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PERMITTEE IV UDRESS tinclude <br />Foi-dir) 'Want /I p on II 411/ferent) <br />, <br />NAME Toro de Plata„ Inc. .....__ <br />.., <br />ADDRESS P.O. Box 85_ <br />e:AgAt.L_ry Revenue -Virginius Mine <br />LOCATION W_Ouray <br />PARAMETER <br />(32- <br />FLOW <br />Oil & Grease <br />Robert A. Terson <br />nuray„ CO 81427_ <br />TYPED OR PRINTED <br />SAMPLE <br />MEASUREMEN <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREM <br />SAMPLE <br />MEASUREMENT <br />PERM IT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PURM <br />nEo u Dl MEW' <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERM IT <br />REQUI <br />NAME riTLr PAIN IPAL E CUTIVE OFFICER <br />0.82 <br />3.0 <br />COMM Et4 I ANC. ExrI ANATION OF ANY VIOLATIONS I Rr/rrote• 011 14MM/01100J herr) <br />NATION AL POLLUTANT <br />DISCHARGE <br />(2-16) <br />C0-0040550 <br />QUANTITY OR LOADING <br />(S <br />PERMIT NUMBER <br />1 YEAR MO <br />11 DAY <br />FROM 86 <br />c:O/t/ (12 2 1j (14,0) <br />MAXIMUM UNITS <br />(TS <br />RGE ELIMINATION SYSTEM !NI'LH.3 I <br />TORING REPORT (DM RI <br />(11 19) <br />MCJNITORING PERIOD <br />ix, 1 YET - Ailt MO OAY <br />86 1_11 <br />t 7e r, s2#29( t <br />(4 Card Only) <br />(i(1-45) <br />1 cERTFY UNDER PENALTY L F LAW THAT I HAVE PERSONALLY EXAMINEE/ <br />AND AM FAMILIAR WITH THE NfoRmAnoN SUBMITTED HEREIN AND BAsEE, <br />ON My INQUIRY OF THOSE ITIoVIDI IA1 S IMMEDIATELY RESPONSIBLE OR <br />Ot3T AIRING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION <br />15 TRUE ACCURATE ANC. COMPLETE AM AWARE THAT THERE ARE SIG <br />NW IC ANT PENALTIES FOR SUBMITTING FALSE INFORMATION 1 NCLUDING <br />THE PO•LinIEPL ITV OF FINE AND IMPRISONMEN1 SEE (8 U5 1001 AND <br />33 1) 5 C ) 3 19 , retlititad and.' eer atautfro Includr Aloof, lip 1' 1111 (") <br />and rimum inn,p4mrri10 "1 5 .114,0 & month. 0845 ,r / <br />MINIMUM <br />_2,69 7.24 <br />6.50 <br />NOTE: Outfall 001 is inaccessible due <br />DtSCHA■IGE NUMBER' <br />QUALITY OR CONCENTRATION <br />(4) 04 <br />AVERAGE MAXIMUM <br />7 . 85 <br />9.0 <br />(3 <br />o the pond eing frozen <br />UNITS <br />TELEPHONE <br />NO. <br />EX <br />6 2.An <br />SIGNATURE OP PRINCIPAL EXECUTIVE 303 1325-4600 <br />OFFICER OR AUTHORIZED AGENT <br />RUM 8E( <br />ciain - - <br />I-orm ?ve(1 <br />OMB' . 2000 <br />NOTE: Read Instructions before completing this form. <br />,-E1E0t1E.Nr,..•■ SAMPLE <br />or TYPE <br />ANAL <br />(64 4"s 1 <br />4/12_ _T nnt. <br />V30 <br />4/30 <br />Inst. <br />Visual <br />