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PERMITTEE NAME/ADDRESS (Include Facilio,Name/Location if Different) <br />NAME {r- R <br />M ADDRESS fjAPF MINE LOADOUT <br />P. O. BI X 1597 <br />FLORIENCE CO 81126 <br />FACILITY MARK M r N'KFE LOA'z".)0+..,`.1.. <br />LOCATION WALDEN 1.10 801480 <br />°.. ? '3'RI • f°•1?fit'.?C..:IC' t} f;3 9.`i""Y"?':+?t-Eavt n"+?n, nn.-ssw <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />l•'PiP_ - « l Sl1^ 4 P I'a'I 41 <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM O`V IC/1 01 TO v 1' a <br />Farm Approved. <br />OMB No. 2040-0004 <br />N"! iv -1-11 R <br />( SU'-:F "t JC <br />NO DISCI-IARCZ I 3is`I;r: <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY SAMPLE <br /> OF <br />TYPE <br /> EX ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />s}3-y SAMPLE 2 ,3 *b :'r :r de 4:•• 'i : !I Y= q ( 12) <br /> MEASUREMENT <br />00403. +0 PERMIT .-•?• ..'?: ?sz• •1: s rF -: ' i' •€r??•?:. ? s-. F •t.:.-•t. ?:t i. 17. L"1 +,x <br />7?FFILQFEN T GROSS VALU REQUIREMENT SU <br />,c 3L I DS, S7HETTLEA-B . E SAMPLE fik a kf Ii if w r `8{ 3 ? .. Ic i# ?,<• 15 Is. i i <br />25) <br /> MEASUREMENT <br /> <br />0 O <br />1 <br />; <br />?:?_ y. ? .. .. <br />*. y <br />t`•?x <br />sti... <r r <br />°2i i #wI(? <br />? <br />?2s r fi a{ <br />"{ 3i'. <br />0FF <br />_U RS <br />_ GROSS VALt.)is REQUIREMENT <br />. sr:c'd ?i Fit ? <br />? t _ z #"Ii_i 1 to N ;> t i <br />OIL AP+#D GREASE SAMPLE ? : •?:••i:•?isi• •Pk-:F•ti•ic'?k•k- •3?FF•iP•ts-ti••r•„. ..:;.•i{ -#•'K'-•2?' l ? ?3 } <br /> MEASUREMENT <br />yac- S L 0 PERMIT 't...... d. .. .>•:2 KI"t1 tSi....2.. ?. ?:nti" rt#_kt }'ia. <br />37-FFLUENT GROSS VALUE REQUIREMENT n ? M- <br />t <br />M F- L.. <br />t L Ll y, I #'S C0h',DSJ f T OF SAMPLE d ?.? kk fi 3f dk? 34 3Lfisar CFi ': t 't t?? w='r <br />THRU TREATMENT PLA MEASUREMENT <br />rta Fit. ?; (1 PERMIT ?r <br />! i , r; I`t: f rJ#- <br />EF7LUIENT GROSS VALE REQUIREMENT =n r•:,l I <br />s <br />.`?i.: I t ;"f' I D <br />Yrirv:"? <br />t r--a •- <br />kI, AND (4AF +E SAMPLE 3k1. Kx?s: 5 <br />( c x <br />1 'a ?# u k? x <br />3. xY r. s .1? <br />ac :s. ti. is }b <br />V I UAR! MEASUREMENT <br />t??Cab C3 O PERMIT :. <br />i .. <br />is i*a = g <br />- -,, ,.•?• __ . <br />?: r; ,;' . ?s '. <br />•? ?: <br />4 S <br />T'F LL)FN r Or,S Vt?I .UN REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <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 TELEPHON E DATE <br />,? <br />t? j %" Q? <br />`/ prepared under my direction or supervision in accordance with a system designed <br />to assure that qualified personnel properly gather and evaluate the information <br />/ <br />' P submitted. Based on my inquiry of the person or persons who manage the system, <br /> <br />or those persons directly responsible for gathering the information, the information <br />CC? submitted is, to the best of my knowledge and belief, true, accurate, and complete. IGNATURE OF PRIN IPAL EXECUTIVE '?CJ <br /> <br />TYPED OR PRINTED [am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />M0 <br /> <br />AY <br />f•f1AA1kACMTC AM11 PYDI AAIATI/1A1 AC AAIV %11^1 ATIf%k i?..??.....?_ - CODE D <br />_. <br />gf?L;_ wl}#_..?r L}:#'I °t vi,=aA # Y =?f" a4k Cs?VF3?lT B?Jt?C "O1?#: )##<; OF ##?OI?r #?t#t?E;'dih'T8 1 6 <br />PAi" ?. ??. t3. c?7?Y s??i,sTKON *-)L. DATA Sale-4LL BE 81?i?'PLID TO THE DIVISION WITHIN 46 HC-IURS. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ?" 1 , S, a 3 fflrnl PAGE