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PERMfTTEE NAME/ADDRESS (t-",Fanhry V-WL ells VD(,%-j) <br />NAME ': N,.;E1 ,t' 1.1;At_ (,?I^1t'F1tdY: INC. <br />ADDRESS ROADSIDE NOIR TH & SOUTH MINES <br />i'. 0- BOX .L 430 <br />FALISADE• CO 81526- <br />FACILITY ROADSIDE NORTH °-. SOUTH MINES <br />LOCAT10NNEAR PALISADE Cis 815216- <br />,'F "N' NELLN L. KIDDER, V. P. <br />NATIONAL POLLVTANT DISCHAROE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER EASCHAnoE NWSEn <br />MONITORING PERIOD <br />YEAR MO DAY YEA MO DAY <br />FROM TO <br />i-) O'7 c 1 l)ei „•7 1 <br />Form Approved. <br />MINOR OMB No. 2040-0004 <br />(SUBR DW ) <br />F - FINAL t1E ?A <br />ROADSIDE C3" T LI GGL_G'Rr--DC1 ?I'' <br />#ib:r NO DISCHr-iRGL i ? F <br />NOTE: Read Inetmolone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br />EX FREOOVfNCY SAMPLE <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />F? SAMPLE #i£ # is tE of try tii :x #?t sr rr it d 1 l c_ 1 <br /> MEASUREMENT <br />Lr"Flit7 i ?: J. PERMIT f #' t,iiu icu irY3 sc, ? t;ira ,?; j xqs--9.g.-A Lr _I?' l:r <br />" r l= LUENT GROSS 'Jf1 LUc REQUIREMENT ;i tF ti f`1 J, N1 i llitl t•1A X I f li it , 'i_l <br />r ... 1-a IVXJ j,Rf-.1 E' SAMPLE "r:?-¢-•ti ?-si ;: s; r•?r'r ;. ?:;u?l: l: ;r :- i. .. i ' <br /> MEASUREMENT <br />? I C ;` <br />u PERMIT x x csi' r.I..? :fiA, st sr , % sr? rc . N 1 _1, <br />c-F 1IJa_ tN 1 (rlL1S•_ VALUE <br /> <br />t_ REQUIREMENT <br /> <br />- ??. rni.T, MAX <br />. <br />?;/ _ <br />(EI•;; <br /> <br />r _.uW • ! +u 77jI\ ) 1 1 UY SAMPLE :e•rw-r <br />THRU TREA'T'MENT PLANT MEASUREMENT <br />?Ge}Q l:; 1 PERMIT , r ?I C, tah x Kt x , u s s ksi # w, a: ''r,t <br />L.Ff LUtNi GROSS VALUE REQUIREMENT 30Dr1 AVG I?AII;Y'.MX' I`lGU te a. f1>?r.t }I <br />I L. A, 114 1) v?? .. f• ..i.- SAMPLE ,::-?? :; ',. ii- . J' r is-a .. .: ., .. ?•; scx? r :r :; ??:: ::x <br />`,J I t)AL MEASUREMENT <br />40 c,?> L> I PERMIT # srtr t: st <br />r, ?1 <br />R 1 ES- 1 ! sr .tt• 41 a <br />i , <br />r L L. <br /> <br />1: VALUE-. <br />FFLUENT 'ROSS VALUE: REQUIREMENT ' <br /> <br />I I\1a <br />' <br />'1: <br /> <br />N0=0 <br /> . <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />s ' <br />4 ' <br />QU <br />. <br />RE <br />IREMENT 1_ <br />s.* <br />1 -"'1r Y - Pf n. tJ O .w 11.( :l. rl MK -t -d .11 .IIKhn4nu wfR <br />NAMElT1TLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />DATE <br />P^p-d und.rm.dl-tlonor.vp.r.lronlnnceord.noewnh..).1fwldedj-d <br />to wnure th.1 qu.hned p.--4 pr."rl7 e.1h.r wd ...lu.1f Ih. Inrorwullew ' 1 <br />c n ?e\ \ Yr'fl'\-C 1\ .ubmltl.d. d.-d en .7 Inquln' or lh. P.- a P.- she the .r.1.rn <br />er (hosed I <br />Ih r.elle 6-M far t. <br />Iwrorrn.llan, <br />t <br />o <br />n - <br />l <br />r <br />1?70 <br />d b <br />k w <br />+l ll <br />d I <br />the be <br />t <br />r m <br />w4d <br />f <br />W <br />b <br />t <br />b <br />X <br />y <br />?•/ ?? <br /> <br />x <br />t, <br />o <br />/' <br />/? <br />* <br />, <br />d <br />m.pleplNf. <br />Ee an <br />w <br />. <br />s, <br />o <br />s <br />o <br />y <br />e <br />, <br />f. Ilrinlf. .nd <br />w <br />e <br />e <br />(J <br />t .w1 .w.,f lhft 1hm -- stenlneawt <br />...Id . to, wbrnllllw <br />r.ree Inr <br />ION RE OF PRINCIPAL EXECtlTTVE <br />C? 12,1 <br />l <br />uow 0 <br />/ <br /> p <br />l <br />or <br />w. <br />, <br />TYPED OR PRINTED Iwdudlng the poltelbullr ernwf .nd I npn.ow,wewt for two.lne .ta+.uo1.. OFFICER OR AUTHORIZED AoENT CODE NUWZER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reforence all attachments hare) <br />III: CILTFALL 11S NOT ELIGIBLE FOR EXEMPTIONS FROM TOTAL_ SUSPENDED SOLIDS (TSS), TOTAL IRON AND/OR <br />.;ETT_EABLE SOLIDS LIMITATIONS '- SEE I. A. 2. <br />EPA Form 3320-1 (Rev, 3199) Prcvious editions may be used 00040I07?kWi14-k- Ujtf.Pr