'j. PERMIT - ',"-k F #tr.,tf :aft •tE••ii-t ik "IN •3E'Ti••3f "tt -1?•# tF••k-i4•. -. R-E ORT 0., P4 C.? 'R Ali',. <br />EFFLUENT GROSS VALl11 REal11REMENT <br />^ ,' ?lE### 3C7f?A' AVG -'>'DA1L'Y MX; i`'1L._dL. I117iti1TI I <br />131L AND GREEASE, SAMPLE # <br />##### ##### # ##### # ##ii # Il if ( L 9 ) <br /> MEASUREMENT <br />); ' Si 1 "k {I -,PERMIT Y?'t t #t# h li ,Sl is fib #3t•# st k t t . " fi,fi ?u# ?i 1. 0 0 `d T ?'AI3 <br />,EFFLUENT GROSS VALUE REQUIREMENT Z: - ?E### - `d?AI1_;1' i`lX: MG/ L. <br />?1 L•_(?W, IN CC?N1 U1-T Cat" SAMPLE { 013) ###### ##fii#?3i ###### <br />THRU TREATMENT P1_.AN MEASUREMENT ? <br />• <br />L:ODSG I C7 G :PERMIT RFf 0?7;T , RT ?'IJF Its t r# <br />i., r # ? n? # xiF •IS## E#Tt NCrl»/ <br /> <br />r INS•1 AI\ <br />EFFLUENT GROSS 4'Ai_!3 REQUIREMENT (?DA' .IWG ' DA T LY" MXI'- MGD ### 34 -H <br />NON] <br />± L1L 7 G1 S, TOTAL_ SAMPLE # #### # ##### # !f ##### { 15" ) <br />DISSOLVED MEASUREMENT <br />702"?S t 0 0 PERMIT #•IF•# s?#3t1?3! REPORT,% Pr=PDR-F )TT?LY Ff:FtI3 <br />EFFLUENT GROSS VALUE REQUIREMENT ?: •#### ? ?lbI3A iAVG I A ?C l._Y `C?X'! 11t; l.. <br />1.31L AND GREASE SAMPLE tE ##### ( 9?d 2 !# ## # ## ###### ##? # t? # <br />VISUAL MEASUREMENT I <br />F 0 G <br />f3t7b PERMIT RECriFZT: Eelj If`t" 3r## i i k #3E tf kE if +r ##iF 3Ntvi,"_ ` I'501F_ <br />+ <br />I F'FL.Ua"NT taROSS VALUE REOUIRETAENT C:1 I ?7 :.1`1A'y N10-0 3f # t? is (Lif'•iTi- <br /> SAMPLE <br /> MEASUREMENT <br />? 'PERMIT • ' <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were , TELEPHONE DATE <br /> prepared under my direction orsupervision in accordance with a system designed <br /> <br />L to assure that qualified personnel properly gather and evaluate the informatio <br />t <br />th <br />h n <br />1 e4 e sys <br />em, <br />o manage <br />submitted. Based on my inquiry of the person or persons w <br />information <br />the <br />the information <br />atherin <br />ibl <br />f <br />tl <br />di <br />7 - <br />, <br />g <br />e <br />or g <br />y respons <br />rec <br />or those persons <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. NAT RE OF PRINCIPAL EXECUTIVE <br />wi?F <br /> I am aware that there are significant penalties for submitting false information, OFFICER OR AUTHORIZED AGENT AREA <br />TYPED OR PRINTED including the possibility of fine and imprisonment for knowing violations. CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIVLAI IVNU (KeTerence an atiacnmenis rimer <br />SETTLEABL.F SOI,--.I.D a L.,s"MIT WAIVED FOR 10--YR, 24-HR PRECIP EVENT SUBJECT TO ?URDE:N OF PROOF REQUIREMENT S IN <br />PART I. B. 1. D. ? <br />bbi <br />0024 /06 s f -pnf rm. r,auc I <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. DI