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PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME <br />I 'v'hl'CDr:}V Cf !Ct C /^PIhF - T hfr <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) M I NOR <br />Form Approved. <br />OMB No. 2040-0004 <br /> ADDRESS SOUT HF T ELDAMINE - - in a? t (SUBR TV ) <br />z Q. BOX 459 PERMIT NUMBER DISCHARGE NUMBER F .... FINAL FRMt <br />P <br /> . <br />FLORENCE CO 61226' MONITORING PERIOD POND S RUNOFF TO MAGPIE CREEK <br /> 'FACILITY SOUTHF I ELD MINE YEAR MO DAY YEAR MO DAY <br />, <br /> LOCATION FLORENCE co 81226 FROM 1 1 011 Q11 TO 1 ## NO DISCHARGE <br />A <br /> ec plating this form. <br />TTN - GEORGE V. PA 'T RSh3N r MINE MGR NOTE: Read Instructions bef <br />g <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX TYPE- <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> ' SAMPLE ###### <br />- ###if#it <br />- - ###### f 12) <br /> MEASUREMENT <br /> 400 1 CS f? PERMIT- 9F###3F#'' !F##iFiF# ### b. <br />, ###### ?. i? 1dIGLI IRAIIS <br /> <br />ELUEN GROSS <br />T VALUE REOUIRSMENT #### ` <br />imam MAX IMUM u ON <br /> , <br />LDS, SETTLEABLE <br />SAMPLE <br />####?fr# <br />###### <br />1HI#### <br />.?? <br /> MEASUREMENT <br /> <br /> <br />5 I <br />154 <br />C? 0 O ERM ###?t# #F+t##a1 # ° 9iu1F# *4?* t## REPORT AD <br /> <br />? <br /> L 11 E <br />GROSS VAL <br />N <br />T <br />REQUIREI4 040 <br />#### <br />- I <br />1' 30DA AVG <br />DAILY` MX <br />ML/t,- <br /> , <br />•'L AND GREASE SAMPLE ###### ###### ###+t+E ###### ( I'9 <br /> ". MEASUREMENT <br /> <br /> 5e2. 1 (} O PERMIT dF###ii# , i#?F1FlF?h ### ###?F## tlrif#### 10 <br />_ <br />t <br /> NT GROSS VA REauIREMENT #### INST MAX <br />M& <br /> <br />C3LN <br /> <br />:<;.? <br /> NDUIT OR <br />F <br />QW <br />' It?? <br />.i SAMPLE t 033 ### # ###### ###### <br /> , <br />t <br />? <br />? <br />THRU `TREATMENT PLAN MEASUREMENT <br /> <br /> <br /> <br />o{y50 1 f1 O <br />PERMIT <br />REF'CIRT . <br /> <br />REQ ORT <br /> <br />' _ <br /> <br />iF I ### <br /> <br />iF# iF### <br /> <br />( ##ii If iF# <br />1 <br /> <br />##iF <br /> . <br />FLUENT GROSS VALUE QUIRr.MEN'F' <br />R) <br />v A Avca <br />,NIX <br />a' v <br />MGI3 <br /> L AND GREASE <br />SAMPLE <br />####IF# <br />( 94) <br />##iifii <br />iF.?F#### <br />###### <br /> SUAL MEASUREMENT <br /> ` 1066 1 C3 O ?? ?kf?F#ih . [? ? . ?[ iE? N€iEiE ?, ?i?E#iF# ###iF#ik= 1F#? a- ? <br /> I NS' <br /> sAMPLE <br /> MEASUREMENT s. _ <br /> " A= , r? <br /> " REOUIPOENT <br />..STN <br />1 p1 <br />- <br />'I n <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />f, r PERMIT t <br />4 <br />N N <br /> <br />3 <br />4" <br /> FIIQUIREME <br />T <br /> AME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were . K TELEPHO NE DA TE <br /> ??? <br />S 0 <br />'M LU 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 />T <br />V <br />t <br /> persons who manage the system <br />Based on my inquiry the person <br />submitted <br /> in <br />. <br />or those persons directly responsible for gathering the information the information l (p ?V <br /> F_ , submitted is, to the best of my knowledge and belief, true, accurate, and complete. IGNATURE OF PRINCIPAL EXECUTIVE ? t <br /> <br />TYPED OR PRINTED I am aware that there are significantpenalties for submitting false information, <br />including the possibility of fine and imprisonnlcnt for knowing violations. OFFICER OR AUTHORIZED AGENT, AREA <br />CODE <br />NUMBER - <br />YEAR <br />M6 <br />DAY <br />?MMENTS ANU EXPLANAI IVN Ur ANY vvvLAiivN, (Ptererence an d?rduntnenw nerei <br />$?ETTLEABLE SOLIDS LIMIT WAIVED FOR 10YR,24HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF'RtGUIREMENTS IN PART <br />I,B.6, ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS. <br />dT <br />Y5 <br />EPA Form 3320-1 (Rev, 3/99) Previous editions may be used. 00611 /005 i6ea-R f?rM. PAGE ? OF <br />i